Harrison's PodClass: Internal Medicine Cases and Board Prep Ep 147: A 55-Year-Old with Hypertension
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May 22, 2025 The podcast dives into the journey of a 55-year-old woman managing hypertension with lifestyle changes and medical therapy. Non-pharmacologic strategies like weight loss, exercise, and dietary modifications take center stage. It clarifies misconceptions, such as the ineffectiveness of creatine for blood pressure. The discussion highlights the impact of sodium intake and genetic variants on hypertension responses. Recommendations lean toward a DASH-style diet while navigating the complexities of potassium and calcium supplementation.
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Use Lifestyle to Manage Hypertension
- Implement lifestyle modifications for both prevention and treatment of hypertension.
- They can reduce the number or dosage of medications needed for blood pressure control.
Avoid Creatine for Blood Pressure
- Avoid creatine supplementation to lower blood pressure; it has no effect.
- Focus on other lifestyle changes instead for blood pressure improvement.
Lose Weight to Lower BP
- Achieve modest weight loss to reduce blood pressure by an average of 6/3 mmHg.
- Weight loss can be sufficient to avoid or reduce medical therapy.