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Male, 31 : Doing EVERYTHING right but can't lower my BP ?
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Hi. i'm 31, Male : Without meds, i just can't lower my systolic under 130. (i can get my diastolic under 80 tho)

- My BMI is 22, i'm tall and very fit. run 20km per week, muscular training 4x week, boxing 2 times a week, a lot of daily walks, etc. (always been very active and fit, for all my life)

- no familiar history of hypertension

- no diabetes, cholesterol or any other diagnosed health issue.

- i dont smoke or take any drug

- no energy drink and i went full decaf months ago. Low alcool consumption (when i go out, 1-2 times a month)

- For the last months, i started cutting salt as much as i can, also sugar and bad fats by a lot ! Although its not perfect : its easy to cut junk food at home, its harder with ''social'' life activities.

Still, my systolic is quite never under 130. Average in 130s/140s (some spikes over 150 ) Sometime i can get numbers in the 120s but only right in the morning, when i'm extremely calm, empty stomach and my day has not started yet. (im an very anxious person so it does not help, but i do a lot of exercise and meditation to help it)

I have never seen my systolic go under 120 since i started monitoring my BP (losely) in the last years.

So a doctor just put me on amlodipine 5mg daily (first time ever on BP meds) I wish i could avoid it.. i feel like i'm doing everything right. I already suffer from libido and erection problem (that i'm trying to fix). And i know this med can lead to sexual side effects and long term testosterone lowering for men.. so it would make things even worse for me :(

I also take daily magnesium, potassium, d3, k2, zinc, 4000mg L-Citrulline. i just ordered nattokinase because i keep reaking how great it can be for blood circulation.

Should i add omega3 fish oil ? I dont eat a lot of fresh fish because its very very expensive where i live, and i cut out all sardine and tuna because canned stuff are so high insodium (even high quality ones..)

QUESTION 1 : What else can i do ?

QUESTION 2 : can hypertension damage from bad diet be irreversable ? As i said my nutrition is very healthy lately but it has not always been that way. When i do a 6km run, 1 hour of boxing, and weight training in the same day, i will consume 4000-5000 calories a day. Eating 2000 calories from ''dry chicken, rice ans broccoli'' is easy but eating 4000 calories from ''dry chicken, rice ans broccoli'' is very hard and depressive. So in the past i would not avoid junk food because whatever i ate, i train so much that my body fat would stay at approx 10%. So this bad behaviour for more than a decade, Is irreversable ?

i feel so lost right now.. :( ...the nurse i saw for my blood test even told me she has never seen a case like me and even thought i was joking when i told her i had hypertension and my blood test was for finding underlying issues that could cause it.

EDIT : my diet at home is a lotttt of fruits, low fat red meat, chicken (without skin), rice, oats, boiled eggs, brocoli, a lot of spinach, 0% fat yogourt with no added sugar, etc. But when i go watch a movie, yes i will allow myself a chocolate bar.

EDIT 2 : I just heard about irreversable calcium arteries deposit, it absolutely scares me but would make so much sense.. it would also explain my poor sexual fonctions declining over the lat decade.

Thank you so much !

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STRESS! Unless you lower that you won't be back to normal.

Also, don't rule out white coat syndrome.

You are clearly stressed about your BP, so when you take your BP you stress and it's a bit higher.

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