May 15, 2013



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    How to Lower High Blood Pressure

    For all of us, the risk of high blood pressure-

    hypertension-increases as we get older.

    It's one of the most common chronic disorders that we face.

    Now, an authoritative guide from Berkeley Wellness clearly

    explains how to prevent or control hypertension - by providing

    you with

    Expert Advice on Diet, Lifestyle, and Medication

    Written by John Edward Swartzberg, MD., F.A.C.P.,

    Chair of the UC Berkeley Wellness Letter,

    and his colleague, hypertension expert Mario L. Corona, M.D.

    From the desk of: Tom Dickey, Editor

    As a long-time follower of a wellness lifestyle, I've managed to side-step any serious health problems so far. But several months ago I got concerned. During my annual physical, my blood pressure - which was measured twice during my office visit -- was significantly higher than what is considered optimal.

    Since this was the first time my blood pressure had jumped to that high a level, my doctor asked me to check it on my own with a home monitor. Once I did, it turned out that I probably have "white coat" hypertension - meaning my blood pressure rises in the doctor's office but not at home or elsewhere during my normal routines. But I've since learned that white coat hypertension can increase the risk of developing sustained, chronic high blood pressure.

    So I'm keeping tabs on my blood pressure and on how to control it. And I can now turn to a new authoritative source of information - an in-depth Wellness Report from experts at the School of Public Health at the University of California, Berkeley. It's called How to Lower High Blood Pressure: Expert Advice on Diet, Lifestyle, and Medication.

    No Symptoms - But a Potentially Serious Impact
    on Your Health

    Are you aware that you can have high blood pressure and still feel perfectly healthy? That's because high blood pressure seldom causes any symptoms. But untreated, this "silent killer" will eventually make its presence felt - with a stroke or worse.

    The statistics are sobering:

    • Hypertension affects 1 in 3 Americans.
    • Borderline high blood pressure -- prehypertension (a condition that often leads to outright hypertension) -- affects more than a quarter of all Americans: roughly 53 million of us.
    • High blood pressure is the #1 risk factor for stroke - the fourth-leading cause of death in the United States and a major cause of serious, long-term disability. About 8 out of 10 people who have a first stroke have high blood pressure...

    Because high blood pressure is almost always symptomless, many people think it's not so serious. And that's a SERIOUS mistake: untreated high blood pressure harms the body over time in a number of ways.

    Not only does it increase your risk of stroke, but also of heart disease and heart attacks. And that's not all: evidence has shown that chronic high blood pressure can contribute to dementia, kidney disease, and vision loss, and it can cause sexual performance issues in both men and women.

    But there is GOOD NEWS: High blood pressure is easy to diagnose and is almost always treatable. And following through on blood-pressure-lowering strategies can have a positive impact on your state of health almost immediately.

    Studies show that people who get their high blood pressure under control reduce their risk of stroke by at least 50% and significantly lower their risk of heart disease and cardiovascular mortality. Research also indicates that gaining control of elevated blood pressure can reduce your risk of dementia. Moreover, many of the lifestyle measures for lowering blood pressure - like adjustments to diet and getting more exercise - have the added benefit of improving overall health and longevity.

    If you or a loved one has high blood pressure or are concerned about developing it, it's critically important to learn everything you can -- so you can partner with your doctor effectively, ask the right questions, and understand the answers.

    You may have wondered:

    • Is there anything in your life that puts you at increased risk for high blood pressure?
    • What are the relative merits of different lifestyle changes for lowering blood pressure?
    • Which changes are people most likely to initiate and stick with?
    • How much time should you allow for lifestyle measures to work at lowering blood pressure?
    • What do the latest guidelines say about when to consider blood pressure medication?
    • How can you cut back on salt while keeping meals appetizing?
    • Which foods are the best sources of potassium and magnesium - two minerals that can help reduce blood pressure?
    • How important is exercise? What's the best way to lose weight?
    • How does the DASH (Dietary Approaches to Stop Hypertension) diet help with blood pressure?
    • Can you still drink alcohol if you have high blood pressure? What about caffeinated drinks?
    • When should you monitor your blood pressure at home - and what's the right way to do it?

    To answer these and other key questions - and help you achieve your goals -- we asked two experts at the University of California, Berkeley School of Public Health to share their wisdom and hands-on experience in How to Lower High Blood Pressure: Expert Advice on Diet, Lifestyle, and Medication.

    You may already know John Edward Swartzberg, MD. F.A.C.P., from his position as Chair of the Editorial Board of the best-selling University of California, Berkeley Wellness Letter - where each month he writes his regular "Speaking of Wellness" column. A noted internist and infectious disease specialist, Dr. Swartzberg is Clinical Professor of Medicine at UC Berkeley and UC San Francisco and Director of the UCB/UCSF Joint Medical Program, an innovative cross-disciplinary program of the Schools of Public Health an Medicine.

    Mario L. Corona, M.D., an Associate Clinical Professor of Medicine at UC San Francisco and UC Berkeley, is a practicing internist and nephrologist with a special interest in the diagnosis and management of hypertension. As an attending physician and clinical instructor at a number of hospitals and medical centers in the Bay Area, Dr. Corona works on a daily basis with patients trying to control their blood pressure.

    What You Can Do About . . . Prehypertension

    Drawing on the latest research findings, Dr. Swartzberg and Dr. Corona answer your questions about high blood pressure - what it is … how the body regulates blood pressure … how to make sense of blood pressure numbers … the causes and risk factors for hypertension … and the special categories of hypertension, including isolated systolic hypertension, white coat hypertension, masked hypertension, labile hypertension, and resistant hypertension.

    But the core chapters of How to Lower High Blood Pressure focus on practical steps you can take right now to lower your blood pressure and maintain your health - your wellness.

    Dr. Swartzberg and Dr. Corona begin by addressing a
    problem many people have - prehypertension

    It wasn't so long ago that a blood pressure reading that within 120/80 mm Hg to 139/89 mm Hg was considered "high normal" - but not harmful. Now, thanks to recent studies, we know that people with blood pressure in this borderline range are twice as likely to develop full-blown hypertension as those who have normal blood pressure - and the rate of progression can be rapid.

    In fact, as How to Lower High Blood Pressure explains, the risks to your health begin to compound if you have prehypertension. A 2010 British review in the Journal of American College of Cardiology estimates that prehypertension has hastened the deaths of 30 million people worldwide since 2000. While no one knows the exact number, there is little debate that prehypertension is a precursor to hypertension and that it can put you at risk for a number of debilitating diseases if left untreated.

    Fortunately, our experts tell you exactly what to do if you have prehypertension - and address the much-debated topic of whether or not someone with prehypertension should take medication for lowering blood pressure.

    The Right Lifestyle Changes

    Which lifestyle measures lower blood pressure the most? Diet? Exercise? Weight loss? Reducing your salt intake? Our report will tell you what changes to focus on -- and how to incorporate each of these key strategies into your own life to better control blood pressure. In clear, concise language, the authors tell you:

    • The best way to lose weight
    • How the DASH diet helps with blood pressure - and how to get started
    • 8 steps that virtually guarantee a dramatic reduction in your sodium intake
    • The benefits - and the optimal amounts - of potassium and magnesium in your diet
    • 4 foods that edge down blood pressure
    • Whether to skip your daily cup of coffee
    • What the latest evidence shows about the effects of stress reduction

    When Medication Is the Next Step

    For some of us, making the right lifestyle changes alone isn't enough to lower blood pressure to healthy levels -- and your doctor will recommend that medication should be the next step.

    Currently, there are 10 main classes of blood pressure drugs. How to Lower High Blood Pressure discusses each of them: their effectiveness and side effects as well as recent research findings. We explain how you and your doctor choose a particular medication regimen, when you might need a combination of drugs, your treatment options if you have other health problems, and how to treat resistant hypertension that doesn't respond immediately to medication.

    Ask the Expert

    In a special section of the report, Dr. Corona addresses questions that he is commonly asked about the challenges of successfully controlling high blood pressure, including:

    • Which lifestyle factor is most closely associated with elevations in blood pressure?
    • Are there factors contributing to high blood pressure that people overlook?
    • Can adding whole grains or other specific foods make a difference in controlling blood pressure?
    • How much time should you allow for lifestyle changes alone to lower blood pressure?
    • Given the number of blood pressure medications available, how does a doctor choose an initial drug regimen?
    • Do most people require more than one medication?
    • Is a fixed-dose combination drug a better choice than taking separate doses of each medication?
    • Because hypertension produces no symptoms, sticking with a treatment plan is a problem for many people. What can people do to improve their adherence?
    • When is monitoring blood pressure at home useful?
    • When does someone need to see a hypertension specialist?

    Direct To You from the UC Berkeley School of Public Health

    If you're a regular reader of the UC Berkeley Wellness Letter, you already know and trust the advice and insights of the School of Public Health, which for more than 60 years has helped promote and protect the health of Americans.

    The School of Public Health is one of the nation's leading research and teaching institutions. Its internationally renowned faculty includes physicians, educators, nutrition experts, epidemiologists, psychologists, and other public health professionals. You simply won't find a more knowledgeable and trustworthy source of the information you require for your health and well being.

    Still Not Sure You'd Benefit From This Special Report? No Problem

    Our No Strings, Must Be Satisfied Guarantee

    How to Lower High Blood Pressure: Expert Advice on Diet, Lifestyle, and Medication comes with a risk-free guarantee of satisfaction: if you're not satisfied for any reason, simply contact Customer Service within 30 days for a prompt refund of your full purchase price of just $24.95. So you risk nothing.

    Take control of your high blood pressure with the help of your friends at the School of Public Health at the University of California, Berkeley. Place your risk-free order today.

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