52 F, Caucasian, Stage 2 HTN, no hx of CVA.
We have been seeing this pt for several years. Their BP was being controlled with Chlortalidone. No other meds. PT reports no alcohol or illicit drugs. They recently lost their employer provided health insurance and have not had their diuretic in about 2 months. They use an app to log their BP bid. At first when meds were dc, we saw the BP in the logs rise as expected. Then, readings started to drop and have stabilized within normal limits. PT claims the only change is a daily multivitamin and an extra Magnesium supplement to help with mild depression symptoms. No weight loss. No dietary changes… in fact, pt reports having difficulty adhering to DASH.
I've read that Magnesium can help with hypertention, but I did not expect to see a 15-20 pt systolic decrease. Can anyone help me understand the mechanism? Thank you.
Edit to add: pt reports increased stress and depression as a result of becoming unemployed.
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