<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hi! I just had a BP reading of 14380. A few months ago my pressure averaged 13090. Lately the diastolic pressure has been coming down but the systolic has been averaging 140. What could this suggest and could my hypothyroidism and perimenopausal state be major factors? Many thanks  <response>: Hi, Both hypothyroidism and premenopausal state can cause high blood pressure. You should keep your thyroid hormones normal and monitor your blood pressure. If you notice that your blood pressure is frequently above 140 mm Hg then you will need a treatment. You should cut the amount of salt intake, it will help to regulate your blood pressure. Hope I could help nourishing you good health In case of further questions dont hesitate to ask 