Hello and thank you for using HCM. I carefully read your question and I understand your concern. I will try to give you some advises. In our daily practice in treating hypertension it is very important to look for secondary causes of hypertension. This is very important if we are dealing with a young person, because in this category secondary hypertension is very common. It means that it is a secondary disease or factor causing hypertension. It might be a renal problem, an endocrine or congenital problem. So first of all, my opinion as a cardiologist is that it is mandatory to do a full chek up beginning with a blood analyses, an electrocardiogram, echo-cardiograph, thyroid hormones.After this, we might judge for others. The first thing to do when treating hypertension is lifestyle modification. If i was your treating doctor i will recommend to stop every workout drinks. In general, they have caffeine, taurine and stimulant factors that rise blood pressure values. Your boyfriend should reduce alcohol and salt intake in daily eating. They booth rise blood pressure. He should stop smooking if he smokes and have a low fat diet to reduce blood lipids if they are high. This are just the simplest and the first thing to do. My opinion is that you will see a good result. If high values persist than he should make a deeper cardiologist consult. I hope i was helpful. Best regards.