I am a 31 year old female. I check my heart rate periodically throughout the day. Usually when I wake up it ranges from 45-50 bpm. Sometimes it is as low as 38. I workout at moderate intensity an hour a day 6 days a week, but would not consider myself an athlete. I first noticed my slow heart rate when I first lost weight 3 years ago. I have noticed my heart rate seems to be lower when I am the most strict with my diet. I don't have any dizziness or problems with energy, aside from when I am hungry (sometimes feel almost like I am going to pass out, but I never have). Every time I go to the doctor my heart rate is around 60 and my doctor doesn't know that it goes so low. I went to a cardiologist about 2 years ago after getting an ekg during my annual checkup showing a long qt interval. The cardiologist at the time said my heart was fine. Should I be concerned about the slow pulse? Should I tell my doctor?