A comprehensive exercise regimen, such as my Peak Fitness program, is very important in producing long-term benefits in people with high blood pressure. Nearly every program should incorporate anaerobic sprint or burst-type exercises one to three times a week, as these have been shown to be even more effective than aerobic exercises at reducing your risk of dying from a heart attack.

Exercise can help you lose weight, but it does much more. Exercise strengthens your heart, improves circulation, and it can even reduce stress. Aim to fit in at least 30 minutes of moderate-intensity cardio most days of the week, which can lower your blood pressure by 4-9 millimeters of mercury. Good choices include cycling, jogging, aerobic dance, swimming, and tennis. If exercise is new to you, talk to the staff at First Choice Medical for guidance about how to start.


In most cases where high blood pressure is diagnosed, the cause remains unclear. One review paper in the International Journal of Hypertension explains that this accounts for around 90% of all hypertension diagnosis and is usually referred to as essential hypertension. Secondary hypertension is diagnosed when a cause can be identified. Potential causes of secondary hypertension may include:
We asked clinicians from Beth Israel Deaconess Medical Center’s CardioVascular Institute how they advise their patients to keep blood pressure under control. While medication is the right solution for some people, the good news is that lifestyle changes can help reduce — and in some cases replace — the amount of medication needed. It’s a good place to start.
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Drugs that can cause hypertension include acetaminophen, nonsteroidal anti-inflammatories (NSAIDs), antidepressants, corticosteroids, birth control pills and other hormones, migraine medications, nasal decongestants, and over-the-counter cough and cold medicines. Don’t stop taking a medicine without talking with your doctor first; you may be able to take a replacement or adjust your dosage. 
Flavanols an anti-inflammatory and heart-protective antioxidant found in raw cacao may protect against cardiovascular disease, reduce the risk of stroke, and help improve blood circulation. Thus lowering your blood pressure. Cacao contains over 700 compounds and the complex antioxidants found in it known as polyphenols help reduce ‘bad cholesterol’ and prevent hardening of the arteries.
Vitamin K2. Adequate vitamin K2 helps keep calcium from residing in blood vessels, thereby preventing hypertension and calcification (19). Vitamins K1 and K2 have different forms and functions. Vitamin K1 is abundant in leafy greens and many other foods, while vitamin K2 sources are more uncommon: natto (fermented soy), some cheeses, butter from grass-fed cows, goose liver, and egg yolks.
In one 2009 study, every hour less of average sleep duration per night was associated with a 37% increase in the odds of developing hypertension over five years. In another report from 2015, people with sleep apnea—a dangerous condition that can cause hypertension in itself—saw reductions in their blood pressure when they were treated with continuous positive airway pressure (CPAP) machines or mandibular advancement devices (MADs).
Also focus on eating nitrate and nitrite-rich vegetables (not to be confused with the other types of nitrates and nitrites that are found in processed meats) . Nitrates and nitrates from vegetables help to relax and dilate blood vessels throughout your body and increase blood flow. Although it’s a short-term effect, eating more nitrate-rich vegetables like beets, cabbage, leafy greens, and vegetable juices, can reduce blood pressure for a few hours. Recent studies have also shown that those who drank beetroot juice showed an immediate effect on lowering blood pressure. By eating plant-based foods consistently, you’ll see their regular benefits.
Note: The fasting and high blood pressure study described in this article was funded in part by a grant from the National Health Association. It was conducted at the Center for Conservative Therapy in Penngrove, California. The results appeared in the article, “Medically Supervised Water-Only Fasting in the Treatment of Hypertension,” published in June 2001 in the Journal of Manipulative and Physiological Therapeutics.
Sleep. Short and poor-quality sleep are both associated with raised blood pressure (40). On the other side of the spectrum, excessively long sleep may also be harmful. One study found increased blood pressure in those who got fewer than five hours of sleep per night and in those who averaged more than nine hours of sleep per night, when compared with people who slept around seven hours (41). I suspect that it’s not the long sleep itself that is the problem, but that some underlying condition is both increasing sleep requirement and raising blood pressure.
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