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Hypertension Optimization Program

High blood pressure is silent, but its consequences are not.

You are important to the people in your life — and staying healthy keeps you with them.

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Why Blood Pressure Matters More Than You Think

Hypertension is common.

Badly treated hypertension is just as common.

What damages the heart, kidneys, and brain isn’t “having a mildly high number for a few years”

It’s years of hidden strain, every hour of every day, that slowly steals mobility, energy, cognition, and independence.

Our goal is simple:

to keep you alive, healthy, functional, and present — for the people who love you.

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1. The Real Causes of Uncontrolled Blood Pressure

Surreptitious sodium intake

You’d be surprised how much blood pressure trouble comes from:

• Late-night chips, popcorn, crackers

• Restaurant food

• “Healthy” frozen meals

• Deli meats and canned soups

These add hundreds (sometimes thousands) of milligrams of sodium per day.

NSAIDs and other medications that undo your progress

Ibuprofen, naproxen, cold medicines, some antidepressants, and steroids can cancel out your blood pressure meds.

Not taking medications consistently

Skipping meds doesn’t cause immediate symptoms, which is why it’s tempting…

but untreated hypertension is undefeated over long time frames.

OSA (Sleep Apnea)

A major — and reversible — driver of hypertension.

Treating OSA often lowers BP more than adding a second medication.

White-coat vs. masked hypertension

Some patients look great in clinic and terrible at home — or the opposite.

Both patterns are critical to diagnose correctly.

Secondary causes (often missed)

Especially when:

• under age 40

• not African-American

• no family history

• sudden or severe onset

We screen for:

• Renovascular hypertension

• Primary aldosteronism

• Adrenal or endocrine issues

• Kidney disease

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2. What Numbers Actually Matter

Not everyone needs a “perfect” 120 systolic.

For many patients:

• 120–129 is ideal

• <135–140 may be safer and more livable

• Diastolic goals vary with age and coronary risk

We aim for the safest number you can sustain without side effects or misery.

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3. Medication Strategy — Safe, Personalized, Effective

ACE inhibitors

Fantastic medications for many patients — unless angioedema occurs.

Less effective in African-American patients, so we tailor to the individual.

Side effects we monitor

• Angioedema

• Depression

• Low potassium

• Fatigue

• Arrhythmias

• Sexual side effects (rare but important)

GLP-1 medications

Semaglutide, tirzepatide, and similar agents:

• Improve insulin resistance

• Reduce inflammation

• Promote weight loss

• Lower systolic BP by 5–10 mmHg on average

They are powerful tools when used responsibly and monitored.

Medication timing matters

Morning vs evening dosing

Standing vs seated BP

Adjustments during illness

Avoiding NSAIDs

Avoiding decongestants

Small changes create large improvements.

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4. Proper Home BP Monitoring (Done Correctly)

Most people check their pressure wrong.

We teach:

• How to sit

• Which cuff to buy

• When to measure

• How to interpret patterns

• How standing BP reveals hidden hypertension

• When to ignore a “panic reading”

Better measurements → better decisions.

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5. The Real Goal: Keeping You Here

 For over 50 years high blood pressure described in US Public Health as the silent killer

**“Blood pressure doesn’t just shorten life. It shrinks it — energy, mobility, memory, freedom.

We work with you so that ten, twenty, thirty years from now, you’re still on your feet, still in the photos, still walking into celebrations… not being remembered at them.”**

**“Your family wants you in their future.

We do this because we want you to stay in theirs.”**

“You matter. And we don’t want to miss you.”

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6. Why This Program Works

Most clinics:

• Don’t ask about sodium

• Don’t check standing BP

• Don’t screen for sleep apnea

• Don’t consider medication interference

• Don’t adjust timing

• Don’t evaluate secondary causes

• Don’t include GLP-1

• Don’t personalize the goal

We do all of this, because your long-term life and independence depend on it.

If a patient prefers to skip their blood pressure medications or ignore sodium restrictions for months or years, I figure they must have much free time on Mondays, Wednesdays, and Fridays.

 ⭐ This module is included at all levels. Your base membership cover this for free.

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Bundled Pricing Options

Hypertension + Weight Loss Bundle (Members)

$65/month

(Saves them $10–20/month vs buying separately)

Hypertension + OSA Screening Package

$175 one-time + $25/month add-on

(Includes sleep questionnaire, STOP-BANG scoring, home sleep test coordination.)

Hypertension + Longevity Package

$95/month

(for your Longevity & Performance members)