Elementary, my dear Watson!

Modify the lifestyle as per Guidelines.

Be positive, and take everything easy mentally , change lifestyle, exercise daily, stay away from junk foods.

It depends on the individual of course. The 'best' way is effective lifestyle measure - diet and exercise. Unfortunately this does not work for everyone.

In most cases, compliance with the guidelines leads only to reduce the doses of drugs.

This is true, once you have an established hypertension. It may not be true if you address a younger population in the pre-hypertension stage.

With Respect to the other participants in the discussion who are experts in this field. For which I have no claims.

If the hypertension is Essential/Primary type (which accounts to 80%-90% of hypertension), we can control it by life style modification, adopting DASH(Dietary Approach to Stop Hypertension), doing YOGA and using Antihypertensive drugs.

If the hypertension is secondary, we need to treat the secondary cause.

Don't forget about therapy of the high blood pressure and be moderate even in moderation.

Lifestyle modifications do help - restricting sodium intake, increasing potassium intake, regular exercise, cessation of smoking, attaining optimum body weight, moderation of alcohol intake and avoiding mental stress to the extent possible. Drugs known to increase blood pressure like steroids, non steroid anti inflammatory drugs and nasal decongestants should be avoided if possible. Yoga, biofeed back and special diets could be useful in some. But the beneficial effects are seldom sustained.

Eventually most people with hypertension will require drug treatment. It should of course, be combined with life style modifications.

Hypertension can be well fought by making some real & effective changes in one's lifestyle. Some of them could be-

1. Quit smoking

2. Exercise daily- even if it's just a walk for 30min

3.Cut down your intake of trans fat.

4. Prefer vegetarian food.

5. Avoid alcohol abuse.

6. Avoid corporate stress

My personal understanding is, the ectopic fat accumulated over time in the blood vessels is most likely the cause of hypertension. So lifestyle change may help to get rid of hypertension. Eat moderately in the day, and stop eating 5 hours before going to bed, and then sleep for 7 to 8 hours. In this way, by fasting for around 12 to 13 hours, our body will be forced to use the ectopic fat as energy source. Over a long period, our blood vessels will be very clean without any ectopic fat. And the blood pressure will come to normal.

This is my personal opinion, and is not intended as a substitute for informed medical advice. You should not take any action before consulting with a healthcare professional.

To avoid STRESS thru yoga , our eastern culture . Your food habit should

have more fibrous food to reduce obesity ie low cholesterol level .

Regular exercise, meditation, yoga, reduced salt intake, and eating potassium, calcium and magnesium rich foods are some of the best ways to avoid the risk of high blood pressure.

Dear, Dr. Malik,,

To get rid of high blood pressure, we must avoid high level of salt in the food and eating food rich with Magnesium and Potassium.

Best regards

• Regular exercise is the best methods to normalize BP
• Reduce your sodium intake.
• Drink less alcohol. ...
• Eat more fruits like banana, Dates
• Learn how to avoid stress.
• Eat dark chocolate or cocoa.

I understand that potassium-rich diets and lower sodium ones lower blood pressure, so in addition to exercise and such foods could be added to the diet.

Obianuju P. Umeji

1. Consume less salt and more vegetable, fruits rich in potassium.

2. Drink more water and have slight restriction in taking sweets/chocolates.

3. Avoid alcohol and smoking.

4. Cool attitude, regular physical exercise/yoga, spending days with loved ones will definitely reduce HBP.

the patients need to follow pharmacological and non-pharmacological approaches ..

-the non-pharmacological approaches that the patients need to stick with are (reduce weight, regular exercise, consume low salts and fats, DASH eating Plan).

the pharmacological approaches depends on the patient factors. for example, does the patient suffer from co-morbidity or not ...

the common first line therapies in patient without compelling indications are (ACEI,ARBs, thiazide diuretic, CCB)...

In my opinion, the best way to get rid of hypertension is therapeutic fasting. I highly suggest checking out Dr. Jason Fung from the University of Toronto who uses therapeutic fasting to reverse diabetes. Other researchers as well were able to show significant decrease in MAP in hypertensive patients. I believe that therapeutic fasting should decrease the circulating glucose and which should decrease the amount of water reabsorption in the renal tubules. That would decrease the blood volume and hence MAP.

Treatment of hypertension should involve nonpharmacologic therapy also called lifestyle modification alone or in concert with antihypertensive drug therapy.

Here is the list of nonpharmacological therapy,.

• Dietary salt restriction
• Potassium supplementation, preferably by dietary modification, unless contraindicated by the presence of chronic kidney disease or use of drugs that reduce potassium excretion.
• Weight loss – Weight loss in overweight or obese individuals can lead to a significant fall in blood pressure independent of exercise.
• DASH diet – The Dietary Approaches to Stop Hypertension (DASH) dietary pattern is high in vegetables, fruits, low-fat dairy products, whole grains, poultry, fish, and nuts and low in sweets, sugar-sweetened beverages, and red meats. The DASH dietary pattern is consequently rich in potassium, magnesium, calcium, protein, and fiber but low in saturated fat, total fat, and cholesterol. A trial in which all food was supplied to normotensive or mildly hypertensive adults found that the DASH dietary pattern reduced blood pressure by 6/4 mmHg compared with a typical American-style diet that contained the same amount of sodium and the same number of calories. Combining the DASH dietary pattern with modest sodium restriction produced an additive antihypertensive effect.
• Exercise – Aerobic exercise, and possibly resistance training, can decrease systolic and diastolic pressure by, on average, 4 to 6 mmHg and 3 mmHg, respectively, independent of weight loss. Most studies demonstrating a reduction in blood pressure have employed three to four sessions per week of moderate-intensity aerobic exercise lasting approximately 40 minutes for a period of 12 weeks
• Limited alcohol intake – Women who consume two or more alcoholic beverages per day and men who have three or more drinks per day have a significantly increased incidence of hypertension compared with non-drinkers.