Blood pressure at 135/78 despite being fit and taking a medicine

- Stress at work or in your personal life?
- hereditary
- other underlying condition, not diagnosed?

I used to be at a normal rate of 150+ systolic while very athletic and fit.

American food in general has a lot of salt. You need to reduce it as much as you can. Don’t eat highly salty ramens, bacon, fries, etc. And also some other lifestyle stuff like sleep and stress can affect it a lot. Try meditating, drinking lot of water, less salt, sleep properly, calming hobbies.

was 160/120 in high school and mostly got it down. To complete all my schoolwork, extracurriculars for college, and playing two sports competitively (with all that comes with that), I drank tons of energy drinks and often mixed them with pre workout to be able to function/perform on ~4 hours of sleep a night. Also, not sure if this was related, I became super sensitive to salt after that, so i had to curtail my salt consumption otherwise my BP spikes. cut out all energy drinks, stimulants, and salt, and maybe run/lift, you should be good.

Are you black? If yes, be close to your cardiologist (being black isn't safe with elevated BP)

If relevant, caffeine and nicotine increase blood pressure

Not a doctor, and don't know enough about your specific family or genetic history, but look into Carditone. I had high blood pressure despite a clean diet and regular exercise, and had a doctor recommend this instead of BP medicine and it has been incredible. Take one pill each night and have done so for the last two years with completely normal BP as a result. 

Any protein leakage in your urine? Take care of your kidneys

Hey man -- talk to a doctor before taking (can't mix too much stuff together) but look into L-Citrulline since it has blood pressure reducing properties. 

How much cardio do you do? Do 150min moderate intensity cardio MINIMUM weekly

How are all your other numbers? (cholesterol, etc.) these kind of related health issues compound each other, and you get to a 1 + 1 = 4 situation pretty quickly for some really nasty outcomes.

My father was a former semi-pro* athlete who let himself go a bit in his 60s, and ended up with an aortic aneurism in his early 70s with the only risk factor being high blood pressure. He survived, but that's one of the scary things you never hear about. people worry about the little blood vessels, but never these.  Apparently if you catch it right at the start and go straight to the hospital (which was five blocks away) they have about 90 minutes to stabilize you.  I was told it was really black and white: something like if you made it out of the ER/OR getting routed to a room not the morgue you were going to be fine in a couple months.  

*Short track cycling, nothing cool or anything. Yes, there was a time where you could make money for doing that.

not bad but get a Full stress test with cadiologist, echo etc.

lay off caffeine if big drinker, reduce sodium 

drink celery juice every morning, make it at home. Unreal benefits from better BP, better skin, better hair etc. 

meditate, don’t grab phone when first waking up, meditate first take 30 mins to ground yourself 

learn to respond to things and not react to them 

Get a high quality BP monitor for home, sometimes doc office and white coat syndrome will f up all readings

Godspeed 

Bruh, this isn't your GP / PCP office.

135/78 is not that high.  78 is good and 135 is a little high.  Also, you should not draw any conclusions based on one statistic that is a little high.  You should combine this statistic  with cholesterol numbers.  If the cholesterols number are good, then the BP numbers matter less.

Don't go down this path of fussing over blood pressure with imperfect data. I convinced myself that I had heart palpitations, and perhaps even a murmur. I've been in your shoes and demanded a full evaluation from my cardiologist. His interpretation of the results was that I was perfectly fine and the symptoms I was experiencing were psychosomatic. That was a trip.

If I had to do it all over again, I would have purchased aktiia for continuous monitoring of my blood pressure vs. intermittent blood pressure cuff. If you've got high blood pressure after that, then start thinking life style changes to see if you can't bring it down. If all else fails, consider a statin.

But start with good data before anything.