Despite being on 10 mg of Ramipril and 175mg thyroxine.. both taken in the morning ... I can't understand why my blood pressure should be so high..I regularly walk for an hour and a half everyday and run up to 10 miles every Saturday without any effort... I've also started a pure plant based diet from December last year to try and improve things... I'm not severely overweight at 13 stone for a 6-ft 2 male, but I am getting on at 59 😉
My GP is also puzzled why why my calcium levels in my blood are negligible.. we've been testing my bloods for the last 3 months and it's still low...
My parathyroid was tested last month and that is fine.
It's been suggested by "greygoose" to take ramipril a few hours after taking thyroxine... Which I will be doing from today.. sounds like a really good idea..Thank you Greygoose.👍
Any other suggestions most welcome.
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Muelerama
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Low calcium suggests low vitamin D. Calcium naturally rises when we improve vitamin D
Low vitamin D is EXTREMELY common when on Levothyroxine
For full Thyroid evaluation you need TSH, FT4 and FT3 plus both TPO and TG thyroid antibodies tested. Also EXTREMELY important to test vitamin D, folate, ferritin and B12
Low vitamin levels are extremely common, especially if you have autoimmune thyroid disease (Hashimoto's) diagnosed by raised Thyroid antibodies
Ask GP to test vitamin levels
Do you have autoimmune thyroid disease also called Hashimoto's? Diagnosed by high thyroid antibodies
You may need to get full Thyroid testing privately as NHS refuses to test TG antibodies if TPO antibodies are negative
Recommended on here that all thyroid blood tests should ideally be done as early as possible in morning and before eating or drinking anything other than water .
Last dose of Levothyroxine 24 hours prior to blood test. (taking delayed dose immediately after blood draw).
This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip, best not mentioned to GP or phlebotomist)
GP will only prescribe to bring vitamin D up to 50nmol.
Aiming to improve by self supplementing to at least 80nmol and around 100nmol may be better .
Once you Improve level, very likely you will need on going maintenance dose to keep it there.
If you have an underactive thyroid (hypothyroidism), treatment may be delayed until this problem is treated. This is because having an underactive thyroid can lead to an increased cholesterol level, and treating hypothyroidism may cause your cholesterol level to decrease, without the need for statins. Statins are also more likely to cause muscle damage in people with an underactive thyroid.
I'm also on Ramipril, I take 125mg of thyroxine when I wake, then wait at least 30 minutes before eating or drinking. I then take a 80mg slow release propranolol ,however this is after a 4 hour interval. Before going to bed I then take the Ramipril. This seems to work for me and I have been able to reduce my dose of Ramipril from 10 mg down to 5mg with agreement of the GP. My blood pressure especialy the diastolic had been stubbornly high, I walk each day and are within weight guidelines for my height. BP is now low to moderate where it always was prior to developing hypertension.
Before it was usually 156 + over 95+. The diastolic is always the bigger issue for me. Now it is down to low numbers 107 over 77, which is where it always was prior to going hypertensive.
I do have a small aortic aneursymn so I make sure not to overdo things and take time out when needed.
I also found not thinking about BP throughout the day helped, I check it morning and bedtime unless I have a very bad headache and eye pain, which for me is a indicator that it's up. Like you i'm in my fifties and also walk 1-2 hours a day, getting out and about in the fresh air is great and helps loads.
Good luck hope you can get it down to better numbers.
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