Blood pressure monitor: amzn.to/3z2wg01 📜Roadmap - how to look young & feel strong: drstanfield.com/pages/roadmap 💊MicroVitamin (multivitamin & mineral that I take): drstanfield.com/products/microvitamin
I don't trust battery operated BP cuffs. I have used several models and all gave much higher readings than my dr's office. I use Walmart BP machines which are calibrated monthly for accuracy.
Dr. Brad, yes, we would like to see a video on blood pressure medications, including their side effects with long term use Regarding your sleep protocol, I would like to ask you to include your tips for those of us who have the delayed sleep phase type I have this different circadian cycle and it caused me to fail in my university course, not to mention the overall burden on my life as a whole due to societal impositions and prejudices
The lowering of BP targets based on the SPRINT trial is nonsense. That SPRINT TRIAL used an automated way of measuring BP which has been found to be about 15mmHg lower than BP measured using a mercurial sphygmomanometer.
@@trueskyte I once had a 24 hour blood pressure monitor that resulted in my blood pressure going up like 15-20 points each time it squeezed/measured. I’m just too reactive!! I was in a clinical study at the time and certainly skewed the result. Point being that reactive people freak out too easily and I’m one of them:).
The American Heart Association (AHA) reduced the BP recommendations in 2017 after the SPRINT study came out. It is now considered hypertension at 130 or higher (or 80 or higher on diastolic). European cardiologists were fully aware of SPRINT but none of their professional societies lowered the recommendations. As far as I know, they still maintain that anything under 140 is safe.
@@Oliver-wv4bd Yeah, the same happens to me sometimes it can stay high for weeks due to stress and Anxiety. Things that fix my pressure are Anxiolytics like Clonazepam. In some cases, even Diltizem might help to relax blood vessels.
@@gahnyun2016 That's true but it's supposed to actually be lower than your normal resting BP once you finish exercising. When I was stressed out all of the time it was hurting my sleep, I think that was the biggest factor. I was 20-30 points too high for weeks. Now I'm at 110/65 most days when I'm at rest. But I was as high as 150/100
You may not be sure, but the data is very clear. Also, there are many different classes of blood pressure lowering drugs with varying efficacy and side effect possibilities. You and your doctor can sort through and find the best medication for you that accomplishes a safe blood pressure
i would say whatever you do don't solely rely on blood pressure measurements from your GP surgery. 20 years ago i kept getting around 145/93 in a GP surgery and after several occasions i was told that if the same happened once more i would need to go on medication. I then got a home kit and the results were around 120/80. My doctor then said "must be white coat syndrome" however he'd never mentioned that possibility before. That was 20 years ago. My blood pressure this morning was 110/71. If i had listened to that doctor and not been able to afford £50 for a blood pressure monitor i would likely have been on medication and probably still now. So test at home is the moral!
critical to measure BP at home. Your experience is exactly the reason why I recommend to all my patients to buy an at-home BP monitor (if it's a financial option)
Same thing happened to me and even when I told my doctor that my BP is always optimum at home, they wouldn't listen. But I know my BP is okay at home, so I don't take any medication
Systolic represents the peak artirial pressure during systole, when the heart contracts. Diastolic represents the minimum arterial pressure during diastole when the heart is relaxed. Also, pay attention to your pulse pressure. (120/80)= 40 pulse pressure. This is the difference between the systolic and diastolic numbers. The minimum differential normal number should be 40, and the maximum differential normal number should be 60. Less than 40 is considered low or narrow, and above 60 is considered high or wide. Below 40 can be an indicator of low cardiac output, and above 60 can be an indicator of cardiovascular issues. A critically low pulse pressure is less than 25% of your systolic pressure number. A critically high pulse pressure number is 100 or more. A lot of things can influence your pulse pressure, but if your numbers are consistently wide or narrow, then this can be another tool or measurement you can use to talk to your doctor about.
The US- based Mayo and Cleveland Clinics, both state that pulse pressures above 40 mmHg increase cardiac complication risk. Ideally, it should be closer to approx 40, with slight variability expected but not being more than 10 mm Hg on a regular basis.
Never knew this. Recently been getting a lot of 15-20 point differences between left and right arms, and MA is telling me that is "normal." Told them they need to let the Mayo Clinic and Harvard know they're spreading misinformation! Good to know about systolic/diastolic differences as I've never heard that. Also have a lot of MAs try to take BP over clothes, once even over a sweater.
Oddly enough, my grandparents both had extremely high BP before they died in their 90s. My father had a few strokes and his BP was in the 160s. He is now taking medication and has it in the 130s. I sure wish the nurses would be more diligent about taking BP accurately. They usually come in and take it as soon as you sit down and over your shirt and while talking to you about needing a colonoscopy.
@@kdw75 have him use Celtic salt too I'm 65 My BP was hovering around 135/86 for years I'm not on meds The Celtic salt Put it around 120/80 or hovers around there Some of this, is a potassium/magnesium deficiency
I've been on a weight loss and health recovery journey for 3 years now. I'm about to turn 30 in a few months, feel great and have lost 100 lbs. A few days ago I was actually stunned at my blood pressure when I got 109/48, which was the lowest I had ever seen. I was worried because I thought that was starting to get too low. But I felt great, had an active day, played with my cat, was standing up and down like normal. I took it again to see if it was a fluke but it was still 108/50. I figure if I feel great, not light headed or anything, I shouldn't worry about it.
I have bad news for you 😂 BP systolic less than 115 and dystolic less than 70 are equally or more dangerous than above 140/90 Not my word study conducted in 2009 show this
@krishnasthapak3738 Nope 100/70 is perfectly fine. Sounds like there is some attempt at rationalizing high blood pressure going on there. If the *reason* for the lower blood pressure is hyponatremia, then that's a problem, but the real problem in that case is the low sodium levels and the low blood pressure is just a symptom. 90/60 is a bit low (although a single reading isn't an issue).
@@homomorphic "According to a 2018 study, diastolic blood pressure of below 70 mm Hg increases a person's risk of heart attack and hospitalization due to heart failure" "The researchers found that among those with systolic blood pressure less than 130, a diastolic blood pressure of less than 60 mm Hg was linked to more heart attacks and strokes. However, those with diastolic values between 70 and 80 mm Hg had the lowest risk of heart disease" Systolic 100 is aslo not at all healthy I have read many study ideal range according me is 115 to 125 systolic and 70 to 80 diastolic
The standards are made lower so doctors can start prescribing medication sooner. Doctors make money, pharmaceutical companies make money, Government makes money. You become worse and worse till you are no more. Don't worry though, there is another generation behind you to start the cycle again.
High blood pressure affects the capillaries in your kidneys and can cause kidney problems. High blood pressure also affects the heart by causing cardiogenic pulmonary edema, which is a life-threatening condition.
Correct, my dad died from all the above , in his case though it was artificially induced, literally killed by the hospital. The high blood pressure caused in him kidney disease which was managed well with vegan diet with occasional meat treats once a week
@@theancientsancients1769There's no evidence that a vegan diet reduces blood pressure. And how can a hospital induce renal damage by causing high blood pressure? Renal damage is from chronically high blood pressure over months or years.
NO. Some people take ACE Inhibitors for high blood pressure. That's a big NO-NO! Can cause a LIFE threatening condition of extremely high blood potassium for these people!!
@@jackfaber7710 Wrong. I used to take Lisinoprel, an ACE inhibitor. Wasn't properly informed about NOT using potassium supplements or salt substitutes. Got VERY ill, life threatening ill, from using 'NoSalt' instead of regular salt. Even had to be careful of high potassium foods! ACE Inhibitors work by keeping your blood potassium high. But I no longer take Lisinoprel, as it kept dropping my blood pressure too low. Was switched to a beta-blocker.
A 25% reduction of similes in podcasts reduced stress considerably. "Potassium is like a super hero when it comes to fighting high blood pressure. It balances out sodium...." Can't remember seeing that in a Marvel film. Normally do my BP in the evening. Done it first thing today. 115/72. Phew.
The Cochrane review from 2020 (over 38,000 participants from RCTs), showed that although lowering BP may reduce myocardial infarction by a small amount (-0.4%) and congestive heart failure (-0.6%), it does not reduce total mortality. Their conclusion was that the benefits of trying to achieve a lower blood pressure target rather than a standard target (140/90 mm Hg) do not outweigh the harms associated with that intervention. Also, this is another example of conflating relative risk with absolute risk.
If you are refering to statins with your remark, a 5 year long study did find that statins lowered absolute risk by 5% in older adults. Benefits and Risks Associated With Statin Therapy for Primary Prevention in Old and Very Old Adults
Thanks for sharing. Both the SPRINT and ESPRIT trials that I go through in this video were published after that Cochrane review. That review needs updating :-)
@@joeprimal2044 No, relative risk reduction was 21%, absolute risk reduction was 5%. The problems caused by statins only affect a small minority and overall statins decrease all cause mortality.
age 62 and my blood pressure is usually in the range of 100-110. didn't protect me from a heart attack 5 years back. not overweight, low cholesterol, regular exercise and no family history of heart disease. maybe the smoking in younger years was a bad idea ;)
It's comments like this that make it so difficult to dial in a solid recipe for good health. There's obviously another significant factor at play here, and this is what being a health detective is all about. Could it be low estradiol, low cholesterol, or even low blood pressure itself, which could have its own hidden underlying causes? I wish you well, as frustrating as this comment may be for us to hear.
I believe healthy blood pressure levels are a function of time. I'm 56 now and I have to have it below 120/80 for me to recover my health fully, it is at about 130/75 at the moment and I'm still feeling the effects in my feet but I'm finally on the mend now after a year. What has made the most difference is exercise and a lot of it. I swim 1 km every day now and things are improving in leaps and bounds, prior to that my sleep apnoea was addressed and my liver function through diet, neither of them having the profound and immediate effect like exercise has
It's important to note that the SPRINT study measured BP under ideal conditions (patients sat alone unattended for five minutes before--hence, no White Coat hypertension). That could translate to 10-20 points higher in real world clinical conditions.
The American Academy of Family Physicians still adheres to the definition of HBP as 140/90. Im not a physician but my theory is that these new guidelines were developed to mirror the large number of obese and overweight persons in our society. Of course, obese and overweight persons should probably try to get their blood pressure down much further than normal weight persons or persons with optimal BMI. I'm 5'11'' and 160 pounds and my blood pressure hovers around 125-130 over 70 to 75. Sometimes, after a workout, it drops to 115/65. BMI of 22.3. No medication at age of 70. My doc says to not worry about it and many patients would love to have my current weight and blood pressure.
After 10 years of Paleo diet my BP started to get to 140 90. After 18 months of WFPB no sugar oil salt it went down to 105 70. But now it frequently goes down to below 100 65 in the mornings. Especially the systolic which gets to 90.
Everyone is unique. I have tried every type of BP med there is. Some do work to lower my pressure, but all of them lower my sodium level to dangerous levels. Potassium levels are never a problem. My BP is controlled more by emotion than anything else. Exercise helps, but it takes a couple hours on the bike to do much good, and it’s hard to find that much time. I would be interested to know if anyone else has similar problems and what worked for them.
I believe the study's he's referring to are flawed ... they take a study of 7000 people, (Say 3500 of which, have moderately high BP), and record 4 coronary events and compare them to a control group ( of say 3500 people with low BP) that only have 3 coronary events and say that's a 25% reduction ... it's pure BS I've had moderately high BP all my life ...now it averages 110/60 and sometimes lower. Here's how I did it*** (69 yo and feelin good) ***I take a good quality, high potency fish oil pill with 500mg EPA & 250mg DHA ...2/ 2x a day (I use Puritan Pride) ***1000mg of Quercetin 2x a day (with the fish oil) I started out with Swanson, now I buy Bulk ***Nattokinase 2000 fu's 2 at Bedtime ( total of 4000 fu's)on an empty stomach ( no food for 4 hours) * Serrapetase 40,000 spu's 2 at Bedtime ( total of 80,000 spu's)on an empty stomach ( no food for 4 hours) Currently using Lake Avenue Nutrition from IHerb ...have used Doctor's Best with decent results I would start off this protocol with half the dose for a week or two, then go full dose and see how you feel.. FYI... it will be a little shocking when you take your first readings at 110/60, but as long as your felling fine ...your good to go Additionally, Lay off the refined Carbs and refine seed oils, Good luck with this, have a good life and a blessed holiday season !!
My bloodpressure was 120-80 when I was age 25, now at age 40 it is around 112-74. Mine actually got lower as I got older. Feel great on a mediterranean type diet. But I had this type of diet at age 25 too. Not sure why it changed?
All good information. My only comment is that not emphasizing on cutting sugar, more, specifically Fructose (50% of sugar and 55% of HFCS) as it directly impacts uric acid levels that directly affects blood pressure. Fructose also impacts appetite and satiation making it more difficult to not overeat and constant snacking.
"Fructose also impacts appetite and satiation making it more difficult to not overeat and constant snacking." Exactly why Big Food adds HFCS to everything, remember, Big Food is run by the same people who ran Big Tobacco adding things to it to make it more addictive. They couldn't care less about your health, It's all about the shareholders pockets.
HFCS 42" and "HFCS 55" refer to dry weight fructose compositions of 42% and 55% respectively, the rest being glucose.[5] HFCS 42 is mainly used for processed foods and breakfast cereals, whereas HFCS 55 is used mostly for production of soft drinks.[5]
'Once upon a time, in a land not far away at all, a healthy blood pressure was thought to be 100 plus your age. That simple rule of thumb has gone the way of hats for men, cordiality in politics, and affordable health insurance. It was replaced in 1977 by a cutoff of 160/95 separating "normal" from high blood pressure. That cutoff continues to drift downward, steadily eroding what we think of as normal or healthy blood pressure '
YES, please do a dedicated video on blood pressure medications as it pertains to helping achieve an ideal blood pressure. Would you also include how, if at all, this ideal blood pressure would or should vary with age. Great video, thank you very much!
Excellent stuff, Dr. Brad. This is a subject that you surprisingly don't see lot of videos about, despite how important it is. Great summary of the situation.
I gave up all processed food by preparing everything myself.I use a lot of pepper instead.The only exception is cheese and GF cornflakes which will give me a small amount of necessary salt.I call it my "1824 Diet".An advantage is that it produces almost no trash except for some recyclables and composting food scraps.
My BP jumps considerably in response to any pressure cuff thanks to some deep medical PTSD, on top of garden variety white-coat syndrome, so it's impossible for doctors to reliably know my average levels. The entire practice of observing blood pressure is fundamentally flawed until a new measuring method is invented thats instant/comfortable, and ideally with the patient truly having no idea. It just doesn't make sense in the meantime since a person's BP is at the total mercy of their mental and emotional state. The other reason blood pressure is going to need to be completely reconceptualized clinically is because modern living is so stressful that it's causing general hypertension among young healthy people, universally. So even barring the bad measurement method aspect, it's also ridiculous for clinicians to badger young people of healthy weight about their BP during a time where getting and maintaining food and shelter feels like a war.
Exactly this! My problem is my white coat has extended to everywhere, just looking at the machine it seems to rise. At home it's quite high because I'm so anxious about it. I can have normal readings when a doctor or nurse has taken it after really distracting me and I feel relaxed, it's also lower taken with a stethoscope, and medics I know tell me that the machines are unreliable, their cuffs hurt, which raises your BP, and they're often not calibrated.
Yes, do a video on the use of BP meds. I’m a physically fit 69 year old male. I’m not on BP meds. If I am unable to do my normal walk/runs (currently have a foot injury) my BP starts creeping up. My BP is always high in a clinical setting (white coat syndrome). What should my BP be as a fit 69yo. You do a great job!
Best analysis on the internet. I use "No Salt" (Pottasium Chloride) to minimize need for blood pressure medication (Valsartin). I also use Magnesium Choride with Taurine for 15-20 point reduction in BP, plus Hawthorne Berry and Cayene Pepper for my heart.
Mine is above 120/80 half the time (though only slightly), and I'm sick of people trying to talk down to me about it (do I "eat a lot of salty take out foods?"). It's a genetic problem. I can't very well get a new set of blood vessels. My bp hadn't gone up as I had gotten older. The reading is the same as it was 18 years ago which is when I started on Norvasc and a water pill. None of these things are problems with me: 1. Being sedentary. I get 10 hours a week of exercise. 2. Being overweight. I had lost so much weight that my ribs show. My bp hadn't dropped very much, either. 3. Eating ultra processed foods. 4. Not eating fruits and vegetables. 5. Stress. 6. Anxiety. 7. Lack of sleep. 8. Eating too much sodium and not enough potassium. 9. Drinking. 10. Smoking. I would like to point out that changing your diet, doesn't necessarily mean that your sodium and potassium are in the optimal range. People should get their blood tested so they can see if they have anything that's outside of the normal range. Vitamin D is another one that's often low. Some medications can make your kidneys pass electrolytes. Some medications can cause insulin resistance.
Potassium took me from 120/80 to around 115/75-120/75 Getting a dog can also lower your bp. Ive also heard that a midday nap can be very effective at lowering bp aswell
@@magnusdanielsson2749 that's is nothing. cause you take not a clean potassium, but something like potassium-citrate. so 180*3 of potassium citrate is about 50 mg of clean potassium per day. equal zero, may i say.
@@magnusdanielsson2749 Yeah, I just got some new potassium supplement, but I'm on Irbesartan and have potassium blood tests at the upper end of the scale, so I'm a little scared of taking it now, too late to send it back, it was already on its way when I discovered it could be problematic, my wife may be able to use it though, instead of medication, which is putting her BP too low
It would be great if you did a video about what normal BP rates are during the day. I'm 62 and have BP readings in the morning of about 115/60. However, once I start moving around during the day including periods of exercise, I see greater increase and fluctuation in the systolic pressure that can bump up to over 140.
Yeah, I have issues with BP fluctuating for days at a time. Over 130s/80s a few days, then dropping to 110s/low 120s over 70s. Back and forth. Scared of meds because of this.
My pressure just went up some recently for no apparent reason. From about 115 to over 130 I take it at home nearly every day at the same time. I haven't gained any weight I eat fish, chicken, fruit, veggies. I'm 5' 11" and weigh 172 and walk an average of about 4,000 steps a day, plus floor exercises. I drink very little, maybe twice a week I have a glass of wine. My age is 91 and the mysterious rise worries me.
This is good news for me, given that I have had a low BP since childhood. Since I won't die of a heart attack I just need to train to fall softly when I faint
Here's something else that's dangerous: focusing on metrics like systolic/diastolic/pulse to the exclusion of blood glucose levels, VO2 max, weight, proper and plentiful nutrition, and enjoyment of life -- all NATURALLY, through healthy diet and exercise, instead of through medications with a ton of adverse side effects. I am a thankfully living example!
Thanks for the great video! I’d love a dedicated video on blood pressure medications and if they can help reverse previous damage from high blood pressure.
I walk/run 20K steps daily. My BP dropped 110/70. I’m also on plant based diet so my BP was never above 120/80. I’m 50. So my BP actually improved with age by increasing exercise.
Having higher muscle mass increases blood pressure / during intense workouts your bp spikes. Is strength training then potentially harmful long term for health?
I love exercise “snacking”. Besides, my father’s blood pressure was always around 110/70. He died of heart attack at age of 68 😢. My blood pressure is 110/60 with heart rate 50. I worry… 😮
@@theseeker732 Also he was not fat at all, rather skinny and he did exercise regularly. But he smoked and ate processed meat. Also too much alcohol. He got blocked artery. 😢
@@theseeker732 High BP can lead to blockages , but it is not the only cause. For example, high cholesterol or smoking can also damage the arterial lining and cause heart attack. Low BP doesn't protect us from other factors, but high BP can accelerate their damage
My blood pressure is usually 135/80. The only time it was lower was on a fully vegan diet, but I find that diet too restrictive and I hate grains. I love cheese, eggs, meat, yogurt, milk. When I include these things my blood pressure stays around 135/80. On a vegan diet my blood pressure stayed around 111/70. Ironically I add way more salt on a vegan diet because the foods are so bland imho.
Yes. I feel pushups are under rated. Whenever someone tells me they don’t have time, I just tell them to do pushups non stop for 5 mins. Thats enough. Not just a snack for me.
The doctor in this video is realistic. A review of things like weight gain, exercise and activity levels should be considered before jumping to prescriptions as the presumed solutions. In the U.S. most primary physicians go to quick answers rather than trying to possibly lower weight, improving diet or adding exercise. Or at least suggesting those options.
So I have an at home blood pressure monitor. Train 4 times per week, use the sauna 4 times per week. Eat whole foods only, no seed oils. I supplement with d3 4000iu and k2 mk7 daily. Also every other day take 1g krill oil. Supplement a complex magnesium and potassium too any time I eat sodium. I must live the near perfect life and my blood pressure is 130/93 on average. I also supplement TMG to lower homocysteine. So how do I get my BP under 120 😅?…..
140 was not normal in the US. Before 2017 Hypertension Stage 1 started at 140/90 mm Hg. After 2017 in the US elevated blood pressure was and is now defined as 120-129 mm Hg systolic with less than 80 mm Hg diastolic.
Definitely worth measuring bp at home, mine is consistently 10sys higher when doctor takes it (nerves!). It's also important to get the arm height correct, it should be level with your heart. If arm too low bp will be too high. Need to try these salt substitutes, thx 👍
He says you should take your blood pressure in the morning and later in the day. But he should have mentioned that in the morning, after you get out of bed, your blood pressure will be higher because your body is going through stress of going from resting to activity. My mornng pressure is usually about 10 points higher than mid-day;.
What about a huge variation left to right arm? I have fixed myself enough to stop BP medication but the variation remains. I have had several arterial scans... Zero calcium score, nothing on my main arteries in ultrasound, etc. Sometimes my right arm will be like 118/59 and the left will be 130/75 for example. This is a snapshot from a few days ago. Sometimes the left will drop to 120s over 60s but basically never as low as the right.
My BP has been around 150/90 my entire life. The number has concerned me even though I have a very active lifestyle with lots of exercise, often vigorous and my weight is under control.
Useful video. It would be interesting to have another video going in depth about natural remedies as well as mire detail on how BO is managed via ARB etc.
I lowered my blood pressure 20 pts simply by ensuring that I meet my daily salt requirement (not table salt) and BALANCING it with my potassium intake. Simple, cheap, effective but the pharmaceutical industry does not want us to know this.
I'm almost 47. My blood pressure is in the morning around 108/67 or sth like that. Pulse is usually 43. It is all about cardio and gym and not being fat and taking cafe of oneself. Hunter gatherer don't have high blood pressure in their 70s. They are under 120/80 even at old ages
This is why I try to cut down on salt I try to stick at around 800mg a day while getting in about 4500mg of potassium, doesn't happen most days but I'm working on making my own rice and beans and other recipes again so i can eat like that my
Me too but my BP is always elevated 😞 Despite exercise 5 to 6 days per week, and eating pounds of whole plant foods everyday, no smoking, no drinking, healthy BMI. In good enough shape to have a six pack, no stressful job. No stressful home life, etc. I even consume high nitrate veggies every day. Legumes everyday. Fiber is 65g to 100g per day. Carbs: 57% Pro: 21% Fat: 22%. Sodium is less than 1,500mg per day, most days around 1,000mg. Potassium intake is 6,300mg per day. Someone has it out for me. Probably Murphy's Law is to blame. Doing everything right and.....hypertension regardless of living a lifestyle better than 99.5% of the population. Stupid genetics. I am only hoping that since most people with higher blood pressure almost certainly have other confounding factors (bad diet, little or no exercise, overweight, etc). Everything I am doing is what would, for most people, probably have them sitting around 110 / 70 while I am typically in the 130's / 70 - mid 80's. I am just hoping that higher blood pressure acting alone won't do me in before my time since everything else is great (diet, always moving, low stress, no smoke or drink or drugs, etc). I just don't get it.
it's the carbs, not genetics. high blood sugar wipes out our _vascular endothelial glycocalyx_ - both our shields and the modulator of nitrous oxide release for Flow-mediated dilatation
Doesn't stay the same all day, but it should remain close to 120/80 for best health. Most doctors don't diagnose based on one reading. Typically they give you an "ambulatory" monitor for home which takes many readings over a couple day period (including when sleeping).
How come doctors don’t seem to want to tell patients that they need to take lifestyle changes seriously instead of just prescribing medication. Is it because most patients aren’t willing to change anything?? I think a lot of Americans would rather stay on BP meds instead of make any changes.
Exactly right, it's much easier (and less likely to lead to complaints to their employer or bad reviews) to just write another script than to tell a patient "Hey, you really need to get up off your ass and get a little exercise, and lay off of the junk food, or you're not going to make it to retirement."
@@RickinICT right, I wish there was incentive for doctors to tell patients how serious they are messing up their health. You’re totally right. Being honest equals bad reviews
Because adherence rates to lifestyle changes are abysmal. It is much easier for people to take a pill once a day than it is for them to permanently change their way.
I think people have been conditioned to a "pill for every ailment" and much easier approach for getting the positive results they expect. Dr, on the other hand, take advantage of (well, are responsible for too) this mindset. Always works in big pharma favor! And Dr can blame their patients for not making lifestyle changes......therefore requiring meds. So on and so on...
@@dawn1913 It‘s not conditioning, it’s human nature to choose the easiest path. Without Big Pharma those people wouldn’t be changing their lifestyle, they would simply die. Big Pharma is what keeps people alive.
usually I find your videos well informed and balanced but in this case you're generalizing BP recommendations for populations with at least one significant cardiovascular risk factor to the entire population. Can't agree.
"We as doctors got it wrong..." To be fair to doctors, they generally just implement what their textbooks and national rules tell them. How many have PhDs? Hardly any, I imagine. The same way that your local mechanic is unlikely to know the chemical composition of alloys in engine A versus engine B, and whether it's prone to one problem more than another. Thankfully there's more information available to us now, though filtering it correctly isn't easy.
Please do a video on the clinical practices of lowering blood pressure. Interested in resolving my HTN - Male, 57, fit, resitant HTN, even while ACEI and completing recommended dietary and exercise requirement.
Very good discussion, I do wish that health care providers were more conscientious with their blood pressure measurement protocols. I have been as high as 165 and as low as 115.
If you get your blood pressure down to 120, and have dizziness, does that symptom abate over time? Or is it a permanent problem that can only be resolved by raising your blood pressure?
I have a theory possibly you could look into. When exercising such as lifty with the tightening of the diaphram and stomach and muscles in general---the blood pressure skyrockets to unbelievable levels. However its only intermittent while working out or any extreme physical stress. Would it not be true then that for lifetime lifters and work out people especially power lifting that over time how could it not have the same detrimental effects to organs?? We also know that when playing football or other strenuous sports and even lifting/working out that strokes and heart attacks are in fact common which shows that the extreme blood pressure (that cant be easily measured) is actually having a harmful effect. I think it would be interesting to look into
Bicycles, ebikes, electric cargo bicycles, robo taxis and escooters are great options for last mile, short distance travel. Reduced transportation costs and fossil fuels free transportation. Cities need to do more to encourage people to ride bicycles by providing SAFE, PROTECTED BIKE LANES and trails. Every adult and child should own a bicycle and ride it regularly. Bicycles are healthy exercise and fossil fuels free transportation. Electric bicycles are bringing many older adults back to cycling. Ride to work, ride to school, ride for health or ride for fun. Children should be able to ride a bicycle to school without having to dodge cars and trucks. Separated and protected bike lanes are required. It will also make the roads safer for automobile drivers. Transportation planners and elected officials need to encourage people to walk, bike and take public transportation. Healthy exercise and fossil fuels free transportation. In the future cities will be redesigned for people not cars. Crazy big parking lots will be transformed with solar canopies generating free energy from the sun.
SPRINT was on people with at least one other CV risk factor, so it's not clear that otherwise healthy people with elevated BP would have a net benefit from BP medication, give the risk of acute kidney injury. Not sure if the Chinese study looked at subgroup with only BP as a risk factor and concluded anything specifically for them.
30mm of mercury is a less than 0.5. PSI. Its tiny, very very tiny indeed. For more things are bad for health outcomes. Heart rates would increase the flow speed and cause more turbulence inside the arteries.
I have an ADHD, which raises the blood pressure due to stress. Furhter I rely on Ritalin for work, which is a medication which additionally adds to blood pressure. Should I still take blood pressure lowering medication though it will be less effective with the Ritalin?
Have you tried resistance training + cardio? They have done wonders for my stress/anxiety related to ADHD, and cardio has the added bonus of lowering your BP and heart rate by itself. Even on ritalin my blood pressure is usually around 100/60 to 110/70 after I started training consistently. You can also try practicing some sport if you find cardio too boring, it is not uncommon for people with ADHD to be able to get very engaged and absorbed into sports, which is great both for health and stress/anxiety management. That being said, if your blood pressure is consistently above 120/80 you should still go see a doctor nonetheless.
Please do a dedicated video on BP medicines. Despite a healthy lifestyle and weight, I fear I have bad genetics for this particular problem. My readings are high at first, and then under 140/90. So my doctor is happy. But I can’t understand why I’m on the combination of medicines I’m on, after I read about triple drug regimens, the importance of a diuretic, but I don’t have what is classically regarded as high volume. I believe my volume is actually low? Which means - the problem is in my RAAS? I’m confused about it…thank you doctor! 🙏🏻
Blood pressure monitor: amzn.to/3z2wg01
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@@DrBradStanfield what about the more expensive BP “sleeves” that are portable? I want to check throughout the day. I
I don't trust battery operated BP cuffs. I have used several models and all gave much higher readings than my dr's office. I use Walmart BP machines which are calibrated monthly for accuracy.
Dr. Brad, yes, we would like to see a video on blood pressure medications, including their side effects with long term use
Regarding your sleep protocol, I would like to ask you to include your tips for those of us who have the delayed sleep phase type
I have this different circadian cycle and it caused me to fail in my university course, not to mention the overall burden on my life as a whole due to societal impositions and prejudices
The lowering of BP targets based on the SPRINT trial is nonsense.
That SPRINT TRIAL used an automated way of measuring BP which has been found to be about 15mmHg lower than BP measured using a mercurial sphygmomanometer.
Never in my life did I hear that 140 was OK. I have good blood pressure, and if mine is ever over 120, my doctors have always warned me.
A study found that watching TH-cam videos on blood pressure increases the blood pressure by 20 points.
hahahaha
Hopefully only short-term though ;).
@@trueskyte I once had a 24 hour blood pressure monitor that resulted in my blood pressure going up like 15-20 points each time it squeezed/measured. I’m just too reactive!! I was in a clinical study at the time and certainly skewed the result. Point being that reactive people freak out too easily and I’m one of them:).
😂😅😂😅😂😅!
The American Heart Association (AHA) reduced the BP recommendations in 2017 after the SPRINT study came out. It is now considered hypertension at 130 or higher (or 80 or higher on diastolic). European cardiologists were fully aware of SPRINT but none of their professional societies lowered the recommendations. As far as I know, they still maintain that anything under 140 is safe.
Anxiety for me skyrocketed my blood pressure. Just getting my anxiety under control brought my systolic down 20 points.
Hi there, I also suffer from anxiety - how did you manage to get yours under control? Thanks a bunch 🙏
@@Oliver-wv4bd Yeah, the same happens to me sometimes it can stay high for weeks due to stress and Anxiety. Things that fix my pressure are Anxiolytics like Clonazepam. In some cases, even Diltizem might help to relax blood vessels.
there is no such thing as static BP. it is dyamic. Exercise raises BP temperarily but ironically it is good for you.
@@gahnyun2016 That's true but it's supposed to actually be lower than your normal resting BP once you finish exercising. When I was stressed out all of the time it was hurting my sleep, I think that was the biggest factor. I was 20-30 points too high for weeks. Now I'm at 110/65 most days when I'm at rest. But I was as high as 150/100
@@Oliver-wv4bdNot to hijack this thread but I was able to control my anxiety with a sleep study and thus a CPAP. Absolutely changed my life
I'm not sure what is more dangerous, high blood pressure or the meds they give us to lower it.
High blood pressure is more dangerous. Obviously.
Those blood pressure meds can ruin your kidneys @DutchmanAmsterdam
@@Lilygirl283 Nope. High blood pressure RUINS your kidneys. Stop spreading dangerous nonsense. Try and use your brain and integrity, if you have any.
High blood pressure medication extends your life.
You may not be sure, but the data is very clear. Also, there are many different classes of blood pressure lowering drugs with varying efficacy and side effect possibilities. You and your doctor can sort through and find the best medication for you that accomplishes a safe blood pressure
i would say whatever you do don't solely rely on blood pressure measurements from your GP surgery. 20 years ago i kept getting around 145/93 in a GP surgery and after several occasions i was told that if the same happened once more i would need to go on medication. I then got a home kit and the results were around 120/80. My doctor then said "must be white coat syndrome" however he'd never mentioned that possibility before. That was 20 years ago. My blood pressure this morning was 110/71. If i had listened to that doctor and not been able to afford £50 for a blood pressure monitor i would likely have been on medication and probably still now. So test at home is the moral!
Wow!
I went to doctor
And it was 126/80
I'm 65
critical to measure BP at home. Your experience is exactly the reason why I recommend to all my patients to buy an at-home BP monitor (if it's a financial option)
@@DrBradStanfield
Also..push Celtic salt
The potassium with it
Cancels harmful effects of sodium
The magnesium helps with stress
Same thing happened to me and even when I told my doctor that my BP is always optimum at home, they wouldn't listen. But I know my BP is okay at home, so I don't take any medication
My blood pressure increased with anxiety caused by realising the connection between medical practice and pharmaceutical profits.
I’m in my 70’s, had ❤ attack at 30, BP stays 116’s/70’s, lost 60+ lbs and on BP meds. Exercise. Feel great. ❤❤❤
Systolic represents the peak artirial pressure during systole, when the heart contracts. Diastolic represents the minimum arterial pressure during diastole when the heart is relaxed.
Also, pay attention to your pulse pressure. (120/80)= 40 pulse pressure. This is the difference between the systolic and diastolic numbers. The minimum differential normal number should be 40, and the maximum differential normal number should be 60. Less than 40 is considered low or narrow, and above 60 is considered high or wide. Below 40 can be an indicator of low cardiac output, and above 60 can be an indicator of cardiovascular issues. A critically low pulse pressure is less than 25% of your systolic pressure number. A critically high pulse pressure number is 100 or more. A lot of things can influence your pulse pressure, but if your numbers are consistently wide or narrow, then this can be another tool or measurement you can use to talk to your doctor about.
Thanks. That's very interesting.
The US- based Mayo and Cleveland Clinics, both state that pulse pressures above 40 mmHg increase cardiac complication risk.
Ideally, it should be closer to approx 40, with slight variability expected but not being more than 10 mm Hg on a regular basis.
Never knew this. Recently been getting a lot of 15-20 point differences between left and right arms, and MA is telling me that is "normal." Told them they need to let the Mayo Clinic and Harvard know they're spreading misinformation! Good to know about systolic/diastolic differences as I've never heard that. Also have a lot of MAs try to take BP over clothes, once even over a sweater.
When you were born your risk of dying increased by 100%. How can you reduce the risk of dying when death is certain?
Oddly enough, my grandparents both had extremely high BP before they died in their 90s. My father had a few strokes and his BP was in the 160s. He is now taking medication and has it in the 130s. I sure wish the nurses would be more diligent about taking BP accurately. They usually come in and take it as soon as you sit down and over your shirt and while talking to you about needing a colonoscopy.
measuring blood pressure at home is critical, and far more accurate that one reading at a GP's office
@@kdw75 have him use
Celtic salt too
I'm 65
My BP was hovering around 135/86 for years
I'm not on meds
The Celtic salt
Put it around
120/80
or hovers around there
Some of this, is a potassium/magnesium deficiency
I've been on a weight loss and health recovery journey for 3 years now. I'm about to turn 30 in a few months, feel great and have lost 100 lbs. A few days ago I was actually stunned at my blood pressure when I got 109/48, which was the lowest I had ever seen. I was worried because I thought that was starting to get too low. But I felt great, had an active day, played with my cat, was standing up and down like normal. I took it again to see if it was a fluke but it was still 108/50. I figure if I feel great, not light headed or anything, I shouldn't worry about it.
fantastic news, well done on your health journey!
@@Masterr59 its not low, unless it drops to 90/60 and your heart rate
(3rd number)
Is high
I have bad news for you 😂
BP systolic less than 115 and dystolic less than 70 are equally or more dangerous than above 140/90
Not my word study conducted in 2009 show this
@krishnasthapak3738 Nope 100/70 is perfectly fine. Sounds like there is some attempt at rationalizing high blood pressure going on there.
If the *reason* for the lower blood pressure is hyponatremia, then that's a problem, but the real problem in that case is the low sodium levels and the low blood pressure is just a symptom.
90/60 is a bit low (although a single reading isn't an issue).
@@homomorphic "According to a 2018 study, diastolic blood pressure of below 70 mm Hg increases a person's risk of heart attack and hospitalization due to heart failure"
"The researchers found that among those with systolic blood pressure less than 130, a diastolic blood pressure of less than 60 mm Hg was linked to more heart attacks and strokes. However, those with diastolic values between 70 and 80 mm Hg had the lowest risk of heart disease"
Systolic 100 is aslo not at all healthy
I have read many study ideal range according me is 115 to 125 systolic and 70 to 80 diastolic
The standards are made lower so doctors can start prescribing medication sooner. Doctors make money, pharmaceutical companies make money, Government makes money. You become worse and worse till you are no more. Don't worry though, there is another generation behind you to start the cycle again.
Very True
Corruption in western medicine is the Real Problem
but a sicker generation... and probably getting loser to the last one...
do you work for nothing?
At least in the US, doctors do not make money on prescriptions. Source: I am a US doctor.
High blood pressure affects the capillaries in your kidneys and can cause kidney problems.
High blood pressure also affects the heart by causing cardiogenic pulmonary edema, which is a life-threatening condition.
correct.
Correct, my dad died from all the above , in his case though it was artificially induced, literally killed by the hospital. The high blood pressure caused in him kidney disease which was managed well with vegan diet with occasional meat treats once a week
Aim for 120/80
Or less by Celtic salt
(NOT FROM TABLE SALT)
It could be potassium deficiency?
Bad effects of sodium gets cancelled
@@theancientsancients1769There's no evidence that a vegan diet reduces blood pressure. And how can a hospital induce renal damage by causing high blood pressure? Renal damage is from chronically high blood pressure over months or years.
@@kathleenking47Celtic salt is still sodium chloride.
Switch out your regular salt with mineral salt containg at least 30% potassium.
NO. Some people take ACE Inhibitors for high blood pressure. That's a big NO-NO! Can cause a LIFE threatening condition of extremely high blood potassium for these people!!
@@gloriamaryhaywood2217 well for the rest of us who DON'T take heart medicine, it is a good choice.
@@gloriamaryhaywood2217 nope, only maybe after an enormous potassium intake.
@@jackfaber7710 Wrong. I used to take Lisinoprel, an ACE inhibitor. Wasn't properly informed about NOT using potassium supplements or salt substitutes. Got VERY ill, life threatening ill, from using 'NoSalt' instead of regular salt. Even had to be careful of high potassium foods! ACE Inhibitors work by keeping your blood potassium high. But I no longer take Lisinoprel, as it kept dropping my blood pressure too low. Was switched to a beta-blocker.
apparently drinking Licorice herbal tea affects the ACE-2 receptors and can raise blood pressure
A 25% reduction of similes in podcasts reduced stress considerably.
"Potassium is like a super hero when it comes to fighting high blood pressure. It balances out sodium...."
Can't remember seeing that in a Marvel film.
Normally do my BP in the evening. Done it first thing today. 115/72. Phew.
No body realizes how important potassium is and how little we get from our diets...good call
The Cochrane review from 2020 (over 38,000 participants from RCTs), showed that although lowering BP may reduce myocardial infarction by a small amount (-0.4%) and congestive heart failure (-0.6%), it does not reduce total mortality. Their conclusion was that the benefits of trying to achieve a lower blood pressure target rather than a standard target (140/90 mm Hg) do not outweigh the harms associated with that intervention. Also, this is another example of conflating relative risk with absolute risk.
If you are refering to statins with your remark, a 5 year long study did find that statins lowered absolute risk by 5% in older adults.
Benefits and Risks Associated With Statin Therapy for Primary Prevention in Old and Very Old Adults
Mine is around 140/90 is that ok?
Thanks for sharing. Both the SPRINT and ESPRIT trials that I go through in this video were published after that Cochrane review. That review needs updating :-)
@@volos_olympus Yes, but that’s 5% of the 3% risk. Not significant. And it ignores all the problems caused by statins which are significant.
@@joeprimal2044 No, relative risk reduction was 21%, absolute risk reduction was 5%.
The problems caused by statins only affect a small minority and overall statins decrease all cause mortality.
Blood pressure at home: 110-118/70-77
Blood pressure in GP cabinet: 140/90+, GP says it is normal
Same here. I check in the morning upon waking and mine is pretty most spot on your range and mine is spot on in our range when I go to the doctor.
of course it's normal - an honest answer would be don't go to GP 😂
age 62 and my blood pressure is usually in the range of 100-110. didn't protect me from a heart attack 5 years back. not overweight, low cholesterol, regular exercise and no family history of heart disease. maybe the smoking in younger years was a bad idea ;)
"low cholesterol" - there's your problem.
@@okradokrad nope
@@jackfaber7710 yep
@@okradokrad nope, nope
It's comments like this that make it so difficult to dial in a solid recipe for good health. There's obviously another significant factor at play here, and this is what being a health detective is all about. Could it be low estradiol, low cholesterol, or even low blood pressure itself, which could have its own hidden underlying causes? I wish you well, as frustrating as this comment may be for us to hear.
I believe healthy blood pressure levels are a function of time. I'm 56 now and I have to have it below 120/80 for me to recover my health fully, it is at about 130/75 at the moment and I'm still feeling the effects in my feet but I'm finally on the mend now after a year. What has made the most difference is exercise and a lot of it. I swim 1 km every day now and things are improving in leaps and bounds, prior to that my sleep apnoea was addressed and my liver function through diet, neither of them having the profound and immediate effect like exercise has
It's important to note that the SPRINT study measured BP under ideal conditions (patients sat alone unattended for five minutes before--hence, no White Coat hypertension). That could translate to 10-20 points higher in real world clinical conditions.
The American Academy of Family Physicians still adheres to the definition of HBP as 140/90. Im not a physician but my theory is
that these new guidelines were developed to mirror the large number of obese and overweight persons in our society. Of course, obese and overweight persons should probably try to get their blood pressure down much further than normal weight persons or persons with optimal BMI. I'm 5'11'' and 160 pounds and my blood pressure hovers around 125-130 over 70 to 75. Sometimes, after a workout, it drops to 115/65. BMI of 22.3. No medication at age of 70. My doc says to not worry about it and many patients would love to have my current weight and blood pressure.
After 10 years of Paleo diet my BP started to get to 140 90. After 18 months of WFPB no sugar oil salt it went down to 105 70. But now it frequently goes down to below 100 65 in the mornings. Especially the systolic which gets to 90.
Everyone is unique. I have tried every type of BP med there is. Some do work to lower my pressure, but all of them lower my sodium level to dangerous levels. Potassium levels are never a problem. My BP is controlled more by emotion than anything else. Exercise helps, but it takes a couple hours on the bike to do much good, and it’s hard to find that much time. I would be interested to know if anyone else has similar problems and what worked for them.
so find the time also find time for sleeping better
I believe the study's he's referring to are flawed ... they take a study of 7000 people, (Say 3500 of which, have moderately high BP), and record 4 coronary events and compare them to a control group ( of say 3500 people with low BP) that only have 3 coronary events and say that's a 25% reduction ... it's pure BS
I've had moderately high BP all my life ...now it averages 110/60 and sometimes lower.
Here's how I did it*** (69 yo and feelin good)
***I take a good quality, high potency fish oil pill with 500mg EPA & 250mg DHA ...2/ 2x a day (I use Puritan Pride)
***1000mg of Quercetin 2x a day (with the fish oil) I started out with Swanson, now I buy Bulk
***Nattokinase 2000 fu's 2 at Bedtime ( total of 4000 fu's)on an empty stomach ( no food for 4 hours)
* Serrapetase 40,000 spu's 2 at Bedtime ( total of 80,000 spu's)on an empty stomach ( no food for 4 hours) Currently using Lake Avenue Nutrition from IHerb ...have used Doctor's Best with decent results
I would start off this protocol with half the dose for a week or two, then go full dose and see how you feel..
FYI... it will be a little shocking when you take your first readings at 110/60, but as long as your felling fine ...your good to go
Additionally, Lay off the refined Carbs and refine seed oils,
Good luck with this, have a good life and a blessed holiday season !!
My bloodpressure was 120-80 when I was age 25, now at age 40 it is around 112-74. Mine actually got lower as I got older. Feel great on a mediterranean type diet. But I had this type of diet at age 25 too. Not sure why it changed?
Might have improved mental state which lowered anxiety.
shit happens after 30 and you jumped to the healthy wagon before shit hit the fan, simple as this
Low potassium is commonly mis read for low blood pressure. Potassium is 4700mg a day. Minimum for a male
@@johnmausteller i believe low K is what makes most people sick
Talk again when 60
All good information. My only comment is that not emphasizing on cutting sugar, more, specifically Fructose (50% of sugar and 55% of HFCS) as it directly impacts uric acid levels that directly affects blood pressure. Fructose also impacts appetite and satiation making it more difficult to not overeat and constant snacking.
"Fructose also impacts appetite and satiation making it more difficult to not overeat and constant snacking." Exactly why Big Food adds HFCS to everything, remember, Big Food is run by the same people who ran Big Tobacco adding things to it to make it more addictive. They couldn't care less about your health, It's all about the shareholders pockets.
HFCS 42" and "HFCS 55" refer to dry weight fructose compositions of 42% and 55% respectively, the rest being glucose.[5] HFCS 42 is mainly used for processed foods and breakfast cereals, whereas HFCS 55 is used mostly for production of soft drinks.[5]
If all doctors were like you, everyone would be much better off.
'Once upon a time, in a land not far away at all, a healthy blood pressure was thought to be 100 plus your age. That simple rule of thumb has gone the way of hats for men, cordiality in politics, and affordable health insurance. It was replaced in 1977 by a cutoff of 160/95 separating "normal" from high blood pressure. That cutoff continues to drift downward, steadily eroding what we think of as normal or healthy blood pressure '
YES, please do a dedicated video on blood pressure medications as it pertains to helping achieve an ideal blood pressure. Would you also
include how, if at all, this ideal blood pressure would or should vary with age. Great video, thank you very much!
Excellent stuff, Dr. Brad. This is a subject that you surprisingly don't see lot of videos about, despite how important it is. Great summary of the situation.
Thanks for a great video DrB.😊
I gave up all processed food by preparing everything myself.I use a lot of pepper instead.The only exception is cheese and GF cornflakes which will give me a small amount of necessary salt.I call it my "1824 Diet".An advantage is that it produces almost no trash except for some recyclables and composting food scraps.
Yes please produce a full video on BP ,however thank you so much for this wake up call its excellent.
The main thing about life is that it's terminal. It's good to try and be healthy but control is an absolute illusion.
@PaulB_864 Nice!!
Humans will be able to fix all diseases - and eventually accidents will be the killer
My BP jumps considerably in response to any pressure cuff thanks to some deep medical PTSD, on top of garden variety white-coat syndrome, so it's impossible for doctors to reliably know my average levels. The entire practice of observing blood pressure is fundamentally flawed until a new measuring method is invented thats instant/comfortable, and ideally with the patient truly having no idea. It just doesn't make sense in the meantime since a person's BP is at the total mercy of their mental and emotional state.
The other reason blood pressure is going to need to be completely reconceptualized clinically is because modern living is so stressful that it's causing general hypertension among young healthy people, universally. So even barring the bad measurement method aspect, it's also ridiculous for clinicians to badger young people of healthy weight about their BP during a time where getting and maintaining food and shelter feels like a war.
Exactly this! My problem is my white coat has extended to everywhere, just looking at the machine it seems to rise. At home it's quite high because I'm so anxious about it. I can have normal readings when a doctor or nurse has taken it after really distracting me and I feel relaxed, it's also lower taken with a stethoscope, and medics I know tell me that the machines are unreliable, their cuffs hurt, which raises your BP, and they're often not calibrated.
I get stressed by just looking at the BP monitor. I always measure twice.
Yes, do a video on the use of BP meds. I’m a physically fit 69 year old male. I’m not on BP meds. If I am unable to do my normal walk/runs (currently have a foot injury) my BP starts creeping up. My BP is always high in a clinical setting (white coat syndrome). What should my BP be as a fit 69yo. You do a great job!
when you measure your BP do you do it just once? I do it about 3-5 times, until I get two readings close to each other
Best analysis on the internet. I use "No Salt" (Pottasium Chloride) to minimize need for blood pressure medication (Valsartin). I also use Magnesium Choride with Taurine for 15-20 point reduction in BP, plus Hawthorne Berry and Cayene Pepper for my heart.
Mine is above 120/80 half the time (though only slightly), and I'm sick of people trying to talk down to me about it (do I "eat a lot of salty take out foods?"). It's a genetic problem. I can't very well get a new set of blood vessels. My bp hadn't gone up as I had gotten older. The reading is the same as it was 18 years ago which is when I started on Norvasc and a water pill.
None of these things are problems with me:
1. Being sedentary. I get 10 hours a week of exercise.
2. Being overweight. I had lost so much weight that my ribs show. My bp hadn't dropped very much, either.
3. Eating ultra processed foods.
4. Not eating fruits and vegetables.
5. Stress.
6. Anxiety.
7. Lack of sleep.
8. Eating too much sodium and not enough potassium.
9. Drinking.
10. Smoking.
I would like to point out that changing your diet, doesn't necessarily mean that your sodium and potassium are in the optimal range. People should get their blood tested so they can see if they have anything that's outside of the normal range. Vitamin D is another one that's often low. Some medications can make your kidneys pass electrolytes. Some medications can cause insulin resistance.
Yes please do another more in depth video pleaseeee!!! Thank you so much for all this INFO! 💙💙💙
Potassium took me from 120/80 to around 115/75-120/75
Getting a dog can also lower your bp.
Ive also heard that a midday nap can be very effective at lowering bp aswell
How much potassium? I have a jar of potassium supplements and they are just 2% of RDA, may as well east 5g of banana!
@@mike_au I take 180mg 1-3 times per day.
How much potassium you taking?
@@magnusdanielsson2749 that's is nothing. cause you take not a clean potassium, but something like potassium-citrate. so 180*3 of potassium citrate is about 50 mg of clean potassium per day. equal zero, may i say.
@@magnusdanielsson2749 Yeah, I just got some new potassium supplement, but I'm on Irbesartan and have potassium blood tests at the upper end of the scale, so I'm a little scared of taking it now, too late to send it back, it was already on its way when I discovered it could be problematic, my wife may be able to use it though, instead of medication, which is putting her BP too low
Yes, the video about blood pressure is absolutely needed
It would be great if you did a video about what normal BP rates are during the day. I'm 62 and have BP readings in the morning of about 115/60. However, once I start moving around during the day including periods of exercise, I see greater increase and fluctuation in the systolic pressure that can bump up to over 140.
Yeah, I have issues with BP fluctuating for days at a time. Over 130s/80s a few days, then dropping to 110s/low 120s over 70s. Back and forth. Scared of meds because of this.
BP is dynamic. It fluctuates all the time. During times of high intensity exercise, BP can get over 220 and yet exercisers are fine.
So much appreciation for your videos. Your topics are very important to know about.
My pressure just went up some recently for no apparent reason. From about 115 to over 130 I take it at home nearly every day at the same time. I haven't gained any weight I eat fish, chicken, fruit, veggies. I'm 5' 11" and weigh 172 and walk an average of about 4,000 steps a day, plus floor exercises. I drink very little, maybe twice a week I have a glass of wine. My age is 91 and the mysterious rise worries me.
This is good news for me, given that I have had a low BP since childhood. Since I won't die of a heart attack I just need to train to fall softly when I faint
Fantastic info Doctor, thank you so much for posting!
Here's something else that's dangerous: focusing on metrics like systolic/diastolic/pulse to the exclusion of blood glucose levels, VO2 max, weight, proper and plentiful nutrition, and enjoyment of life -- all NATURALLY, through healthy diet and exercise, instead of through medications with a ton of adverse side effects.
I am a thankfully living example!
Im too good looking to be affected by this
Thanks for the great video! I’d love a dedicated video on blood pressure medications and if they can help reverse previous damage from high blood pressure.
Not only the BP. It's the inflammation caused by garbage food and stress.
I walk/run 20K steps daily. My BP dropped 110/70. I’m also on plant based diet so my BP was never above 120/80. I’m 50. So my BP actually improved with age by increasing exercise.
A doctor suggesting ozempic for weight lost caught me off guard especially given the well known side effects of using that medication.
Lotsa good, practical info in the same place. 😀
Please do more videos about blood pressure. Great info and love the studies you give for review as well.
Having higher muscle mass increases blood pressure / during intense workouts your bp spikes. Is strength training then potentially harmful long term for health?
Excellent information. Thank you. And a video on antihypertensives would be very useful.
I love exercise “snacking”. Besides, my father’s blood pressure was always around 110/70. He died of heart attack at age of 68 😢. My blood pressure is 110/60 with heart rate 50. I worry… 😮
How could he have a heart attack if his bp was that low.
Sounds like bp is not the end all be all.
@@theseeker732 sure it is not. just only one value.
@@theseeker732 Also he was not fat at all, rather skinny and he did exercise regularly. But he smoked and ate processed meat. Also too much alcohol. He got blocked artery. 😢
@@evarkf So blood pressure is a scam. He had blocked arteries, but also had low bp. thanks for the info.
@@theseeker732 High BP can lead to blockages , but it is not the only cause. For example, high cholesterol or smoking can also damage the arterial lining and cause heart attack. Low BP doesn't protect us from other factors, but high BP can accelerate their damage
I was able to reduce my BP where my 31-sample running average is: 122.8 over 76.3. I take only Eliquis and diltiazem. I am approaching 66 years old.
My blood pressure is usually 135/80. The only time it was lower was on a fully vegan diet, but I find that diet too restrictive and I hate grains. I love cheese, eggs, meat, yogurt, milk. When I include these things my blood pressure stays around 135/80. On a vegan diet my blood pressure stayed around 111/70. Ironically I add way more salt on a vegan diet because the foods are so bland imho.
Yes. I feel pushups are under rated. Whenever someone tells me they don’t have time, I just tell them to do pushups non stop for 5 mins. Thats enough. Not just a snack for me.
The doctor in this video is realistic. A review of things like weight gain, exercise and activity levels should be considered before jumping to prescriptions as the presumed solutions. In the U.S. most primary physicians go to quick answers rather than trying to possibly lower weight, improving diet or adding exercise. Or at least suggesting those options.
So I have an at home blood pressure monitor. Train 4 times per week, use the sauna 4 times per week. Eat whole foods only, no seed oils. I supplement with d3 4000iu and k2 mk7 daily. Also every other day take 1g krill oil. Supplement a complex magnesium and potassium too any time I eat sodium. I must live the near perfect life and my blood pressure is 130/93 on average.
I also supplement TMG to lower homocysteine.
So how do I get my BP under 120 😅?…..
Same..but I am 150/95!
Goes down to safe after going for a run.
Deep breathing even more so
@ I think it’s like BMI. It’s not as simple as a certain number fits all.
I'm 60. My BP is 100/70 fasted. Just after I eat it goes to 115/75. Goes to around 125/80 when exercising.
140 was not normal in the US. Before 2017 Hypertension Stage 1 started at 140/90 mm Hg. After 2017 in the US elevated blood pressure was and is now defined as 120-129 mm Hg systolic with less than 80 mm Hg diastolic.
Definitely worth measuring bp at home, mine is consistently 10sys higher when doctor takes it (nerves!). It's also important to get the arm height correct, it should be level with your heart. If arm too low bp will be too high. Need to try these salt substitutes, thx 👍
He says you should take your blood pressure in the morning and later in the day. But he should have mentioned that in the morning, after you get out of bed, your blood pressure will be higher because your body is going through stress of going from resting to activity. My mornng pressure is usually about 10 points higher than mid-day;.
What about a huge variation left to right arm? I have fixed myself enough to stop BP medication but the variation remains. I have had several arterial scans... Zero calcium score, nothing on my main arteries in ultrasound, etc.
Sometimes my right arm will be like 118/59 and the left will be 130/75 for example. This is a snapshot from a few days ago. Sometimes the left will drop to 120s over 60s but basically never as low as the right.
My BP has been around 150/90 my entire life. The number has concerned me even though I have a very active lifestyle with lots of exercise, often vigorous and my weight is under control.
It’s too high and you should see a doctor.
entire life? even in 12-18 y.o?
@@jackfaber7710 My earliest memory would be in high school during sports checkups.
whats you weight and triglicerides level?
72 years, fairly active, 140 lb. My BP is around 167 / 84 42 pulse (early morning) NOT on any BP meds anymore!
Useful video. It would be interesting to have another video going in depth about natural remedies as well as mire detail on how BO is managed via ARB etc.
Yes, I would be interested in more info on different blood pressure medications!
Great informative video thank you
How do you know the risk of death is lower.
What is the evidence exactly, what is measured during the 3.5 years.
People who died during the study. Go read it yourself
@@sam8922 He should explain that in the video and give the numbers. Otherwise why even make a video.
I lowered my blood pressure 20 pts simply by ensuring that I meet my daily salt requirement (not table salt) and BALANCING it with my potassium intake. Simple, cheap, effective but the pharmaceutical industry does not want us to know this.
good for ya, but works not for everyone
Please make a video on blood pressure medications and the difference between them (ACE, ARBs, BB, CCB..) and what's best as a neuroprotective agent?
I'm almost 47. My blood pressure is in the morning around 108/67 or sth like that. Pulse is usually 43. It is all about cardio and gym and not being fat and taking cafe of oneself. Hunter gatherer don't have high blood pressure in their 70s. They are under 120/80 even at old ages
In the past, most hunter gatherers didn't get to 70...... today, even the most obese unhealthy lifestyled people manage to scramble to 80.....
This is why I try to cut down on salt I try to stick at around 800mg a day while getting in about 4500mg of potassium, doesn't happen most days but I'm working on making my own rice and beans and other recipes again so i can eat like that my
Thanks , excellent video. short, clear and helpful
Me too but my BP is always elevated 😞
Despite exercise 5 to 6 days per week, and eating pounds of whole plant foods everyday, no smoking, no drinking, healthy BMI. In good enough shape to have a six pack, no stressful job. No stressful home life, etc. I even consume high nitrate veggies every day. Legumes everyday. Fiber is 65g to 100g per day. Carbs: 57% Pro: 21% Fat: 22%.
Sodium is less than 1,500mg per day, most days around 1,000mg. Potassium intake is 6,300mg per day.
Someone has it out for me. Probably Murphy's Law is to blame. Doing everything right and.....hypertension regardless of living a lifestyle better than 99.5% of the population.
Stupid genetics.
I am only hoping that since most people with higher blood pressure almost certainly have other confounding factors (bad diet, little or no exercise, overweight, etc). Everything I am doing is what would, for most people, probably have them sitting around 110 / 70 while I am typically in the 130's / 70 - mid 80's. I am just hoping that higher blood pressure acting alone won't do me in before my time since everything else is great (diet, always moving, low stress, no smoke or drink or drugs, etc).
I just don't get it.
it's the carbs, not genetics.
high blood sugar wipes out our _vascular endothelial glycocalyx_ - both our shields and the modulator of nitrous oxide release for Flow-mediated dilatation
Pretty much the same here but my BP is usually double yours. No med have ever helped. I'm in trouble with no option left.
You need magnesium glycinate not oxide
Thanks, you just put me off buying a Chinese takeaway, I'm having fish and salad instead now.
I wonder if Samatha meditation would help, the classic kind of buddhist meditation. Mindfulness of breathing.
Yes please do a video aboit BP medication
dude.. BP is a dynamic measurement. Does not stay same all day. All increases are not bad. lol - real Dr
exactly.
So true. We can't go by a single "snapshot"
Doesn't stay the same all day, but it should remain close to 120/80 for best health. Most doctors don't diagnose based on one reading. Typically they give you an "ambulatory" monitor for home which takes many readings over a couple day period (including when sleeping).
27% less risk... 1.06% vs 1.41%.. thats not a lot. It would have been if death rates were 40% vs 28%... Understand the statistics please.
You don’t even understand the difference between absolute and relative risk. You understand the statistics please.
@@UUser1337 Yes I understand it. Thats what I am pointing out.
@@osmanniazi7888 Risk is going to increase over time though, so you have to factor that in.
@@WilliamRoscoe indeed. But over a year the difference is nominal
@@osmanniazi7888 Yes, but how long do you plan on living?
How come doctors don’t seem to want to tell patients that they need to take lifestyle changes seriously instead of just prescribing medication. Is it because most patients aren’t willing to change anything?? I think a lot of Americans would rather stay on BP meds instead of make any changes.
Exactly right, it's much easier (and less likely to lead to complaints to their employer or bad reviews) to just write another script than to tell a patient "Hey, you really need to get up off your ass and get a little exercise, and lay off of the junk food, or you're not going to make it to retirement."
@@RickinICT right, I wish there was incentive for doctors to tell patients how serious they are messing up their health. You’re totally right. Being honest equals bad reviews
Because adherence rates to lifestyle changes are abysmal. It is much easier for people to take a pill once a day than it is for them to permanently change their way.
I think people have been conditioned to a "pill for every ailment" and much easier approach for getting the positive results they expect. Dr, on the other hand, take advantage of (well, are responsible for too) this mindset. Always works in big pharma favor! And Dr can blame their patients for not making lifestyle changes......therefore requiring meds. So on and so on...
@@dawn1913 It‘s not conditioning, it’s human nature to choose the easiest path. Without Big Pharma those people wouldn’t be changing their lifestyle, they would simply die. Big Pharma is what keeps people alive.
This was an excellent 👍🏻 video as blood pressure is huge problem that is overlooked
usually I find your videos well informed and balanced but in this case you're generalizing BP recommendations for populations with at least one significant cardiovascular risk factor to the entire population. Can't agree.
My stats ,67yrs 104/51 today , 5' hright weight 49kg. Natural diet for years and exercise daily
"We as doctors got it wrong..."
To be fair to doctors, they generally just implement what their textbooks and national rules tell them. How many have PhDs? Hardly any, I imagine.
The same way that your local mechanic is unlikely to know the chemical composition of alloys in engine A versus engine B, and whether it's prone to one problem more than another.
Thankfully there's more information available to us now, though filtering it correctly isn't easy.
Yes let us have a video on blood pressure medication, PLEASE
Dropped packaged foods, cheap restaurants, eat once a day, perfect blood pressure and blood sugar.
Please do a video on the clinical practices of lowering blood pressure. Interested in resolving my HTN - Male, 57, fit, resitant HTN, even while ACEI and completing recommended dietary and exercise requirement.
My blood pressure when its 11/7....I cant walk or go to ER...😢..I feel ok when its 130....140/80.. 90
Low blood pressure leads to dementia.
Very good discussion, I do wish that health care providers were more conscientious with their blood pressure measurement protocols. I have been as high as 165 and as low as 115.
Big YES to additional guidance on blood pressure meds. Comments on Losartan Potassium & the like would be useful.
If you get your blood pressure down to 120, and have dizziness, does that symptom abate over time? Or is it a permanent problem that can only be resolved by raising your blood pressure?
I have a theory possibly you could look into. When exercising such as lifty with the tightening of the diaphram and stomach and muscles in general---the blood pressure skyrockets to unbelievable levels. However its only intermittent while working out or any extreme physical stress. Would it not be true then that for lifetime lifters and work out people especially power lifting that over time how could it not have the same detrimental effects to organs?? We also know that when playing football or other strenuous sports and even lifting/working out that strokes and heart attacks are in fact common which shows that the extreme blood pressure (that cant be easily measured) is actually having a harmful effect. I think it would be interesting to look into
I love this approach, to use drugs only as a last resort. I wish the other 95% of doctors would implement it as well.
Bicycles, ebikes, electric cargo bicycles, robo taxis and escooters are great options for last mile, short distance travel.
Reduced transportation costs and fossil fuels free transportation.
Cities need to do more to encourage people to ride bicycles by providing SAFE, PROTECTED BIKE LANES and trails. Every adult and child should own a bicycle and ride it regularly. Bicycles are healthy exercise and fossil fuels free transportation. Electric bicycles are bringing many older adults back to cycling. Ride to work, ride to school, ride for health or ride for fun. Children should be able to ride a bicycle to school without having to dodge cars and trucks. Separated and protected bike lanes are required. It will also make the roads safer for automobile drivers. Transportation planners and elected officials need to encourage people to walk, bike and take public transportation. Healthy exercise and fossil fuels free transportation. In the future cities will be redesigned for people not cars. Crazy big parking lots will be transformed with solar canopies generating free energy from the sun.
SPRINT was on people with at least one other CV risk factor, so it's not clear that otherwise healthy people with elevated BP would have a net benefit from BP medication, give the risk of acute kidney injury. Not sure if the Chinese study looked at subgroup with only BP as a risk factor and concluded anything specifically for them.
30mm of mercury is a less than 0.5. PSI. Its tiny, very very tiny indeed. For more things are bad for health outcomes. Heart rates would increase the flow speed and cause more turbulence inside the arteries.
I have an ADHD, which raises the blood pressure due to stress. Furhter I rely on Ritalin for work, which is a medication which additionally adds to blood pressure. Should I still take blood pressure lowering medication though it will be less effective with the Ritalin?
Have you tried resistance training + cardio? They have done wonders for my stress/anxiety related to ADHD, and cardio has the added bonus of lowering your BP and heart rate by itself. Even on ritalin my blood pressure is usually around 100/60 to 110/70 after I started training consistently. You can also try practicing some sport if you find cardio too boring, it is not uncommon for people with ADHD to be able to get very engaged and absorbed into sports, which is great both for health and stress/anxiety management. That being said, if your blood pressure is consistently above 120/80 you should still go see a doctor nonetheless.
Take magnesium taute supplement
Please do a dedicated video on BP medicines. Despite a healthy lifestyle and weight, I fear I have bad genetics for this particular problem. My readings are high at first, and then under 140/90. So my doctor is happy. But I can’t understand why I’m on the combination of medicines I’m on, after I read about triple drug regimens, the importance of a diuretic, but I don’t have what is classically regarded as high volume. I believe my volume is actually low? Which means - the problem is in my RAAS? I’m confused about it…thank you doctor! 🙏🏻