Hello, thank you for your help! I am a generally healthy 19 year old male with a height of 6 0 and a weight of 145. I have been a cross-country runner for over 5 years, and have remained physically active into my college years. My diet reflects that of typical American teenager; however, it may be slightly healthier considering the fact that the only beverage I drink is water and I generally try to be conscious of my diet (less processed foods, balanced, etc...) I am concerned about my blood pressure. Two years ago I had my blood pressure checked, on multiple occasions, at 142/90. Yesterday I had it checked at 143/88. And today, at my town s clinic I had it checked at 138/88, although I was exceptionally clam today because I am on vacation. This is highly concerning to me because I believe that my blood pressure would be even higher while in classes. In college, I often consume caffeine (about 100mg daily) and occasionally (1X/week) take stronger stimulants such as nicotine, provigil or methylphenidate, although I do not have a diagnosis of ADHD or narcolepsy. I do this to accommodate my work schedule as I am enrolled in a highly demanding elite university. I know that I have a family history of hypertension; however, none of my known family members have had hypertension at such an early age. In fact, I had my blood pressure checked alongside my 71 year old grandfather and his proved to be lower than mine (141/86). I love life and I cherish the experiences that I am able to have as an average American Joe. I am interested in prolonging my life for as long as possible, and I take this threat to my health very seriously. I haven t yet tried drastically lowering my salt intake, and I am reluctant to abate my stimulant usage, however I am certainly willing to to protect my health. I feel as though I already exercise enough, and it is quite difficult for me to permanently lower my cortisol levels. I also take my sleep habits very seriously and nearly always sleep 8-9 hours/day during the same relative time such that I maintain a stable circadian rhythm. This is why I am really at a loss as to what to do. My home clinician didn t seem to take this issue very seriously and he just told me that I shouldn t be worried and that he would check it again in a couple of months; however, I want to be taking actions to lower my blood pressure now! What do you recommend? Is this issue as serious as I am taking it? If so, what steps may I take? Is it inevitable that I will have to be prescribed a medication? Thank-you for your time! I look forward to hearing your valuable opinion.