Blood pressure isnt anything to mess around with. Check it regularly, extended high blood pressure can lead to kidney disease and obviously heart issues!

Been dealing with BP spikes on cycle, so figured I’d share what’s helped me. Staying hydrated and cutting sodium (kept it under 2.3g/day) made a big difference. Light cardio like walking 3–4x a week also helped a lot. I added hawthorn berry, CoQ10 (200mg), fish oil, and magnesium glycinate to my routine. Got an Omron monitor and check BP a few times a week—always after resting, no caffeine. Not a doc, just my experience, but don’t ignore the signs—headaches, dizziness, etc. BP issues can creep up fast if you’re not paying attention. Stay safe, bros.

Hey man, glad to hear the gains are coming along! Let's talk about that blood pressure and hematocrit. It's good you're paying attention to this
it's super important for long-term health, especially for us as PED users. High BP is a silent killer, and it's something we need to take seriously.
First, your hematocrit being just barely in range is something to watch, especially since you're donating blood soon. Keep an eye on it after the donation too (cause it can rebound) We want to keep it below 52 ideally. While some PED users might have slightly higher "normal" hematocrit, staying in a healthy range is crucial.
Now, about your BP: 130/80 at home is a little elevated, and 139/85 at the doctor's office suggests some white coat hypertension, but it's still good to address it. Don't just rely on the blood donation to fix things. Most of the time simple things can fix:
Consistent Cardio: 30-40 minutes daily, even during your off-season, is key. It improves insulin sensitivity, circulation, and helps lower blood viscosity, all of which contribute to better BP.
Hydration is Key: Aim for 50ml of water per kg of body weight (convert that to lbs). Proper hydration makes a big difference.
About the Supplements I like to use
Berberine: This is a good option for improving insulin sensitivity, which has a direct link to blood pressure. It's a reasonable alternative to metformin.
Nattokinase: 100-200mg daily can help with blood viscosity.
About the Meds
Cialis: 5mg daily can act as a cardioprotective agent and may help lower BP, but discuss this with your doctor first. In case you’re going to see someone.
Nebivolol: i personally like to add it when cruising…My 2 cents High BP is NOT Something to Ignore: It can lead to serious long-term health problems like enlarged heart, kidney damage/failure, and stroke. Don't brush this off. Getting it under control now will pay off big time in the long run.
Remember, this isn't just about getting bigger; it's about staying healthy too, I mean that’s how I’d like to see this journey, with some balance.

If your blood pressure just needs a little help, try hibiscus tea. For me it reduced my BP by about 10/2. It works fairly quickly - maybe 45 minutes or so. Unfortunately, it also wears off quickly so need to drink the tea 3x a day. Some places sell hibiscus tea in ready to go tea bags, but I buy a whole big bag of dried hibiscus blossoms for like $6 in the international aisle of the grocery store.

Donating blood can make you anemic, so be careful. It can take 6 months to build those iron levels back up. When your anemic, you can't get enough oxygen to your muscles. That can affect your gains for sure. There's much better ways to lower your hematocrit or rbc. I can speak from experience donating blood in the past didn't move my blood pressure a single point. Like Anvil said, Telmisartan and Nebivilol FTW. That's what I use. When I run EQ I use methylene blue ed/eod to lower my hematocrit. Metformin lowers your RBC and your hemoglobin. Works great for me. That and staying well hydrated. Best advice is just hit your local Dr. Office bro, they're happy to get your blood pressure under control, bp meds are cheap af. But definitely take your BP very serious, High BP is what kills bodybuilders. Enlarged heart, damaged kidneys/kidney failure, serious stuff.

Do's and don'ts? Don't spring a leak.

I would definitely recommend getting an arm cuff for home, wrist cuffs are usually inaccurate in my experience. Sit down with your arm elevated near your heart in the morning before you consume caffeine or eat, wait 5 minutes then do your reading. Wait another 5 mins and do another, I like to do 2-3 in the morning to create an average. Home machines are not always the most accurate so this is why I like doing a few and just keep track of it. Some units have memory if not just track in excel or go old school with a notebook. In terms of supplements, the ones stated below are great but my piece of advice is to make sure you are getting enough magnesium and potassium in your diet. Electrolytes play a big part in blood pressure and many adults are deficient. If none of this works it's most likely hereditary and medication is needed. If this is true I would be weary of which aas compounds you are taking, unmanaged blood pressure/sleep apnea are the silent killers in this game sadly. Cialis will help but is not going to fix the issue, your bp wasn't crazy luckily. But for all of us running gear, paying attention to blood pressure and management is very important in terms of longevity. Best of luck brother!

Get some meds from a doc. Tell em you’re worried about it and it runs in the family. Costs like $6 for 90 day supple

Did you get Estradiol on your bloodwork? I just went through some issues with Bp last month, looking at the pictures my highest was 173/99-103 which is out of control. E2 was 113 at the time. I’m usually at 120/80. Like Primo said, I notice I am much more sensitive to Bp increase because of those issues. Slight elevation is expected but you want to keep that in check.

I'm in medicine and my advice is that hypertension isn't something you want to mess around about. I always thought that high BP wasn't too big a deal as long as it's temporary but it can create a feedback loop where the receptors that measure BP in your arteries get used to the higher BP and that becomes the new normal, then you have a big coffee and get stressed at work for a few weeks and it creeps up higher, the receptors get used to that level and the cycle just keeps on going. This is how some people end up with BP that's like 180/100 and feel fine right up until they have a heart attack or stroke. The good news is that exercise can prevent or even reverse this process because when you exercise your BP goes up but a bunch of other stuff happens too, like your vessels dilating for example, and this helps to reset those sensors. Personally, I do a lot of cardio and I take telmisartan, like anvil mentioned below, whenever I'm on cycle to keep BP in check. Telmisartan is pretty much the most mild BP med around and won't tank your BP to dangerously low levels like beta blockers and some of the more heavy duty types can. It also has a bonus of improving aerobic capacity, even in healthy users. This isn't medical advice and you should do your own research, maybe try some natural remedies first, but if you do decide to use meds that's where I'd start.

First start with probably doing away with the coffee or cut serving in half. I'll say this, the more natural route is what I prefer but that route can only do so much for bp issues, nevertheless can improve BP. Examples are Garlic, Hawthorne berry, Potassium, apple cider vinegar, co Q10, magnesium, beet root are just a few natural things that could help but remember these things can only do so much and may not be the answer depending on how bad your BP is. I prefer this route but my BP isn't bad usually. Gotta be careful with high BP. It does more damage than what folks realize, even affects vision. Hope that helps.