Problem with Hypertension

I am a 45 years old, 6 ft tall, 190 lbs. I have always been active but as life gets in the way, more on and off active the last 10-15 years.
In high school, I was 205 lbs and could bench 350 lbs and squat 400 without too much training on squats. I lifted on and off after college, starting at 23 years old until I was 30 but never more than 2-3 months at a time with years in between.

Fast forward to now, 45 years young. 3 years ago, my doc told me I had mild hypertension (125/90) and wanted to put me on meds. I refused and started running, dropped 10 lbs (200 down to 190) and got it under control (120/80). I quit running last year and forgot about my blood pressure. 3 weeks ago, I discovered 5x5 and within 3 workouts, I was hooked.

The last year I have done nothing but pushups and a few curls with 25 lb dumb bells. At the end of week two on 5x5, I was doing 245 x 5 for bench and similar for squat (my legs are a weak point). I focused hard on protein 5-6 times per day and gained 7 lbs in two weeks. And that may have been my problem. I have always gained muscle easily when I wanted to. But, I also have a family history of mild hypertension starting in middle age. After two weeks of 5x5, I had mild, but constant headaches. i checked my urine and it was clear and I drank 3/4 gallon to one gallon water per day.

After week two, I had some minor skin surgery and they took my blood pressure before starting. 160/110.! I didn’t believe it so I bought my own cuff and stethoscope. Sure enough, pretty consistently 145/105! Ouch. Have been off of weight training for 1 week now while healing from skin surgery but still headaches persist and high pressure persists.

I have read numerous testimonials about people on a 5x5 program and dropping blood pressure dramatically in 12-18 weeks. In most cases, these people are likely sedentary, overweight individuals who get in shape, drop fat, etc… In my case, I was 6ft tall, 188 lbs with a muscular build when I started 5x5 and I gained 7 lbs in two weeks.

What reports or experience does anyone have with people starting heavy resistance training and having this kind of weight gain in 2 weeks? The increased fluid volume alone from 7 extra pounds could create hypertension in my case. But I hate to quit because I feel great after only 2 weeks on 5x5 (except for the headaches of course). My body fat is around 15% so I can definitely lose some there and that could help. But, if I gain muscle too easily, and vascularity does not come along with it, I fear I will only make my blood pressure worse the longer I go. What experience or advice do you have for me?

I am considering going to a 3x12 program because exertion under oxygen deprivation seems to be the key to lowering blood pressure long term. And I have to say that during the two weeks on 5x5, I never really got out of breath during a work out. So I am seriously questioning whether this is the healthiest program for me. Maybe I need to stick it out longer? Maybe the dramatic rise in blood pressure is transient???

Weightlifting does not cause HTN. (Of course, it does causes a transient increase in BP during a heavy set, but that’s not a significant issue for healthy individuals.) Rather, regular weight training lowers BP over time. Likewise, gaining muscle mass does not cause HTN; in fact, it is hypothesized that the extra muscle mass that results from regular weight training is the causal factor accounting for the lowered BP.

You have documented multiple episodes of BP well above the ‘normal’ range; therefore, you have HTN. Period. It is not secondary to a transient increase in fluid volume (ie, your recent 7# weight gain–no one gains 7# of muscle in 2 weeks). If anything, a sudden increase in bodyweight could be a sign of HTN-induced renal-function impairment (clear urine does not guarantee normal renal function). In other words, the weight gain may be a result of your HTN rather than a cause of it.

It bears repeating: You have HTN. And judging by the readings you’re getting and the HAs you’re experiencing, you have severe HTN. You need to see your physician and have this checked out ASAP. Don’t waste time trying to fix this by tweaking your lifting program.

EyeDentist is giving you great advice here. Don’t workout til you go to the doctor,get blood pressure medicine that doesnt impact sexual performance, then, if you like the results you’re getting from your training,keep doing it! Allow a good dr to decide ,if at some point, you can come off the medication. Dying in the gym might be ok if we’re 80,but not yet! Keep us posted. Confusion

If your doctor says it is okay why can’t you run and lift.

I have been running more this year.

I run on days I don’t lift.

I my bp was little high this year I have lower it with running and losing weight.