Hypertension Medications and Metabolic Health with Dr. Ben Bikman

[@shannoncowden9830]

In July 24 my husband took himself off Losartan and Lisinopril and went strict Carnivore diet. He went from 155/90 with the 2 BP meds to 128/80 within 1 month. He takes his BP every day.

[@sarahrosen4985]

​@@ax1066a-ghd2tell that to his doctor, who prescribed them together, and the pharmacist, who knowingly handed him both together.

[@cherylreed4377]

​@@ax1066a-ghd2😮

[@laurapoirier741]

None of the four apply to losartan what category is it?

[@geobus3307]

It's very unusual to be on both Lisinopril and Losartan as they both have nearly the same mechanism of action. Losartan is often given if someone has a an unwanted reaction to Lisinopril, such as a chronic cough. More importantly, stopping these meds suddenly can be very dangerous. It can cause an elevated heart rate which may strain the heart. Blood pressure may drop when heart rate goes up. Depending on the person, it could cause a heart attack. I'm glad your husband did OK. I'd still recommend seeing his provider asap.

[@keto-rebellion]

I told a friend to go low carb, ease off medication, and eat salt. Exactly opposite of what his doc said. BOY WAS I WORRIED I'D GIVEN CRAP ADVICE. 2 YEARS LATER HE'S OFF MEDICATION TOTALLY, eating salt freely, and blood pressure low and stable.

[@rickperez8044]

Ironically, you were more concerned about the possibility of giving bad advice than the intensely trained healthcare professional. Incredible.

[@keto-rebellion]

@rickperez8044 thank you for your comment. I'm just a nurse with a biological anthropology masters degree. Not a doctor. So I worry ...but I have 'cured' two students of mine, and two friends, of type 2 diabetes or hypertension by telling them to ignore their docs and eat low carb. The three friends I have who ignored ME and stuck with docs advice have worsening chronic disease. Two of them are on a you tube short I did...diabetic ulcers. Neither are mobile. Both on medication. I rest my case.

[@jobrown8146]

@@keto-rebellion You could refer them to Dr Sarah Hallberg's TED talk video - Reversing Diabetes begins with ignoring the guidelines. Also Dr David Unwin who has been helping patients in the UK for 10 years now and I think his remission rate is about 75% of patients.

[@TammyFriend7250]

Don't say JUST. When I was training, nurses used to teach the doctors. The best doctors were those who had listened to the nurses during their houseman days.

[@jobrown8146]

@ I agree with not saying "just". I had an older gentleman say the same thing to me when I was in my late teens. He asked me what work I did and I said: Just a typist. And many people say: Just a mum. It doesn't matter what profession you have, you are not a "just" anything.

[@ematise]

5:45 Thiazides 13:40 Beta blockers 20:10 ACE inhibitors 26:20 Calcium channel blockers

[@daverosa3279]

Thank you so much Dr. Bikman for this explanation. I was metoprolol and Lisinopril and my blood would drop to the point I would almost black out. The doctors would not adjust the medication and only told me to wear compression socks. I eventually took myself off the medication. My blood pressure without medication can still go as low as 100/60 but I no longer feel like I will pass out. My intake of foods caused my diabetes, heart attack and failure. Now my food intake has helped me heal. I really enjoy your videos and explanations. Thank you again.

[@idoiam.2351]

What a blessing you are, Professor Bikman. Thank you ❤

[@BitsySkittlesPryss]

Fabulous video! I've struggled with HBP for years. It definitely decreased on keto but I still have a way to go. It's very motivating to know that one of the BP meds I take can actually worsen my insulin resistance. It makes me want to get off these drugs even more. This is such a wonderful channel. Thank you, Dr. Bikman!

[@jobrown8146]

I started feeling fatigued and monitored my BP and realised that it was due to that. The fatigue I felt was different from feeling like I hadn't had proper/enough sleep. When I first went low carb I started getting dizzy when getting up off the floor after doing my pilates; at that time I halved it. Then a few months later the same thing happened and I halved it again.

[@natalieh1914]

Hello from Australia. Dr Bikman you are the best and I absolutely love your videos. At 57 I have a pituitary tumour, High blood pressure and also struggle losing belly fat. I have learnt so much & look forward to learning more. I would love to see a video on pituitary tumours and effects they may produce. You are a great speaker & motivator. Thank you

[@47retta]

I would love to see that too. My sister has a pituitary tumor also, which has resulted in Addison's disease.

[@golfergirl67]

My dr kept me on hydrochlorothiazide for 15+ years and never checked my potassium or insulin/blood glucose! Just told me to eat bananas. New dr had a1c checked 2 years ago. It was 6.2. With low-carb diet I've reduced it to 5.6.

[@JYAN2852]

@@golfergirl67 Diuretics are the worse BP meds. They deplete electrolytes and other minerals. Glad you got yourself off of it

[@johnbaragwanath3606]

😊😊😊😅😅😅😅😊😅😅😊😅😊😊😊😊😊😊😊😊😅

[@rickwardrop1877]

Good on ya!

[@jobrown8146]

Have you managed to reduce or get off the drug?

[@golfergirl67]

@jobrown8146 New Dr prescribed furosemide, which doesn't screw with insulin.

[@florabellucerio7222]

Thank you Dr. Bikman for all that you do. God bless. 🙏

[@clairehachey2189]

Thank you for sharing your knowledge Dr. Bikman!

[@patienceankrah4219]

Thank you, Dr. Bikman.

[@onecompass7290]

Enormously helpful, thank you very much Dr. Bikman

[@ssa8479]

I resumed a ketogenic diet in January 2024 after a two-year lapse due to relocation and some other issues. My BP fell, with the systolic going down to the high 80s. When I informed my doc, he got worried and quickly lowered the lisinopril dose from 20 mg to 10 mg. My BP has been stable since summer without the med (systolic ranges from 115 to 140, diastolic from 75 to 90). Planning to start strict carnivore from the new year.

[@TammyFriend7250]

Depending on your age 115 could be too low. Many people over 50 may need a higher blood pressure. Lower blood pressure in older people can be the cause of falls, dizziness, light headed, trrips. See Dr Suneel Dhand on BP in older people.

[@floatingmoon5778]

I developed type 2 immediately after being put on hydrochlorothyazide and another blood pressure medication, can’t remember the second one. But I had started gaining weight, despite cutting my calorie intake to between 800 and 1200 kcal a day, and hiking and walking miles every day. Was feeling bad, and discouraged. Went to the doctor, diagnosed diabetic. WHAT a disaster! A few years later, still on the meds but happened to consult a naturopathic doctor who had been a pharmacist prior to going to Bastyr for an ND degree. SHE reviewed my history and commented that she believed the hydro contributed significantly to my diabetes. Sadly, she recommended the same heavy vegetable , fruit and grains diet. I didn’t discover low carb until 4 years ago just prior to the pandemic lockdown

[@curlyq9901]

Thanks!

[@benbikman]

curlyq9901, you’re kind. Thank you. Not ever expected but noticed and appreciated.

[@barbarawillins1618]

Excellent as usual

[@CherylNasser]

Thank you Dr Bikman. This was so informative for me. Your videos are amazing.

[@24bellers20]

Top lecture. Thankyou.👏🏻👏🏻👏🏻👏🏻

[@odaynedaley7080]

Thank you

[@andersnorelius6876]

This is so darn interesting that I do not have the words to describe it. All these drugs....... None of them really CURES anything at all. Our western eating pattern, all over the world, makes us sick. These drugs actually make things worse. I sometimes bring this up but it is so delicate that most people just do not want to listen. I now keep a low profile and I try to just answer questions.

[@ssa8479]

I have three siblings, none of whom will listen to me about going low carb. They change the topic, saying they would rather listen to a doctor than to me (I have a grad degree, but it's not even in science). Yet all three have metabolic syndrome to varying degrees and are on meds. Pre-diabetic, non-alcoholic fatty liver disease, sleep apnea ... I'm the second of the siblings, age 65. They attribute my decent health to luck, not my lifestyle.

[@jellybeanvinkler4878]

I can relate. No one listens to me...they just think I'm weird! And some openly argue that reducing carbs is dangerous! But I think most simply can't imagine life without sugary treats and desserts. I struggle with weight, but at 69, I am on no Rx to maintain metabolic health. I am the only one in my family that can maintain perfect blood work numbers without meds. Low carb, as a rule, but the occasional sweet treat does not throw me off the rails. My blood pressure rides at about 115-120/60-70. But I can get it much lower at will, by adjusting carb intake.

[@ssa8479]

@@jellybeanvinkler4878 an occasional treat should be fine, it's what we regularly do that matters. I had a fairly generous slice of pie on Thanksgiving. Probably kicked up my glucose a bit for the next day or two, but it should have leveled out soon enough. Other treat days are my wife's, kids and grandkids' birthdays.

[@jobrown8146]

"All these drugs....... None of them really CURES anything at all. Our western eating pattern, all over the world, makes us sick. These drugs actually make things worse. " That's what I've have learned over the last 3 years. Just by going low carb I remitted my diabetes, got to my ideal weight without trying, off BP drug, sleeping better, now metabolically healthy proven by blood test and liver scan. And the most unbelievable thing that happened (I didn't know it could), my grey hair (I'm now 67) is returning to its proper colour; my boss says that she can see the difference.

[@jobrown8146]

@@ssa8479 For me it's two adult daughters and a son in law. I've remitted my diabetes and gone from 80kg down to 60kg _without even trying_ (I only do light exercise/stretching/hand weights due to back and knee isses). One daughter said she couldn't give up her bread, other daughter and son in law both say they will listen to doctors. The married couple saw me at the 1 year mark and they were both overweight. I've seen them recently and they are even bigger. I've been low carb for 3 years.

[@carlsapartments8931]

Excellent as usual, thank you.

[@LouellaDesouza]

Wonderful discussion Thankyou

[@rebeccapenders5050]

Another great one ❤

[@jobrown8146]

Thank you. This was very interesting. Thankfully I've been able to stop my BP drug after going low carb.

[@nadifouldi3131]

Thanks for this video.

[@keG1494]

Oh my gosh! This was so informative! I have stage III kidney disease, most likely from taking NSAIDs literally for decades. I’m on three (down from four) BP meds and technically diabetic with an A1C of 7.5. The drugs I take are the drugs you listed! So which came first, the chicken or the egg? I feel like I’m caught in a whirlwind. I’m restricting carbs, hoping to solve this vicious cycle I’m in.

[@cherylreed4377]

Im on 3 but eating this way seems to have helped my meds be more effective ,hoping my bp will stay lower on its own been taking every other day but recently listened to Dr Boz say bp needs to be in the 1 teens over the 70's- so I guess I should shoot for lower now😮

[@joanneurbanowicz4994]

Anyone take cayenne pepper heard it helps BP also

[@joanneurbanowicz4994]

Am not sure thought salt was good

[@joanneurbanowicz4994]

How do you get rid of high aldosterone please ( I have ).

[@diyrvsolarandmore9754]

What about angiotensin II receptor blocker (ARB) medications?

[@paulblijkers1549]

I suppose ARB’s were “indirectly” covered by ACE inhibitors? They both impair the RAAS process, therefore same effects. No Angiotensin II action (vasoconstriction) and no aldosterone action (reabsorption of NA and H2O by the kidneys). I suspect they will both (ACE inhibitors and ARB’s) have the same metabolic advantages; less oxidative stress and inflammation (better insulin sensitivity) and promoting fat cell growth and differentiation. Hoping this will help?

[@morganmoren4467]

Realy good information! :).

[@chrissymcdonald8846]

👏👏👏👏👏👏as always thank you 🙏🏼

[@Dr_Boult]

Went keto and dropped by BP and associated meds in < 1 week, so yes, I plan on it. I though I'd add that there is also a known effect of BP and covid.. After a year+ on keto with good BP, I got COVID-19 (no major symptoms I'd had multiple vaccines), but my BP shot back up to over 130. Had to go back on meds. Been on them 3 weeks and not back to normal yet. Hope to get off in a while but if you drop the meds from going low-carb. Maybe keep the old pills just in case you get covid. Covid raising BP occurs in 15-20% of people

[@tomwiggin4887]

What about the ARB's such as Losartan?

[@Kagiton]

What is the diffrence btwn ACE and ARB (Candersartan)?

[@tomwiggin4887]

ACE inhibitors and ARBs inhibit the renin‐angiotensin system (RAS) but have different sites of action; ACE inhibitors inhibit the conversion of angiotensin I to angiotensin II, while the ARBs antagonize receptor binding of angiotensin II to AT1 receptors.

[@charusheelapatil8417]

Thanks.

[@sadiktop]

it is great information. One small thing; the criteria for hypertension has changed. You mentioned the old ones.

[@chazwyman]

What about Angiotensin II Receptor Blocker like Candesartan?

[@PrasantaDatta-f3g]

Primary (Essential) Hypertension may be managed by dietary modifications e.g., carnivora diet but Secondary Hypertension needs specific treatment e.g., Hypertension due to renal artery stenosis needs operative intervention. Primary Hypertension is essentially a disorder of metabolic syndrome the correction of which reverses BP.

[@HighlandUrgentCare]

I think you have this backwards....primary hypertension often of genetic origin is a nitric oxide deficiency at the level of the endothelium. Secondary hypertension is often caused by obesity and other metabolic disorders improved and often eliminated by weight loss and improved insulin resistance. Though renal artery stenosis is considered a Secondary cause it is a rare phenomenon.

[@felyf71]

Make sure you dont get to the stage that you cannot treat with diet.

[@karenmurray3785]

@benbikman: Do you consider the ARB class (for instance Losartan) to have the same actions on metabolism as the ACE class? As you didn't specifically talk about ARBs

[@gotmama2]

I had to drop Lasix, stop carvedilol and 1/2 my dose of losartan within a week of starting carnivore (in consultation with my cardiologist). Still, whenever I leave the cardiologist office, they give me a packet of papers including recommendations to reduce salt and saturated fat. Pretty sure Lasix, which is not a potassium sparing diuretic contributed to the hypertension (and to "KILL ME NOW" - muscle cramps in my calves and feet).

[@vincyjustin8114]

Dr Ben this was a wonderful metabolic class as usual . I just wanted to point out that you didn't talk about ARBs.

[@nannygirlkc]

I've been strict carnivore for 19 months and it's had NO effect on my hypertension. I'm 73 and don't need to lose any weight. I took myself off of Metoprolol 50 mg and Amlodipine 10mg a year ago because it didn't lower my BP. The only thing that helped was when he added the hydrochlorothiazide. Then it was normal, but it messed with my sodium, so I stopped that, too. When I donate blood, my BP is normal for a few days. Otherwise it runs 137/97 - 180/115. The other day my new NP put me on Olmesa Medox 20mg at bedtime and Torsemide 10mg PRN. If my legs feel waterlogged, I take the Torsemide. We'll see...

[@jobrown8146]

Have you seen Dr Ken Berry's videos about blood pressure and what is "normal"?

[@cherylreed4377]

I just watched someone interview Dr Boz and she is now saying our bp should be in the 1 teens over 70's😮

[@jobrown8146]

@@cherylreed4377 Yes, I saw that too. Who or what do we believe? For me once my BP got below 120 I started feeling fatigued.

[@jobrown8146]

@@cherylreed4377 Dr Ken Berry says higher numbers are okay.

[@stephenn3727]

Thank you sir

[@colleenbecker8502]

Ben, can you please provide the same metabolic impact for ARB’s?

[@btudrus]

32:40 - not just that Insulin increases Aldosterone. It also directly controls the transporters in the kidney which are responsible for the (re)absorbtion of salt. See Soleimani. Insulin resistance and hypertension: new insights 2015.

[@joanneurbanowicz4994]

I have high aldosterone giving me high blood pressure

[@btudrus]

@@joanneurbanowicz4994 You mean Primary (Hyper)Aldosteronism ? That is not good. High chronic aldosterone causes your body to produce more fructose which is the toxic part of sugar (via the polyol pathway activated by elevated blood osmolarity). Make sure you don't eat any sugar and keep overall your insulin low!

[@endico]

37:40 If you adopt a low carb diet it is very likely that your blood pressure will drop so quickly that you will need ..... THIS IS NO JOKE! A couple hours after watching this after it was released on Thursday I fainted in the bathroom and my blood pressure in the ER was super low (diastolic in the 30's). On the bright side, I'm no longer taking lisinopril.

[@robertmonical9462]

After I left the Army, my high normal BP became high. was on metropolol for decades before my new cardiologist told me it caused obesity. I am on carvedilol now.

[@JYAN2852]

Ben you didn't mention ARB's?

[@markotrieste]

Exactly, I was missing that too.

[@JYAN2852]

@markotrieste Yep I was waiting for him to speak on the functions of ARB's as these are more commonly prescribed

[@carolynhunt7333]

He did a separate video on them a few months ago. Good news is Valsartan and Losartan actually get rid of fat cells. (I think the video was posted in the early fall or late summer.)

[@bahalana923]

Yes please! I myself, I take Telmisartan, and it has none of these side effects that were mentioned. If anything, Telmisartan has some benefits to metabolic and exercise point of view. At least according to some literature that I've read.

[@Darnabymom]

@@carolynhunt7333thank you! I will look for it.

[@ax1066a-ghd2]

The ARB family of blood pressure lowering medications (eg. Losartan) weren't mentioned. I believe they work in a similar way to ACE inhibitors although there is a difference.

[@1man2many]

OhNO! Dr. Bikman, I humbly suggest you have 'buried the lead' in this lecture! How I wish you had moved the DASH diet information to the front, as 'Before getting into medications, let's talk about dietary advice you may be following...." So many of my over-50yo friends and family are on bp meds, and they will NEVER make it to the end of this excellent lecture. Please consider making a short of a clip to share? Thanks for reading.

[@shoegal7]

Simply timestamp the part of the lecture you want your friends to watch, and send it to them.

[@benbikman]

kzbin.info/www/bejne/roTPqX9vapubfdE

[@karilockremwellness8123]

The title of the video is hypertension medications…. I definitely came to hear that first.

[@obrotcho8289]

Great video and information as always. May I ask: Could there be a reason why blood pressure doesn't reduce as expected on a carnivore diet after 2.5 months of adopting this low carb lifestyle? Could it be the coffee, usually not more than two cups per day and a cup of black tea as well?

[@BobiJensen]

What about the class clonidine is in?

[@PrasantaDatta-f3g]

@@BobiJensen Centrally acting antihypertensive not used as first line antihypertensive.

[@joanneurbanowicz4994]

Dr i have high aldosterone hormone did the resin blood test ( so should i have more salt) how much suffer with woozy heads and head pressure heavy heads all only the last 12 to 18months.never before

[@CherylNasser]

Been on Atenolol(Tenorman), for over 20 years. Mg was upped this year. Was on the lowest mg for that 20 years. So did pretty good. However, they never figured out why I had high blood pressure. Have feeling, that it has caused problems with my blood sugar, fat lose and other issues. I'm sad as they did try me on other meds, but they didn't work.

[@Sal_y_Luz]

What about ARBs (Angiotensin Receptor Blockers) , I suppose they are in same metabolic category as ACE-Inhibitors?

[@davidzaharik5408]

Would love to hear of the alpha blockers like Tamsulosin (Flomax)... what does that do to insulin and fat cell metabolism?

[@megandowling8746]

What about ARBs like losartan?

[@yogagayo8695]

Thx proff..

[@Darnabymom]

How about Valsartan and Losartan? Are they in a separate group than the ones mentioned. Two loved ones have been prescribed these. I would love to hear your take on these.

[@anonymoussource7999]

I’d like to know about Losartan too.

[@Darnabymom]

@ in another comment someone said he posted a previous video on this class of BP meds. I have yet to find it. It isn’t in a title. I do hope he addresses this a little more obvious for those of us wondering.

[@donnatodd4119]

Losartan is in a class called ARBs. Although the notes under the “more” section mentions ARBs he didn’t actually discuss them. But further down in those same notes they summarized things by saying: “Notably, some classes of these medications, like ARBs, may improve insulin sensitivity, while others, like beta blockers and diuretics, can impair it” So if you have to be on BP meds, it sounds like these are the best ones to be on.

[@yogagayo8695]

hypertension = type 2 diabetes; 99% of people with hypertension are obese, 99% of people with type 2 diabetes are obese, both are the result of poor food management, insufficient exercise and training, poor sleep hygiene and a bonus that is not necessary for either, but goes with both, is stress.. I didn't say that, but a doctor at a conference for diabetics.. and his introduction was; hello everyone, I'm glad to be here, but now I'm going to insult you all..🤷‍♂️

[@donnatodd4119]

I was waiting to hear the discussion of ARBs, mentioned in the lecture notes, but never heard them specifically brought up. I believe they resemble ACE inhibitors and therefore should share the benefits of increasing insulin sensitivity.

[@gotmama2]

Following... I'm still on losartan, an ARB...

[@KCallaAK]

I also am on Losartan Potassium, an ARB

[@donnatodd4119]

In the section under “more” they summarized his comments saying: Notably, some classes of these medications, like ARBs, may improve insulin sensitivity, while others, like beta blockers and diuretics, can impair it. It sounds like those of us on ARBs are on the best BP med.

[@KCallaAK]

@@donnatodd4119 Thank you!

[@ematise]

Can I have a question? Indapamide: I read that this is a thiazide-like diuretic. But the side effects are same as of thiazides. Are the side effects on lipolysis for the both of them the same?

[@great-garden-watch]

Toprol xl is supposedly cardioselective. Im on keto but also need muscle energy. I wont be on toprol for long but am depending on weight loss to get off toprol. Ug.

[@sorinelpugna7371]

Nice ❤

[@Katxseven]

I'm quite unwell, without going into any detail right now. However, I have severe anaphylaxis with ACE Inhibitors. I can't ever take any form of an ACE Inhibitor again, per the ER doc. I believe him! I cannot help but wonder why I have that reaction. As of note, I have hyperaldosteronism. Lastly, yes of course I'm obese after decades of prednisone for an uncurable autoimmune neuromuscular disease. I'm now steroid dependent with Adrenal Insufficiency. 😔

[@kimelliott4771]

Dr Bikman, I have been a fan for years, I have been on Atenolol for high blood pressure for 25+ years, I just turned 70 and my bp seem to be slightly raising, diastolic seems barely affected but systolic seems to run from 120 to 138 which I understand is too high. I would love to discuss this with you further, do you have like a message board or another means of contact, thank you. By the way I’ve been on Carnivore for nearly 3 years, lost 90 lbs and my pb and labs have been stellar until now, I could use your insight Dr Bikman

[@arwenhardy1995]

Hope this helps but blood pressure naturally increases as we age (I'm 60). Most folks would be ecstatic to have your readings. 🙏💖

[@benbikman]

You can learn more about becoming an Insider on my website: www.benbikman.com

[@janetmcburney4582]

The ranges were lowered to 120 over 80 just so they can sell more BP medications at 70 but your BP is at is just fine.

[@mundhirkhatib8293]

U should be proud of yourself

[@paulblijkers1549]

Hi classroom, I am just trying to make sense out of this particular subject, and came to the conclusion that I probably missed something important (easily done…). But, If you take any of these blood pressure medications (except for ACE inhibitors, obviously), and your blood pressure starts to drop (and/or NA levels), shouldn’t RAAS (Renin Angiotensin Aldosterone System) quick in? Or does everyone of us have a personal “threshold” below which RAAS will be triggered? This may explain why these medicines are not very effective (RAAS trying to correct the drop in BP); before I started my Keto diet (a year ago), I was on two BP medicines (Diuretic and CA Channel Blocker) and it didn’t work! Luckily today my BP is fine, without any medications. Does any one of you have an answer?

[@pattyv341]

Anybody has a link to the high fat dash diet or the article?

[@Alan_Clark]

33:10 (The DASH diet).

[@OyMongoose]

Interesting, thanks. How about Furosemide? And Telmisartan - not sure what class that falls into.

[@karilockremwellness8123]

Thank you for this! So helpful! I am assuming spironolactone works as hydrochlorothiazide?

[@shirleydilleshaw5289]

So what do we take for high blood pressure. I’ve been carnivore 3 months and no change so can’t just stop them I’m on valsartan, Amlodipine, metropolol & furosemide. Anyone have advise? Thanks for a very informative vid

[@sankty1]

Than you for the lecture Dr. Bikman. Could you discuss Angiotensin II Receptor Blockers like Losartan?

[@CarolineMeijdam]

Yes please

[@cherylreed4377]

I took hydrochlorithiazide and had terrible pains in my big toe and constipation plus my cholesterol went up- i lokked into the side affects further and found out it can cause one to become diabetic- i took myself off of it then told my Dr why- i know several people who take it and have become diabetic 😢

[@katmeyster]

Did I miss Losartan?

[@JYAN2852]

@@katmeyster No. Ben did not talk about ARB's strangely

[@anonymoussource7999]

I’d like to know about Losartan too.

[@JMK-vo8pv]

Hey Ben, doesn't the "DASH" diet recommend that approximately 55% of daily calories come from CARBOHYDRATES? So why in the world would a cardiologist attempt to put a known type 2 diabetic, with concurrent CVD, on such a diet? That's what happened to me********makes ZERO sense!

[@willemvanriet7160]

Same story with all these chemical treatments. Focus on blindly bringing down the symptoms while doing nothing to solve the root cause

[@jobrown8146]

And giving more drugs for the problems the initial one/s cause ...

[@mortezaariana1444]

Preise kindly let us know the title of that das diet Studio wird saturated fat. I nee it for my audience

[@47retta]

I'm on metoprolol, overweight by 50 lbs, normal A1c, normal glucose, insulin 29, so i need to switch to an ACE drug, or calcium channel blocker drug. That's what i got from this.

[@robertsmyk4102]

How about people who drink alcohol and take HBP meds and then become addicted to both of these substances.

[@samuel97ification]

How is a low carb diet defined? Is it mostly protein and fat and little carbohydrate (Non starchy vegetables and fruits)?

[@benbikman]

www.insuliniq.com/eat-insulin-smart

[@bigr0075]

Beets, beetroot powder and Celery lower blood pressure.

[@TammyFriend7250]

Co-Aproval in the UK for combined with thiazide.

[@vadimesharak726]

So, LCHF does lower the BP at some degree, especially from high digits to just elevated. And the second stage, from elevated to normal, would take awhile, usually years.

[@BeefNEggs057]

Fixed mine after 20 years of meds. No meds now 120/80. Feel so calm too. Veggies aren’t good for humans. Mentally especially.

[@PFCNordic1]

It’s logcik because LCHF lesads to a lover bloodsugar whic in turn is the major criterium for the formation of cholesterol which is the primary of the stereoid hormones, of which aldosterone is a bit « down the pathway» thus depending on appropriate progesterone levels. Progesterone is a precursor of Aldo, hence progesterone deficit amplifies the Aldo-system Ben adresses.

[@hopebear06]

Dr Blinkman.

[@anne-louisegoldie]

I've taken propranolol twice daily as a migraine preventative, for many years. I really wish I could stop taking it. It makes me feel flat and slow and dull. No idea what the long term effects on my body and brain are. From your video, it doesn't sound good, especially as I'm in my 50s now. You can't just stop propranolol, in case you have a heart attack. I seem to be stuck though, as apparently there's no alternative to prevent the migraines, which I've had since childhood, and they're horrid.

[@joecaz]

Comparison of the DASH (Dietary Approaches to Stop Hypertension) diet and a higher-fat DASH diet on blood pressure and lipids and lipoproteins: a randomized controlled trial1-3 Chiu, Sally et al. The American Journal of Clinical Nutrition, Volume 103, Issue 2, 341 - 347 DOI: 10.3945/ajcn.115.123281

[@Rtd_astro]

Could not watch video, just listened. You were blinking so often! Excellent content

[@ken3marcus]

Wow, diuretic BP meds make it harder to lose weight /fat!

[@jmh8510]

No matter what med I take my bp is always the same. I’ve got a perfect animal based diet, normal weight. I’m type 1 diabetic. I lift weights and move my body plenty. I don’t drink smoke etc. I’m out of ideas and Dr just pushes drugs. I went off the 80 mg valsartan for months and my no is the exact same on or off. Huh!?!?! What could be going on. Always 140/80-90 And little to no caffeine

[@BeefNEggs057]

How many carbs do you eat?. Insulin definitely impacts my BP so exogenous insulin probably does too. Insulin drives inflammation including vessels and arteries. Keep your glucose as stable as possible so you don’t need as much insulin. Doctors don’t know insulin is the driver for some reason. It certainly isn’t salt. Zero impact on me. Try 20grams or less carbs - mostly meat and eggs. If that doesn’t work - it should - perhaps you have a food allergy to something. Also be sure you’re getting electrolytes including potassium and magnesium and more salt. Not less.

[@javlynblue2024]

Add Grapefruit as well. Try elimination diet as well.

[@jmh8510]

@ I eat primarily beef and eggs. 20-30 carbs per day. But I absolutely have to dose for beef and eggs. Just not like fruit or starchy veg, which I don’t consume hardly ever. I take a total of about 25 units total insulin per day (long + short acting). I do appreciate your reply tho. Helpful info❤️.

[@btudrus]

do a screening for primary aldosteronism...

[@javlynblue2024]

@jmh8510 I heard, Any stenosis or Blockage in Renal Vessels or Around Abdominal Aorta and Branch vessels can also cause BP issues.

[@askyourselfwhatdoyoureally3542]

Coffee has a holt on me...

[@manojlogulic4234]

From how high to normal range? How much coffee you consumed and in what timeframe your BP get normal after stopping coffee? Thanks.

[@askyourselfwhatdoyoureally3542]

@manojlogulic4234 6 cups in the morning.. I try not to consume any the morning... Blood pressure is usually 140 over 90

[@askyourselfwhatdoyoureally3542]

@manojlogulic4234 133 over 82 just now

[@askyourselfwhatdoyoureally3542]

@manojlogulic4234 yes I have stopped coffee in the past and it did help my blood pressure... Usually 120 over 80 on decaffeinated coffee

[@proverbsaremything]

What are your thoughts on the alleged green tea fat burning promises?

[@charlestoast4051]

So you really need to consult your clinician - or use a $30 blood pressure monitor.

[@markme3259]

…interestingly, propranolol is outlawed for professional pool players…

[@BillyBoy66]

Ben, this video could have been less that 10 mins long. Or at least you could put chapter markers in so people could easily find the medication they're on and skip to that. Most folks don't have time to watch 40 min videos. Please consider this.

[@charleszagara3010]

These videos are way too technical