I appreciate ALL of the advice and concerns, this being said I want to honestly address this and what I think and what the Doctor thinks what might have led up to this event.
There were a lot of possible factors to consider. But first thing is first and that it was MY FAULT that I came off of the meds that I should have been on in 2014 on my own. At that time I had finished my prescriptions of Lisinopril and Lovastatin and in or to get my refills I had to go back for another check up and blood test, I pretty much told myself "fuck it, I can control this on my own" especially since my BP was under control and stayed that way for about a year or so. This is what I feel was the biggest mistake leading up to this.
I have always eaten pretty well but In May I decided to take my training and weight loss more seriously. A couple of years ago I switched back to more traditional bodybuilding-type workouts to add leaner muscle tissue and have been training like that ever since. The result without even cutting my calories or manipulating my macros, was being 230-235 with about 15%BF. A big change back from the power lifting and strength training I was doing before.
This year I decided to take my BW down because I knew to carry this extra weight wasn't good since I'm getting older. As a result, Monday when I weighed at the doc I was 208 in clothes, wife says I hardly snore (apnea subsided), etc. The day that this happened must have been almost the perfect storm. Here is an account of that day.
7:30am - Egg whites, 2 pcs of Ezekiel toast w/butter (fats), Coffee
8-10am train clients
10-11am - Took a client to pick out bumper plates for his home gym.
11:30am - 50grms Whey protein (no carbs, stupid)
12:30-2pm - This where I believe things started to go wrong. 10 mile bike ride
After that I got home, didn't feel right and figured Insulin levels were dropped from the ride and lack of carbs before the ride. Wife said I was sunburned from the ride.
2:30 - Chicken, 1 cup of brown rice (helped a little but not much)
3:30 - Burger/Fries because of feeling like I hadn't eaten all day (a sign/symptom) had a little trouble swallowing and would dribble when I drank.
7pm - Egg whites, brown rice
My feeling is between the low insulin, sunburn/heat, possible dehydration and no meds that might have been what triggered the episode. I had no pre-workout, no energy drinks for three days prior with the exception of coffee. I'm training 5 days per week with 4-5 days of cardio.
But like I stated last year, our business model has changed to only HS, College and Pro athletes and as of last week, they have all gone back to their teams training camps. We do keep our core clientele of the general population BUT, I am still aHS strength and conditioning coach and we are in full offseason prep with about 125 kids 5 days per week with about 30-35hrs plus working on our online training platforms and getting that launches still puts me at about 70hrs per week.
My supps are as follows - 2000mg Fish oil, 1 multi-vitamin, CoQ10, Melatonin
Meds (before stroke) 200mg prop PW, 162mg asprin
Meds After stroke - 40mg Lisinopril, 40mg Lovastatin, 162mg asprin
Side note, I've been taken baby asprin for years. Who knows, maybe thats what saved me? The day it happened I immediately doubled the dose.
Although I won't rule out HRT, it's at the low end of the totum poll when it comes to risk an and even though my doctor was not the one that prescribed it, he agrees that would not have been a contributing factor
