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Hi Dr. Gunter - I have been on MHT for 3 or 4 years (oral 200 mg progesterone and estradiol 0.05 patch). My blood pressure has been quite high for the last few years and isn't responding to medication (currently losartan-hydrochlorothiazide 100-25 MG daily). When I last filled my prescription for the estradiol patch, my doctor sent me a message saying that she was hesitant to refill it because of my high blood pressure, and she'd advise stopping MHT if my blood pressure continues to not respond to medication. However, I'm not seeing anything saying that high blood pressure is caused by MHT - quite the opposite, actually. What's the real story? (also THANK YOU FOR ALL YOU DO!!!!!)

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