I think I have my blood pressure lowered just by listening to this calmy delivered lecture; thank you, Dr. Bhalla - very informative and sincere

I have been on BP meds since I was 35. I am now 71 years old. The meds really helped me.

He’s a very patient person. I am listening to this presentation, and a couple of times now he’s said;paraphrasing here…) “hold on til I’m done….. i gotta get this all said and your answer might be in this monologue if you’ll be patient.” And he is so calm about it… great information in there just to see what has been learned. Lately

I do admire how respectful and patient this Dr is empowering rare these days.

My sister had BP Of higher 200/100 And refused to go to the doctor and refused to take medicine. She live to 84 years old

This is a perfect place to go for definition of blood pressure as it pertains to the entire body that anyone can understand . Audio is excellent .

When he says that everyone is NOT on board with the new guidelines from the American College of Cardiology and others, he’s referencing The American College of Physicians and others. The main reason given by them was the evidence presented did not warrant a stricter guideline. Some outside observers stated that the fact that the group that headed the Sprint study where this guideline was based on was headed by the same doctor that was on the board that set the guidelines. . This study also set guidelines that effect senior citizens where other studies shows it does not justify being put on meds to achive a 130, show no benefits for the risk involve. Research and question your doctor on everything he wants to do. All this change did was put millions of more people on meds.

The major cause of high blood pressure is elevated insulin. Usually caused by too many rapidly digested carbs in the diet. For the majority, a low carb diet which reduces insulin levels is way more effective than meds. Plus you don’t get the damage from blood sugar spikes.

58:11 A1C is the another measurement (similar to at-home BP measurements) which isn't routinely measured. Knowing this value can help prevent *much* damage from unknown/uncontrolled diabetes.

Thank you Dr.Bhalla for your excellent presentation. You gave us alot of information, so professional

Thank you very much; this is very helpful, hopeful and encouraging.

Shared this to my Mom and Brother in-law who are suffering from Hypertension. Great information. Thanks Doc!

Thank you. It's good to be treated with the abiity to understand.

I have exercised for 39 years, lifting weights and doing arobics 3 hours 6 days per week. I also practiced kung fu for 38 years. Then I developed atrial fibrillation, chronic, of course. In my 30's I had a 54 in chest with a 34 inch waste. I have watched my diet, because exercise is meaningless if you don't eat properly. I always got, on average, 8 hours of sleep. I never cook with salt . I prefer paprika and dried and fresh spices. I am also crippled by arthritis but take no pain meds. I am 61 years old and have been taking Kratom for 6 years and it works for my arthritis pain and Kratom takes me out of atrial fibrillation and lowers both my heart rate and high blood pressure! My Cardiologist has NEVER figured out the cause of my cardiac issues. Every cardiac specialist has told me that I have an extremely good heart. My exercise payed off, but have never attended to figure out what causes my cardiac issues so I scour the internet trying to figure out what my physicians don't. Goodluck everyone!

He didn't talk about the most effective intervention to lower blood pressure, reduce your carbohydrate intake to lower your insulin, it's that simple to treat most cases of "essential" hypertension.

Thank you Dr, your explanation is excellent. You are so calm and collective. Keep it up.

Great except for no mention of carbohydrate intake and insulin resistance on the development of HTN. Sad that a Stanford nephrologist would touch on this correlation.

A lot of doc/Nurses suck at taking blood pressure then you have others that aren't train to take your BP, but they let them anyway

Thank you for your very clear description, in a patient way, that was easy to understand!

Wonderful presentation, this doctor presented a very informative topic. He explains things so well and his voice is very confident and easy to listen to. Really enjoyed this, thank you so much doctor.👏

Listen to Dr Sanjay Gupta’s talk on hypertension.

I have always wondered why resting blood pressure is the standard, when strokes and heart attacks usually occur in times of stress?

What is the proper arm positioning for measuring BP. I get 2 different measurements very consistently, depending on my arm position. Whilst sitting up straight, it is generally around the 120/80 if I rest my arm on the side of the couch, but if I drop my arm in a relaxed position parallel to my torso, it will rise 10 points or more on each end.

From checking neighbors pressures over decades the Systolic always went upward in stressful situations. Did blood-vessels tighten up for action? Diastolic seemed to reflect the internal condition/status.

ਹਾਈ ਬਲੱਡ ਪ੍ਰੈਸ਼ਰ ਨਾਲ ਨਜਿੱਠਣਾ ਮੁਸ਼ਕਲ ਹੋ ਸਕਦਾ ਹੈ, ਪਰ ਪਲੈਨੇਟ ਆਯੁਰਵੇਦ ਦੀ ਸੰਪੂਰਨ ਪਹੁੰਚ ਦੇ ਕਾਰਨ, ਇਸਦਾ ਪ੍ਰਬੰਧਨ ਕਰਨਾ ਬਹੁਤ ਸੌਖਾ ਹੋ ਗਿਆ ਹੈ।

At what point do they stop continually dropping the normal BP ranges ? When everyone is passing out at age 70 + ? I guess then there will be other pills to raise it back up again .

Thank you for your time. And sharing your thoughts. Very helpful.

salt substitutes. lemon, apple cider vinegar, garlic powder. yes, cooking at home is way lower in sodium.

Thank you doctor...Such a valuable information available for free

Thank you Doc.for the great info you have provided here. God bless.🙏

BP rises with age.Study out of EU showed seniors with BP>140 outlived seniors with BP under 130.Most of the medical community follow pharma doctrine.This guy certainly does

I have what I think to be a complete break through for getting a low blood pressure reading…. Bring someone you trust or love like your family to the appointment or store where you’re getting tested…I tested high at Walgreens then got home with my family tested and immediately had 117/88 vs Walgreens 141/100 so I went back with my family and tested 120/84 bingo it’s like separation anxiety I don’t know but it worked…obviously exercise and decrease caffeine sodium…

2021: An outstanding presentation for laypersons. Greatly appreciated how meds can help based on the designated elderly ages and stages. Newer clinical trials guidelines hopefully to lower the morbidity rates. interesting how President Roosevelt medical conditions

Dehydration is one of the number 1 causes of Dehydration. Dehydration is not just water. Potassium is a key nutrient for having HBP, but also counterindicated for patients with kidney disease. Zinc is a key contributor to helping your body eliminate excess sodium. Almost everything in your grocery store is heavily salted to act as a preservative, that alone is killing people.

Bottom number is considerable more important than top . You do not want pressure when there shouldn't be much pressure . Botttom is the heart at rest , top is when the heart contracts pushes blood through arteries which means pressure against inside of arterial walls . Bottom umber should not be higher than 80 period .

Great job. Well done! I should fly over to see you instead of my Doc!

I didn’t watch this whole video but I am just wondering did he ever mention anything about controlling blood pressure with diet?

Best scientific informetion..

So happy to see Dr Michael Greger’s, How Not To Die book, on the bookshelf ❤️

I thought salt had been aquitted for hypertension in most of the population? I'm going to start checking blood pressure to be sure my salt intake isn't an issue

Fantastic discussion.Excellentl presentation by this excellent doctor.Thank you.

Wow... it's is a joy to listen to such a mind speak. it's been such a long time since I heard such knowledge combined with intelligence. I stopped my day to watch it all. So critical for the middle part of the northern part of what we interlopers called America to hear. Informative. We (USA) need to remember we're one third of the north half of what we decided to call America..

What about yoga and meditation. It has not been mentioned at All! Countless people have lowered their BP after practicing Yoga and Meditation.

Hmmmm…I exercise, do not eat horribly, and keep improving. With a BP medication I am still daily getting up to 175 over 95. I think I am stuck with having to do more medication eventually. I am going to try a little longer to get it down. On my own.

A couple years ago I went in for a routine dental exam. My blood pressure was taken by the hygienist with a wrist cuff. My accustomed dentist was unexpectedly on leave, so I saw a dentist newly out of school and new to the practice. Though historically my BP was on the low side (new “normal”), it had been heightened the last year or so. The new dentist began yelling - Yes! - at me for having what she diagnosed as “high blood pressure.” I was unable to calm the dentist down…. (Think of that, me attempting to settle the dental professional…) The hygienist was likely terrified to say anything to her boss. I should have risen from the chair and walked out, but was wearing a bid, declined in the chair, and, frankly, thus-compromised. She seemed unhappy that she didn’t find a bunch of dental caries and gingivitis… I turned in the dentist to her superior, and said that I would never agree to see her again. The supervisor didn’t take me seriously, saying that she was “new” to the profession. I will get my blood pressure under control. I won’t again tolerate a dentist having a tantrum in my face. Thank you for this informative tipic

Thank you for this valuable information . Helpful to my Mom and I

excellent topic, well explained and very helpfull. Thank you doc.!

Trauma-related hyper-reactivity is responsible for my high BP.

Thanks for explaining so well! I don’t feel so bad now I know that several drugs are tried, mine settled at no. 5!

He is a brilliant educator

I wish I could get you to help me!!!! Will finish watching your very fascinating lecture in the next few days. John T

Blood pressure is up and down so much by mood, stress etc. Keep a good cholesterol level ,will keep you alive a lot longer! "WHITE COAT IS REAL"

Cardiovascular risk score should be based on coronary calcium score.

Very informative. Thank you!

I'm glad I went an look for information about B/P, an this was very very helpful thanks Doc.

Thank you very much great information.

Dr Berg - bp was around 132/96 but reduced carbs for 10 days now and already it’s a healthy 126/85. Thanks for the advice. It seems carbs have been driving my isolated diastolic hypertension! What’s your advice on alcohol. I’ve found that lager really increases my bp. Can you tell me if any other alcohol is better for my bp as I still enjoy a social drink a few days a week

Would like to see guidelines by country/how they vary

How much time is a high bp benefical and healthy with exercise?

Love these series. On the Q/A - there is always one guy.

I have two friends that got dizzy and fell due to problems with their BP. One was on medicine and it became too low. The other was riding her horse and had been having issues with it increasing. We think she may have passed out and fell off her horse I think everyone should have a cuff at home to detect these changes Also when we exercise does that increase the circulation of the Rx making it stronger because more of the Rx is in our blood? Would it or could this make someone over medicated

Thank you so much for this educational video. Q: My systolic BP is usually between 105 and 130. But my diastolic is almost always between 80 and 90. So I get a lot of 117/ 85 type BPressures. I also get 102/ 75 or 100/ 67 at times in the morning. I don't usually take my BP in the a.m. but when I do they are low. I am wary to take medicine that will decrease blood flow to my brain at night when my BP seems to go low anyway. I was prescribed 12.5 MG metaprolol twice a day. Then doctor agreed I could take it as needed. What would you say about this ?? All doctors' responses appreciated.

thank you doctor so much

It would be helpful if anyone can tell me if one can get off medication once the BP is normal over time or at least commence weaning one off the medication.

Thank you doctor for this excellent video

Now, when I go to the dentist, he takes my BP. It has been up around 205 for the systolic measurements! One dentist said I should go to the local hospital! This happens too when I choose to go to the hospital emergency room. I worry a little about getting a stroke. I am 80.

If there’s such thing as high blood pressure why are the body builders not stroking out theirs can be 400/100

I was on the anti depressant called Effexor. I was taking it for a month for about a month when I noticed spots in my vision. I was already taking lisinopril and chlorthalidone for my hypertension so I couldn’t understand why I was seeing spots. I took my blood pressure and it was through the roof at 160/98! My dose that I was taking of my hypertension medications were therapeutic so I had no idea why it was so high all of a sudden. I looked up the contraindications of Effexor and found that the medication does increase your blood pressure. You must be your own advocate for your health. I ceased taking the Effexor and told my doctor when I had my next appointment. So if you are hypertensive and taking antidepressants, don’t let them put you on Effexor!!! Always monitor your blood pressure when starting new medications!

What is the name of the app for BP.

Thanks docx…u are an angel in disguise. God bless you.

Great information! Thank you and much appreciated.

For approx 3-4 years I have taken metroprolol succ extended 25 mg( im 72 yo ) . Without meds my BP was approx 135-140 over 85-92. On meds it would be 109 to 117 over 62 to 78. I decided to cut my dosage in half these last 6 months.( 12 mg QDay) ,taken only before bed . My bp has only been 117 /65 during the 12 hrs im not on meds. How is that possible ?

wonderful and very informative

Thank you so much I learned so much!!

Good video. I took my home blood pressure monitor with me to my last hospital visit. I took mine with me to check its reading verses the hospitals. was 10 off. Over last two years I always checked my pressure at home before going to hospital. Confirmed my theory my home one read 10 high. Got a new doctor this week. I chatted with her and she confirmed what I thought. She said others said same thing. The home ones tend to read 10 high.

Awesome info ! our kidneys thank you too

BP fluctuations is a symptom of an underlying condition, you know it, right? What you call high blood pressure is easily treated by sipping a teaspoon of regular water in 15 minute intervals...but it requires a lot of patience

Excellent talk, thank you for producing and sharing. Very helpful.

High blood pressure is only one symptom of.metabolic disease . I noticed Dr. you never mentioned the importance of high levels of Uric acid and how it contributes to metabolic health. My blood pressure is all over the place. Too high and too low and my cardiologist (a very young woman) really doesn’t address it. She’s too busy paying attention to the scribe (a person that I do NOT consent to being present, but she insists upon) and his electronic cash register during my 2 minute visits. The scribe just adds more errors to my record. I’ve stopped going to that cardiologist and went on a WFP exclusive diet now my BP is low, but I wonder about previous damage. Oh the cardiologist I had before the woman allowed me to go into an acute kidney problem. Function went from 102 to 19 in 3 months. Told if it went below 15 I would need dialysis for life. I was supposed to see a nephrologist within 34 hours of my hospital release. It took them 6 weeks to see me by which time ALL on my own without any useful information from any doctors I managed to bring my kidney function back up to the high 70s low 80s. My acute problem was due to severe dehydration from severe chronic diarrhea ( still a problem for me that remains unaddressed by all these physicians). The nephrologist told me I could eat anything I want but very small portions. No organ meats. I was a lacto vegetarian for 40+ years before WFPE. What an idiot. Never went back. At 72 I think the biggest threat to our health is the Food corporations and this absolute mess we call US “healthcare” that only profits doctors etc. and had has nothing to do with patients.

Very interesting and educated Lecture thanks 👍😊 doctor bhalla

Is an EKG the gold standard for reading blood pressure?

Well done! Fabulous presentation 🎉

5 years ago my BP was 190 -119 bought a bike rode it everyday for months dropped to135 - 84 got a 2 year dot medical card, stopped Riding The bike drove tractor trailer for 3 years now it's as high as 257,-120 , Riding bthe bike again cut carbs and sugar and doing 2- 3 day fasting I never take meds for no problem

My blood pressure has always been high since I was a teenager. My dad die of a heart attack at 56. I'm in stage 2. And I'm on the max dose of 2 BP meds.

Thank you ! It is very useful information!

It's a great presentation.

A good video to watch, informative and up to date.

At 87years old my doctor says 140/85 is fine. Is this true.

how do you get your bp taken accurately? invariably i am told it is 140 / 90. my blood pressure is almost never that low. 170 / 110 would be closer but often still low. i have to beg the one taking my bp to start at 200 or higher. i have to believe they are embarrassed to not catching the high level and so make a # up.

Thank you doc for this great video you are heavenly send God bless

Does it have to do with. Stress

So heres the deal, The problem with health care is the standardization of things. They believe that one person is the same as the next & all bodys work the same & its not the case. For instance from the day i was born i have always had blood pressure extremely higher than most people, Yet have never had any health issues. Yet they will call it HyperTension (Hyper=unknown Tension="a stretched condition) In fact i once had a nurse almost stop my heart trying to lower my blood pressure. Not to mention i'm pretty sure the majority of Standards are for that of the person with a primarily Caucasion Lineage, Which if so points to extreme Phallacys. While we all have a similar makeup & operating system if you will, It is completely different on each system. Which is a problem, let me give a example here; When i was around 17 i was hit by a Full Double wide truck going over 80 mph, I don't remember when i was hit but i remember catching myself spinning around on one knee, & standing back up realizing what had happen as the truck came to a stop up the road. The whole front of the truck was pretty much destroyed, & the guy sitting there if he asked me if i saw who or what he hit, Which was me. After dealing with the normal stuff like the police i decided to go to the hospital just in case. I had 0 injury's & only a few red marks on my back which disappeared a day or 2 later. The DR. didn't believe that i what i told him happened so he had to get the police report to see it with his own eyes. A accident that would kll most people only maimed me. Because that is how different our body's are, So different that the slightest difference in care can heal one person but kll another. On top of that instances like a raised blood pressure due to being in a hospital especially if your So called Negro, which is African ,Native American, or Hispanics peoples. Of which we have a very very adverse reaction in hospitals because of recent historical events & things we have ran into so its always going to be more elevated most of the time Which is not even taking into account. The way we view Medicine is got too change for sure.

Love this presentation, thank you so kindly.

Thanks you so much for you time

Great information👍

OK, so the good doctor thinks it is important to "start out with some facts" -- his first set of "facts" is directed at asking "why do we care?" I would have thought the first question would be, WHAT CAUSES IT? At around 25 minutes he gets to cause, says it’s important to know but we really don’t have a cause and must work on it. He doesn't tackle the cause question much beyond saying he doesn’t LIKE the word “essential” hypertension -- because he had no idea of the answer -- and that makes anything he pontificates about after that point irrelevant, since he is attempting to find bandaids for symptoms rather than cures for causes. Then he goes on to list “exacerbating factors” - putting obesity and various other things as “risk factors” (=CORRELATIONS). He points the finger at BEING fat (obesity); excessive SALT; NSAIDS (but not diuretics, which he would see as a “treatment” rather than a cause. He frets about sleep apnea -- but why would that cause hypertension? He doesn't ask! Does he wonder whether perhaps lack of sleep raises cortisol, which raises insulin? He goes on about "long-term sequelae" but where is the advice to TEST INSULIN? High insulin shows up AT LEAST A DECADE BEFORE the measure medicos rely on instead (fasting blood glucose and HBA1c) show up. He doesn’t mention insulin at all, as far as I can see. Does he consider whether the whole lot might be a metabolic dysfunction caused by rising insulin? Hey! HYPERINSULINEMIA both makes you fat AND causes you to retain SALT. Further, if you are given a diuretic for hypertension, you risk worsening your metabolic status (gout, inflammation, Type 2 diabetes). However, if you understand that eating carbohydrates raises insulin (to cope with the sugar), and INSULIN orders the kidneys to hang onto salt, you might then realise that you need to do something about the high insulin (not order people to stop eating salt or give them drugs to hammer the kidney into releasing the salt that insulin has ordered them to retain!!!) The answer is an insulin-lowering diet (very low carb or ketogenic). THEN glucagon can work to get the glucose OUT of the cells instead of constantly being stuffed into the cells. The weight comes off, the water comes off, the salt is excreted, the hypertension drops, the Type 2 diabetes recedes. Did I miss all that being mentioned in this little talk about the current knowledge? No, he was busy trying to gallop on to cover the "important thing" about the talk, which is the papers he wants to discuss about what is and isn't normal. He has missed the important part, which is not the bandaid treatment (he still thinks telling people to "lose weight and eat less salt" is what he should be doing, and he is focusing on how to measure and what is "normal" and how that has changed over time). So he is not only tackling the problem from the wrong end, he is not even looking for the answers to the causation question (which is in fact already known, and can be found if you look at the literature in a broader way). This is a great demonstration of knowing a lot of stuff without knowing much at all. It is the problem with failing to see the wood for the trees that you are busily chopping down. PS: (A presentation that is relevant here is "Are we blaming salt for what the sugar did? by Dr David Unwin | PHC Conference 2019" (KZfaq). At about 13 mins he turns from T2 to hypertension CAUSE.))

Can you advise on how one understand BP measurements after medication has started? If BP remains at 120 systolic with LOWEST dose of medication, doesn't this point to patient possibilty eliminating medication.

Farm to table. Not farm to factory to table. Stay thin and workout. Breath deeply and get your rest and sleep. Don't smoke and don't abuse alcohol. Have a long and beautiful life.

The technique to pump up a cuff to restrict the blood flow is over a hundred years old and creating high levels of stress. It seems an almost mideival approach, in a world where we supposedly landed on the moon over 50 years ago. If you watch dr Bergmans video explaining the implications of this measuring technique you'll see the problems. Also, a muscled trained person requires higher pressure in the cuff to restrict the blood flow than your grandmother does. IE muscle tone. This is well known. It's really ridiculous and a travesty. The modern motorized pump machines are even more atressful than the manual method further adding to the problem. They also most often pump up to an unnecessarily high preasure before going down again. Lowering the goals constantly over the years create more "patients" and adds enormously to the sales of the most problematic druga of all, blood pressure medicines.

Great presentation 👍👏Thank you 🙏