Conversation: The conversation between human and AI assistant.
[|Human|] Hi im 29 year old male have high blood pressure run or work out 3-5 a week also im anemic. Resently started gaining weight and not too happy about it eat pretty healthy for the most part hardley ever drink sodas or beer/liquier and have become very tired all the time what can i do
[|AI|]  Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. We talk about hypertension if we have mean value that exceeds 140 / 90 mmHg. A person might have high value during emotional and physicals trees so It's mandatory to judge on mean values. Hypertension is divided into two groups. Essential hypertension, without any identifiable cause, usaly in older age and secondary hypertension, meaning that it's a secondary house of it. This is found in younger ages and the cause might be renal, endocrine or any cardiovascular anomaly. So, in your case we have to evaluate if we do real have hypertension and then find its cause, becouse you are very young. According to your other symptoms like weight gain, feeling tired they might be related to thyroid gland problems. So, if I was your treating doctor I will recommend some examination like an electrocardiogram, a cardiac echo to evaluate heart function and walls. A pressure holder monitoring to check your mean values. A full blood analyze, your urinary catecholamines, your thyroid hormones and an abdominal echo to check renal situation. After all this maybe we can find the cause and judge how to treat it. Hole I was helpful. Wish you good health. Best regards.