CRH Stimulation Test in White Coat Hypertension
Recall that the adrenal axis is the route by which the body responds to stress. Epinephrine can raise blood pressure. Here we see that white coat hypertension may be due to hypersensitivity of this system. Overreaction can be modified in several ways, including exercise, adaptogenic herbs such as ginseng and B vitamin support (primarily B5). Unfortunately, this approach is usually outside of the “box” for many doctors encountering white coat hypertension.
JCEM — Abstracts: Tabeta et al. 87 (8): 3672