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Health Frustration

Old 05-29-16, 03:46 PM
  #26  
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Originally Posted by PatrickR400 View Post
Your blood pressure being on the high side (higher than usual?) even after being careful with what you eat and exercising is counter intuitive. Have you isolated outside influences:
  • Measure taken at a different time of day.
  • Hotter outside temperature.
  • Tighter belt
In my case any of those can change the value quite a bit.

Doctors are humans, they make mistakes, and they have prejudices like anyone else. Having obese clients show up and claim that they exercise is probably common occurrence; in your case that is true, so the doctor needs to look deeper. I assume that, being in the US, you pay for your doctor, and that is one more reason for getting good care. Sit the doctor down, and tell him your concern; if the doctor does not take you seriously, have a cow, that should rattle the cage.

Take care
There is also "White Coat Anxiety" where people test higher in the Dr. Office than anywhere else :-).

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Old 05-29-16, 03:52 PM
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Originally Posted by Willbird View Post
There is also "White Coat Anxiety" where people test higher in the Dr. Office than anywhere else :-).

Bill
That too
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Old 05-29-16, 05:48 PM
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Yes, the last Dr mentioned the white coat anxiety. I need to figure it out. I truly appreciate everyone's advice, idea's and experiences they shared. I am going to get the glucometer, start writing a journal to track food intake and after effects. I will also add some non cycling days each week. I had noticed my legs have gotten stronger. As was mentioned, it seemed counter intuitive to me also. I had never ate healthy, have never ate vegetables or fruits much, as for some reason the texture gags me since childhood, but I can eat a few types. Have never exercised, and yet always, even at 300+ pounds had great blood pressure. So that is mainly why I wrote my original post, cos I felt I was at a loss. Everyone who posted here was very helpful and informative, so I feel I am not hopeless now. What I meant about feeling crappy and lethargic, was actually a new thing, not from being overweight, or even being tired from over doing it. Just seemed, different I guess. Again, thank-you.
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Old 05-29-16, 07:24 PM
  #29  
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Originally Posted by Staypuft1652 View Post
Yes, the last Dr mentioned the white coat anxiety. I need to figure it out. I truly appreciate everyone's advice, idea's and experiences they shared. I am going to get the glucometer, start writing a journal to track food intake and after effects. I will also add some non cycling days each week. I had noticed my legs have gotten stronger. As was mentioned, it seemed counter intuitive to me also. I had never ate healthy, have never ate vegetables or fruits much, as for some reason the texture gags me since childhood, but I can eat a few types. Have never exercised, and yet always, even at 300+ pounds had great blood pressure. So that is mainly why I wrote my original post, cos I felt I was at a loss. Everyone who posted here was very helpful and informative, so I feel I am not hopeless now. What I meant about feeling crappy and lethargic, was actually a new thing, not from being overweight, or even being tired from over doing it. Just seemed, different I guess. Again, thank-you.
If you have a medical flex or HSA you can buy one of the home blood pressure devices....they work pretty decent :-).
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Old 05-29-16, 07:53 PM
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Unless you are very active or training as an athlete doing several all-out workouts a week then the advice to take rest days although well meaning is utter nonsense. One of the leading causes of obesity and other health problems is our sedentary lifestyle. You defeat that by leading an active life. That means getting activity daily, the more the better. Variety is probably best however not exactly necessary. Many folks think they are eating healthy when they are not. Eating fat alone does not make you fat. Eating fat plus carbs plus not enough activity makes us fat. Over eating or over consuming makes us fat. If your primary is not believing you about your exercise fire him/her. Find one that you can build a relationship with based on trust. What you eat is not nearly as important as how much, when, and what else you are eating. Your activity level should determine your calorie intake while keeping in mind how many calories your are getting from fat stores.

Has your primary asked you to buy a cardio cuff to check your BP at home and chart it for a week or month or longer? It might be a good idea if you can afford it. How about all those BP check stations in grocery stores, do you ever stick your arm in them? Good luck in figuring your out.
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Old 05-30-16, 06:44 AM
  #31  
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Originally Posted by Staypuft1652 View Post
...Have never exercised, and yet always, even at 300+ pounds had great blood pressure. So that is mainly why I wrote my original post, cos I felt I was at a loss...
The sudden jump in BP is something that really needs to be investigated and controlled. I had a health scare 5 years ago and my BP was in the 150/90 range; my doctors put me on BP medication which I was able to get off through diet/exercising. My BP is now in the 120/70 range.

BP does not rise without a reason; specially if the rise is sustained. That does not jive with white coat anxiety.

Originally Posted by Black wallnut View Post
...Has your primary asked you to buy a cardio cuff to check your BP at home and chart it for a week or month or longer?...
That is a good suggestion and there is also a thing calleg a Holter that monitors your EEG, breathing pattern, etc. Used for diagnosing sleep apnea among other things.
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Old 05-30-16, 07:50 AM
  #32  
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Originally Posted by Black wallnut View Post
Unless you are very active or training as an athlete doing several all-out workouts a week then the advice to take rest days although well meaning is utter nonsense. One of the leading causes of obesity and other health problems is our sedentary lifestyle. You defeat that by leading an active life. That means getting activity daily, the more the better. Variety is probably best however not exactly necessary. Many folks think they are eating healthy when they are not. Eating fat alone does not make you fat. Eating fat plus carbs plus not enough activity makes us fat. Over eating or over consuming makes us fat. If your primary is not believing you about your exercise fire him/her. Find one that you can build a relationship with based on trust. What you eat is not nearly as important as how much, when, and what else you are eating. Your activity level should determine your calorie intake while keeping in mind how many calories your are getting from fat stores.

Has your primary asked you to buy a cardio cuff to check your BP at home and chart it for a week or month or longer? It might be a good idea if you can afford it. How about all those BP check stations in grocery stores, do you ever stick your arm in them? Good luck in figuring your out.
Kinda crappy but there is some research that shows that by becoming active for more than 1 hour a day "cardio intensive"....it LOWERS our calorie burn for the rest of the day 5% to 10%. But that IMHO is just a variable we need to compensate for, the mental and physical benefits of riding an hour or more a day are manifest :-).

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Old 05-30-16, 08:00 PM
  #33  
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Originally Posted by Staypuft1652 View Post
For the past couple weeks or so, my blood pressure has been on the high side, 150ish over 100ish usually. Am 35 y/o, down around 280 lbs. Am eating healthier than ever, cycling pretty much every day. Except I feel lethargic, and generally crappy any time that I do not force myself to do things. Been to 3 different dr's for it, who without alteration, say eat better, and exercise. I am living healthier than ever, and actually exercising. Yet not a single one seems to believe me. Am at a loss as to what to do. At times I can hear my heart beat in my left ear. Sorry if this sounds like complaining, just like I said, at a loss.
Remember that the training triad is exercise hard, eat well and get plenty of rest/sleep. Errors in any of these areas can result in the symptoms you are describing. While you need a caloric deficit to lose weight, very low calorie diets for extended periods can slow your metabolism. If you are losing more than a couple of pounds a week consistently and exercising hard you might have to consider adding a few calories back into your diet. If you are cycling hard every day, you may need to take a couple of days off once in a while, or at least cut back to easy recovery rides. Poor quality and/or too little sleep over several nights can also lead to a sleep deprived state. Watch what you eat and drink late in the day, have a quiet relaxing routine in the evening and avoid the overuse of sleep aids (which may increase the quantity of sleep but can negatively impact the quality of sleep). If you seldom feel well rested, consider getting a sleep study done. At your weight sleep apnea is common and can be a major roadblock to improving your overall fitness and health.

150/100 is not a good blood pressure. Improving exercise, nutrition and sleep will lay a good foundation but watch out for caffeine and other stimulants (decongestants are a common offender as are some diet aids and sport performance supplements). Trying to decrease negative stress/anxiety is another important factor. There are a number of medical conditions that can increase blood pressure as well so kudos for seeking medical advice. It is possible that you might have to consider medication to control your blood pressure until your fitness improves. There are some natural and nutritional alternatives to aid in lowering blood pressure but talk to your doctor or pharmacist first, especially if you are already on medication.
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Old 05-31-16, 07:36 AM
  #34  
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Sandwiches? What sort of sandwiches? Deli meats? If so, they can have a ton of sodium and fat. I am not one of those "carbs will kill you people" and I will even warn you to watch out for the bread. I was shopping in Whole Foods a week or so ago and looked at some of their whole grain/multigrain breads. one version contained something like 140 calories per slice. Make a couple of sandwiches with that and you have 560 calories in bread alone.

BTW...As someone who was born with a congenital heart defect that had to be addressed surgically (aortic valve replacement, ASD and VSD repair) at the age of 25, I think you should look into getting an ultrasound of your heart. As my condition got worse, I developed a high pulse pressure and could hear my pulse in my ear.
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Old 05-31-16, 03:41 PM
  #35  
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Two years ago, I had reached 255 pounds (6' tall) and my bp was getting high enough that my Dr threatened medication to control it. I did some research and decided to try walking twice a day for 20-30 minutes as fast as I could (my dog loved this, she came along), drank more water w apple cider vinegar added to it and ate less crap but more healthy foods.

My weight would drop from 3-5 pounds a week and that keep me motivated. After about a month, I was walking almost an hour at a time and covering over 5 miles each time. Again, drinking water w acv and watching the junk food. Weight continues to drop and after 4 months, I take up cycling. So now, I was walking and riding while getting good results. At 6 months, bp was about 120/80 but I continued the regime as I was on a mission. At the 1 year mark, I dropped to 205 w/ a bp of 118/72... looking fit and lean. People thought I was ill but I was not as healthy in years.

Lately, I cut out the walking, water w/ acv and my weight has been creeping up even though I am still cycling and ride w/ an A group (so we go long and fast). Moral here is I think the walking and drinking more water w/ acv was what dropped the weight and I am going back to that again. Look into this and decide for yourself.

Good luck and post your results.
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Old 05-31-16, 04:22 PM
  #36  
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Thankyou @NYMXer , for some reason the water with apple cider vinegar rings a bell. What ratio do you recommend, if you wouldnt mind?
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Old 05-31-16, 04:37 PM
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Originally Posted by Staypuft1652 View Post
Thankyou @NYMXer , for some reason the water with apple cider vinegar rings a bell. What ratio do you recommend, if you wouldnt mind?
The recommended ratio is 1-4 Tbs adjusted to suit your taste. I like the taste and add about 6 Tbs to an 8 oz glass of water. I truly believe that drinking this and walking for 20-30 minutes twice a day was what helped me more than anything else. Drink this 1/2 hour before each meal and bed time. Also drink this as soon as you wake up to ward off hunger which will allow you the frame of mind to eat a more appropriate breakfast. Do not ever skip a meal to lose weight, you end up eating more at your next meal. Try to buy "Unfiltered" apple cider vinegar, like Heinz, which I buy at Walmart for about $4/bottle. No need to buy the Braggs at twice the price and in the same exact bottle with a different label.

Google "benefits of apple cider vinegar" and decide for yourself...
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Old 05-31-16, 04:39 PM
  #38  
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Thankyou!
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Old 06-01-16, 12:06 PM
  #39  
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Geez, I hit 185/120 at one point and was around 160/110 for a long time with a resting heart rate of 85. I have been checking mine at Kroger and as of 2 days ago was 135/75 with a resting HR of 51bpm. It's not perfect but all of this riding and eating less is paying off. Notice I didn't say eating perfectly because I'm only counting calories not sodium, potassium, etc. I'm 325lbs right now so like the others say, the activity level has so much to do with it. Even on days I don't feel like riding, that feeling goes away within 10 min and I never regret it.
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Old 06-01-16, 12:19 PM
  #40  
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Some thoughts:

How are you measuring your BP? if it is at the DR. office the white coat thing is real, at least for me.

If you are measuring at home, take it in to the Dr. office and calibrate your unit vs what the dr. measures

if you have big arms, check to see the cuff is big enough....too small a cuff can give bad readings

Measure the same way ever time at home. i.e sit same chair, with cuff at heart level and same level every time.

what is family history......i.e did you dad have high BP...and at what age. Genetics has a play
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Old 06-01-16, 09:45 PM
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Some doctors deal with white coat anxiety by taking blood pressure at the start and end of the visit, with the theory that you've probably calmed down a bit toward the end so the reading might be more accurate. It's worth a try.
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Old 06-01-16, 10:14 PM
  #42  
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Originally Posted by Black wallnut View Post
Unless you are very active or training as an athlete doing several all-out workouts a week then the advice to take rest days although well meaning is utter nonsense. One of the leading causes of obesity and other health problems is our sedentary lifestyle. You defeat that by leading an active life. That means getting activity daily, the more the better. Variety is probably best however not exactly necessary. Many folks think they are eating healthy when they are not. Eating fat alone does not make you fat. Eating fat plus carbs plus not enough activity makes us fat. Over eating or over consuming makes us fat. If your primary is not believing you about your exercise fire him/her. Find one that you can build a relationship with based on trust. What you eat is not nearly as important as how much, when, and what else you are eating. Your activity level should determine your calorie intake while keeping in mind how many calories your are getting from fat stores.

Has your primary asked you to buy a cardio cuff to check your BP at home and chart it for a week or month or longer? It might be a good idea if you can afford it. How about all those BP check stations in grocery stores, do you ever stick your arm in them? Good luck in figuring your out.
Not to be rude, but that's a pretty ignorant dump. If you do any quality reading/research, timely rest & sleep is a key ingredient to controlling weight and fostering muscle development. Lack of rest fosters weight gain and variety of counter-productive hormonal changes.

Jeez, were do you guys pick up this stuff.
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Old 06-01-16, 10:38 PM
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6 Ft here.

BP is High when my weight is UP 195 lbs now

BP is Good at 170 lbs.
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Old 06-01-16, 10:59 PM
  #44  
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Originally Posted by FrenchFit View Post
Not to be rude, but that's a pretty ignorant dump. If you do any quality reading/research, timely rest & sleep is a key ingredient to controlling weight and fostering muscle development. Lack of rest fosters weight gain and variety of counter-productive hormonal changes.

Jeez, were do you guys pick up this stuff.
Life experience FrenchFit. Not to be rude at all. Most overweight people share a common plight which is a sedentary life. It seems we disagree. Oh well no need to be disagreeable about it. I went from Type 2 diabetic to borderline pre-diabetic by exercising 10 plus hours a week while leading an otherwise sedentary life. All the while still eating pizza, drinking beer, eating pasta and white rice. Whole eggs evey day and bacon when we had it and I tell ya we grow our own pigs so that is most of the time. Exercise is the key to good health and frankly most folks just do not get enough. Athletes in training need rest days. They are stressing their muscles in ways we could only hope to. Most clydes and Athenas are not stressing muscles they are using them. There is a difference in my mind. most of the members on this forum also do not train hard enough for athletic improvement however they do improve in health if they ride enough. Rest is important but so is intensity. If you are not able to ride at intensity for a half hour then you need fitness not rest. two to three years ago I argued this point with another forum member that was worried about burn-out. Well I'm still posting and riding with a smile on my face. I logged 800+ miles last month and feel I should have done more or some harder. I took rest days but I have fitness. Start slow and build. Rest days become important once a rider has fitness enough to up the intensity to the red zone fro more than a few minutes. Until that time a good nights sleep is all the rest you need. So what is your story FrenchFit? How much do you ride and what is your max ability? How much do you rest?

"pretty ignorant dump" "quality reading/research" pardon me but arrogance means squat to me. Results matter. Name one single study of overweight riders that specifically address how important rest is and also say that total rest days are needed for folks that get no exercise. Rest is over prescribed and frankly is not needed until after one has fitness. Tell you what, lets have a beer and ride and discuss my ignorance and your arrogance. Perhaps we each could come to a common understanding beyond labels.
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Old 06-02-16, 06:53 AM
  #45  
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Originally Posted by Black wallnut View Post
Life experience FrenchFit. Not to be rude at all. Most overweight people share a common plight which is a sedentary life. It seems we disagree. Oh well no need to be disagreeable about it. I went from Type 2 diabetic to borderline pre-diabetic by exercising 10 plus hours a week while leading an otherwise sedentary life. All the while still eating pizza, drinking beer, eating pasta and white rice. Whole eggs evey day and bacon when we had it and I tell ya we grow our own pigs so that is most of the time. Exercise is the key to good health and frankly most folks just do not get enough. Athletes in training need rest days. They are stressing their muscles in ways we could only hope to. Most clydes and Athenas are not stressing muscles they are using them. There is a difference in my mind. most of the members on this forum also do not train hard enough for athletic improvement however they do improve in health if they ride enough. Rest is important but so is intensity. If you are not able to ride at intensity for a half hour then you need fitness not rest. two to three years ago I argued this point with another forum member that was worried about burn-out. Well I'm still posting and riding with a smile on my face. I logged 800+ miles last month and feel I should have done more or some harder. I took rest days but I have fitness. Start slow and build. Rest days become important once a rider has fitness enough to up the intensity to the red zone fro more than a few minutes. Until that time a good nights sleep is all the rest you need. So what is your story FrenchFit? How much do you ride and what is your max ability? How much do you rest?

"pretty ignorant dump" "quality reading/research" pardon me but arrogance means squat to me. Results matter. Name one single study of overweight riders that specifically address how important rest is and also say that total rest days are needed for folks that get no exercise. Rest is over prescribed and frankly is not needed until after one has fitness. Tell you what, lets have a beer and ride and discuss my ignorance and your arrogance. Perhaps we each could come to a common understanding beyond labels.
I would take the middle ground on this one. For some of us, a 20 mile ride at our weight would be the same as an athlete pushing to the limit. Your limit is your limit and muscles need time to repair. When it hurts to ride you need a rest. I find my progress slows when I ride over 100 miles a week, but after 1 or 2 days off I'm stronger than ever. On the flipside, if I miss several days I will lose ground even faster. It's a fine line, but if you don't take a couple rest days a week you can push yourself too hard, and even worse start hating your bike. I'm sure after a few years of 800 mile per month riding your body is well adapted but an adapting body needs to heal.
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Old 06-02-16, 08:02 PM
  #46  
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Originally Posted by Black wallnut View Post
Life experience FrenchFit. Not to be rude at all. Most overweight people share a common plight which is a sedentary life. It seems we disagree. Oh well no need to be disagreeable about it. I went from Type 2 diabetic to borderline pre-diabetic by exercising 10 plus hours a week while leading an otherwise sedentary life. All the while still eating pizza, drinking beer, eating pasta and white rice. Whole eggs evey day and bacon when we had it and I tell ya we grow our own pigs so that is most of the time. Exercise is the key to good health and frankly most folks just do not get enough. Athletes in training need rest days. They are stressing their muscles in ways we could only hope to. Most clydes and Athenas are not stressing muscles they are using them. There is a difference in my mind. most of the members on this forum also do not train hard enough for athletic improvement however they do improve in health if they ride enough. Rest is important but so is intensity. If you are not able to ride at intensity for a half hour then you need fitness not rest. two to three years ago I argued this point with another forum member that was worried about burn-out. Well I'm still posting and riding with a smile on my face. I logged 800+ miles last month and feel I should have done more or some harder. I took rest days but I have fitness. Start slow and build. Rest days become important once a rider has fitness enough to up the intensity to the red zone fro more than a few minutes. Until that time a good nights sleep is all the rest you need. So what is your story FrenchFit? How much do you ride and what is your max ability? How much do you rest?

"pretty ignorant dump" "quality reading/research" pardon me but arrogance means squat to me. Results matter. Name one single study of overweight riders that specifically address how important rest is and also say that total rest days are needed for folks that get no exercise. Rest is over prescribed and frankly is not needed until after one has fitness. Tell you what, lets have a beer and ride and discuss my ignorance and your arrogance. Perhaps we each could come to a common understanding beyond labels.
Finding the study you're asking for would an amazing trick, but to suggest this hasn't been studied in a more macro sense: Well, put weight loss and rest or sleep into Google, you'll get about 30 million hits.

But I suspect we are more allies on these issues than adversaries. What raises my blood sugar [pun] is telling people if they fall of their diet, or don't exercise daily, they're doomed to morbid obesity. Frankly, I think it does more psychological harm than sedentary lifestyles you speak of to promote the idea is has to be ALL, failure to adhere to regime means all is lost - you must work out daily, you must adhere to a certain rigid diet. I don't think so, I think you need to make moderate, smart choices for life. Rest is an important success ingredient, and 2/3 of our fat americans don't get enough of it.

I'm thinking the clyde attitude is why a lot of clydes will always be clydes. It's not rigid rules, it's life long sustainable practices...and not denial or guilt.

Personally, you can call me a poser-clyde. Never a legit clyde by BF standards I started my own regime to be more of a hard body these last few years. For me, this means running, hiking, HIIT workouts, and some biking for pure fun. At 6 ft. I went from 235 to around 200, still with a 46" chest but down to a 34 waist. I also gained a good deal of muscle during the same time, routinely doing body weight exercises + functional weight lifting routines. But, I would never chastise myself for taking a few days or weeks off, or drinking lots of cocktails to excess. My lifestyle is about the long-run health, energy and stamina, not a rigid program that lasts for a 6 weeks and is forgotten.

So, get some rest and have a drink. Long-term, change your basic behaviors - that's my advice.
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Old 06-02-16, 09:45 PM
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@FrenchFit yup we are closer to agreement than our posts might lead one to believe. I agree that the road to health is a personal one and yours hopefully works for you as mine is working for me.

For the record I take rest days. I also do extremely hard days or a series of tempo days. Health wise I'd probably be better to not do hard days and just make sure I get activity every day. I'll never argue against enough sleep or hydration as I think both play a huge role in fitness and health.
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Old 06-15-16, 12:01 AM
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Originally Posted by Staypuft1652 View Post
For the past couple weeks or so, my blood pressure has been on the high side, 150ish over 100ish usually. Am 35 y/o, down around 280 lbs. Am eating healthier than ever, cycling pretty much every day. Except I feel lethargic, and generally crappy any time that I do not force myself to do things. Been to 3 different dr's for it, who without alteration, say eat better, and exercise. I am living healthier than ever, and actually exercising. Yet not a single one seems to believe me. Am at a loss as to what to do. At times I can hear my heart beat in my left ear. Sorry if this sounds like complaining, just like I said, at a loss.
So, totally random question - any chance that you're hearing any other things in your ear? Has your hearing been checked? I thought I was hearing something in my left it and it turned out to be tinnitus, which can be a symptom of a few things. In my case it is at last cochlear hydrops, possibly Meniere's disease. (I don't have veritgo, just some lightheadedness so my neurotologist is hedging her bets.) Anyway, I ask because for me one of the symptoms is fatigue.
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Old 06-15-16, 08:24 AM
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@JakiChan No other sounds. Havent heard any more pulsing, or any other noises in my ears. I appreciate your thought on it though, I have been staying hydrated better and tried to eat more selectively. Also tried to be a little better about pacing myself, seem better now. I greatly appreciate everyones help. I have an appointment with a new primary this friday.
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Old 06-15-16, 08:31 AM
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Originally Posted by Staypuft1652 View Post
For the past couple weeks or so, my blood pressure has been on the high side, 150ish over 100ish usually. Am 35 y/o, down around 280 lbs. Am eating healthier than ever, cycling pretty much every day. Except I feel lethargic, and generally crappy any time that I do not force myself to do things. Been to 3 different dr's for it, who without alteration, say eat better, and exercise. I am living healthier than ever, and actually exercising. Yet not a single one seems to believe me. Am at a loss as to what to do. At times I can hear my heart beat in my left ear. Sorry if this sounds like complaining, just like I said, at a loss.
That's a really high BP. Do you ride with a heart monitor? I suggest you do and watch it like a hawk.

I suspect you have a very high heart rate, especially once you start exercising. At your age, it should never really be over 150 with moderate exertion. And, it should fall to under 80 almost immediately after stopping.

If you find the HRM is showing high (180 or above) during any effort, that will tell you why you are fatiguing so quickly. If the rate does not drop below 100 within about a minute after coming to rest, you may have an issue that needs immediate medical attention.

BP over 150 is a huge warning sign that something is wrong. I'm amazed that your doctor is not all over you about it.
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