Currently on a 3rd with another 3.5 years of validity. I'm 36. In the midst of training for Commercial and CFI. Obviously, I would like to get the 1st class out of the way before I get too far down the road. I'd also prefer not to get a deferral and halt my current training. A few questions: 1) hypertension. Been checking my BP daily and the big number bounces around from 125-145. And the lower from 80-95. I know anything below 155/95 is a pass, correct? I'd prefer to stay away from the blood work/BP meds if at all possible. But should be workable if I'm "high." I also know they can test 2x during the checkup and I can even come back in later on to show my BP is below the threshold. My reading this morning was 125/78. Seems to go up later in the day and if I eat a lot of salt or my wife is talking to me. I also have higher blood pressure in the office than outside. Let me know if any of that is incorrect. 2) Meds - looked these up on leftseat.com, scary language around them. a) had a root canal, got a script for oxy. filled the script, never took any, but I do carry a few around in my mountaineering bag in case of broken bones etc. I read about how you shouldn't fly 5x the half life of the med. I don't plan on taking any unless I'm stuck in the back country with a snapped tib/fib. I assume this is ok. b) diamox (acetazolamide) - when climbing in some high altitudes, one time script. also bought over the counter in south america. I try to avoid using it as I dislike the tinglies and peeing all the time. Will skip on this year's trip as we're not going too high. c) famciclovir. I get a cold sore once every 2-4 years. finally got a script to make the little booger go away. leftseat says "case-by-case," but everything I can find in the FAA literature says it should be ok as long as there are no side effects (which there aren't)? All-in-all, It seems like the 1st vs 3rd doesn't really require much different outside of tighter tolerances on vision and an EKG?