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VA doctor not cooperating. Second BP med after Losartan?

Like I said I'm working a travel contract for another 2 months. I'd have to buy my own insurance and I'm healthy otherwise and acute colds and stuff I don't mind the VA for. But yeah here lies the problem... management of chronic conditions. Anyway, I took a permanent staff position and will have insurance then.

Doing cardio. 35min 3x a week and 18 HIIT intervals twice a week. Probably the healthiest I've been cardiovascular wise (aside from this hypertension which I know the cause of).

I guess a better way to word my question...

How do you manage periods of high blood pressure when you know it is induced by gear but also that it is temporary like a prep or something?
You can get BP meds from sponsors here fairly cheap. Personally I think Lorsarten is weak and Telmisartan not much better. BG here has Telmisartan with 10 mg. Amlodipine. The 10 mg. Amplodine should do the trick lowering it.
 
Like I said I'm working a travel contract for another 2 months. I'd have to buy my own insurance and I'm healthy otherwise and acute colds and stuff I don't mind the VA for. But yeah here lies the problem... management of chronic conditions. Anyway, I took a permanent staff position and will have insurance then.

Doing cardio. 35min 3x a week and 18 HIIT intervals twice a week. Probably the healthiest I've been cardiovascular wise (aside from this hypertension which I know the cause of).

I guess a better way to word my question...

How do you manage periods of high blood pressure when you know it is induced by gear but also that it is temporary like a prep or something?
If you really want to get your BP down drop the tren and winstrol. those are rough on the BP. You could up the mast and test and probably do better or better yet just drop the two and see where you are in 4 weeks. Sicn you are older it may be time to think about using things like tren and winstrol strategically rather than when you really aren't trying to peak. Since you are traveling a lot I assume you are not training and eating perfect or trying to peak.
 
Wow lots of vitriol. I am surprised. As if those dosages are beyond what so many use here.

The VA does not suck because of my issue. The VA sucks for a host of other reasons that unless you have experienced them you wouldn't understand. Such as lack of access to care, poor quality providers, understreatment of some conditions and poly pharmacy leading to overdose in others.

I get it that it is the tren. Does no one else here use tren and get temporary high blood pressure? Does no one take aggressive cycles to compete, diet or grow... blast? I didn't think I was that out of line nor am I a "retard". I am doing more cardio than ever, almost leaner than ever and wanted to push for 7 more weeks. I just made a goal date and scheduled something and want to do my best. I have never gone above 1000mg test before. My BP is generally 118-126 systolic on my losartan.

I guess I was just asking for advice on temporary mitigation. This isn't a long term thing. Sorry to have offended so many.


Sorry man. I had a few beer and was immediately post fight with the ex wife over kid logistics.

The VA does do a shitty job for y’all’s outpatient care. 💯 agreed.


BP meds can be found here pretty easily and you can get them in 7-10 business days, maybe sooner.

Can you tolerate ACE inhibitors? They provide a little more BP lowering effects than ARBs GENERALLY. Get Nebivolol.

Drop the winstrol and tren in half, add 2.5mg nebviolol. Go a week. 130/80? No? Go to 5mg neb. Wait a week. 130/80? No? Go to 7.5mg. 130/80? No?……drop tren completely. Around 10mg neb starts losing its selectively.

Add LSD cardio. 4 hours a week. Not walking or BB cardio. Maffetone method…..185-age= target heart rate for at LEAST 40 minutes.
 
I am on Losartan at 100mg/day. This works well but now BP has consistently been in the 148-152 systolic range. But VA doc I see for primary care is fussy and not wanting to adjust or add a second agent. She thinks cardio, back off heavy weights, blah blah. Yes the VA care sucks. But until this travel contract ends and I start my core staff position it's what I have.

I am taking...

Per day
75mg test enth
50 tren ace
50 mast prop
50 winstrol oral
7iu geno

It is most certainly the tren. I am holding very little visible water (massive amount less on pharma vs generic gh for me personally but that's another convo). Obviously I am not going to tell her about the tren. But I also don't want to go 6-8 weeks like this either.

Lot of guys love Telmisartan but I'm already on an ARB. I was thinking a calcium channel blocker like Norvasc. I am trying splitting my Losartan dose to 50am/50pm to see if that helps at all. Not sure if I can even source Norvasc or BP meds.

ideas besides being a huge pain in the ass to her? VA sucks. Only a short bit longer but I'd rather not be at risk. I'm a little older as is so trying to be health conscious as can be during this push.

A few thoughts...

I'd cut the 1,575mgs of gear down. That is a very hefty amount of drugs. We have dudes here that are 300 pound freaks like luky, and you need grams of gear to do that. Outside of that, most people can look like a <200-240 absolute freak on less drugs that that. At the very least I'd try this...
  1. Reduce the winstrol AND tren dose by 1/2
  2. Cut Either the winstrol OR the tren
  3. Cut both winstrol and tren and up the mast
If it were me I'd cut the tren to 20mgs, 6x per week and totally cut out the winstrol. Evaluate from there. Sponsors here have bp meds and as others noted nebivolol is a great choice for many as an adjust to other drugs. Carditone is a legal supplement Dante talks about a lot and I always got a nice 5-10% reduction in BP taking it. If my bp creeps into the low 130's I add that and usually get right back down to the 120's. On the drugs you are taking, that may not be enough though...
 
Wow lots of vitriol. I am surprised. As if those dosages are beyond what so many use here.

The VA does not suck because of my issue. The VA sucks for a host of other reasons that unless you have experienced them you wouldn't understand. Such as lack of access to care, poor quality providers, understreatment of some conditions and poly pharmacy leading to overdose in others.

I get it that it is the tren. Does no one else here use tren and get temporary high blood pressure? Does no one take aggressive cycles to compete, diet or grow... blast? I didn't think I was that out of line nor am I a "retard". I am doing more cardio than ever, almost leaner than ever and wanted to push for 7 more weeks. I just made a goal date and scheduled something and want to do my best. I have never gone above 1000mg test before. My BP is generally 118-126 systolic on my losartan.

I guess I was just asking for advice on temporary mitigation. This isn't a long term thing. Sorry to have offended so many.
Everyone is free to make their own choices in this sport and yes we all do or have done high cycles. But health should come first IMO.

Nebilivol from a doctor or one of the sponsors on here is what I would add as stated in my post. PM if you need help finding a sponsor.
 
If you really want to get your BP down drop the tren and winstrol. those are rough on the BP. You could up the mast and test and probably do better or better yet just drop the two and see where you are in 4 weeks. Sicn you are older it may be time to think about using things like tren and winstrol strategically rather than when you really aren't trying to peak. Since you are traveling a lot I assume you are not training and eating perfect or trying to peak.

Travel nursing. I drive an hour to work. That's all that means. My diet and training is more impeccable than ever. I am just about the leanest I have ever been at the biggest. My cardio is up but very tolerable. LISS and HIIT. And I said I specifically am trying to peak for a self imposed goal on 1/27. Otherwise I would not be on tren, mast or winstrol.

I appreciate the advice and concern for health. I usually stay between 200-600 of test and sometimes run NPP with it. This is the most gear I have ever used. As I said it is temporary. 7 more weeks. I may have done a bad job communicating that in my original post. I just didn't want to go even 7 weeks at risk when I possibly could do something to mitigate it.

I appreciate the advice and it seems if the doc won't do anything than as Slesh and others said, order online. There was a number of good options suggested.

And I am in no way blaming the VA for the blood pressure. I know exactly what it's from. I blame them for not treating it regardless of cause. If I was a fat diabetic who was not compliant with diet they'd have zero issue bumping my sliding scale and lantus doses. Or if I was a fat old man putting a pound of salt on my scrapple every morning I'd have a statin, diuretic, ACE, etc no issue. Those people wouldn't be getting lectured about "cutting back in the gym" and "do more cardio". I feel it's different because I am "young and healthy".
 
Just throwing out my experience with Amlodipine to give a different perspective.

Had the nerves in my hands and feet on fire by day 3. Dropped it by day 5. I have had nerve issues in the past so perhaps I am susceptible to this side effect from it but plenty of people report this side effect online as well.

How's your sleep OP? I'm throwing in the towel and going for a CPAP in the new year, I am long overdue for it and fairly certain my sleep apnea is the biggest contributing factor to my BP issues.
 
Just throwing out my experience with Amlodipine to give a different perspective.

Had the nerves in my hands and feet on fire by day 3. Dropped it by day 5. I have had nerve issues in the past so perhaps I am susceptible to this side effect from it but plenty of people report this side effect online as well.

How's your sleep OP? I'm throwing in the towel and going for a CPAP in the new year, I am long overdue for it and fairly certain my sleep apnea is the biggest contributing factor to my BP issues.
Also have issues with amlodipine. It’s the only drug to cause me to have ankle swelling.

I use telmi/nebivolol
 
Wow lots of vitriol. I am surprised. As if those dosages are beyond what so many use here.

The VA does not suck because of my issue. The VA sucks for a host of other reasons that unless you have experienced them you wouldn't understand. Such as lack of access to care, poor quality providers, understreatment of some conditions and poly pharmacy leading to overdose in others.

I get it that it is the tren. Does no one else here use tren and get temporary high blood pressure? Does no one take aggressive cycles to compete, diet or grow... blast? I didn't think I was that out of line nor am I a "retard". I am doing more cardio than ever, almost leaner than ever and wanted to push for 7 more weeks. I just made a goal date and scheduled something and want to do my best. I have never gone above 1000mg test before. My BP is generally 118-126 systolic on my losartan.

I guess I was just asking for advice on temporary mitigation. This isn't a long term thing. Sorry to have offended so many.
For what it’s worth brother I’m on your side and no bc of health and being over 40 I dropped tren and likely will never touch it again. There is anger and most don’t understand the va, I’m service connected and my care is awful, except for the sleep clinic. The VA waits until there are MAJOR PROBLEMS before being reactive. The VA loved a drunk smoker but a guy on PEDs gets looked at like shit. That said yes you’ve had issues and not modified your end of it and simply want more drugs (it seems) drop tren, stims and up cardio and see how that goes. There will always be some anger on certain threads, just take the help and ignore the rest. Guys have bad days and it can bleed out in here too. Then guys like BBextreme who came to help but at the end of the day you need to do all you can first. But I get you we should not have to pay to see a doc when we are supposedly 100% but can’t get care or a doctor that speaks fucking English. Hell my pcp for awhile spoke broken English and often switched into Vietnamese and her specialty was amputees so me with my scrambled eggs and sleep issues sitting in a room full of amputees made me feel like a total asshole but that’s the fucking Va I was getting screwed while diverting care from guys who gave more than I could imagine. Chin up shoulders back and on the stepmill no tren no coffee no preworkout, I bet in 2 weeks you’re doing better.
 
Travel nursing. I drive an hour to work. That's all that means. My diet and training is more impeccable than ever. I am just about the leanest I have ever been at the biggest. My cardio is up but very tolerable. LISS and HIIT. And I said I specifically am trying to peak for a self imposed goal on 1/27. Otherwise I would not be on tren, mast or winstrol.

I appreciate the advice and concern for health. I usually stay between 200-600 of test and sometimes run NPP with it. This is the most gear I have ever used. As I said it is temporary. 7 more weeks. I may have done a bad job communicating that in my original post. I just didn't want to go even 7 weeks at risk when I possibly could do something to mitigate it.

I appreciate the advice and it seems if the doc won't do anything than as Slesh and others said, order online. There was a number of good options suggested.

And I am in no way blaming the VA for the blood pressure. I know exactly what it's from. I blame them for not treating it regardless of cause. If I was a fat diabetic who was not compliant with diet they'd have zero issue bumping my sliding scale and lantus doses. Or if I was a fat old man putting a pound of salt on my scrapple every morning I'd have a statin, diuretic, ACE, etc no issue. Those people wouldn't be getting lectured about "cutting back in the gym" and "do more cardio". I feel it's different because I am "young and healthy".
Are you taking low dose cialis? I take 10 mg eod, as well as grape seed extract. That combination keeps my blood pressure good, despite my cholesterol being out of range. The grapeseed extract is a no-brainer IMO, it's cheap and has multiple benefits.
 
Interesting thoughts on amlodipine. I did some reading and see telmisartan is much more effective than Losartan. I'm going to give them another day or two and then decide that or the nev. Again, this is only for 7 more weeks. I haven't used tren in years. I feel it is no different or even less than someone doing a show prep.

But I do appreciate the health focus. I am very healthy otherwise. I guess I am just trying to be proactive as possible. After this there will be a decent health phase back on 200/test. I get labs, obviously monitor my BP and keep a glucose log also. I'm doing my best to be healthy during an unhealthy endeavor.

EDIT- Oh and sleep is better than in years. I got off not only the benzos the VA got me dependent on before I was a nurse and knew better but also the medical THC. No OSA, no cpap. Sleep is great and stress is probably lower than in a very long time also.

Thanks all.
 
I would add amlodopine 5-10mg

Or a beta blocker like atenolol or propranolol


P.s. I work in the medical field and this is not a doctors advice. Take it with a grain of salt
 
As others said, amlodipine goes really well with ACE-Is/ARBs, and the combo can help reduce the pedal edema that amlodipine can cause, if you're even prone to that.
I totally agree with Juggy's suggestion of nebivolol. All of us should probably be on baby doses of a beta blocker and
ACE-I/ARB.
If you really just want a reduction in BP though, the amlodipine will likely be more effective than nebivolol but does not carry the other benefits that come with a beta blocker
 
Travel nursing. I drive an hour to work. That's all that means. My diet and training is more impeccable than ever. I am just about the leanest I have ever been at the biggest. My cardio is up but very tolerable. LISS and HIIT. And I said I specifically am trying to peak for a self imposed goal on 1/27. Otherwise I would not be on tren, mast or winstrol.

I appreciate the advice and concern for health. I usually stay between 200-600 of test and sometimes run NPP with it. This is the most gear I have ever used. As I said it is temporary. 7 more weeks. I may have done a bad job communicating that in my original post. I just didn't want to go even 7 weeks at risk when I possibly could do something to mitigate it.

I appreciate the advice and it seems if the doc won't do anything than as Slesh and others said, order online. There was a number of good options suggested.

And I am in no way blaming the VA for the blood pressure. I know exactly what it's from. I blame them for not treating it regardless of cause. If I was a fat diabetic who was not compliant with diet they'd have zero issue bumping my sliding scale and lantus doses. Or if I was a fat old man putting a pound of salt on my scrapple every morning I'd have a statin, diuretic, ACE, etc no issue. Those people wouldn't be getting lectured about "cutting back in the gym" and "do more cardio". I feel it's different because I am "young and healthy".
If you are travel nursing, and only have 7 weeks left, that means you have been at your current facility working for a while now. Pick the doc you have the best report with, tell them you need 5mg/nebivolol a day to tide you over till you go back home. Tell them your numbers and I would be shocked if they wouldn't write it then and there.

Otherwise just go see someone out of pocket, you don't need to purchase insurance to see doc.
 

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