Gained 20 pounds in a month and blood pressure and tryglc are high 700 range. Difficulty cutting out alcohol. Tend to use my Adderall (dextroamphetamine and racemic amphetamine) + than prescri?

Very high risk. Sounds like you're at very high risk for heart disease, stroke, and alcoholism -- and are using Adderall (dextroamphetamine and racemic amphetamine) addictively too. You have a lot to talk with your physician about, if you will please go see him or her. You may need to work with an addiction medicine doctor also -- results depend on the desire you have for change.