CURE YOUR BLOOD PRESSURE NATURALLY Your 9 step plan to reducing your blood pressure without drugs Disclaimer This report is not medical advice and has not been written by medical professionals. Its use is intended for informational purposes only. If you are taking medications, please consult with your doctor or healthcare practitioner before stopping or reducing them or making any other changes to your health maintenance program. The use of supplements or natural remedies can alter the effects of prescription medications, so do not make any changes without consulting your physician first. All information in this document is for general informational purposes only. The author has used her best efforts in preparing this document and makes no representations or warranties with respect to the accuracy, applicability, or completeness of the information contained within. Furthermore, the author takes no responsibility for any errors, inaccuracies or omissions and disclaims any warranties or fitness for any particular purpose. The author shall in no event be held responsible for any loss or damages whatsoever and assumes no responsibility for any consequences resulting from any action or inaction based on information in this document. Reproduction or translation of this document without written permission of the author is forbidden. You are not permitted to share, sell, trade, or give away this document. By using this document, you agree with all the terms and conditions in the disclaimer. 2 © 2009 blood-pressure-report.com Table of Contents Introduction 2 About Blood Pressure 2 - - - - - - What is Blood Pressure? What Do Those Numbers Mean? Do It Yourself – Measuring it at Home Symptoms of High Blood Pressure So What Causes High Blood Pressure? What Happens if I Leave it Untreated? The Downside of Drugs - - - - - - - Diuretics Beta Blockers ACE Inhibitors Alpha Blockers Vasodilators Calcium Channel Blockers Summary Your 9-Step Action Plan - - - - - - - - - 3 Step One: Super Supplements Step Two: Ditch the Old Diet Step Three: Avoid Alcohol Step Four: Stop Smoking Step Five: Fight Fat Step Six: Embrace Exercise Step Seven: Stress Less Step Eight: Beneficial Breathing Step Nine: What Else Can I Do? 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 Break it Down! Your Summary Checklist 2 Your Personal Record Chart 2 © 2009 blood-pressure-report.com Introduction Congratulations! …on being one of the millions of people taking the initiative to investigate alternative pathways for reducing their blood pressure, without medication. There are so many reasons why more and more people are turning to these methods, such as the desire to avoid side effects, the need to save money, a search for more effective control, or simply wanting to heal themselves from the inside out, the way nature intended. Natural methods for treating high blood pressure are extremely well-studied now, and have been proven to be effective – in many cases, even more so than prescription medications. By following the methods outlined in this report properly, almost all people (around 90%) should be able to reduce their high blood pressure to such a range that they should never need medication for it again. Of course, there are exceptions to every rule - some people will always need blood pressure medication, for example those with kidney failure, those with adrenal gland cancer, and so on. However even most of the other 10% of people should still be able to reduce their dosages. By following just some of the advice, your blood pressure will still decrease – some of the more simple changes will be enough for pre-hypertensive people or those with mild hypertension. 4 The advice in this book will also help you prevent high blood pressure if it hasn’t already developed – which is always preferable to treating it once it has. It’s up to you how many of the changes you implement. If you pick and choose, you may enjoy lowered blood pressure but not get a complete result - but be confident that there is enough advice in this book to reduce the blood pressure of even those with severe hypertension to “safe” levels. In fact, some of these methods may be more effective than you expect and you may be reducing your medication sooner than you thought possible. So remember to keep an eye on your blood pressure regularly in case it gets too low (sounds nice, doesn’t it!) One important note to make here though – the amazing changes in your blood pressure are only going to last as long as you keep up the program for. Once you get it to a healthy level, going back to your old lifestyle is just going to undo all the good work you’ve done. You’ll be able to see this reflected in your blood pressure readings. © 2009 blood-pressure-report.com Introduction The basis of this program is sustainable, long-term changes. But, I’m counting on the fact that you’ll feel so amazing once you get into the swing of things you won’t even want to go back to the way you lived your life before. The first section deals with the basics of blood pressure – what it is, the symptoms, causes, risk factors and so on, as well as how to measure it at home yourself. It also discusses why many of the traditional methods your doctor may prescribe for you aren’t the best answer after all. If you’re already familiar with this information, feel free to skip to Step One of the Nine-Step Action Plan. 5 You’ll notice that the first two steps are the longest. This is because these are the areas with the most debate surrounding them. We get inside all the conflicting views, unearth all the facts and present you with a balanced view. Read through the entire book before starting so you have a good overall idea of the lifestyle changes that you will be making. By the end, you should be excited and inspired to begin straight away! I would love to hear about your progress and any feedback you have on the information in this guide. Please feel free to email me at [email protected]. © 2009 blood-pressure-report.com About Blood Pressure According to the American Heart Association, nearly one in three adults in the United States has high blood pressure, or hypertension – and nearly one third of those people don’t even know they have it! It is often symptomless, which is why it affects people for years without their knowledge. And about 28% of American adults (about 58 million people) have prehypertension, which is also dangerous and carries elevated risk of heart attack and stroke. So What is Blood Pressure? Blood pressure is the force that blood is exerting on your arterial walls. It’s recorded as two numbers – systolic pressure (when the heart beats) over diastolic pressure (when the heart relaxes in between). It does rise and fall during the day, but when it stays elevated over time, it’s known as high blood pressure. It overworks the heart, and the high force of the blood flow damages arteries, as well as other organs like the brain, kidneys, and eyes. So when your doctor says “your blood pressure is 160 over 95”, what’s he or she actually saying? The first number in the reading is the systolic pressure (SBP), and the second number refers to the diastolic pressure (DBP). The values are in units of mmHg which shows a change in the height (mm) of a column of mercury (Hg). For such a dangerous condition to go unnoticed in so many people is extremely frightening – this is why it’s so important to have your blood pressure checked regularly – every time you visit the doctor, in fact. Don’t assume your blood pressure is normal just because it used to be. Once it develops, it’s usually with you for life if left untreated. 6 You’ll be familiar with the cuff that’s used by the doctor to measure your blood pressure. © 2009 blood-pressure-report.com About Blood Pressure What’s actually going on in there? Well, inside the cuff that’s secured tightly to your arm are two rubber tubes – one inflates the cuff and the other goes to a reservoir containing mercury. The numbers come from the effect of the pressure on the mercury, and how many millimeters it rises when the heart beats and relaxes. Different institutes and organizations have slightly different guidelines as to what constitutes normal and high blood pressure. Today in the UK, for example, a reading of 140/90 is considered to be normal, however research suggests that an even slightly elevated blood pressure, for example 130/80, still carries risks. This has lead to the introduction of categories like “borderline” and “pre-hypertensive.” The following chart shows what the readings are generally considered to mean: Normal Pre-hypertension Stage 1 Hypertension Stage 2 Hypertension It might read unusually high one day because you’re anxious or stressed, and it can be affected by certain medications. Systolic 120mmHg or less 121mmHg – 139mmHg 140-159mmHg 160mmHg or over If your blood pressure doesn’t decisively fall into either of these categories, the systolic reading is the one to pay more attention to (for example if your reading was 125/75, you would still be considered pre-hypertensive). A rise in systolic blood pressure is a better measure of stroke risk than a jump in your 7 diastolic, a study in the American Journal of Hypertension reported. For every 10 point spike in your systolic blood pressure, your risk of stroke increases by 20%! Note that one high reading doesn’t necessarily mean you have high blood pressure. Diastolic 80mmHg or less 81-89mmHg 90-99mmHg 100mmHg or over That’s why it’s advisable to regularly test your blood pressure at the doctor’s – or even better, at home. If you have extreme hypertension, it’s advisable to go on prescription medication straight away to bring the levels down rapidly. © 2009 blood-pressure-report.com About Blood Pressure However if you start using natural cures at the same time, under medical supervision you should be able to reduce the medication or even stop it completely. How Low Can You Go? The lowest advisable reading of blood pressure is around 90/60. Using just natural methods shouldn’t lower it to unsafe levels, unless you are combining them with medications. This is why it’s important to keep a close eye on your readings and be supervised by a doctor around the point where you are phasing between natural cures and medication, ie using them both at once. Doing it Yourself – How to Measure it at Home Blood pressure can change from moment to moment, affected by factors such as your emotional state, body position and physical activity. Measuring it at home yourself will give you and your healthcare practitioner a clearer idea of what your blood pressure is like outside the clinic, and you can keep track of how well your treatments are working. 8 • You can buy blood pressure gauges at most pharmacies and medical equipment suppliers. • Many of them haven’t been formally tested for accuracy, so treat them as more of a guide. The systolic reading is usually more reliable than the diastolic on home monitors. • If you have a particularly small or large arm, test it before you take it home to see if the cuff fits properly. • Home blood pressure monitors should be calibrated against the doctor’s mercury sphygmomanometer every six months. Ask your doctor to use both yours and theirs and compare the readings. In general, there are two types of machines: The aneroid machines are very accurate when regularly calibrated, are quite inexpensive and are easy to maintain and repair. However, they usually require a bit more training to learn how to take a reading, and it’s harder to use if you have poor hearing or eyesight, or if you have difficulty turning the valve release very slowly. The digital machines are easier to use but vary quite a lot on cost, generally ending up more expensive than the aneroid machines. © 2009 blood-pressure-report.com About Blood Pressure To develop a good technique, it’s advisable to undergo a practical instruction session from a trained professional. Get them to observe your technique. When taking the reading: • Make sure you’re somewhere comfortable, without distractions. • Relax for five minutes before taking the measurement. Keep your legs uncrossed. • If you’ve been instructed to take it while standing up, wait two minutes after standing to take the reading. • Avoid stimulants such as caffeine (tea, coffee, cola) and cigarettes for at least two hours before the reading, and don’t eat for 30 minutes before. • Try and take the reading in the same place, at the same time of day, under the same conditions and in the same way every day. Take your chart with you when you visit your healthcare practitioner. • While you are working on lowering your blood pressure, it can be helpful to take a reading up to three times per day. After your blood pressure is at a level you’re happy with, continue to monitor it two to three times per week. Symptoms of High Blood Pressure High blood pressure has been dubbed “The Silent Killer” because it is often symptomless. However, symptoms can include: • Fatigue and irritability • Headaches • Confusion • Nausea • Tinnitus • Visual disturbances • Nosebleeds • Shortness of breath • It’s useful to take the reading twice and see if it differs. • Don’t rely on your memory. Use a chart to record the readings as well as any comments you have about how you feel, what you have been doing to treat yourself, and other factors such as stressful events. We’ve included a chart you can print off at the end of this book. 9 © 2009 blood-pressure-report.com About Blood Pressure These symptoms usually only present themselves when your blood pressure has already reached a dangerously high level. Primary hypertension risk factors include: So What Causes High Blood Pressure? • Race – African Americans are more likely to have high blood pressure than Caucasian people, for example. Because so often symptoms of high blood pressure aren’t evident, it’s more telling to examine risk factors that might cause a person to have high blood pressure. However, according to the American Heart Association, it’s unknown what actually causes 90-95% of high blood pressure cases (also called primary, or essential hypertension). • Genetics – high blood pressure often runs in families. • Weight – the greater your body mass, the more pressure there is on your artery walls. This is because more blood is produced to supply more oxygen and nutrients to the extra tissue in your body. Occasionally, high blood pressure is a symptom of another underlying illness, such as kidney disease or a hormonal disorder, so it’s important that your doctor tests for these before you commence any kind of treatment program, natural or otherwise. Your doctor may take a reading from both arms and they will listen to your heart as well to check for any abnormalities. They may also look into your eyes, check your thyroid, ask about your family medical history and any other symptoms you may have, and take blood samples. Once the root cause is treated, your blood pressure can go back to normal. This is called secondary hypertension. 10 • Gender – men are more at risk than women of having high blood pressure. • Activity level – a sedentary lifestyle actually causes you to have a higher resting heart rate, forcing the heart to work harder. • Smoking – the chemicals in tobacco speed up your heart as well as damage artery walls. © 2009 blood-pressure-report.com About Blood Pressure • Age – the older you get, the more likely you are to develop high blood pressure. atherosclerosis (blood vessel damage), vision loss, and congestive heart failure. • Sodium intake – excess sodium can result in water retention, particularly in saltsensitive people. This excess fluid puts pressure on the blood vessel walls. Heart attack and stroke are the first and third leading causes of death in the United States (cancer being second). • Poor diet - lack of essential nutrients, such as potassium, will raise blood pressure. Some food additives in processed foods also raise blood pressure. When high blood pressure is combined with obesity, smoking, high blood cholesterol levels or diabetes, the risk of heart attack or stroke is higher again. • Alcohol consumption – over time this will increase the rate of heart disease. • Stress - prolonged stress will raise blood pressure. • Being pregnant or diabetic will usually increase your blood pressure. • Drugs such as oral contraceptives, steroids, diet pills, and cold remedies increase your risk of high blood pressure. The Dangers of Leaving it Untreated 11 So, if there aren’t any symptoms, why is it so important to normalize your blood pressure? • When the heart is forced to work harder than normal for an extended period of time, it enlarges and weakens. If left untreated, high blood pressure can damage the kidneys and lead to stroke, heart attack, kidney damage or failure, • The vascular system also suffers, with arteries becoming scarred, hardened with plaque and less elastic. © 2009 blood-pressure-report.com About Blood Pressure They then can’t transport blood to your organs as effectively, so those suffer as well. • You could end up with kidney damage or failure simply from leaving high blood pressure untreated. • The small blood vessels in your eyes can burst from high blood pressure, and extreme cases can even lead to blindness. • High blood pressure can lead to degeneration of the brain, resulting in dementia. Scary stuff! Remember though, that while even small increases in blood pressure can lead to increased health risks, the opposite is also true. 12 Small changes in your blood pressure will also dramatically reduce your risk of developing these conditions. It’s said that reducing diastolic blood pressure by just 2mmHg results in a 6% reduction in the risk of coronary artery disease and a15% reduction in the risk of stroke! It could be as easy as regular vitamin, herbal and mineral supplements combined with three walks a week to bring your levels down to a point where you aren’t at risk. So read on! © 2009 blood-pressure-report.com The Downside of Drugs If you’ve been diagnosed with high blood pressure, the doctor usually gives the following advice: to lose weight, stop smoking, increase exercise, cut back on alcohol, and lower salt and fat in your diet. This is, of course, good advice, although not comprehensive by any means. If these lifestyle changes aren’t effective, or if you already don’t smoke, aren’t overweight, you exercise regularly and consider yourself to have a good diet, then they will generally prescribe medication to control the problem artificially. It should be noted here that even if you do all the above things, but still have high blood pressure, and you believe it could be attributed to factors you can’t control (such as heredity, age, or gender) there is still more you can do before resorting to prescription drugs. Use the information in this book to guide you, and get the help of a natural healthcare practitioner before you start taking prescription blood pressure medications (unless your BP is scarily high, in which case you should start on them 13 to bring your BP down quickly to limit any damage, and do your best to replace them with natural methods over time). Remember that 90% of cases of high blood pressure can be resolved through natural means. But why would you want to avoid drugs anyway? It seems much easier than all the other ways – don’t you just have to take a pill and everything is cured? Not exactly. Prescription drugs have no healing properties, and manage the condition artificially (and most of the time they only barely keep it under control). This means they act as a continual band-aid, rather than actually healing the problem itself. The other major problem is that they often have serious side effects – and who wants to “fix” one problem, only to have two others pop up in its place? Let’s have a look at the most common types of drugs that doctors prescribe to treat high blood pressure. Diuretics Diuretics are basically dehydrators that remove fluid from your body through the kidneys. The idea is to increase urination to eliminate water and sodium, reducing your blood volume and therefore the pressure on your arterial walls. © 2009 blood-pressure-report.com The Downside of Drugs However, sodium and other minerals that get flushed away by diuretics are essential for proper heart function. The good nutrients are flushed along with everything else, including minerals such as potassium that are essential for lowering blood pressure. An electrolyte (mineral) balance is one of the most crucial factors in normalizing your BP (more on that later). Diuretics are often also responsible for thiamine (B1) deficiencies which can lead to heart failure. Make sure you are taking at least a multivitamin and mineral, a potassium and a B1 supplement if you’re on these drugs. In addition to this, other problems caused by diuretics can include: gout; cardiac arrhythmia; uremia; kidney damage or failure; impotence; headaches; visual disturbances; male breast enlargement and female menstrual disturbances; abnormal cholesterol; and the risk of diabetes increases by up to 50%! (But wait – aren’t high cholesterol and diabetes things that go hand-in-hand with high blood pressure…?) heart attack, pulmonary edema or heart arrhythmia. (Isn’t the point of this to get your heart healthy? How can treating it with cardiotoxic compounds be beneficial?). Other side effects include fatigue, asthmalike symptoms, lowered “good” cholesterol, stroke, poor circulation, insomnia, depression, and type-II diabetes. These drugs also have a severe rebound effect, meaning that once you start taking them it’s hard to stop without ending up worse off than you were before. ACE Inhibitors Angiotensin Converting Enzyme inhibitors block the release of a chemical, angiotensin II, that raises blood pressure and narrows arteries. It messes with your body’s natural chemical releases, waging artificial chemical warfare inside you to force blood vessels to relax. And, diuretics are actually the least toxic types of drugs for hypertension. Beta-Blockers These serious cardiac drugs slow the heart down, reducing the force of its contractions and thereby the pressure of blood on the arteries. But, they can actually cause congestive heart failure, leading to 14 Side effects can include a nagging dry cough, rashes, loss of your sense of taste, and kidney damage. © 2009 blood-pressure-report.com The Downside of Drugs Because the kidneys can become compromised, another complication arising from ACE inhibitors and angiotensinreceptor blockers is hyperkalemia, or potassium toxicity. While potassium is an important nutrient in normalizing blood pressure, it’s all about balance – and when the kidneys can’t process potassium properly, it’s potentially life-threatening. Hyperkalemia has been linked to ACE inhibitors in 10-38% of patients hospitalized with hypertension, and affects about 10% of outpatients within a year of being prescribed. Calcium Channel Blockers The worst of the bunch! These block the movement of calcium across cell membranes, which suppresses muscular contraction, which in turn dilates the arteries. Sounds good – but at what cost? Alpha-Blockers These drugs reduce nerve impulses to blood vessels, meaning they’re chemically unable to contract. Side effects include nausea, headaches, fatigue, weight gain, irregular heartbeat, and cholesterol problems. Longterm use can even lead to heart failure – again, exactly what you’re trying to avoid. Alpha-Blockers aren’t the first choice for hypertension but rather used with other medication when blood pressure is difficult to control. Vasodilators These are usually combined with other drugs, and they work to reduce blood pressure by relaxing the muscle in the artery wall. Side effects can include aches and pains, facial swelling, heart palpitations, extreme weight gain and headaches. They can also cause you to grow excessive amounts of hair. 15 Well, the sudden drop in blood pressure you can experience from these drugs (when you stand up after sitting or lying down) can actually lead to a stroke (which is something you were trying to prevent in the first place by lowering your blood pressure…). Other side effects can include heart failure, heart attacks, gastrointestinal bleeding, liver and kidney damage and reduced white cell blood count. They can also have deadly interactions with other drugs. A recent study showed that they don’t even prevent the cardiovascular complications of high blood pressure – in fact, they cause them. © 2009 blood-pressure-report.com The Downside of Drugs The head of the research project, a medical professor at Wake Forest University School of Medicine, said that calcium channel blockers had lead to about 40,000 unnecessary deaths in the US each year and about 85,000 similar cases worldwide. Not to mention, these drugs will cost you anything up to US$940 per year – although that’s hardly the issue, when the treatment appears to be even worse than the disease itself. The U.S National Heart, Lung and Blood Institute has admitted calcium channel blockers cause cancer in their animal tests. You also have 26% more risk of heart failure with these drugs than with any of the other ones mentioned – yet they are the most widely-prescribed treatment. If you’re on these drugs, speak to your doctor about coming off them as soon as possible. However, stopping them suddenly could also be fatal. They need to be stopped very gradually. 16 Summary As mentioned, it can be very dangerous to try and come off medications like these yourself. However, it is absolutely worth it to work with your doctor to come up with a program to wean yourself off them, and treat your blood pressure naturally without them. Not only are there nasty side effects, but these drugs can ultimately lead you to the exact opposite outcome of what you’re trying to achieve. It’s too high a price for treatment that is often not effective enough anyway – up to a quarter of patients don’t experience an ideal reduction in blood pressure from these drugs, even in many different combinations. Even if you are part of the small percentage of people who can’t lower their blood pressure to a safe range using only natural methods, you should be able to drastically reduce your intake by following the advice in this book. But first, you have to start reducing your blood pressure on your own, and prove to your doctor, and yourself, that you can do it! © 2009 blood-pressure-report.com Step One: Super Supplements Correcting Your Mineral Imbalance This is one of the most crucial aspects of lowering your blood pressure, and the easiest one to get started on straight away. It should also be one of the most effective ways of managing your blood pressure. Sodium – A “Sensitive” Issue Most evidence to date has shown that a high-salt diet can increase blood pressure. A reduced-salt diet can prevent high BP in people at risk, and also control it in people who already have the condition. Consuming salty food and drinks can cause an irregular heart rhythm and a surge in blood pressure in only a few minutes! When the body is laden with too much sodium that it can’t excrete fast enough, it causes water retention that increases over the day. Blood pressure then increases and is typically higher in the evening than the morning, and then at night the body offloads the sodium in the urine. A sodium-reduced diet begins to show benefits after about a month, and increases as time goes on. Salt intake should be no more than about 2000mg per day; less than that could decrease blood pressure even more. People in the U.S currently eat an average of 3300mg (women) and 4200mg (men). 17 Some tips to reduce the salt in your diet are: • Only buy fresh, frozen or no added- salt canned vegetables • Use fresh poultry, fish and meat instead of processed • Use herbs and spices to season instead of table salt • Cook rice and pasta without salt. Eliminate instant rice, pasta and cereal • Eliminate frozen dinners, pizzas, packaged mixes, canned soups, sauces, gravies and salad dressings • Rinse canned foods such as tuna • When available, buy reduced-salt or low-salt versions of foods • Just to give you an idea, bread has 100mg per slice, and cheese can have 400mg or more per slice • There are lots of salt alternatives on the market – find one that also contains potassium chloride to further balance out the sodium • When eating out, ask the waiter to limit the salt in your food © 2009 blood-pressure-report.com Step One: Super Supplements But - Why Cutting Out Salt Won’t Be Enough New research suggests that salt is being unfairly blamed for too much of the high incidence of high blood pressure in the population. Some experts believe that sodium doesn’t raise blood pressure in everyone, only those who are “saltsensitive” – only about 30-40% of the population. They say that unless you are salt-sensitive, salt is only going to cause problems if you aren’t consuming adequate potassium as well – suggesting that potassium deficiency is more to blame than salt intake. If they’re right, salt isn’t as much of a factor in causing the high blood pressure epidemic as previously believed. However, if you suffer from high blood pressure, you’re more likely to be salt-sensitive than most people. So cutting down your salt intake is a good measure towards lowering your blood pressure. It just isn’t a cure-all. Too much salt is more of a problem for overweight people. When you gain weight, your insulin levels increase, and it’s more difficult for you body to get rid of salt when your insulin levels are high. So if you’re overweight, you may be eating the same amounts of salt as everyone else, but have a harder time getting rid of it. 18 It’s basically all about getting the balance right. Too much salt coupled with diminished amounts of other minerals such as potassium, magnesium and calcium is a common cause of high blood pressure. These other minerals slough off excess sodium and help to control the mechanisms of the vascular system. Low-salt diets do have the potential to decrease hypertension, and may also reduce risk for stroke, left-ventricular hypertrophy, osteoporosis, renal stones, asthma, cataracts, and possibly even dementia. However, too much salt restriction can actually encourage production of angiotensin II as well as increase sympathetic activity, which can be damaging to vascular health - so cutting it out completely could do more harm than good, particularly if you’re “salt-resistant” (the opposite of saltsensitive). © 2009 blood-pressure-report.com Step One: Super Supplements Research suggests that cutting out salt definitely lessens coronary risk for overweight people (who are more likely to be salt-sensitive), but could actually be detrimental for leaner people’s hearts. • Some people are more sensitive to salt than others, meaning they will experience a greater reduction in blood pressure by lowering their salt intake New evidence is also showing that it could in fact be the “chloride” part of sodium chloride (common table salt) rather than the sodium itself that’s harmful to the heart. • Potassium, calcium, and magnesium help to balance salt intake and could decrease your salt sensitivity Other salts, like sodium citrate or bicarbonate (for example sea salt or rock salt) don’t raise plasma volume or blood pressure, or promote calcium loss or stroke in rats. However, they do still lessen the impact of salt restriction on the production of angiotensin II and the increase in sympathetic activity. So, more research needs to be done on this. • So, restricting salt is beneficial for everyone with high blood pressure, but especially those who are more affected by it • Salt is also worse for you if you aren’t getting an adequate potassium intake • The new research shows that restricting table salt, but getting a moderate amount of unrefined sea salt (balanced by potassium and taurine) may have a better impact on reducing blood pressure than simply restricting all salt – particularly if you’re lean • Be aware that if you’re restricting salt intake, you may need to supplement with iodine to keep your thyroid healthy. This can be taken in kelp for or as part of a multivitamin and mineral supplement. To summarize: • Excessive amounts of salt cause high blood pressure - some people are more tolerant of salt than others, but everyone is sensitive to too much 19 Potassium Has the Power Potassium is one of the most important nutrients in the fight against hypertension, preventing it in people with normal blood © 2009 blood-pressure-report.com Step One: Super Supplements pressure, and lowering it in those with high blood pressure and pre-hypertension. Scientists say that potassium supplements decrease blood pressure by 3.1mmHg systolic and 2mmHg diastolic in people with normal levels, and 4.4mmHg systolic and 2.5mmHg diastolic in people with hypertension. This is about half the reduction usually seen from drugs – and that’s just with potassium alone! Potassium acts as a natural diuretic, helping you excrete sodium, as well as assisting with muscle contraction and sending nerve impulses through the body. People are often deficient in potassium, through poor diet and too much salt, which flushes potassium. This is another good reason to cut back on salt, as even if you think you are getting enough potassium, it could be being negated by sodium. As well as balancing out your sodium levels, potassium also relaxes small blood vessels. It’s recommended that you consume around 4,000mg daily of potassium. It’s a good idea to get this from both supplements and diet – most foods don’t have enough potassium in them to get you anywhere near this amount (a banana has about 400mg) and most supplements have fairly small amounts. 20 The 21 Best Food Sources of Potassium • • • • • • • • • • • • • • • • • • • • • Bananas Apricots Avocado Cantaloupe Lima beans Milk Oranges/orange juice Melons Kiwifruit White and sweet potatoes Prunes Figs Spinach Tomatoes Eggplant Peppers Pears Vegetable juice Meat, fish and poultry Raisins Winter squash Check with your healthcare practitioner regarding the mixing of potassium and certain pharmaceuticals and other supplements, or to see if it will exacerbate any other medical conditions you may have. © 2009 blood-pressure-report.com Step One: Super Supplements Maximise Your Magnesium Magnesium is another essential nutrient that is shown to help reduce blood pressure. It balances out potassium, calcium and sodium, and helps relax and smooth blood vessel walls and keep them elastic. It’s just as crucial to have sufficient levels of magnesium as it is potassium – in fact, studies have shown that if magnesium is deficient (in negative balance) then potassium is far less effective at lowering your blood pressure. Studies of food intake show we get nowhere near the minimum recommended intake of magnesium (300-500mg) in our diets – supposedly 90-95% of the world’s population is living with a magnesium deficiency! Supplementing with magnesium should assist you with reducing your blood pressure, or you can up your intake of the following foods: • • • • • • • • • • • • • • • Garlic Lemons Avocado Yogurt Chamomile Cantaloupe Wholegrain bread Dark green leafy vegetables Halibut Nuts, especially cashews and almonds Soybeans Oatmeal Potatoes Peanut butter Black beans Careful With Your Calcium A lot like sodium and potassium, calcium and magnesium are partners in the battle against high blood pressure – some researchers even say this partnership is the more important one. Calcium regulates heartbeat; magnesium helps control how blood vessels dilate. And on top of not putting enough in our bodies, magnesium depletion is exacerbated by alcohol, smoking, sweating, drug use, hypothyroidism, sugar, carbohydrates, sodium, calcium-filled diets, and stress. 21 Some experts theorize that a deficiency in calcium can contribute to high blood pressure, because calcium acts as a natural diuretic that helps to release sodium, and inhibits a parathyroid hormone that raises blood pressure. © 2009 blood-pressure-report.com Step One: Super Supplements It also assists in the functioning of muscles and nerves and helps blood to clot. Therefore calcium intake is important – but supplementing with calcium to lower blood pressure isn’t recommended. In fact, if you’re deficient in magnesium in the presence of adequate calcium stores, taking extra calcium can actually worsen your magnesium deficiency. Low levels of calcium can affect your blood pressure, however, so instead of taking extra calcium supplements, simply try to get sufficient amounts (about 1000mg per day) through diet or within your daily multivitamin. Calcium can be found in the following foods: • • • • • • 22 Leafy green vegetables such as spinach Broccoli Tofu Salmon Dairy products Orange juice and other foods fortified with calcium Keep Up With Copper Copper is essential for healthy arteries. High doses of zinc deplete copper. Copper is found naturally in: • • • • Seafood Nuts Leafy greens Legumes Think About Zinc Zinc is another very important mineral – however excessive doses can be damaging to the cardiovascular system. You should supplement with zinc and copper every second day at a ratio of 10/1 – 30g of zinc, 3g of copper. Zinc is also found in: • • • • • • • • Meat Dairy Beans Eggs Cheese Popcorn Pumpkin seeds Oysters Mind Your Manganese This mineral is vital in support of enzyme systems, blood sugar control, thyroid function and energy levels. © 2009 blood-pressure-report.com Step One: Super Supplements Your body needs manganese to create the antioxidant superoxide dismutase (SOD) which reduces cell damage from free radicals and also reduces inflammation. have toxic symptoms when taken in excess, however, so speak to your doctor about that and interactions with any drugs you may be on. Natural sources of selenium include: If you’re supplementing high doses of other minerals, it can deplete your stores of manganese. Manganese can be found naturally in: • Brazil nuts (6 per day will provide you with adequate selenium) • Mushrooms • Wheat bran • Crab • Shellfish • Oily fish • • • • • • Nuts Potatoes Wholegrains Beets Blueberries Leafy greens Colloidal Trace Minerals – Tiny but Mighty There are many minerals that you only require in very small amounts, ie “trace minerals”. Adding these to the list of other minerals you’re taking when treating hypertension is important, as they are needed for enzyme activation, digestion, and absorption of other minerals and nutrients. Selenium is Significant Selenium is a powerful antioxidant that causes many problems when it’s deficient, such as heart arrhythmia and palpitations, cardiomyopathy (deterioration of the heart muscle), heart attacks, liver failure, pancreatitis, and cancer. Along with zinc and copper, selenium is often found to be deficient in people with high blood pressure and heart disease. Selenium works best in conjunction with vitamin E. Selenium can 23 Two tbsp per day of a colloidal trace mineral supplement is recommended. What Other Supplements Will Help? Get Your Garlic One of the most potent and highly-regarded natural remedies for lowering blood pressure is garlic. © 2009 blood-pressure-report.com Step One: Super Supplements Not only is it beneficial for the heart, but it also lowers “bad” cholesterol and increases “good” cholesterol, and acts as a powerful antioxidant, lowering the risk of many cancers. Garlic (and onions) are thought to have this effect because of a compound they contain called allicin, which combats hardening of the arteries. Taking a potent garlic powder supplement daily can reduce systolic blood pressure by 5-11 points and diastolic by up to 5 points! Be liberal with fresh garlic during cooking (it’s a great way to add flavor to meals in the place of salt), add raw onions to salads and take a potent garlic supplement containing the highest amount of standardized allicin you can find (at least 10mg). Taking vitamin C alongside garlic is said to increase its benefits. Garlic is a powerful blood-thinner, so if you are pregnant or on anti-coagulant drugs such as Warfarin, consult your doctor before taking garlic in large amounts and never exceed the recommended dose. 24 Extraordinary Coenzyme Q10 Also known as ubiquinone, this is a naturally-occurring compound found in every cell of your body that assists with the basic functioning of cells. It’s involved in the production of an important molecule called adenosine triphosphate (ATP) which delivers energy to cells and drives muscle contraction. This is how it’s thought to increase energy production in the heart muscle - increasing the strength of the pumping action, which helps your heart to pump more efficiently and with less effort, thereby decreasing blood pressure. It also works as a powerful antioxidant, and has been shown to improve glycemic control (blood sugar) which has a positive effect on blood pressure. CoQ10 levels are commonly low in people with high blood pressure, as well as people with heart disease, diabetes, cancer and other medical conditions. Your levels of Coenzyme Q10 drop as you age. Several studies into the supplementation of CoQ10 have shown that over half of people were able to stop or reduce their hypertension medication after four months of supplementation. One clinical trial, published in the Southern Medical Journal, says that patients taking CoQ10 had an 18-point reduction in systolic blood pressure! © 2009 blood-pressure-report.com Step One: Super Supplements And after over 100 clinical trials performed on CoQ10, it has been decreed to be completely safe with no side effects. There are also no contraindications to taking CoQ10 with other prescription hypertension medications – in fact, it seems to boost their efficacy and even reduce some of the side effects. However, CoQ10 could help eventually completely eliminate the need for them at all. Medications actually reduce the amount of CoQ10 in the body. EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid) means your blood is pumped more efficiently, exerting less pressure on your heart. The anti-inflammatory action is important as well as the softening of the arteries, because high levels of pro-inflammatory cytokines are associated with high blood pressure, and EPA produces anti-inflammatory eicosanoids which limit their production. Suggested intake varies, but it’s generally recommended to take around 100-200mg daily, ideally spread out twice or three times during the day. It’s fat soluble, so ideally take it with a meal that contains fat. Optimize Omega-3 Fatty Acids A Harvard analysis of 31 studies of fish oil showed that as fish oil intake increases, blood pressure drops, and several other studies have confirmed its effectiveness, particularly when combined with other elements of a natural blood pressure reduction program. Fish oil (Omega-3 fatty acids) is antiinflammatory and has a powerful anticoagulant effect on the blood that reduces blood pressure and maintains the elasticity of artery walls. The bloodthinning effect of the Omega-3 fatty acids 25 Studies by Harvard Medical School researchers have showed the effectiveness of fish oil in lowering both systolic and diastolic blood pressure readings. The effect on people who already suffered from hypertension was more dramatic than in people with normal readings, however it’s still helpful for people with mild or prehypertension. Your body can’t produce Omega-3 fatty acids by itself and so they must be sourced from diet or supplementation. However, you can produce DHA if you get enough EPA. © 2009 blood-pressure-report.com Step One: Super Supplements Most of us get too many inflammatory Omega-6 fatty acids, so the EPA in fish oil is needed to produce Omega-3s which restore the fatty acid balance, and reduce inflammation, thereby lowering blood pressure. X”, including obesity, insulin resistance, adult-onset diabetes and stroke. Recent evidence is showing that all these related conditions of the modern age are the result of high levels of Omega-6s, low levels of Omega-3s and deficiencies of vitamins. Flaxseed oil is a good alternative to fish oil if you’re vegetarian, as it also contains alpha-linolenic acid (another term for Omega-3 fatty acids). Just a tablespoon a day has been shown to reduce both blood pressure levels by up to 9 points. The benefits of fish oil are maximized by taking vitamin E at the same time. Cod liver oil is a good choice of fish oil. It contains large amounts of elongated Omega-3 fatty acids, vitamin A and vitamin D, as well as small amounts of vitamin K. The Omega-3s are helpful for artery health but are supported by the other vitamins, which help with essential calcium and magnesium absorption, muscle function and keeping blood vessels elastic. Cod liver oil also assists by changing the muscle response to serotonin, helping the heart to “relax”. Studies done on rats also show that cod liver oil shrinks artery-blocking atheromas, enlarges blood vessels, lowers blood pressure induced by stress-elevated levels of cortisol, and reduce intra-ocular pressure which helps to prevent and treat glaucoma. Roll Out the Resveratrol This is a powerful phytochemical found in red grape skin, red wine, Japanese knotweed, peanuts and some berries. As well as having extensive benefits for the brain, energy, prostate, breast, cell health and joint mobility, researchers believe it to be responsible for the “French paradox” – meaning the French have low rates of heart disease despite their lifestyles laden with fat, caffeine and tobacco – but they also consume red wine. Many of the conditions addressed by cod liver oil and other “good” oils are related to blood pressure and known as “Syndrome 26 © 2009 blood-pressure-report.com Step One: Super Supplements Resveratrol has been used for years in Asian medicine to treat heart and liver problems. It helps keeps blood vessels open and pliable. It has antioxidant, anti-inflammatory, anti-fungal, anti-mutagenic, anti-cancer, anti-depressant, anti-anxiety, weight loss, neuroprotective and anti-aging properties and may be more effective than aspirin at heart protection. It doesn’t actively lower cholesterol, however it does act to reduce artery-clogging plaque. Resveratrol mimics calorie restriction, which can normalize blood pressure, reduce insulin levels, help you to lose weight and raise “good” cholesterol levels. Although research has found that a glass of red wine a day reduces the risk of heart disease, alcohol-free red wine works just as well. Because of the fermentation process, red wine has about three times the amount of resveratrol than grape juice. However, you can get the benefits of resveratrol without the negative impact of red wine by buying resveratrol and mixed red wine polyphenols in capsules – one capsule is approximately equal to one bottle of red wine! You can also purchase resveratrol supplements that combine resveratrol sourced from Japanese knotweed with other polyphenol-containing substances such as red grape skin, pine bark and green tea to get the same effects without the red wine. This is useful for people with red wine allergies. 27 You shouldn’t take resveratrol if you are pregnant or on Warfarin or any other anticoagulant medication. You should also consult a healthcare practitioner before taking it alongside any other prescription medications. Take Taurine This amino acid (also known as L-Taurine), available in protein and as a supplement, balances potassium and sodium in the blood. It’s also involved in stabilizing the heart’s rhythm and is also used in the treatment of congestive heart failure. Taurine is the main ingredient in bile and assists in the digestion of fats and the absorption of fat-soluble vitamins. It also facilitates the passage of sodium, potassium and possibly calcium and magnesium ions into and out of cells, and relaxes the heart during diastole. The Japan Heart Journal contained research showing that L-Taurine is effective at lowering blood pressure levels when taken at 850mg per day. Other studies show it to reduce blood pressure in as little as seven days when taken at 3-6g per day. A study done in 1987 showed it to reduce blood pressure (9 points systolic, 4 points diastolic) in patients with borderline hypertension. Interestingly, it doesn’t cause a reduction in blood pressure in people with normal blood pressure. Learn About L-Arginine © 2009 blood-pressure-report.com Step One: Super Supplements This is another amino acid that is helpful in lowering blood pressure as it assists in the production of nitric oxide, a gas made of nitrogen and oxygen that works to relax smooth muscle and dilate your blood vessels. Vital Vitamins Vitamin B Complex Lack of B vitamins, especially folic acid, B3, B5, B6 and B12 can lead to heart complications and high blood pressure. A B-complex will combat stress, smooth arterial walls and help produce nitric oxide. It will also reduce homocysteine (a substance that is thought to encourage pathological buildup of artery plaque) levels, thereby reducing your risk of heart disease. Vitamin C A lack of L-arginine means low levels of nitric oxide, which results in constricted blood vessels. Studies have shown that eating foods rich in arginine combined with supplementation can lower your blood pressure by up to 20 points! It also reduces cholesterol and blood sugar. Foods rich in arginine are: • • • • • • • 28 Peanuts, walnuts and almonds Seeds Wheat Soy Meat and poultry Seafood Dairy products This helps reduce blood clot formation risk, reduces free radical damage of the heart and blood vessels, protects nitric oxide levels and relaxes arterial walls. Ensure you’re getting at least 500mg per day. Supplementing vitamin C can give you a reduction of between 5 and 10mmHg. You’ll get the maximum benefit if you take vitamin C with garlic. Vitamin D Studies have shown that a vitamin D deficiency can lead to high blood pressure, however this is mostly only proven to be effective when combined with calcium. As we’ve seen though, it’s not recommended to supplement with calcium for high blood pressure. We also absorb vitamin D through sunlight, and although prolonged sunbathing increases your risk of skin cancer, there are many health benefits to be found in going outside and absorbing small amounts. © 2009 blood-pressure-report.com Step One: Super Supplements Vitamin D also helps with stress levels. If you eat oily fish three times a week or supplement with fish oil you should be getting sufficient amounts of vitamin D. naturopath or herbalist to determine correct dosages, and discuss with your doctor to determine any contraindications with any current medication you may be taking or conditions you may have. Vitamin E Vitamin E is an anti-coagulant that magnifies vitamin C’s blood pressure-reducing effect by preventing blood clots and strengthening the heartbeat. The RDA is 400iu per day but you’re able to take much more than this without any harm or side effects. Vitamin K Calcium deposits can collect on artery walls, decreasing the elasticity of blood vessels and raising blood pressure. Vitamin K helps to reduce coronary calcification. Vitamin K is also a blood clotting factor, and a deficiency in vitamin K leads to bleeding. Therefore a lack of vitamin K while on blood thinners (even natural ones such as garlic) is of serious concern. But on the other hand doctors are concerned that too much vitamin K could increase the risk of blood clots. This shouldn’t be a concern, however, if you’re taking other measures (such as garlic) to keep your blood flowing smoothly. Healing Herbs The use of herbal remedies is a very effective way to fight hypertension. However, don’t assume that just because a remedy is “herbal” that it is wishy-washy and weak. Many herbs can have extremely powerful effects. It’s always advisable to consult a 29 Grape Seed Extract This has been shown to lower blood pressure quite significantly. New studies show that it has excellent effects on nitric oxide levels – one study showed that taking 300mg of grape seed extract for eight weeks dramatically reduced both systolic and diastolic blood pressure. Hawthorn Extract Hawthorn extract is probably the most beneficial herb for lowering blood pressure. Its berries and flowers are used as a blood vessel relaxant and dilator, an antioxidant, and to block angiotensin. It’s recommended to take between 100250mg per day (consult your doctor first, especially if you’re taking vasodilator medication). © 2009 blood-pressure-report.com Step One: Super Supplements Hawthorn is effective but it may take you a few weeks to see results. Linden blossom is often combined with hawthorn extract for reducing blood pressure. Gingko Biloba This ancient plant has many medicinal properties, in this case relaxing blood vessels, acting as an anti-inflammatory, regulating heartbeat, improving circulation, dilating blood vessels, and reducing blood “stickiness”. It can have a blood-thinning effect so avoid if you’re taking a drug such as Warfarin. are effective in reducing blood pressure by reducing oxidative stress and improving nitric oxide levels. The green beans only carry about 10% caffeine by weight - a high daily dose contains no more than about 20% of the caffeine of a strong cup of coffee. Eclipta Alba This Ayurvedic anti-aging herb has been shown to reduce blood pressure, reduce blood lipids, and act as a natural diuretic, reducing swelling from water retention. Passiflora Incarnata This is a calming herb that reduces blood pressure by relaxing blood vessels. Rauwolfia Serpentina Also known as Indian Snakeroot, this ancient Indian root is a calmative that reduces cardiac output and total peripheral resistance, making it very effective for hypertension. Contains a compound called Reserpine which has trationally been used for high blood pressure since the 1950s. Green Coffee Bean Extract This extract from unroasted coffee beans contains potent antioxidant medicinal compounds called chlorogenic acids which 30 Rhodiola Extract This plant has been used for centuries in Eastern Europe, Asia and the Arctic to positively affect the nervous system, stimulating adrenal hormone production. This means it’s effective in treating high blood pressure, sleeping difficulties, headaches and fatigue, and low mood, and increases your resistance to a variety of biological, chemical and physical stressors. By reducing mental fatigue, anxiety and depression, stress is reduced, which we all know is beneficial in lowering your blood pressure. Boosted energy means less stress and possibly weight loss. © 2009 blood-pressure-report.com Step One: Super Supplements Rhodiola is also a natural ACE (angiotensinconverting enzyme) inhibitor so it protects you from constricted arteries. On top of this, rhodiola is an excellent antioxidant which protects your nervous and vascular system from oxidative damage. Achillea Wilhelmsii Also known as yarrow, this plant is widely found in parts of Iran. over four weeks to hypertensive patients taking the drug Captopril, and blood pressure fell equally in both groups! Ginger This helps circulation and helps break down fibrous deposits on blood vessels and arteries. Add ginger to foods and teas, although it can thin the blood so be careful with large amounts if you’re on bloodthinning medication such as Warfarin. It’s full of flavonoids and sesquiterpene lactones, which have been shown to be effective on lowering both blood pressure and cholesterol. It’s effective but can take 2-6 months to see results. Olive Leaf This contains a number of substances that act as vasodilators. It has no side effects but proceed with caution if you are already taking vasodilation medication. Reishi Mushroom Extract Taking 55mg of concentrated reishi mushroom extract every day has been shown to have a moderate lowering effect on high blood pressure after one month. Hibiscus Sabdariffa When patients in clinical trials were given two teaspoons of hibiscus sabdariffa in a tea three times a day for 12 days, their blood pressure was significantly reduced. And in another trial, 10g per day was compared 31 Celery Seed Extract A traditional Vietnamese remedy for hypertension, celery seeds act as a natural diuretic and have been shown to support the cardiovascular system, lowering blood pressure and “bad” cholesterol levels in animal studies. They also protect the liver from damaging substances. Remedies and supplements that can be harmful include: rosemary oil; Asian ginseng; ephedra; and licorice extract. © 2009 blood-pressure-report.com Step One: Super Supplements Your Ideal Daily Supplement Program This list may look a little daunting at first! However, you will find many of these combined in one supplement, for example zinc, selenium and manganese can often be found together, or you can find a quality multivitamin and mineral that covers most of them at once. Just supplement whatever isn’t contained in the daily multi. Take these in conjunction with a balanced diet. • Cod Liver Oil – 1tbsp (or equivalent in capsule form) • Vitamin C – 1000mg • Vitamin E – 100iu, increased after a month to 200iu per day (not if on blood-thinners) • Resveratrol – 1-3 capsules (not if you’re currently on blood-thinners) • Powdered garlic capsules (follow dosage on bottle, and start off with the minimum amount if you are currently on blood pressure medication) • L-Taurine - 850mg • L-Arginine - 6000mg • Any extra herbs you choose to take (consult a herbalist about doses) • CoQ10 – 100mg x 2 • Colloidal mineral and trace elements supplement – 1 tbsp • Potassium – 2000mg • Magnesium Glycinate - 200mg 3x • Selenium – 50mcg per day Note: If you are on any blood pressure medication containing MAO inhibitor, avoid anything that contains the chemical tyramine or tyrosine – combination with either of these chemicals can lead to a stroke. • Zinc - 30 mg every second day • Copper – 3mg every second day • Manganese – 2mg • Vitamin B Complex – 50mg • Vitamin B12 – 500mcg • P5P (pyridoxal-5-phosphate – coenzyme B6) – 50 mg 32 © 2009 blood-pressure-report.com Step Two: Ditch the Old Diet Foods to Eat More Of • Vegetables: phytochemicals like bioflavinoids, beta-carotene and isoflavones help to slow the aging process as well as protect from heart disease. • Foods rich in Omega-3s: raw walnuts, freshly ground flax seeds, wild salmon, anchovies, lake trout, fresh seaweed, and organic free-range eggs all have high levels of Omega-3 fatty acids, which are proven to improve cardiovascular health. • Soy: studies suggest the isoflavones in soy, tofu, tempeh and miso make arterial walls more elastic. • Dark chocolate: this and other cocoacontaining products contain flavonoids that lower blood pressure – provided there’s no major gain in overall calorie intake for the day. • Grapes: the flavonoids act as a powerful antioxidant, enhance cell function, and can negate the effects of a high-salt diet. The polyphenols produce nitric oxide which lowers blood pressure. Studies show a small amount every day can lower systolic blood pressure by 2.9 points and diastolic by 1.9 points! Make sure it’s the darkest you can get though – milk and white chocolate don’t cut it, unfortunately. • Oats: eaten daily, the soluble fibre in oats has been proven to reduce hypertension. • Bananas: these and other potassium-rich foods are an excellent way to absorb this blood pressure-reducing nutrient along with supplementation. 33 • L-Carnitine and L-Glutamine protein drinks: these particularly helpful amino acids have been shown to protect against heart disease and regulate blood pressure. Choose a whey amino acid protein drink enriched with extra carnitine or glutamine. They heal the body and require no digestion. © 2009 blood-pressure-report.com Step Two: Ditch the Old Diet • Herbs and spices: try basil, black pepper, chilli powder, cloves, curry, cinnamon, nutmeg, oregano, rosemary, sage, horseradish, fennel, thyme and tarragon. Their antioxidants will help, and some lower blood pressure directly. They also make good seasoning substitutes for salt. • Saffron: this herb contains a blood pressure-lowering substance called crocetin. • Cinnamon: this spice stabilizes blood sugar, lowers insulin resistance, and lowers sodium retention which lowers blood pressure. • Cayenne pepper: these prevents platelets from sticking together, facilitating smooth blood flow. • Celery: a chemical called 3-N-butylphthalide that’s only found in celery relaxes blood vessels and decreases blood pressure. been used as a remedy for high blood pressure for many years. It’s said to have many trace minerals, enzymes, amino acids and bacteria that not only treat hypertension, but also high cholesterol, high blood sugar and many other conditions. It’s also said to aid in the absorption of nutrients, and act as a blood thinner and effective weight loss aid. It’s a very strong taste and highly acidic (though very alkaline-forming in the body) so dilute 2 tbsp in a glass of water three times a day, adding a small amount of raw honey if necessary. You can also add it to oils to use as a salad dressing. Overwhelming anecdotal evidence says it has an almost instant effect that increases over time. Scientific evidence has shown it to be effective in hypertensive rats, but more human studies have yet to be done. • Water: drinking enough water is the most simple and one of the most effective ways of reducing hypertension. Celery is quite high in sodium though, so go easy if you’re salt-sensitive. • Turmeric: this Indian herb commonly used in curry contains curcumin, an antioxidant that improves blood flow and liver metabolism and strengthens blood vessels. • Apple Cider Vinegar: raw, organic, unpasteurized apple cider vinegar has 34 © 2009 blood-pressure-report.com Step Two: Ditch the Old Diet It keeps you hydrated, strengthens the heart and arteries, and keeps the kidneys healthy, allowing them to better clean your blood. Dehydration sends your kidneys signals to constrict your arteries and veins, meaning your heart has to pump harder to get the blood through and put more force on the artery walls. Hypertension is a major indication of dehydration that is unfortunately commonly treated with diuretics that dehydrate the body further. Over time this leads to blockage of the heart arteries and arteries that go to the brain. Insulin resistance stops vessel-relaxant magnesium being stored, so vessels constrict and cause high blood pressure. Excess sodium also gets stored which throws off the rest of your mineral balance. Sugar should really only be consumed within low-GI complex carbohydrates, which release their sugar slowly and don’t cause that sudden spike. Be careful of corn syrup, sucrose, maltodextrin, dextrose, molasses, rice milk, soy milk, fruit juice, brown rice syrup, date sugar, maple syrup, cane sugar, corn sugar, beet sugar, succanat, and lactose. Foods to Avoid • Sugar and sweets: cut back as much as you can on sugar in any form. Consider that before the 1880s, people were only consuming 5lbs of sugar per year, and cardiovascular disease was almost unheard of. And in the last 30 years, Americans have increased their sugar intake from an average of 26lbs to an average of 142lbs! Eskimos (who live on a diet of saturated fat) only developed heart disease after being exposed to sugar in their diets. When sugar (which has the highest glycemic index, meaning it releases energy suddenly) causes spikes in your blood sugar, you become insulin resistant. 35 • Artificial sweeteners: many “sugar free” sweeteners are actually sugar alcohols, meaning they may have no sugar but still contain about half the carbohydrates of sugar. Common sugar alcohols are: are xylitol, sorbitol, maltitol, galacticol, erythritol, ribitol, dithioerythritol, and glycerol. Aspartame (found in diet soft drinks and “sugar free” foods) should be avoided completely. © 2009 blood-pressure-report.com Step Two: Ditch the Old Diet Aspartame is a precursor to phenylalanine, which is a precursor to dopamine and other neurotransmitters that are powerful vasoconstrictors. Phenylalanine and tyrosine should only be consumed in small amounts as part of your protein powder drinks. and a high salt and sugar content. Many studies that conclude that “meat” is unhealthy and leads to bowel cancer and other medical conditions don’t differentiate between processed meat and fresh meat. Splenda, which claims to be “made from real sugar” (ie sucralose) may be just as harmful as aspartame, and may lead to weight gain, sleep disruption, sexual dysfunction and increases in cancer, MS. diabetes and other degenerative diseases – so avoid this too. • Refined carbs: Refined carbohydrates such as sugar, white rice and white flour have a high GI, are nutritionally lacking, and lead to high levels of triglycerides and insulin resistance. • Processed meats: Meats like sausages, hot dogs, ham, salami, injected turkey and injected chicken have added chemicals 36 • Glutamate: this potent neuro-exciter is a swift road to hypertension. It’s found naturally in the body but excess amounts cause blood pressure to rise rapidly. Monopotassium glutamate is found in some salt-substitute products, so check the ingredients; MSG, or monosodium glutamate is a common food enhancer; and processed foods like soups and packaged meals often contain unlisted glutamate. • Processed food: processed or packaged foods like breakfast cereal, biscuits, crackers, cookies, processed cheeses, packaged meals, tortillas and taco shells, chips, muesli bars, sauces, gravies, desserts, soups, cakes, candy and pastries generally contain things like partially hydrogenated vegetable oils, © 2009 blood-pressure-report.com Step Two: Ditch the Old Diet preservatives, Omega-6 fatty acids, MSG, chemical thickeners and colorings, so limit these as much as you can. • Most margarine: almost all margarine and commercial mayonnaise contain partially hydrogenated oils (trans fats) which lead to clogged arteries and heart disease. • Canned vegetables: Canned vegetables such as tomatoes, carrots, mixed vegetables, carrots and zucchini often have a firming agent in them called calcium chloride. Not to be confused with calcium, calcium chloride is used for ice and dust removal on dirt roads, in concrete, in car tires – and in canned vegetables. It’s in fairly small amounts but try and choose fresh vegetables the majority of the time. • Licorice: Licorice contains glycyrrhizin, a chemical that causes you to retain water and sodium, and decreases potassium levels, leading directly to high blood pressure. But What if I’ve got a Sweet Tooth? So you have to avoid sugar, AND artificial sweeteners – so what do you do if you just can’t do without some sweetness in your life? Luckily, there are a few alternatives! • Agave is the syrup taken from a Mexican succulent plant, and is traditionally used to make tequila. It’s 90% fructose and is milder and runnier than honey – although sweeter, so you don’t need to use as much. It’s low-glycemic and has virtually no impact on blood sugar. Make sure you use the pure, organic kind with no additives, preferably from the Blue Agave plant. Go easy, though, as fructose converts to fat faster than any other sugar. • Rice syrup and barley malt (often recommended in a macrobiotic diet) are raw with no chemicals, unlike refined sugar. They still have a high glycemic index, however, causing the same blood sugar spike. • Honey causes the same blood sugar spikes too, but is more digestible than sugar; is sweeter so less needs to be used; and raw honey has antimicrobial and other health benefits. • Maple syrup is another good alternative to sugar. While it still comes in high on the glycemic index, it contains minerals such as zinc and manganese which are good for heart and vascular health. 37 © 2009 blood-pressure-report.com Step Two: Ditch the Old Diet Maple syrup can be expensive though – but make sure you buy organic, as other versions can actually contain formaldehyde. Also watch out for “maple flavored syrup” which is just sugar and flavors in disguise. • Stevia is a plant extract from South America that in its extract form can be 100-300 times sweeter than sugar! Not only is it few-to-zero-calorie with a zeroto-low glycemic index (depending on the type you use), it actually has health benefits: it supports the function of the pancreas; increases your body’s ability to process other sugars; reduces dental cavities; in rats it has decreased the incidence of breast tumours and lesser incidence of kidney damage. It also actually stabilizes blood sugar and has been shown to lower blood pressure! It’s not surprising that Coca-Cola is releasing a stevia-sweetened range of soft drinks in an attempt to revive the flagging industry. Stevia’s downsides are that it can have a slightly bitter, licoriceflavored aftertaste if you use too much (which is quite easy to do), and that it’s about three times more expensive than artificial sweeteners such as aspartame. Try and use whole stevia leaves (it’s quite easy to grow yourself), or powdered leaves. The liquid drops and white powder are better than sugar, but have still been highly processed. 38 What about Caffeine? Because caffeine is a stimulant, it would seem at first that it would be something to avoid if you’re hypertensive. However, although caffeine causes a temporary spike in blood pressure, there’s no evidence to show that it has any longterm effects on hypertension. The more hypertensive you are, however, the more it affects your blood pressure, albeit temporarily – but if you’re consuming high levels throughout the day it’s going to stay at a constantly higher rate, something you’re trying to avoid. There’s nothing wrong with coffee in moderation – in fact, if you drink it regularly, you become more caffeine tolerant, so feel free to have your morning coffee every day. Decaffeinated coffee and tea is not recommended due to the toxic chemicals used to remove the caffeine. © 2009 blood-pressure-report.com Step Two: Ditch the Old Diet If you’re used to having sugar in your coffee, start reducing it slowly until you don’t need it anymore (you’ll be surprised how quickly you get used to one sugar instead of two, and so on) or use one of the sugar alternatives I’ve mentioned. Don’t use artificial sweeteners. Black and green tea is full of antioxidants, and green tea has been shown to reduce cholesterol and improve metabolism, as well as actually reduce blood pressure. Herbal teas are also delicious, calming and beneficial for your health – a tea such as ginger and hawthorn is a great way of getting those blood pressure-reducing nutrients, so consider substituting some of your coffee for these more healthful drinks. If you really must sweeten them, use a minimal amount of raw honey or one of the sugar alternatives mentioned above. As well as being recommended by physicians, it’s also endorsed in the U.S by: • The National Heart, Lung and Blood Institute • The American Heart Association • The 2005 Dietary Guidelines for Americans • U.S guidelines for treatment of high blood pressure • It’s also the basis for the new USDA Food Pyramid It’s based on the fundamentals of a highcarbohydrate (grains, fruit, vegetables), lowfat, moderate-protein model. Specifically the DASH Diet includes: Daily Nutrient Goals Used In the DASH Studies (for a 2,100 Calorie Eating Plan) Your Overall Diet Choosing the optimal ratios of protein, fat and carbohydrate in a bid to lower blood pressure can be a dilemma, as there is a lot of conflicting information around. The DASH Diet (Dietary Approaches to Stop Hypertension) is generally recommended by doctors, nutritionists and official health organizations to people with high blood pressure or prehypertension. It has been shown to lower hypertension in studies sponsored by the National Institutes of Health. 39 Total fat 27% of calories Satured fat 6% of calories Protein 18% of calories Carbohydrate 55% of calories Cholesterol 150 mg Sodium 2,300 mg* Potassium 1,700 mg* Calcium 1,250 mg Magnesium 500 mg Fiber 30 mg * 1,500 mg sodium was a lower goal tested and found to be even better for lowering blood pressure. It was particularly effective for middle-aged and older individuals, African Americans, and those who already had high blood pressure. g = grams, mg = milligrams © 2009 blood-pressure-report.com Step Two: Ditch the Old Diet Servings on a 1600 3100 Calorie diets Servings on a 2000 Calorie diet 6 - 12 7-8 Fruits 4-6 4-5 Vegetables 4-6 4-5 Low fat or non fat dairy foods 2-4 2-3 1.5 - 2.5 2 or less 3 - 6 per week 4 - 5 per week 2-4 limited Type of food Grains and grain products (include at least 3 whole grain foods each day) Lean meats, fish, poultry Nuts, seeds, and legumes Fats and sweets The Diet Debate However, there is vehement and heated debate as to whether this diet is, in fact, the optimal one for lowering blood pressure. Amidst all the conflicting data, you might lean towards the “official” DASH diet because it’s connected to health organizations associated with government agencies or educational institutions. They align themselves so that anything outside their recommendations seem out of the question. There is a whole other camp that is saying that a low-carbohydrate, high-fat, high protein diet is actually more effective in reducing hypertension. This school of thought is less publicized, not endorsed by any official institutions, and far less orthodox. However, there is huge anecdotal evidence, and some scientific evidence that this is the case. However, it’s important that you’re wellinformed of the various arguments and evidence involved so you can make your own decision. What if the diet recommended by your doctor isn’t the best one? 40 © 2009 blood-pressure-report.com Step Two: Ditch the Old Diet • One way the low-carb people say that this diet alone can reduce blood pressure is by acting as a powerful natural diuretic. Carbs are stored in the body as glycogen, and each gram of glycogen holds three grams of water. As the glycogen is used up, the water is released as urine, thereby lowering blood pressure. However, this method only works when carbs are severely restricted (less than 20g per day) – anything over this will result in immediate water retention again. • The low-carb advocates say that the USDA food pyramid is actually not based on scientific fact, and that if you follow it you’ll encounter degenerative diseases such as cancer, diabetes, bowel disease, autoimmune disease and heart disease. They say that the standard food pyramid and the advocacy of carbohydrates and vegetable oils over protein and saturated fats is responsible for the current high incidence of adult-onset, or type II diabetes, which has more than tripled over the last 30 years. • It’s thought by low-carb advocates that high blood glucose and insulin levels from eating high amounts of carbs cause blood vessel walls to stiffen and they inhibit the processes that regulate blood pressure. • This school of thought looks at primitive societies such as Eskimos who lived for centuries on an all-meat diet and had low rates of heart disease and other 41 conditions such as scurvy that result from a lack of vitamin C. They say that highcarb diets such as the DASH diet largely ignore meat as a source of nutrients, when it is in fact packed with vitamins and minerals, essential fatty acids and amino acids. Vitamin B12 is only found in meat. • The vegetarian diet can be severely lacking in protein and high in the carbs that produce the three heart diseasecausing hormones insulin, cortisol and adrenaline. If you are a vegetarian it’s essential you supplement, particularly with vitamin B12. • Foods predominant in a vegetarian diet such as wholegrains, beans, nuts, seeds and vegetable oils are high in Omega-6 fatty acids which produce the heart disease-causing eicosanoids and leukotrine. • Many people say that when they are eating a diet high in protein and saturated fat they feel energized and © 2009 blood-pressure-report.com Step Two: Ditch the Old Diet well, but when they eat carbohydrates and polyunsaturated fats they become lethargic. There is also anecdotal evidence that some people experience lower blood pressure and more vitality once they switch to a low-carb diet. • The low-carb diet challenges the idea that saturated fat blocks arteries. They say it is in fact trans fats and partially hydrogenated vegetable oils alongside excess amounts of insulin caused by too many carbohydrates and sugar. This diet advocates that you eat red meat, chicken and fish; eggs; saturated fat (particularly coconut oil); moderate amounts of fibrous, non-starchy vegetables; cheese; and supplement with Omega-3s, soluble fibre and potassium. • Low-carb diets have also been shown to be more effective for weight loss and, in some cases, treating hypertension than low-fat diets. However, there is a higher incidence of people gaining the weight (and their hypertension) back after the first year. It’s thought that these people have relapsed into their previous style of eating, however, instead of sticking to a lowcarb diet. But, this raises the question of whether the low-carb lifestyle is in fact sustainable for many people. • On a high-protein diet the body can become more acidic, however this is said to be negated by a good dose of fat in the diet as well as small amounts of nutrient-dense carbohydrates. 42 Apple cider vinegar is also supposed to help alkalize the body (more on that later in the chapter). If you do decide to try a low-carb diet, make sure follow these guidelines: • Take fiber supplements such as psyllium husks. • Supplement with potassium and magnesium as well as taking an overall multivitamin and mineral supplement. • Make healthy food choices, such as choosing raw nuts over roasted, lots of fish etc. • Lower, rather than completely eliminate carbohydrates – continue to eat fruit, some starchy vegetables, wholegrains etc. • Don’t assume you can go hugely overboard on animal fats. © 2009 blood-pressure-report.com Step Two: Ditch the Old Diet They contain long-chain fatty acids which aren’t absorbed quickly by the body and tend to be stored as body fat. • Inform your doctor and have your cholesterol and blood pressure checked regularly. oil; canola oil; and any oils that have been heated to very high temperatures are responsible for causing heart disease as well as cancer, immune dysfunction, osteoporosis and more. • Drink loads of water. Protein metabolism produces nitrogen which is toxic and must be flushed out with water. • Be wary if you have kidney problems or kidney failure as high protein intake can compromise already-stressed kidneys. The Fat Debate It has been drummed into our heads that saturated fat is “bad” and clogs our arteries. This is beginning to be challenged, however. That saturated fat causes heart disease is a fallacy. The harm comes when we eat fats that have been damaged by high heats and processing. It’s said that nutrient-rich traditional fats such as butter; lard; virgin coconut, palm and sesame oils; cold pressed olive oil; and cold pressed flax oil have nourished healthy groups of people for years and are essential to our diets. This school of thought says that “new-fangled” fats such as hydrogenated oils; soy, corn and safflower oils; cottonseed 43 Choosing the right fats can be extremely confusing! Here’s a breakdown of what it all means: • All forms of fat contain different percentages of saturated, monounsaturated, and polyunsaturated fats. • Saturated fats are found in animal fats and tropical oils such as palm oil and coconut oil. They tend to be solid at room temperature and are stable and able to be heated safely to high temperatures. However, any very high-temperature cooking with any type of fat should only be done rarely or in moderation. © 2009 blood-pressure-report.com Step Two: Ditch the Old Diet • Monounsaturated fats are liquid at room temperature and are quite stable and don’t go rancid when heated during cooking. The monounsaturated fat most commonly found in our food is oleic acid, the main component of olive oil as well as the oils from almonds, pecans, peanuts and avocados. • Saturated fats are needed for bone health, cell health, and immune health, and have powerful antimicrobial properties that are good for the heart and blood vessels. • Polyunsaturated fat is usually either Omega-6s or Omega-3s (EFAs). They are highly reactive and go rancid easily, and should never be heated. • Research shows that only 26% of the fat in artery clogs is saturated, and over 50% of the remainder is polyunsaturated. • We generally consume too much polyunsaturated fat (around 30% of our calorie intake). We should be getting enough (around 4% -1.5% Omega-3 and 2.5% Omega-6) from the consumption of nuts, grains, olive oil, and fish, but not commercial vegetable oils. • Excess polyunsaturated fat has been shown to be bad for your health, largely due to the oxidization when exposed to heat, oxygen and moisture during cooking or processing. The free radicals cause damage in the blood vessels and the buildup of plaque. Another reason is that many polyunsaturated oils often have too much Omega-6 and not enough Omega-3 fatty acids, and our lipid ratio gets out of balance. 44 Omega-3s are better retained in the presence of saturated fats. • Modern oil processes such as extraction, homogenization and hydrogenation cause fats to become unhealthy. • Not all fats are created equal. Saturated fat is not a single substance, but a family of molecules of varying lengths. Shorter-length molecules (which are always saturated) are more quickly absorbed by the body for energy than long-chain molecules (polyunsaturated, monounsaturated and some saturated fats), so are less prone to causing weight gain. Long chain fatty acids perform important functions too, however, so it’s important to get your fat from varied sources. • Olive oil is mostly monounsaturated, making it ideal for salads and cooking at moderate temperatures. Extra virgin olive oil also contains antioxidants. © 2009 blood-pressure-report.com Step Two: Ditch the Old Diet It’s the safest vegetable oil you can use – just don’t overdo it, as the longchain fatty acids mean it’s more likely to contribute to body fat than butter or coconut oil. It should never be heated, always refrigerated, and used or supplemented in small amounts. • Tropical oils like palm oil and coconut oil are more saturated than other vegetable oils and are much more stable. Coconut oil contains high levels of lauric acid (medium-chain fatty acids) which are healthier than the long-chain fatty acids found in animal fats. The fatty acids in coconut oil also have strong anti-fungal and antimicrobial properties which are good for the immune system. • Peanut oil is stable and good for cooking but contains lots of Omega-6s. Same with sesame oil. These are fine for occasional use. • Safflower, corn, soybean, sunflower and cottonseed oils contain over 50% Omega-6 and, except for soybean oil, almost no Omega-3. Safflower oil is 80% Omega-6! Limit these oils and never consume them if they’ve been heated. • Canola oil goes rancid easily and develops trans fatty acids during the deodorizing process. It can also create a deficiency of vitamin E. • Flaxseed oil has a very high Omega-3 content which is great for addressing your lipid balance. 45 Coconut oil is great for baking, pan-frying and roasting. • Rice bran oil is also good for hightemperature cooking, such as stir-fries, and is also rich in vitamin E. It’s free of trans fats and contains y-oryzanol (an antioxidant thought to help prevent heart disease) and phytosterols (a compound that lowers cholesterol absorption). It’s better than other oils in many respects, but its Omega-6 to Omega-3 fatty acid ratio is far too high, so should also be used sparingly. • Modern agricultural and industrial practices have reduced the amount of Omega-3s in commercial eggs, vegetables, fish and meat. © 2009 blood-pressure-report.com Step Two: Ditch the Old Diet For example, free range or organic eggs can contain Omega-6s and Omega-3s in the beneficial ratio of two to one; but supermarket eggs can contain up to 19 times more Omega-6s than Omega-3s! For unheated uses, like salad dressing and dips: Cold pressed olive oil Flaxseed oil Avocado oil Walnut oil Summary of Oils: For high-temperature cooking such as roasting, pan-frying and stir-fries (use in small amounts): Unrefined coconut oil Rice bran oil Sesame oil Clarified butter Red palm oil The Role of Fiber Thankfully, everyone agrees that fiber is an important factor in keeping your heart healthy and your blood pressure down. It plays an important role in weight management, and also benefits those who suffer from insulin resistance, blood sugar, and cholesterol-related issues. • Insoluble fiber is beneficial for colon health as it softens stools and gets your food moving through more quickly. Sources of insoluble fiber include: wheat bran, wholegrain products, cereals, nuts and the skins of some fruit and vegetables. For medium-temperature cooking, like baking and sautéing: Cold pressed olive oil Unrefined coconut oil Butter 46 • Soluble fiber lowers cholesterol and slows the absorption of sugar and fat into your bloodstream. Sources of soluble fibre include: xanthan gum, guar gum, psyllium husks, oats, flax seed, pectin, and most fruits without the skin. • Dietary sources of soluble fibre give the benefits and feeling of fullness without the bloated feeling some people get from insoluble fibre. © 2009 blood-pressure-report.com Step Two: Ditch the Old Diet • Both kinds of fiber help protect against heart disease, high blood pressure and diabetes. • While low-carb advocates say that insulin leads to obesity and high blood pressure, high-carb advocates argue that fiber is the best antidote to this. Dr Dean Ornish, founder of the widely-known low-fat Ornish diet, says that fiber slows the absorption of sugars contained in complex carbs, so you don’t get rapid spike in blood sugar that incites a flood of insulin. The Role of Insulin The low-carbers say that the standard, “official” recommended diet, with its 6-12 servings of bread, pasta and rice daily, stimulates the production of far too much insulin, which Michael and Mary Eades, protein proponents and authors of the book “Protein Power” dub “the monster hormone”. Insulin transports glucose to our cells, which is then turned into energy. But when too much insulin is produced (by the consumption of carbs) or you’re insulinresistant (you need more insulin than normal to be effective), it stores excess glucose, resulting in high blood pressure (through lowered magnesium and retention of sodium) and weight gain. Other scientists rubbish this claim, saying different people react different ways to carbohydrates. Another argument goes that when insulin mops up the glucose out of the blood, if there’s too much it does it too well, leaving you with a craving for sugar again. The Glycemic Index This is a way of ranking carbohydrates (from 0 to 100) according to how much they stimulate insulin production and cause a spike in blood sugar levels. It’s a useful way of dividing simple and complex carbohydrates and will help if you’re trying to lose weight as well as control your blood sugar and insulin levels. Overly high blood insulin levels are associated with increased appetite, sugar cravings, fat storage, high blood triglycerides, high blood pressure and heart disease, so concentrating on low-GI foods is a good philosophy. 47 © 2009 blood-pressure-report.com Step Two: Ditch the Old Diet Examples of low-GI carbs are: A Balanced Approach • • • • • • Now you have more information, I don’t blame you if you’re even more confused! There have been countless studies done comparing low-carb vs high-carb diets – in one study a particular method might seem better, in another the other diet might stand out. For example, low-fat diets tend to improve total and LDL cholesterol levels, but worsen HDL and triglyceride levels – while low-carb, high-fat diets have the opposite effect. Oat bran and flaxseed breads Chickpeas Lentils Kidney beans Beans Nuts Some GI tips to remember: • Select fresh food – in general, the more cooked or processed a food, the higher its GI (although not always the case) • Because of its unique structure, the carbs in pasta don’t break down as easily. Cook pasta just a bit firm or al dente – overcooked pasta gets a GI boost. • Foods like meat or eggs have little or no carbs, so don’t have a GI. • Adding acidic ingredients to carbs can reduce their GI level, and so can serving starchy high-GI potatoes cold. So if you want to eat potatoes, do a cold potato salad with vinaigrette. 48 There certainly is compelling scientific evidence in favor of both, for weight loss through to lowering your blood pressure. I suggest either trialing both separately and seeing what works for you (taking into account your blood pressure readings, your general feeling of wellbeing, and how sustainable you think it will be) or simply combining the agreed principles from each one. It’s not sustainable to follow an extremely rigid diet anyway, and as high blood pressure is a condition that will generally hang around for life (if you let it), you’re going to need to be aware of your diet for the rest of your life as part of its management. You don’t need to be extremely precise or extreme. Just follow the basic guidelines and improve your diet as much as you possibly can. © 2009 blood-pressure-report.com Step Two: Ditch the Old Diet Here’s what we suggest as good guidelines to follow: • Avoid hydrogenated fats, partially hydrogenated fats, oxidized cholesterol, and trans fats. Choose unprocessed, virgin oils, and moderate amounts of animal fats. • Never heat polyunsaturated fats, and try to cook every other type of fat in as low temperatures as possible. • Avoid sugar, corn syrup etc as much as possible. • Avoid processed foods such as packaged meals, junk food, canned sauces and processed meats as much as possible. Try to make as much as you can from scratch. Buy organic meat, oils and eggs when you can. • Avoid refined, simple carbs such as white flour and white rice, and replace with complex carbs such as wholegrains, brown rice and fibrous vegetables. One reason that low-carb diets are successful in comparison with lowfat diets is that fat is often replaced with sugar or refined carbohydrates when people are trying to avoid fat. (Foods labeled “low-fat” often contain high amounts of carbs and processed ingredients). However, if you feel the DASH diet RDA of 55% carbs is too high (and it is pretty high) or if you want to try and reduce your insulin resistance, it’s not going to hurt to reduce your carb intake, say to 40 or 45% of your diet. Just make sure they’re the good ones. • Assuming you’re consuming 40% carbs, get around 30% protein and 30% good fat. Play around with these ratios a little to see what suits you best – everyone is different and respond to different types of foods better than others. But keep it fairly balanced. • Focus on foods with a low glycemic index. • Ensure you are getting sufficient fiber. • Reduce sodium, particularly if you are salt-sensitive, and replace table salt with unrefined sea salt. 49 • Eat plenty of meat, poultry, and above all, fish (preferably wild). Aim to eat fish three times a week. © 2009 blood-pressure-report.com Step Two: Ditch the Old Diet • Avoid harmful food additives and preservatives such as MSG. • Consume lots of leafy greens and colorful vegetables, and plenty of fruit. Bear in mind that the quantity of foods that are unhealthy for your heart and blood pressure you consume over time is an important factor in considering their long term effects. Having a bowl of ice cream once every so often, or a few store-bought cookies every few weeks isn’t going to significantly raise your blood pressure if your overall diet and lifestyle are healthy. Occasional indulgences even contribute to good health over the long run if you allow yourself to properly enjoy them. • Drink loads of water to stay hydrated. Limit fruit juice, and drink tomato juice, black and green tea and other herbal teas instead. The point being not to allow stress that can come from not following your ideal diet ALL the time to hurt your health more than the occasional indulgence can! • Watch your portions. It doesn’t matter how healthy a food is, too much of anything isn’t good – and if you take in more calories than you’re expending, it will lead to weight gain, even if you are making healthy food choices. • Supplementation is important to bolster the effects of your main food choices. 50 © 2009 blood-pressure-report.com Step Three: Avoid Alcohol One of the major contributors to high blood pressure is the consistent excess consumption of alcohol. Basically, if you drink excess amounts of alcohol regularly, it’s going to make any of the other treatments you’re doing almost useless. Women should have no more than one drink per day and men no more than two. If you can, make it red wine – yes, this does have heart-health benefits, however only in moderation. You can get the same or better effects from a polyphenol supplement such as resveratrol. High blood pressure and heavy alcohol intake is a very dangerous and life-threatening recipe! • Alcohol causes you to gain weight due to all the extra calories, further increasing your blood pressure. • Alcohol severely dehydrates you, further increasing your blood pressure. • Alcohol acts as a diuretic, flushing away all the important minerals I’ve talked about that are essential for reducing blood pressure. • Alcohol affects the absorption of calcium and magnesium, so even if they weren’t getting flushed away, your body still can’t process them properly. • Alcohol both diminishes the effects of blood pressure medication you may be on and increases the side effects of them. It will also diminish the effects of any natural remedies you may be using. 51 Some tips: • Start with a non-alcoholic drink. You’ll just guzzle your first drink down if you’re thirst, so start with a glass of water or juice. • If you drink spirits, be aware of what you’re mixing them with. Soft drinks are stacked with sugar, and diet sodas aren’t really any better for you. Try tonic or soda water with fresh lime instead. • Use one shot instead of two in a mixed drink – and measure it out rather than just glugging it into the glass. Use a tall glass instead of a short one. • Low-carb or light beers are better options than full-strength beer. © 2009 blood-pressure-report.com Step Three: Avoid Alcohol • If you drink white wine, try it half-and-half with soda water. Red wine can also be diluted a little with a splash of fruit juice, water or soda water. • It can help to keep an alcohol diary or chart so you can see how many drinks you’re typically consuming (date, how many drinks, and where). • Make a conscious effort to drink more slowly. It also encourages you to keep a better track of the amounts. • Have one drink at a time – don’t let people top up your drinks. It’s much harder to keep track of how much you’ve had. It can also be gratifying to see the numbers go down when they’re there in front of you in black and white! • Try and have at least two alcohol-free days a week. 52 © 2009 blood-pressure-report.com Step Four: Stop Smoking If you are a smoker, it’s no wonder you have high blood pressure. Even if you follow all the other advice in this book, you probably won’t be able to get your blood pressure down to the ideal reading of 115/75. And remember, even slightly elevated blood pressure still carries risks with it. Smoking damages blood vessels, and causes constriction and plaque buildup on Here are some tips you might find useful: • There is no one way to quit smoking that works for everyone. Trial and error is ok – as long as you’re genuinely trying! • It helps to really want to quit, so write down the reasons you want to. Make them positive reasons rather than negative ones, for example “lowered blood pressure”, “an extra $50 a week to spend or save”, etc. Don’t look at quitting as a bad thing. Look forward to it, get excited about it. Be proud of yourself. Don’t think about what you’re missing; rather, what you’re gaining. • Think about how much of a slave cigarettes turn you into. Is it really ok to let something control your life that much? artery walls. Nicotine has an adverse effect on the adrenal glands, stimulating adrenaline and causing blood pressure to increase temporarily, but regularly throughout the day each time you have a cigarette. Hypertensive people who smoke have a much greater risk of heart disease and stoke than those who don’t. 53 • If you slip and have a cigarette, don’t give up altogether. It was a minor setback. Pick yourself up and keep going. However, you are just making it harder on yourself every time you do this. • One way to start cutting down is to limit the amount of cigarettes you can have each day and stick to a schedule, instead of just lighting up whenever you feel like it. Reduce the amount as you go. © 2009 blood-pressure-report.com Step Four: Stop Smoking • Another way to start cutting down is to stop smoking in certain situations, such as after dinner or on car journeys. Break one habit at a time. • Some people find quitting “cold turkey” more effective. Just finish the packet you’ve got, throw it away and don’t buy another one. Throw away all lighters, matches and ashtrays. • Make a list of activities you can do each time you feel like having a cigarette. • It may be hard at first, but the longer you have given up for, the easier it gets. After a couple of weeks you will forget you even smoked. It really helps to focus on the positives of quitting. Here’s some motivation – tick them off as you go! After quitting Benefits for… • It only takes around three days for the physical addiction to subside. The rest is psychological. • Avoid alcohol and caffeine while you’re giving up. It makes it much easier. Also avoid places and people associated with cigarettes. Hang out in places that don’t allow smoking, like malls and movie theatres. • Get your loved ones to give you positive support and encouragement. • After one month, use the money you would have spent on cigarettes to buy yourself a reward. 54 20 Minutes Blood pressure decreases; pulse rate drops; temperature of hands and feet increases 8 Hours Carbon monoxide levels in blood return to normal; oxygen increases to normal 24 Hours Chance of a heart attack decreases 48 Hours Nerve endings begin regrowth; taste and smell improves 2 Weeks- 3 Months All nicotine withdrawal is gone; circulation improves; walking becomes easier; lung function increases 1-9 Months Significant improvements in coughing, sinus congestion, fatigue, and shortness of breath © 2009 blood-pressure-report.com Step Four: Stop Smoking 55 1 Year Risk of coronary disease is halved 2 Years Smoking relapse rate drops sharply 5 Years Stroke risk is reduced to that of someone who never smoked 10 Years Risk of lung cancer drops to one half of that of continuing smokers; risk of cancer of the mouth, throat, esophagus, bladder, pancreas and kidneys is reduced; risk of ulcers decreases 15 Years Risk of coronary heart disease returns to that of someone who has never smoked; risk of death returns to normal. Yay! It only takes around three days for the physical addiction to subside. The rest is psychological. © 2009 blood-pressure-report.com Step Five: Fight Fat In overweight people, losing just a few pounds can help lower your blood pressure. Losing 10% of your bodyweight can even reduce it to a normal level. Your heart will be healthier and your whole body will work better. All that extra adipose tissue means lots of extra distance that the blood must be pumped. Imperial BMI Formula BMI = (weight in pounds * 703) height in inches2 (kg/m2 Metric BMI Formula The metric BMI formula accepts weight measurements in kilograms & height measurements in either cm’s or meters. 1 meter = 100cms meters² = meters * meters Metric BMI Formula BMI = (weight in kilograms) (kg/m2 height in meters2 So how do you tell if you’re overweight? The BMI (Body Mass Index) is one very basic way of calculating this. It’s pretty straightforward. Use the following formula (I’ve given you both Imperial and Metric formulas). Eg: If 160cm height, multiply 160 by 60 then divide by weight in kgs ie 58 kgs = 22.65 Calculate BMI & Find Weight Status Table: BMI Weight Status Categories Imperial BMI Formula The imperial BMI formula accepts weight measurements in pounds & height measurements in either inches or feet. 1 foot = 12 inches inches² = inches * inches 56 Below 18.5 18.5 - 24.9 25 - 29.9 30 & Above Underweight Normal Overweight Obese Once you have calculated your BMI use the table above to find your weight status. © 2009 blood-pressure-report.com Step Five: Fight Fat If you fall into the overweight or obese categories, it’s extremely important that you lose weight. Once you start losing weight, your energy increases, making it easier to get moving around and losing even more. Losing one to two pounds per week is the recommended rate. Any faster than this and you’re much more likely to gain it back. The slower you lose it, the slower it comes back on. There’s also less difference between the foods you’re eating while you’re losing weight, and the foods you will want to be eating long-term to maintain it so the risk of gaining it back is reduced. Following any kind of extreme or fad diet is not sustainable, so it’s best to stick to the fundamentals we know to be effective for long-term weight loss. Here are some tips to follow: • There is a saying that fat loss is 80% nutrition. This isn’t based on any kind of scientific fact, but is certainly true that nutrition plays a vital role. If you don’t have the right diet in place, you can do as much exercise as is humanly possible and still not achieve your weight-loss goals. • Follow the nutrition advice in the diet section above, such as choosing the right fats, shunning refined carbs 57 and processed foods, eating lots of vegetables and fruit, and limiting sugar. • Controlling blood sugar is really important and will help you lose fat. This means taking in protein, carbohydrates and healthy fats spread evenly throughout the day (every two to three hours) and not over-eating. Choosing low-GI foods and eating six small, nutritious meals a day will help you do this. Just make sure they are small, and keep your calories slightly below maintenance, as at the end of the day, this is the only way to lose weight. • However, remember that your goal is to eat as much as you can while still losing weight, only keeping your calorie intake just below what you’re using. If you’re losing weight at 1-2 pounds per week, don’t eat any less than this. Otherwise, not only will you lose weight too quickly to begin with (ending up with a “soft”-type look as you lose muscle mass alongside fat), but you will probably plateau as your metabolism slows down. © 2009 blood-pressure-report.com Step Five: Fight Fat If you’re not losing weight, reduce your calorie intake only slightly. • Make sure you eat breakfast. It will jump-start your metabolism for the day. Oats are a great breakfast – if you find them too bland, add small amounts of things like fresh berries; dried fruit; cinnamon; chopped nuts; or a sprinkle of some other kind of yummy muesli mixed in to taste. Just make sure oats are the main ingredient! • Why is it so important to drink water to aid in fat loss? Well, the liver plays an essential part in converting stored fat into energy. It also helps out the kidneys when they can’t do their job properly – and water is essential for the kidneys to be productive. So if the liver is helping out the kidneys, it can’t do its own job as efficiently. Try and drink eight glasses a day – this is beneficial for both weight loss and blood pressure reduction (if you have your mineral balance right, your body won’t retain the fluid and raise blood pressure). • Do a combination of cardio and strength training (also called resistance training) for effective weight loss. Strength training increases muscle, which boosts your resting metabolism, meaning you’re burning fat even when you aren’t exercising. Do strength training on alternate days. 58 • Cardio is great for weight loss, but is not a magical method where the more you do, the more fat you’ll burn. The key is to increase the intensity of your cardio workouts, not the time. Interval training is particularly effective (alternating lower levels of intensity with high levels of intensity). Start with a realistic amount of cardio and add 5 minutes each day (or change to intervals) if you aren’t losing fat. • If you fall off the wagon, don’t give up altogether. Just start the next meal fresh and keep going. • Just don’t have any weight-gain-friendly food in the house. It’s much easier not to eat it if it isn’t there. • Base your fat loss on the fundamentals, for example, consume less calories than you use; make healthy, sensible eating choices; and be constantly monitoring your food intake (small snacks that you “sneak” in all add up!). The downside of this is there is no magic quick fix – the upside is that anyone can achieve their goals if they put their mind to it! © 2009 blood-pressure-report.com Step Six: Embrace Exercise Whether you’re overweight or not, exercise will help reduce your blood pressure, no matter how high it is (and will help prevent it before it happens). • The breathing and sweating you do during exercise act like natural diuretics, helping you get rid if excess water and salt. It’s really important that you incorporate physical activity into your weekly routine if you don’t already. A review of over 20 physical activity/ hypertension studies showed that systolic blood pressure is lowered about 11mmHg and diastolic by 8mmHg with regular exercise – these results can be seen after just a few weeks of training. This is similar to the changes seen after treatment with a traditional blood pressure-lowering drug, and can reduce stroke and heart attack rates by 25%! So, exercise alone can be the difference between being placed on drugs, and not needing any medication. The best part is, exercise is free, makes you feel great, helps you lose body fat, and reduces your risk of other diseases. Drugs do none of these things! Exercise lowers blood pressure in lots of ways: • Physical activity leads to fat loss, which lowers blood pressure. • If you’re exercising regularly, your resting level of adrenaline is reduced, which lowers your heart rate and blood pressure. This is similar to using a beta-blocker, but much better for you! Instead of becoming less fit (beta-blockers can reduce aerobic fitness by up to 10%!) you’ll become more fit – and you’ll also sleep better instead of worse. You also don’t get the blood sugar and cholesterol abnormalities that can occur with beta-blockers – instead, your levels improve. Insulin, the hormone that controls your body’s blood sugar levels, is produced in excess amounts to do the same job in people with insulin resistance. This extra insulin causes the kidneys to hold onto extra salt stores. Exercise reduces insulin levels, which in turn lowers blood pressure. 59 © 2009 blood-pressure-report.com Step Six: Embrace Exercise • Exercise strengthens the heart, so it requires less effort to pump blood, expending less pressure on your arteries. • Exercise increases blood vessel health, keeps arteries supple, and reduces arterial plaque. • If you’re overweight you’ll probably be cautioned not to jog, as the extra weight is damaging to the knees and ankles. You’re better off with something lowimpact, such as swimming, walking, or the cross-trainer. • Exercise also helps relieve stress. Some tips on exercise: • If you’re overweight, consult a healthcare practitioner before starting any kind of exercise program. They’ll be encouraging, but will let you know how gently to start off and what your limits are. • Similarly, consult with your doctor before starting an exercise program even if you aren’t overweight but you have high blood pressure. If your resting blood pressure is higher than normal, strenuous exercise could make it rise to levels that are unsafe. Generally speaking, your systolic blood pressure shouldn’t go above 180 – the risk of dangerous events, like a heart attack, rapidly rises once your systolic pressure goes over 200. 60 • Of the two types of exercise (cardio and strength training), cardio is more helpful for lowering blood pressure. While strength training is important for raising your metabolic rate, increasing your muscle mass and helping with weight loss, cardio (as you can probably tell from the name) is more directly related to your heart and blood vessels. • Cardio involves an elevated heart rate for a sustained period. Your maximum heart rate is defined as 220 minus your age, and you should be aiming for your heart rate to be between 50 and 85% of that during cardio exercise. Aim for thirty minutes of aerobic (cardio) exercise four to five days of the week. You don’t have to knock yourself out – just a brisk walk will do. © 2009 blood-pressure-report.com Step Six: Embrace Exercise • Remember that short bursts of cardio help, too. Studies show that four tenminute “snacks” of walking can be as beneficial as 40 minutes. Just make sure it’s brisk so you can elevate your heart rate as much as you can within that ten minutes. Try taking the stairs instead of the elevator, and going for a walk on your lunch break. Get off the bus a few stops early, and then take a quick turn around the block after dinner – and you’re done! • Once your exercise stops challenging you, it isn’t necessary to spend longer doing it. Just increase the intensity, for example add more hills into your walk or bike ride, or up the level on your treadmill or cross-trainer. • Exercise doesn’t have to be all treadmills and rowing machines. Vary your routine and include things like yoga, gardening, boxing or table tennis. Vacuum vigorously with the music up – whatever gets your body moving and you breaking a sweat is good. • The most important goal is the development of these habits that will stay with you for a lifetime. You need to stop your blood pressure creeping back up and it’s important to stay at a healthy weight, too. • Try exercising with someone. The time goes faster, it’s more fun and you can motivate each other. 61 Weight cycling (repeatedly going up and down) can elevate your blood pressure in the long term. © 2009 blood-pressure-report.com Step Seven: Stress Less It can be hard to get your head around directly relating emotions to physical health – but they are more intertwined than you think! Basically, no amount of healthy eating, exercise, or supplements can undo the damage that chronic stress can wreak on your body. In fact, these emotions often arise for a reason and serve important functions when they do. But the physiological damage comes from experiencing them on a continuous, chronic basis. Yet that’s what many of us are going through in today’s world. When you’re stressed, your sympathetic nervous system increases, and stimulates the production of blood pressure-increasing hormones such as adrenaline and cortisol, which inhibit the production of nitric oxide (a vasodilator). Stress invariably involves heart functions – your heart rate accelerates and this vascular vigor drives higher blood pressure. Negative emotions have certain effects on the heart – things like anger, guilt, sadness and fear all increase this vascular alertness. Experiences such as conflict cause blood pressure to rise, and it often doesn’t return to its normal state for a long time. Positive emotions, however, such as strength, happiness, and creativity all also activate the heart, but actually energize cardiovascular health. Obviously, you can’t completely avoid negative emotions such as tension or frustration. 62 Stress also affects your blood pressure levels indirectly, for example, it may cause you to drink more alcohol; overeat “comfort food” such as sugar; or exhaust you so you don’t have the motivation to exercise or cook fresh, healthy food. Do what you can to minimize negative stress in your life. Some ideas include: • Don’t procrastinate – get your time management under control. Having things hanging over you that you’re putting off is a chronic stressor that’s often worse then the task itself. • Get plenty of sleep – even if you have a lot to do, it’s all going to be a lot harder and more stress-inducing if you’re feeling frazzled. © 2009 blood-pressure-report.com Step Seven: Stress Less • Plant a garden – studies have shown that gardening is an effective stress-reliever. It’s rhythmic enough to be calming but enjoyable and rewarding enough to produce satisfaction. • Don’t ignore aromatherapy. Aromatic bath and massage oils have been shown to temporarily relieve hypertension. Try five drops each of lemon and lavender essential oils in a warm bath. It can help you become more aware of your feelings and help address certain issues. Be really honest with yourself. • If you’re stressed at work, take a little time off. A couple of three-day weekends in a row can work wonders. And if you’re worried about work building up – well, you’re going to be even less useful if your health worsens and you can’t work at all. Time off can clear your head so you’ll be able to work more efficiently, anyway. • Laughter has several stressreducing benefits. It reduces stress hormones such as cortisol and adrenaline, allows physical and emotional release, and gives you both perspective and distraction. • Studies have shown that sex and stress go hand in hand – while feeling stressed can lead to a low libido, it’s also a great stress reliever and mood enhancer. • Get a hobby – take up a non-tech, creative hobby such as art, or learning an instrument. • Keep a journal – make sure you write about your thoughts and feelings regarding stressful events, almost like you would with a therapist. 63 Sometimes, we can’t avoid stress. But we can work on the ways we react to it – and it is your reaction, after all, that’s causing the physiological responses that do the damage to your heart and arteries. © 2009 blood-pressure-report.com Step Seven: Stress Less Transcendental Meditation Biofeedback While any kind of meditation can be effective for easing stress, transcendental meditation has had over 600 studies conducted on it to determine its effect on lowering blood pressure. It’s thought that the biochemical changes it triggers can balance the body and activate its self-repair mechanisms, which have been proven to be effective in easing stress and improving a range of risk factors for heart disease, such as hypertension. Biofeedback is based on the idea (confirmed by scientific studies) that you have the potential to influence many of the automatic, involuntary functions of your body (such as heart rate or blood pressure) in a mind-overmatter-type way. One 1995 study, reported in the journal “Hypertension”, showed that TM reduced systolic BP by more than 10 points and systolic by more than six in older African American people with high blood pressure. Transcendental meditation involves the repetition of a word or phrase (mantra) while seated in a comfortable position with eyes closed, and is usually practiced for 20 minutes, twice a day. It’s not difficult to learn, but should initially be taught by a qualified instructor to get the full benefits. 64 Falling into the “mind-body therapy” category of alternative medicine, biofeedback measures and displays your body’s performance to help you increase awareness and control of your own physiology. Hypertension (particularly stressinduced) is a very good example of exactly the type of condition that biofeedback works best for – and clinical trials have shown it to be effective. A professor at the University of Nevada says her studies have shown that blood pressure can be reduced by up to 10 points simply by thinking about it. So how does biofeedback relate to stress and high blood pressure? Well, biofeedback is shown to be most effective in people who have conditions that are brought about or exacerbated by stress, like hypertension so often is. So one way your blood pressure is lowered through biofeedback therapy might be through relaxation techniques and mental exercises that have a direct effect on your body’s physical responses. © 2009 blood-pressure-report.com Step Seven: Stress Less Generally in a biofeedback session, sensitive electrodes are attached to the skin which feed information into a monitoring box that flashes, or beeps, or displays the responses on a grid. • Sweat gland activity (skin conductance biofeedback) As the biofeedback therapist takes you through certain relaxation exercises, your physical responses can be monitored. Through trial and error, you figure out which are the most effective, much like having a “sixth sense” inside your body. As you consciously try and slow down the flashes or beeps, you are training yourself and your body. Clinical trials have shown worthwhile reductions in blood pressure from combining stress management biofeedback with the manipulation of these physiological symptoms (particularly EMG and temperature biofeedback). To assess your hypertension, the therapist will conduct a psycho-physiological profile that monitors your breathing, skin temperature, heart rhythm, muscle activity and skin conductance during resting, mild stressor and recovery conditions. This will enable them to put together and individualized program to correct the physiological changes that are associated with high blood pressure, such as: • Brain electrical activity (EEG biofeedback) • Skeletal muscle activity (EMG biofeedback) • Timing between heartbeats (heart rate variability biofeedback) • Breathing patterns (respiratory biofeedback) 65 • Blood flow through small arteries (temperature biofeedback) One study showed that using this combination, 65% of patients were able to discontinue their medication and 24% reduced theirs by half. It showed that people whose blood pressure increases under stress were the ones who found the treatment the most effective. It isn’t recommended as a main technique however, more as a complement to other treatments. © 2009 blood-pressure-report.com Step Seven: Stress Less Specialists who offer biofeedback training range from doctors to nurses to dentists to psychiatrists. www.aapb.org is the American membership website for professionals and you should be able to find a qualified practitioner in your area if you’re interested in this method. Autogenic Training This is another therapy used for stress reduction and relaxation developed by German scientist Johannes Schultz in 1932. It involves a series of exercises in which you can learn to control your blood pressure as well as breathing, heart rate, and skin temperature. have to practice for a few minutes several times a day. The learning moves at a slow, steady pace, usually taking 4-6 months to master all six exercises. It’s similar to hypnosis and biofeedback in that it forges a distinct communication pathway between the mind and body – and you are, after all, the best person to control what’s happening inside yourself! Once you’ve mastered the exercises, you should be able to make your heart rate and blood pressure almost impervious to the effects of emotional pressure. It teaches your body to respond to verbal commands – while you’re sitting or lying down in one of six different postures, the practitioner will repeat sets of visualizations or goals that you concentrate on which “tell” your body to control breathing, heart rate etc. Many of the techniques mirror yoga and meditation. Under stress, the parasympathetic branch of your nervous system (that lowers blood pressure) becomes dominated by the sympathetic branch (the fight or flight response the increases blood pressure). Autogenic training balances the two. After you learn the technique, you can use it yourself whenever you need or want relief from the symptoms of stress. To learn it, you 66 Unless you practice regularly, autogenic training isn’t likely to have an effect – but if you’re committed to mastering it, it works and is a very effective and measurable way of controlling chronic stress. Because it’s simple and doesn’t require any special equipment, it’s becoming quite popular, especially with people who have fast-paced, high-stress careers. © 2009 blood-pressure-report.com Step Seven: Stress Less Autogenic training is becoming more widely accepted in the Western world as it’s similar to a form of meditation, but guided by physical and mental goals rather than spiritual. It’s also good for people who can’t, or won’t be hypnotized – it has been found that the creation of certain internal reactions during meditative relaxation can be just as effective as those created under a hypnotic trance. You can learn autogenic training without a practitioner but this isn’t recommended if you’re looking to correct a medical condition such as hypertension. Look for an experienced instructor who can supervise and monitor your blood pressure. 67 Cognitive Therapy If you’re severely stressed, you may want to try cognitive therapy, which also deals with the premise that it’s not the events in our lives that cause us stress, but the way we react to them. A cognitive therapist would work with you to correct habitual negative thought patterns that you might have about a number of different situations. Once you have mastered the techniques, you should be able to manipulate your habitual thoughts and reactions to turn potentially stressful experiences into positive or calm ones. Some people experience results in as little as three to four weeks. © 2009 blood-pressure-report.com Step Eight: Beneficial Breathing It may sound far-fetched, but research has found that by doing breathing exercises on a daily basis, it’s possible to lower your blood pressure. This sounds at first like it might be a stressreduction technique (and it certainly is calming) however it also produces chemical interactions that directly lower blood pressure – and keep it down. By breathing deeply, your body becomes more efficient at breaking down salt – the kidneys are the main organs involved in eliminating salt, and breathing deeply helps them to work properly. They also tend to hold their breath, which diverts blood to the brain to increase alertness, which knocks the blood’s chemical balance off. This more acidic blood makes the kidneys less efficient at getting rid of the sodium. So inhibitory breathing actually delays salt excretion enough to raise blood pressure. This would also shed light on another reason why exercise lowers high blood pressure, and a sedentary lifestyle contributes to it. When you’re not moving around much, you tend to breathe more shallowly, and you’ll be taking deep breaths when exercising. Another reason that shallow breathing contributes to blood pressure is that when you start to breathe in before you‘ve expelled all of your previous breath, the transfer of oxygen to your blood and the carbon dioxide from your blood to the air is greatly reduced. People with high blood pressure are notorious for shallow breathing, although it’s not clear which comes first – a chicken-oregg scenario where one causes the other. 68 As shallow breathing deprives your body of oxygen, your heart compensates by pumping more blood, which produces higher blood pressure. We tend to get quite lazy and habitual in our breathing, and although it’s an involuntary action, not than a voluntary one, we can control the volume of our breath. © 2009 blood-pressure-report.com Step Eight: Beneficial Breathing By practicing these exercises consistently every day, you’ll not only be breathing deeply but you’re also training your body to do so even when you’re not thinking about it. 1) Breathe in deeply and quickly using your chest and diaphragm. Take a full breath of air. 2) Breathe out in a slower, more relaxed way, taking twice as long to breathe out as in. Don’t force the air out but dispel as much air out of your lungs as possible. Get as much of the old carbon dioxide out as possible. 3) If you breathe too fast while doing this, the excess oxygen will cause hyperventilation – but if you breathe too slowly, your heart rate will increase its pulse rate and blood pressure. Keep to a fairly steady rate. 4) Do this for at least 15 minutes per day, and also whenever you remember throughout the day. Over time your breathing pattern should automatically change to a deeper one. If you like, you can buy guided breathing devices such as the one mentioned in the next section to help with these exercises. 69 © 2009 blood-pressure-report.com Step Nine: What Else Can I Do? • Look for an alternative to oral contraceptives, as they can dramatically increase blood pressure. • Two new studies from McMaster University in Ontario, Canada, have shown that performing isometric handgrip exercises can reduce systolic blood pressure and improve arterial flexibility. • A study from the Ehime University School of Medicine in Japan has shown that sleeping facedown can actually slightly but significantly lower blood pressure! • T’ai Chi, a slow, relaxed series of balance and flexibility movements that originated in China, has been shown to reduce blood pressure in older adults nearly as much as moderate-intensity aerobic exercise. One study showed a 7mmHg decrease in systolic blood pressure after just six weeks, and 8.4mmHg after three months. Diastolic pressure falls by an average of 3.2mmHg. It’s shown to decrease adrenaline and cortisol production, and people also report more energy, better breathing capacity, and less back- and neck-aches, depression, tension and anxiety. • You can purchase blood pressurelowering devices such as the Resperate (a guided breathing device), or the Zona Plus (a handheld device that guides you through an isometric therapy session). Both devices are quick, requiring less than 15 minutes a day, and are easy to use. Anecdotal evidence says they work very well, and suggest that the Zona works best for people with resistant hypertension, while the Resperate is particularly effective if you think your high blood pressure results largely from stress. • There’s extensive literature from Asia and Russia that shows acupuncture to have an excellent effect on lowering blood pressure. By using needles to stimulate nerves that reach into the cells in your brain that control blood pressure, the cells “quiet down” and your blood vessels relax. Scientific studies are still being completed, but anecdotal evidence suggests that acupuncture alone can be more effective than medication alone. 70 © 2009 blood-pressure-report.com Step Nine: What Else Can I Do? • Consider the possibility you may have Obstructive Sleep Apnea (OSA). It could be contributing to your hypertension, as people with OSA have a blood vessel impairment that causes blood pressure elevation. An estimated 15 million Americans – three quarters of them men – suffer from OSA, but only 10% have been diagnosed and treated. About one half of people with OSA have primary hypertension, and about one half of people with primary hypertension have OSA! If you have loud snoring at night, broken sleep, and spend your days feeling groggy, ask your healthcare practitioner if you might be suffering from sleep apnea. • Over 25 years of research has proven that having an affectionate dog will help reduce hypertension. Not only do they ease stress and anxiety, but you’ll have more motivation to go for a walk every day. People with sleep apnea stop breathing dozens or even hundreds of times in the night when their airway collapses. Things like diabetes, hypertension and high cholesterol contribute to endothelial damage, which leads to further elevated blood pressure and vessel damage. OSA also damages the endothelium, having a similar effect as it heightens your “fight or flight” response, elevating your cortisol production. 71 © 2009 blood-pressure-report.com Break it Down! Your Summary Checklist Investigate underlying medical conditions that could be causing secondary hypertension Keep a food journal so you can objectively see where you’re making improvements and where you could be making more; and so you are staying liable for any unhealthy food you’re “sneaking” in Monitor your blood pressure at home three times a day, and record its progress in the provided chart Cut back on alcohol – record your intake in a chart or diary Make one or two changes at a time so the program isn’t overwhelming Quit smoking – tick off the benefits you’re receiving as time goes on Start by correcting your mineral imbalance and starting your supplementation program. Reduce common salt intake, increase potassium and magnesium. Increase vitamins and herbal remedies. Reduce stress – investigate meditation and other therapies Start losing weight if you’re overweight Practice breathing exercises for 15 minutes a day Add in other methods, such as acupuncture or T’ai Chi Start a regular daily 30-minute brisk walk and think of other ways you can work vigorous activity into your day Adjust your diet – eat more fresh food and ban processed food; avoid sugar and white flour; choose low-GI carbs; eat more fruit and vegetables; eat more fish; choose the right fats; get plenty of fiber 72 © 2009 blood-pressure-report.com Blood Pressure Record Chart Name: _______________________________________________________________________ Date and time 73 Systolic blood pressure Diastolic blood pressure Comments © 2009 blood-pressure-report.com
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