Having a bad day can impair our judgment and lead to most of us making not-so-wise lifestyle choices like binge eating, smoking, or drinking. These unhealthy habits done in excess can negatively affect our health, especially our blood pressure. As one in four Americans continue to suffer from the epidemic of high blood pressure, it is imperative for us to effectively avoid and reduce this highly preventable disease associated with heart attack and stroke, aneurysms, cognitive decline, and kidney failure. Fortunately, there are ways to bring down blood pressure without the use of medication.
While most Americans with hypertension are treated primarily with drugs, “these drugs do not come close to eliminating all the cardiovascular ills associated with the typical American diet and sedentary lifestyle,” observes Danine Fruge, MD, Medical Director at the Pritikin Longevity Center in Miami. Over the last four decades, the Center has helped thousands worldwide lower blood pressure naturally and significantly reduce many cardiovascular risks.
Garlic: Garlic has long been thought to reduce hypertension. Studies show that garlic extract can lower blood pressure, although the optimal dose, frequency, and form are not well established. Garlic may produce this effect by acting directly on the kidneys to eliminate excess salt. It is considered a safe spice to consume, although it can cause some stomach upset. 
If you are dissatisfied with your current nephrologist, you need to either persistently and politely keep asking for more help and more of what you need (e.g. more explanations), or you need to try a different nephrologist. I’m sorry as doing this is a lot of work, but unfortunately, it does sound like you need to work closely with a health professional.
Today's episode of the OPP we feature guest Joe Scola, who is the founder of Wise Ape Tea. They specialize in Adaptogenic teas, which regulate stress for your body. We get into some HEAVY Tea Topics like the weirdest blend of tea, the historic origins of tea, and discuss how adding in CBDs affects tea. Wise Ape also partners with many organizations, and for each tea sale they donate a chunk of the proceeds to these organizations which is awesome! Each tea is partnered with a specific charitable organization so go out there, buy your favorite tea, and contribute to a great cause! Two birds with one stone!

According to the American College of Cardiology and the American Heart Association, the goal of blood pressure treatment is to attain a blood pressure reading that's less than 130/80 mmHg systolic and less than 80mmHg diastolic. In general, if you have hypertension, it is likely that you will need to be treated for the duration of your life to maintain this target blood pressure. 


I would not recommend changing BP medications every 3-4 months just to prevent the onset of potential side-effects, but it certainly makes sense to reassess how you are doing on a BP med after a certain interval (usually after a few weeks, and then every few months or more often if the dose still needs to be refined or if there is concern about potential side-effects).
Re BP: as noted in the article above, several expert groups recommend treating adults aged 60+ to a goal of SBP less than 150. So if you find that your SBP is often in the 150s or higher, then it would be reasonable to consider a medication to lower BP, especially since it sounds like you’ve been trying lifestyle treatments but your BP is still not low enough.

While most Americans with hypertension are treated primarily with drugs, “these drugs do not come close to eliminating all the cardiovascular ills associated with the typical American diet and sedentary lifestyle,” observes Danine Fruge, MD, Medical Director at the Pritikin Longevity Center in Miami. Over the last four decades, the Center has helped thousands worldwide lower blood pressure naturally and significantly reduce many cardiovascular risks.
The calculated difference between the systolic and diastolic pressures is also of interest. If the difference is large (e.g. 170/85), it could be the sign of stiff arteries – often caused by heart disease. This means the blood vessels can’t dilate enough when the heart sends out a pulse, which forces the blood pressure to increase. (The walls can’t expand, so the pressure rises when the heart tries to pump the blood through.)
The calculated difference between the systolic and diastolic pressures is also of interest. If the difference is large (e.g. 170/85), it could be the sign of stiff arteries – often caused by heart disease. This means the blood vessels can’t dilate enough when the heart sends out a pulse, which forces the blood pressure to increase. (The walls can’t expand, so the pressure rises when the heart tries to pump the blood through.)

Eat beets: Rich in vitamins and minerals, this root vegetable can help decrease blood pressure. A 2010 study in hypertension found that drinking only 250ml of juice was needed have a positive effect on blood pressure. Many of the participants saw lowered blood pressure within 24 hours. Another study from 2012 saw that beetroot juice helped lower systolic blood pressure.
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