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DESCRIPTION
Blood pressure normally rises as you get older; however, this normal increase occurs more quickly in people who have high blood pressure.
When the heart pumps the blood through the arteries, the blood presses against the walls of the blood vessels. In people who suffer from hypertension, this pressure is abnormally high.
Whether blood pressure is high, low, or normal depends on several factors:
- The output from the heart.
- The resistance to blood flow of the blood vessels.
- The volume of blood.
- Blood distribution to the various organs.
All of these factors in turn can be affected by the activities of the nervous system and certain hormones.
If blood pressure is elevated, the heart must work harder to pump an adequate amount of blood to all the tissues of the body. Ultimately, the condition often leads to kidney failure, heart failure, and stroke. In addition, high blood pressure is often associated with coronary heart disease, arteriosclerosis, kidney disorders, obesity, diabetes, hyperthyroidism, and adrenal tumors.
SYSTOLIC & DIASTOLIC NUMBERS
Blood pressure is represented as a pair of numbers. The first number is the systolic pressure, which is the pressure exerted by the blood when the heart beats, forcing blood into the blood vessels. This reading indicates blood pressure at it's highest. The second reading is the diastolic pressure, which is recorded when the heart is at rest in between beats, when the pressure is the lowest. Both figures represent the height (in millimeters, or mm) that a column of mercury (Hg) reaches under the pressure exerted by the blood. The combined blood pressure reading is then expressed as a ration of systolic blood pressure to diastolic blood pressure, such as 120/80.
INCIDENCE OF HYPERTENSION IN AMERICANS
An estimated at least 50 to 65 million Americans have high blood pressure, depending on the study cited. A study that analyzed government health statistics and other data gathered nationwide during a period from 1988 to 2000 found at least 65 million people in the United States (or 1/3 of American adults) have hypertension, which is defined in the study as a blood pressure of 140/90 or higher (on medication for those who took it) or as having been told at least twice by a health care provider or other health care professional that they have high blood pressure. This figure is significantly higher than previous estimates based on a 1988-1994 report. Further, a study of the period from 1999-2000 found that 32 percent of American women and 28.3 percent of American men have high blood pressure. According to the U.S. Public Health Service, hypertension affects more than half of all Americans over the age of 65. When divided among racial and ethnic lines, non-Hispanic black Americans have the highest prevalence at 38.8 percent. The percentage of the African-Americans between the ages of 24 and 44 are 18 times more likely than whites to develop kidney failure due to hypertension. The Mexican-American line registered 28.7 percent and non-Hispanic whites registered 27.2 percent of the population as a whole. This study, reported in the journal Hypertension, did not examine potential reasons for these differences. However, investigators did cite the aging of the U.S. Population and the growing proportion of overweight and obese Americans as potential contributors.
While high blood pressure was once thought of as a "man's disease," with the belief that men tend to develop hypertension more often than women. In fact women are more likely to suffer from this disease as men are, and more women than men die from complications of high blood pressure because women and, to some extent, their medical practitioners, often ignore or fail to detect their high blood pressure until it is too late. The hypertension risk for women rises after menopause and a woman's risk of high blood pressure also increases if she takes oral contraceptives or is pregnant.
Because high blood pressure usually causes no symptoms until complications develop, it is known as the Silent Killer. According to a national survey, 70 percent of Americans with high blood pressure are aware of it, 59 percent are being treated, and 34 percent have it under control.
Untreated high blood pressure can damage the delicate lining of the blood vessels. Once damaged, fat and calcium can easily build up along the artery wall, forming a plaque. The blood vessel becomes narrowed and stiff (atherosclerosis), and blood flow through the blood vessel is reduced. Over time, decreased blood flow to certain organs in the body can cause damage leading to:
- Heart disease, heart attack, and abnormal heartbeat.
- Kidney (renal) failure.
- Peripheral vascular disease.
- Eye damage (retinopathy).
- Stroke.
People with borderline, or "high-normal," blood pressure, which is now considered "pre-hypertensive," (120-139/80-89 mm Hg) have a higher risk for developing high blood pressure. A new study has shown that they also have a higher risk of heart disease than those with blood pressure less than 120/80 mm Hg.
In addition, men who have high systolic blood pressure during middle age (50s to 60s) may show a greater decline in mental ability later in life (after age 75) than men who do not have high blood pressure earlier. Short-term memory and attention span are most affected.
CAUSES
Blood pressure is usually divided into two categories, designated primary and secondary.
PRIMARY (or Essential) HYPERTENSION: This is high blood pressure that is not due to another underlying disease and is the most common type of hypertension. The precise cause is unknown, but a number of definite risk factors have been identified. These include cigarette smoking, stress, obesity, excessive use of stimulants such as coffee or tea, heavy alcohol use, drug abuse, and aging. High sodium (salt) intake, a sedentary lifestyle, stress, low potassium intake, low calcium intake and resistance to insulin may also cause your blood pressure to rise. The use of oral contraceptives used to be considered a contributing factor, but with the low-dose pills now available, this is not as much a problem as it once was. Because too much water retention can exert pressure on the blood vessels, those who consume foods high in sodium may be at a greater risk for high blood pressure. Elevated blood pressure is also common in people who are overweight. Blood pressure can rise due to stress as well, because stress causes the walls of the arteries to constrict. Also, those with a family history of hypertension are more likely to suffer from high blood pressure.
SECONDARY HYPERTENSION: When persistently elevated blood pressure arises as a result of another underlying health problem, such as a hormonal abnormality or an inherited narrowing of the aorta, it is called secondary hypertension. A person may also have secondary hypertension because the blood vessels are chronically constricted or have lost elasticity from a buildup of fatty plaque on the inside walls of the vessel, a condition called atherosclerosis. Arteriosclerosis and atherosclerosis are common precursors of hypertension. The narrowing and/or hardening of the arteries makes circulation of blood through the vessels difficult. As a result, blood pressure becomes elevated. Secondary hypertension can also be caused by poor kidney function, which results in the retention of excess sodium and fluid in the body. This increase in blood volume within the vessels causes elevated blood pressure levels. Kidneys may also elevate blood pressure by secreting substances that cause blood vessels to constrict. Secondary high blood pressure is also caused by medications or other conditions such as pregnancy. In addition, high blood pressure is often associated with coronary heart disease, kidney disorders, obesity, diabetes, hyperthyroidism, and adrenal tumors.
SUBTYPES OF HYPERTENSION
Other subtypes are called Labile Hypertension and Malignant Hypertension.
Labile hypertension is blood pressure that changes rapidly, often in response to stress or activity. This type of high blood pressure is most common in younger people. A simple example of this would be "white coat hypertension" which occurs when a person goes to their health care provider for an exam. Just being present in a health office or hospital can cause their blood pressure to rise. When relaxed at home, they may have normal or borderline blood pressure readings. Stressful situations in the home, work, or a sudden excessive worry about personal problems can cause a rise in blood pressure.
Malignant hypertension (also called hypertensive crisis) is high blood pressure that increases rapidly. The cause may be unknown or may be due to medication or another condition. Hypertensive crisis is Hypertensive crisis a state in which blood pressure becomes so high that it is causing immediate danger and needs to be reduced rapidly. A person is said to be in a hypertensive crisis when his or her blood pressure is severely elevated and there is evidence of damage to the brain, heart, kidneys, or other organs.
Typically, a person in hypertensive crisis has a diastolic blood pressure (the lower number in a blood pressure reading) greater than 120 millimeters of mercury (mm Hg). In comparison, normal diastolic pressure for an adult is less than 79 mm Hg. Diastolic pressure refers to the pressure of blood in the artery when the heart relaxes between beats.
Quick-acting medications can be used to reduce blood pressure during hypertensive crisis.
Isolated systolic high blood pressure is when systolic blood pressure is elevated above 140 mm Hg, but diastolic blood pressure stays at less than 90 mm Hg. This type of high blood pressure is more common in older adults, especially older women. If you are over 50, a systolic blood pressure over 140 is a more important risk factor for heart disease and stroke than your diastolic blood pressure.
SIGNS & SYMPTOMS
As stated above, because high blood pressure usually causes no symptoms until complications develop, it is known as the "silent killer." Hypertension develops slowly and can cause serious organ damage, usually without any symptoms. Warning signs associated with advanced hypertension or malignant hypertension may include:
- Headaches.
- Nausea and vomiting.
- Sweating.
- Rapid pulse.
- Shortness of breath.
- Dizziness.
- Visual disturbances.
Malignant high blood pressure (hypertensive crisis), which is hypertension that rises rapidly, if left untreated can damage the brain, heart, eyes, or kidneys. It is a medical emergency that requires immediate hospitalization.
Overt time, if you do not receive treatment for your high blood pressure, you may feel symptoms caused by damage to your heart, kidney, or eyes, including:
- Coronary artery disease, heart attack, heart failure, or abnormal heart beat.
- Kidney (renal) failure.
- Peripheral vascular disease.
- Retinopathy, or damage to the tiny blood vessels that supply blood to the light-sensitive lining of the back of the eye (retina).
- Stroke.
In 1990, nearly 33,000 Americans died of hypertension-related diseases other than heart attack and stroke.
RISK FACTORS FOR HYPERTENSION
Several factors increase your risk for developing high blood pressure. Some of them, such as salt intake and alcohol consumption, are lifestyle issues that you can control. Other factors, such as your family history, are not controllable.
Risk factors for primary (essential) high blood pressure include:
- A family history of high blood pressure.
- Aging. Ninety percent of people who, at age 55, do not have hypertension will eventually develop it.
- Black race.
- Sodium (salt) intake.
- Excessive alcohol consumption.
- Low intake of potassium, magnesium, and calcium (these regulate the heart and cardiovascular system).
- Obesity.
- Long-term exposure to lead (in men), such as in the workplace.
- Sleep apnea and sleep-disordered breathing.
- Depression.
People who have high blood pressure along with any of the following risk factors are at increased risk of developing complications, such as heart disease, heart attack, abnormal heartbeat, stroke, kidney failure, and eye damage (retinopathy):
- Cigarette smoking.
- High cholesterol or low HDL ("good") cholesterol.
- Diabetes.
- A history of early coronary artery disease in a parent or sibling (before age 45 for men or age 55 for women).
- Male sex.
- Black race.
- Being overweight.
- Enlarged lower left heart chamber (left ventricle).
PREVENTION
A new study on the prevention of high blood pressure recommends six lifestyle modifications. These strategies are especially important for people who have risk factors for high blood pressure that cannot be changed, including family history, race, and age.
Lifestyle modifications include:
- Maintaining a normal weight, with a body mass index (BMI) of 18.5 to 24.9.
- Reducing sodium in your diet to about 2.4 g (2400 mg) per day, which is about 1 teaspoon of salt.
- Exercise, such as brisk walking, at least 30 minutes a day on most, if not all, days of the week.
- For men, limiting alcohol to 24 ounces of beer, 10 ounces of wine, or 2 ounces of 100-proof whiskey per day. Women and lighter-weight people should limit alcohol to half that amount.
- Getting 3,500 mg of potassium in your diet every day.
- Following the Dietary Approaches to Stop Hypertension (DASH) eating plan, a diet that is rich in fruits, vegetables, and low-fat dairy products, with reduced amounts of saturated and total fats.
TREATMENT
DIAGNOSIS & TESTS
If a health professional suspects you have hypertension, he or she will conduct a physical exam and medical history. In most cases, extensive tests are not needed to diagnose high blood pressure. If there is reason to suspect that the blood pressure measurements taken in the health care provider's office do not represent your accurate blood pressure (if, for example, you have "white-coat" hypertension), measuring blood pressure away from the health care provider's office may be needed. Your blood pressure can rise more than 20 mm Hg systolic and 10 mm Hg diastolic from white-coat hypertension. Even routine activities, such as attending a meeting, can raise your blood pressure by that amount. Other factors that can raise your blood pressure include commuting to work, exposure to cold, and drinking large amounts of alcohol.
In some cases, you may be asked to check your blood pressure at home 3 times a day and keep a record of the readings. If you are not able to measure your blood pressure accurately at home, you may need to wear an automated blood pressure cuff that periodically inflates and takes blood pressure measurements during the day. This is called ambulatory blood pressure monitoring.
High blood pressure screening tests and programs vary widely in reliability. Results from automated blood pressure testing, such as you might do at a grocery store or pharmacy, may not be accurate. Any high blood pressure measurement discovered during a blood pressure screening program needs to be confirmed by a health professional.
To diagnose high blood pressure, a health care provider or midwife uses a device called a sphygmomanometer. Blood pressure is represented as a pair of numbers. The first is the systolic pressure (the higher number), which is the pressure exerted by the blood when the heart beats, forcing blood into the blood vessels. This reading indicates blood pressure at is highest. The second reading is the diastolic pressure (the lower number), which is recorded when the heart is at rest in between beats, when the blood pressure is at its lowest. Both figures represent the height (in millimeters, or mm) that a column of mercury (Hg) reaches under pressure exerted by the blood. The combined blood pressure reading is then expressed as a ratio of systolic blood pressure to diastolic blood pressure. Thus, in a person with normal blood pressure, the systolic pressure measures 120 mm Hg and the diastolic blood pressure measures 80 mm Hg; together this is expressed as 120 over 80, or 120/80. Both the systolic and diastolic readings are important; neither should be high. Normal blood pressure readings for adults vary from 110/70 to 140/90, while readings of 140/90 to 160/90 or 160/95 indicate borderline hypertension. Any pressure over 180/115 is severely elevated.
Important Note!: Millions of people whose blood pressure was previously considered borderline high (130-139/85-89 mm Hg) or normal (120/80) now fall into the "pre-hypertensive" range, based on new, more aggressive high blood pressure guidelines from the Seventh Report of the Joint National Committee (JNC 7) on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure.
Because new studies show the risk of heart disease and stroke begins to increase earlier than previously believed, health experts lowered the acceptable normal range to promote more aggressive and earlier treatment of high blood pressure. Basic guidelines for what the blood pressure numbers mean, as revised in 2004 by the National Heart, Lung, and Blood Institute (NHLBI) are given below. The new ranges set to determine high blood pressure are as follows:
Level
Systolic
Diastolic
Normal Adult (Age 18+) Blood Pressure: 119 or below 79 or below Prehypertension: 120 to 139 80 to 89 Stage 1 Hypertension: 140 to 150 90 to 99 Stage 2 Hypertension: 160 or Higher 100 or Higher
It is impossible for your health care provider to make a correct diagnosis of high blood pressure with a single reading except in very severe cases. You will be diagnosed with hypertension if your blood pressure measurements are high (above 140/90 mm Hg) on three or more separate occasions. They are usually measured 1 to 2 weeks apart. The test must be repeated throughout the day to be accurate. Home testing is best because it enables you to monitor your condition periodically. Measuring blood pressure at home on a regular schedule may:
- Help determine whether your blood pressure is high only when taken during a medical visit, sometimes called "white coat hypertension" and for some individuals, just being in a medical setting or during a visit to their health care provider's office causes their blood pressure to rise (for example, in a medical office where a nurse or a health care provider may be wearing a white lab coat). This type of hypertension is more common in people who have high blood pressure. It tends to diminish with repeat measurements.
- Enable you to collaborate with your health care provider in controlling your high blood pressure.
- Reduce the frequency with which you need to visit your health care provider for blood pressure evaluation.
BLOOD PRESSURE MONITORING DEVICES
Blood pressure monitoring devices fall into two basic categories:
Mechanical Gauges: The mechanical gauge is the type most often used in a health care provider's office. It consists of an instrument to measure the pressure, an air bladder (inflatable cuff), and a pressure bulb with a release valve to pump up the cuff. The standard-size arm cuff on blood pressure monitors fits arms up to 13 inches around (if your arm is larger than this, you will need to obtain a larger cuff). With most of these devices, the pressure is read on a gauge dial. Mechanical gauges are much less expensive than electronic ones and many health care providers and midwives feel they give more accurate readings, at least in the hands of an experienced user. However, if you use this type of device to take your own blood pressure, you must pump up the cuff with one hand, read a dial, and listen with the a stethoscope more or less simultaneously. In other words, using these devices correctly requires dexterity, good eyesight, acute hearing, and some training and practice.
Automated Electronic/Digital Gauges: An alternative to the mechanical gauge is the digital sphygmomanometer. With this device, the machine automatically gauges your blood pressure when the cuff is inflated and presents the result in digital format (some will also give you a pulse rate reading along with your BP). These are more expensive than the mechanical types, but because they are much easier to use accurately, they are generally preferred for home use.
There are other electronic devices available, including wrist and finger cuff monitors. Although they are easy to operate, most health care providers do not recommend them because they tend to be less accurate and also more sensitive to the effects of temperature and poor blood circulation. If you are using one of these devices, be sure to read instructions carefully and follow them as indicated (such as making sure your wrist is at heart level for wrist cuffs) to obtain as accurate a BP reading as possible.
CONVENTIONAL MEDICAL TREATMENT
A physical exam and medical history are routinely used to evaluate high blood pressure. Additional blood tests and urine tests, such as urinalysis, also may be done before starting treatment to determine whether there has been damage to organs and to check for complications. These lab tests may include measurements of potassium, sodium (a component of salt), glucose (blood sugar), cholesterol levels, and tests to measure kidney function. Electrocardiography (EKG, ECG) also may be done to determine whether there is any damage to the heart. Your health care provider may want to check your risk of coronary artery disease.
In most people who have high blood pressure without any complications, routine lab test results will be normal. Sometimes, findings may suggest the presence of kidney disease, diabetes, or a hormone disorder.
If there is reason to suspect that blood pressure measurements taken in the health care provider's office do not represent your accurate blood pressure (for example, if you may have white-coat hypertension), measuring blood pressure away from the health care provider's office may be needed.
In some cases, you may be asked to check your blood pressure at home 3 times a day and keep a record of the readings. If you are not able to measure your blood pressure accurately at home, ambulatory blood pressure monitoring may be needed. Ambulatory blood pressure monitoring can help in diagnosing and treating elderly patients and pregnant women.
Other tests may be done to determine whether high blood pressure has started to damage the heart (echocardiography, electron beam computed tomography [CT] scan), lungs (chest X-ray), or other organs.
The U.S. Preventive Services Task Force recently recommended that people with high blood pressure or high cholesterol be routinely screened for diabetes. This recommendation is based on studies that show early detection and treatment of diabetes substantially decreases the risk of coronary artery disease in these people.
If you fall into the prehypertension range (120-139/80-89 mm Hg), your health care provider will likely recommend lifestyle modifications, including losing excess weight, exercising, limiting alcohol, cutting back on salt, quitting smoking, and following the Dietary Approaches to Stop Hypertension (DASH) diet. The DASH eating plan is a low-fat and low-saturated-fat diet that emphasizes eating more fruits, vegetables, whole grains, and low-fat dairy foods.
If you have high blood pressure (140-159/90-99 mm Hg) and you do not have any organ damage or other risk factors for heart disease (uncomplicated high blood pressure), your health care provider will likely recommend lifestyle changes and possibly medications. Most people with high blood pressure will need two or more medications, including a thiazide-type diuretic, to lower their blood pressure to below 140/90 mm Hg, the goal for people with uncomplicated hypertension. If you have other conditions, such as diabetes, heart failure, or chronic kidney disease, your goal blood pressure is lower: 130/80 mm Hg.
If your blood pressure is 160-179/100-109 mm Hg or higher, you and your health care provider may need to try various combinations of medications to find what works best for you. You will also need to make aggressive lifestyle changes.
Overall, your treatment will depend upon how high your blood pressure is, whether you have other medical conditions, such as diabetes, and whether any organs have already been damaged. Your risk of developing other diseases, especially heart disease, will be another important factor your health care provider will consider.
PREGNANCY & HIGH BLOOD PRESSURE
Strategies for treating high blood pressure in pregnant women are quite different. See the topic Preeclampsia and Hypertension During Pregnancy for more information.
TREATMENT COURSE OF ACTION
Treatment seeks to lower blood pressure to less than 140 systolic and less than 90 diastolic for most people. Treatment for those with diabetes and chronic kidney disease aims to lower blood pressure to less than 130 systolic and less than 80 diastolic. For people aged 50 or older, systolic blood pressure may be a more important factor than diastolic pressure.
Although you may have your blood pressure checked outside of a health care provider's office or your midwife (if you are pregnant), you must see a health professional to confirm that you have high blood pressure, so that you and your health care provider and/or midwife can develop a treatment plan that is right for you. A family practice health care provider, internist, nurse practitioner, midwife, or physician's assistant can diagnose and treat your high blood pressure. If you have extremely high blood pressure or heart problems, you may also need to see a heart specialist (cardiologist).
If you have primary (essential) hypertension, you will first need to look closely at the foods you eat. Your health professional may recommend that you follow the DASH diet. Losing weight if you need to and exercising will also be important for lowering your blood pressure.
If you smoke cigarettes, you will need to quit. If you are a heavy drinker, you will need to severely cut back on your consumption of alcohol. Also, it may be necessary for you to learn to check your blood pressure at home.
High blood pressure treatment, whether it involves medication or lifestyle changes, usually is a lifelong process.
Whether you need medication depends on the severity of your high blood pressure and whether you have other health problems or conditions, such as heart failure or diabetes, or are pregnant.
If your health care provider prescribes medication, it is extremely important to take your medications as prescribed.
Treatment of primary high blood pressure, especially moderate or severe high blood pressure, decreases the risk of heart failure, coronary artery disease, heart attack, abnormal heartbeats, stroke, and kidney disease, and reduces the risk of death from these conditions.
Overall, goals of treatment are to:
- Reduce systolic blood pressure below 140 mm Hg and diastolic blood pressure below 90 mm Hg. Two recent studies show that lowering high blood pressure even further in people with diabetes reduces the risk of death. In these people, blood pressure should be reduced to less than 130/80 mm Hg.
- Prevent death and disease associated with high blood pressure (heart disease, stroke, and kidney disease). High blood pressure is associated with 35 percent of heart disease caused by coronary artery disease and 49 percent of all cases of heart failure.
- Control other risk factors, such as smoking, lack of exercise, and high cholesterol, that can lead to complications such as heart attack and stroke.
- Minimize side effects of medications.
People with high blood pressure who require special treatment considerations include:
- Older adults.
- African-Americans.
- Children.
- Pregnant women.
Studies have found that an increased risk of death from cardiovascular causes (heart attack and stroke) can begin at pressures as low as 115/75, and that it doubles for each additional 20/10 increase. High blood pressure also can lead to kidney failure and heart failure.
High blood pressure cannot be cured, but it can be controlled with lifestyle changes, such as diet, moderate exercise and stress management, and medication, if needed when other control options are not sufficient alone. Treatment is a lifelong process.
MEDICATIONS
High blood pressure is a lifelong disease that, if not controlled, can lead to heart or kidney disease and stroke. Even though you may not feel sick when you have high blood pressure, you must take your medication or combination of medications daily according to the prescription.
The amount and types of medications you take will depend on your blood pressure reading, whether you have organ damage from high blood pressure, and whether you have other medical conditions. Follow your doctor's recommendations carefully, and do not skip any of your medications.
Make your medication schedule as simple as possible. Plan times to take your medications when you are doing other things, like eating a meal or getting ready for bed. This will make it easier for you to remember to take your medications.
Take a list of your medications or bring your medications with you when you visit your health care provider. Include any medications that were prescribed to you by other health care providers and any non-prescription medications. Review the list with him or her and discuss any side effects you are having or need to watch for.
Talk with your health care provider if you are having problems with your medication schedule. Your health care provider may be able to change your medications or change the times you are taking them.
Talk with your health care provider if you have any changes in your health that might affect your blood pressure, such as weight gain, side effects of medications, or another medical condition.
Use any tools, like daily or weekly pill containers, that make taking your medications simple.
Follow healthy lifestyle habits, including maintaining a healthy weight; exercising; and following an eating plan that emphasizes fruits, vegetables, low-fat dairy foods, and less salt. This may allow your health care provider to reduce the amount of medication you take and will help the medications work better.
Deciding whether to treat high blood pressure with medication and choosing the best medication are based mainly on:
- Your blood pressure measurement.
- Whether there are signs of organ damage caused by high blood pressure in other parts of your body, such as an enlarged heart or early damage to your arteries, kidneys, or eyes.
- Whether you have other medical conditions, such as heart disease, diabetes, or kidney or lung disease, or risk factors for heart disease, such as diabetes or high cholesterol.
- Whether you think you can be successful in making lifestyle changes.
Health care providers may have different opinions about when to start medications for high blood pressure.
- If you have prehypertension (120-139/ 80-89 mm Hg) or high blood pressure (140/90 mm Hg), you do not have other risk factors for heart disease, and there's no evidence of organ damage, lifestyle changes alone may be tried before medication.
- If you have other risk factors for heart disease, there is evidence of damage to organs, or you have stage 1 or 2 high blood pressure, treatment with medication is often started in addition to lifestyle changes.
Health care providers usually prescribe a single, low-dose medication first. If blood pressure is not controlled, he or she may change the dosage, or try a different medication or combination of medications. It is common to try several medications before your blood pressure is successfully controlled. Many people need more than one medication to get the best results.
Medication choices include:
- Diuretics: Diuretics cause the kidneys to remove more sodium and water from the body. This decreases the volume of blood circulating through the body, which lowers blood pressure, especially systolic blood pressure. These drugs may also have a direct effect on blood vessels, causing blood pressure to decrease. Diuretics are often combined with other blood pressure medications.
- Beta-Blockers: Beta-blockers decrease heart rate and the amount of blood the heart pumps out with each beat, which, in turn, reduces blood pressure.
- ACE Inhibitors: Angiotensin-converting enzyme (ACE) inhibitors block an enzyme needed to form a substance that causes blood vessels to narrow (constrict). As a result, blood vessels relax and widen (dilate), making it easier for blood to flow through the vessels, which reduces blood pressure. These medications also increase the release of water and sodium to the urine, which also lowers blood pressure.
- Calcium Channel Blockers: Calcium channel blockers work by reducing the amount of narrowing of the blood vessels caused by high blood pressure. This makes it easier for blood to flow through the vessels and lowers blood pressure.
- Angiotensin II Receptor Blockers (ARBs): Angiotensin II receptor blockers (ARBs), such as losartan (for example, Cozaar, Hyzaar), block the action of a hormone that causes blood vessels to narrow. As a result, blood vessels may relax and open up. This makes it easier for blood to flow through the vessels, which reduces blood pressure. These drugs also increase the release of sodium and water into the urine, which also lowers blood pressure.
Two recent important clinical trials - ALLHAT and the Second Australian National Blood Pressure Study (ANBP2) - compared several medications to determine which is most effective in lowering blood pressure and reducing the risk of heart attacks and stroke in elderly people. Although somewhat similar in their approach, the studies came to different conclusions about the effectiveness of the medications.
ALLHAT compared a diuretic to an ACE inhibitor and a calcium channel blocker. Results showed that diuretics were equally as effective as ACE inhibitors in preventing fatal and nonfatal heart attacks, and are unsurpassed in lowering blood pressure and preventing stroke. The study recommends diuretics as the cornerstone of treatment for people with high blood pressure who do not have other medical conditions.
ANBP2 indicated that ACE inhibitors and diuretics are similar in their ability to reduce blood pressure, but ACE inhibitors may be more effective than diuretics in reducing fatal and nonfatal heart attacks and stroke in elderly men.
New high blood pressure guidelines from the Seventh Report of the Joint National Committee (JNC 7) on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure recommend that, for most people, one of the medications be a thiazide-typed diuretic.
Treatment for high blood pressure must be highly individualized and based on your risk factors, such as diabetes, smoking, and heart disease. Although one study may recommend a particular medication as the first line of treatment, that may not be what's best for you based on your medical condition. What's most important is that you work with your health care provider to find what's most effective for you.
Other expert studies recommend people with high blood pressure who don't have other risk factors for heart disease or stroke, such as smoking, diabetes, family history, or high cholesterol, first be treated with a diuretic and/or a beta-blocker medication.
If other conditions, such as heart failure or diabetes, are present, ACE inhibitors or ARBs often are used as the first line of therapy because the other medical conditions also may benefit from these medications. However, isolated systolic hypertension may respond best to diuretics alone.
If the above medications are not effective in lowering blood pressure, or if side effects of the above medications are serious, other medications called vasodilators may be tried.
MEDICATION CONSIDERATIONS
Experts recommend using calcium channel blockers and/or ACE inhibitors only if diuretics and beta-blockers fail to control blood pressure and if certain other risk factors are present. For example, a type of calcium channel blocker works well in older people with isolated systolic hypertension. ACE inhibitors are often prescribed if you have heart failure or diabetes as well as high blood pressure.
Some people who develop a cough while taking ACE inhibitors do well with ARBs, which usually do not cause a cough.
Some experts believe a combination of medications, each given in a lower dose, is better for reducing blood pressure than a higher dose of a single medication. Because the medications that are combined are given in a lower dose, there are fewer side effects from the drugs.
Check with your health care provider before taking any nonsteroidal anti-inflammatory drugs (NSAIDs) with high blood pressure medications. Some NSAIDs may reduce the effectiveness of your blood pressure medication.
WORKING WITH MEDICATIONS
Medications do not cure high blood pressure. Medications used to treat high blood pressure work in various ways and are used in different combinations.
Medications work in a delicate balance with each other and with your body. However, some medications should not be combined with other prescription or non-prescription medications. Make sure your health care provider knows all of the medications you are taking.
A combination of medications given in a lower dose than a single medication may work better to lower your high blood pressure and may cause fewer side effects.
Finding the right combination of medications with the fewest side effects can take some time, so it is important to take your medications in the right combination and at the right time, as your health care provider has prescribed. If you don't take your medications properly:
- Your blood pressure may not be controlled, which can lead to kidney and heart disease and stroke. According to the National Stroke Association, hypertension is the most important controllable risk factor for stroke, increasing the risk of stroke by 7 times.
- You may develop retinopathy.
- You may develop peripheral vascular disease.
DEVELOP A MEDICATION PLAN
Work with your health care provider to develop your medication plan. Talk with your health care provider about the following:
- Names of all medications. Get a clear explanation of the actions and purpose of each medication that your health care provider prescribes for you. If you understand what you are taking and how it is helping you, it may be easier to stick to your schedule. Write down both the prescription and generic names for your medications. Have your health care provider check the list. You can use this list to verify that the medications you get from the pharmacy are correct.
- Medication schedule. Be sure you understand how much of each medication to take and when to take each one. Ask your health care provider if you can simplify your pill schedule. This may make it much easier for you to remember to take your medications as directed. You may be able to substitute longer-acting medications for shorter-acting ones. Longer-acting, once-a-day medications are easier for people to remember to take.
- How to handle missed doses. Talk with your health care provider about what you should do if you accidentally miss a dose of a medication. Discuss what to do for each medication - it may be different for each one.
- Medication costs. If cost is a consideration in developing your medication plan, ask your health care provider if less expensive, equally effective generic brands would be appropriate for you. Compare prices between several pharmacies and consider reliable and trustworthy mail-order pharmacies.
- Medications to avoid. You may need to avoid certain medications and nutritional supplements. Many non-prescription medications, nutritional supplements and drugs can aggravate symptoms of heart failure and react with prescribed medications. Use the list of medications to avoid to write down those that you should not take. Check with your health care provider before taking any medications on this list.
- Get organized. Taking medications properly means taking the right dose of the right medication at the right time. When you are taking several different medications, it may be hard to keep the times and dosages straight. To be sure you are taking your medications properly, you may want to develop a system to keep track of when and how you take your pills.
- Make a list of all your medications. Complete the master list of medications and keep it up-to-date. Review your master list of medications with your health care provider at every visit.
- Plan a daily schedule of medications. List your daily medication schedule on a daily planner. Post this where you can see it near your medicine cabinet or wherever you store your medication. Take your daily medication planner along with you when you travel.
- Use a pillbox. Get a pillbox that holds a week's worth of pills. This may be especially helpful if you are taking pills every other day. You can also label an empty egg carton and use it to organize one day's or one week's worth of pills.
- Post reminders. Get sticky note pads and post reminders to take your medications near clocks or on the bathroom mirror to keep you on schedule. Some people use an alarm on their wrist watches as a reminder for medication times.
- Taking your medications: Keep the following in mind as you follow your medication plan.
- Store medications properly. Keeping medications in a location that is too hot or too cold may decrease the effectiveness of the medication. Find out from your health care provider or pharmacist how to properly store your medications. Always remember to store medications out of the reach of children.
- Watch for side effects. Ask your health care provider or pharmacist about what side effects to expect. Be sure to tell your health care provider if you are having side effects from your medications.
- Taking medication for high blood pressure may lead to low blood pressure (hypotension). Hypotension can cause fainting, fatigue, and weakness, possibly with nausea, sweating, and restlessness preceding a loss of consciousness. Postural hypotension, or orthostatic hypotension, a very temporary lowering of blood pressure, is usually caused by standing up too suddenly. This leads to dizziness and wears off quickly. See Orthostatic Hypotension under Rare Disorders for further information. For older adults, low blood pressure can simply result from eating. This is called Postprandial Hypotension. It happens because the blood is diverted to the gastrointestinal tract to help with digesting the food. In older people, the heart is not as efficient at increasing blood flow by pumping more quickly, so, with too much blood going to help with digesting a meal, there is too little traveling to the brain. Drinking lots of fluids increasing blood volume, which may alleviate this condition. In some cases, low blood pressure can be a sign of heart disease or blood loss, especially a sudden loss of blood such as in an accident. In very many cases though, low blood pressure is a sign of good health, especially in younger people.
- A synthetic heart hormone that appears to be very effective in lowering blood pressure is currently undergoing testing at some 25 medical centers.
- Avoid other medications. Post your list of medications to avoid in a place where you can refer to it whenever you need to. Always check with your health care provider before taking any additional medications, prescription or non-prescription. This includes any herbal or nutritional supplements.
- Review your master medication list. Take your master list with you for each visit with your health care provider. Take time to review your list and report any side effects you are having.
- Communicate with your health care provider. Notify your health care provider immediately if you have any serious side effects. Let your health care provider know if you have any changes in your health that might affect your heart condition, such as weight gain or another medical condition.
SURGERY
There is no surgical treatment for primary (essential) high blood pressure. Treatment for the various secondary causes of high blood pressure, such as kidney disease or valvular heart disease, may include other drugs and/or surgery.
HOME TREATMENT
How To Measure Your Blood Pressure
Your blood pressure measurement actually tells you how much pressure it takes to stop the flow of blood through your arteries. This is assumed to be equivalent to the pressure at the pump end, the heart.
Blood pressure is measured at two points in the heart's pumping rhythm: systolic pressure is taken at the moment the heart beats; diastolic pressure is taken when the heart is at rest between beats. To measure blood pressure, the soft, inflatable cuff of the sphygmomanometer is wrapped around the upper arm and inflated. Systolic pressure is measured when there is no longer a pulse in the arm beyond the cuff. Then the cuff is deflated and the diastolic pressure is taken when the blood flows freely once more. The combined pressure is usually expressed as a fraction - 120/90, for example.
Ideally, blood pressure should be taken with the arm bare. A tight sleeve may constrict the arm or make it impossible to apply the blood pressure cuff properly. The cuff should be placed around the arm about one inch above the bend in the elbow. Before beginning to work with the sphygmomanometer, check the following four items:1. Be sure that the sphygmomanometer reads 0 when there is no pressure in the system.
2. Check to be sure that the needle stays in place when the valve is closed.
3. Check the valve screw to make sure that it operates smoothly.
4. Inspect your stethoscope for cracks or leaks in the tubing, earpiece, bell, or diaphragm.
BLOOD PRESSURE BY PALPATION
You should first feel for the blood pressure. Find the radial pulse, on the thumb side of the wrist. Then inflate the cuff 30 mm Hg beyond the point where the pulse is obliterated. Open the valve and release 2-3 mm Hg per second. When the pulsations of the radial pulse again become palpable, this is the systolic pressure. The diastolic pressure occurs when vibrations in the artery cease. Diastolic pressure is much more difficult to obtain.
Taking Systolic Blood Pressure (BP) By Palpation.
BLOOD PRESSURE BY AUSCULTATION
Next, use the stethoscope to take the blood pressure. Follow this procedure:
1. Position the disc of the stethoscope snugly against the skin where the elbow bends - a little to the left of the center on the right arm, and a little to the right of center on the left arm. There should be no gaps between the stethoscope and the skin, but you should not apply any undue pressure. Make sure that the stethoscope is not touching the cuff at any point.
2. Position the ear pieces of the stethoscope in your ears (with the ear pieces directed forward).
3. Hold the stethoscope disc snugly in position with one hand while you pump the cuff with the other hand.
4. Pump the cuff until the gauge registers about 30 mm Hg above the point where you felt the pulse disappear earlier, or about 200 mm Hg.
5. Loosen the valve slightly and permit the pressure to drop slowly. Listen carefully for the first sound of a beat - the number on the scale when you hear the first beat is the systolic pressure. (If you think that you missed the first bear or are unsure, tighten the valve again and pump the cuff up; repeat the process, listening carefully.)
6. Continue to deflate the cuff slowly until the last sound of blood pumping through the blood vessels is heard. When you hear no more blood flowing, the number on the scale is the diastolic pressure.
When taking your blood pressure, follow these general guidelines for best result:
- Avoid eating, smoking, or exercising for at least one half hour before measuring your blood pressure.
- Test yourself at about the same time each day. Plan ahead to give yourself time to get over any feelings of anger or anxiety.
- Sit quietly and eliminate extraneous noise.
- Follow the manufacturer's instructions carefully for the BP device used.
- Position your arm at heart level, palm up. If you are using a cuff device, wrap the cuff just above the elbow (make sure you are using the proper sized cuff for your arm) - with your sleeve rolled up above the cuff - and be sure it is not too tight.
- Make sure the hoses from the cuff are not tangled or pinched.
- Take care not to move the hoses during the reading.
- Wait at least five minutes in between readings, with the cuff fully deflated.
- Take the device along on medical visits once a year or more to check the accuracy against your health care provider's measurements.
Home treatment is important to help control high blood pressure, especially if you have other risk factors for heart disease and stroke. Even if your health care provider has prescribed medication for you, there are still many steps you can take to lower your blood pressure and reduce your risk of heart attack and stroke. Changes in lifestyle or behavior can help control high blood pressure and in some cases may allow you to reduce the amount of medication you need.
- Maintain a healthy weight. If you are overweight, take steps to lose the excess pounds. Being overweight increases your risk of developing high blood pressure. In fact, blood pressure rises as bodily weight increases. Losing even 10 pounds can lower blood pressure and it has the greatest effect for those who are overweight and already have hypertension. Being overweight is also a risk factor for heart disease. It increases your chance for developing high cholesterol and diabetes - two more major risk factors for heart disease. See Obesity for more information.
- Get regular light to moderate exercise. Take care not to overexert yourself, especially in hot or humid weather. Caution: Consult with your health care provider before beginning a new exercise program, particularly if you have been sedentary for some time. Here are some guidelines from the National Institute of Health:
Exercise (Physical Activity)
For Prevention or Treatment of Hypertension
PHASE 1: GETTING STARTED
Get started by doing 30 minutes of a moderate-level activity on most, and preferably all, days of the week. Brisk walking, bicycling, and gardening are examples. You can even divide the 30 minutes into shorter periods of at least 10 minutes each. For instance:
- Use stairs instead of an elevator.
- Get off a bus one or two stops early.
- Park your car at the far end of the lot at work.
Note: Check with your health care provider before you start on any exercise program. This is especially true if you have heart trouble or have had a heart attack, if you are older and are not used to doing a moderate-level activity, if you have a family history of heart disease at an early age, or if you have any other serious health problem.
PHASE 2: MODERATE-LEVEL PHYSICAL ACTIVITIES
Engage in at least 30 minutes of moderate-level activity on most, and preferably all, days of the week. Examples of moderate-level activity are:
- Walking briskly (3-4 miles per hour).
- Conditioning or general calisthenics.
- Home care and general cleaning.
- Home repair, such as painting.
- Mowing the lawn (with power mower).
- Gardening.
- Dancing.
- Racket sports, such as table tennis.
- Golf (walking the course).
- Fishing (standing and casting, walking, or wading).
- Swimming (with moderate effort).
- Cycling (at a moderate speed of 10 miles per hour or less).
- Canoeing or rowing (at a speed of about 2-3.9 miles per hour).
Tips to Stay Motivated with a Walking Plan
Ask other people to walk with you. Find a partner or a group. When you know someone else is waiting for you, it keeps you going.
Wear comfortable shoes and good socks to help cushion your feet.
Wear clothes that are right for the season. Try using layers of clothing in the cold weather to keep you warm, and cotton clothes in the summer to keep you cool.
Drink plenty of water. It does not have to be that fancy bottled stuff get your own container and keep it filled with plenty of regular water. Carry it with you if you can.
Do not forget to stretch before you walk. Try to start off slowly.
Be safe - pay attention to your surroundings and people or animals nearby.
Walk in a safe place that has plenty of lights in the evening. Try walking around a local school's parking lot, or going to the mall.
Try to walk at least three times a week. It may seem like a lot at first, but you will gradually build up.
Try to think of your walk in three parts. Imagine a warm-up period at the beginning, challenge yourself with a brisk pace in the middle, and finally picture a cool-down. You can feel success when you finish each part.
Source: Adapted from Pate, et al., Journal of the American Medical Association, 1995, Vol. 273, page 404.
Limit or eliminate alcohol use. Drinking too much alcohol can raise blood pressure. It also can harm the liver, brain, and heart. Alcoholic drinks also contain calories, which matter if you are trying to lose weight. If you have to drink alcoholic beverages, have only a moderate amount - one drink a day for women; two drinks a day for men.
12 ounces of beer (regular or light, 150 calories)
5 ounces of wine (100 calories)
1 ounce of 80-proof whiskey (100 calories).
Stop smoking. Smoking injures blood vessel walls and speeds up the process of hardening of the arteries. So even though it does not directly cause high blood pressure, smoking is bad for anyone, especially those with high blood pressure. If you smoke, quit. If you do not smoke, do not start.
Use anti-inflammatory medications wisely. Do not take antihistamines except under a health care provider's direction.
Learn to check your blood pressure at home. Have your blood pressure checked at least every four to six months. Because hypertension often shows no signs, regular blood pressure checks by a professional are important; especially if you are in a high risk category.
Follow the nutrition guidelines for hypertension (including the Dietary Approaches to Stop Hypertension, or DASH, diet). See DASH dietary outline below.
Reduce stress. As much as possible, avoid stress. Constant stress contributes to elevated blood pressure. Take a stress management course and find ways to reduce the stress in your life. A recent survey showed that 70-90 percent of us feel stressed at work and outside. Today's fast paced lifestyle is putting a toll on us. Unless we learn to manage stress, we will get sick. Learn steps to manage daily stress and how to detect symptoms of stress. Recognize diseases that are often mistaken for stress, and learn common sense ways to manage and prevent stress. Prevention and cure are the two limbs of stress management. See Stress for more information. To counteract stress, consciously relax one to two times daily. For example, lie in a quiet room with pleasant music or practice calming techniques, such as Yoga or Tai Chi. Learn meditation and other relaxation techniques. See Meditation Therapy and Relaxation Therapy for further information.
DRY BRUSHING TO REGULATE BLOOD PRESSURE Brushing the skin in circles increases the return of blood flow to the heart and affects the cardiovascular system. Use a hand brush with soft bristles and stroke in slow, rotating motions toward your body's center.
Be sure to get sufficient sleep. People with hypertension often suffer from sleep apnea, in which they stop breathing for 10 seconds or more throughout the night. Apnea is associated with loud snoring and restless sleep, and can cause the individual to feel excessively sleepy during the day. Evaluation and treatment of apnea may help reduce high blood pressure. Heavy snorers are more likely to have high blood pressure or angina than silent sleepers. Research suggests that snorers may suffer from a malfunctioning of the part of the brain responsible for fluent breathing; this can put an unnatural strain on the heart and lungs due to oxygen shortage.
if you are pregnant, have your blood pressure monitored frequently by your midwife or health care provider. Untreated hypertension in pregnancy can progress suddenly and pose a serious threat to both mother and child.
Certain colors have a beneficial effect on blood pressure. See Color Therapy for more information. Music also can be used to reduce stress and thereby lower blood pressure. See Sound & Music Therapy for more information.
NUTRITION, HOLISTIC RECOMMENDATIONS, HERBS & SUPPLEMENTS
High blood pressure can affect people of all shapes, sizes, ages and social classes. When the heart's upper, or systolic, value exceeds 140 mm and the lower, or diastolic, exceeds 90, disease is present. Although blood pressure will fluctuate rapidly, a normal range is said to be "120 over 80". High blood pressure is often left untreated and uncontrolled because its symptoms are so difficult to recognize. If left untreated, the walls of the blood vessels can calcify, resulting in heart attack or stroke. Factors contributing to the disease include stress and abuse of alcohol and nicotine, culprits that often lead to vascular constriction. This makes the heart work harder to pump blood through the constricted veins, causing an elevation of your blood pressure. Some other causes contributing to high blood pressure include obesity, high sodium uptake, kidney diseases, the use of oral contraceptives and your hereditary predisposition. Dizziness, headaches, and nosebleeds are indications of high blood pressure. A health care provider should check you regularly.
WHAT YOU CAN DO FOR HIGH BLOOD PRESSURE
In addition to lifestyle changes, several other non-drug methods of reducing blood pressure can be tried.
DIET TO LOWER BLOOD PRESSURE
Eating a diet to lower blood pressure is essential. The ratio of HDL (high-density lipoprotein) to LDL (low-density lipoprotein) cholesterol levels is a special risk factor for cardiovascular disease. The risk of coronary heart disease goes up as LDL increases and HDL decreases. HDL helps to promote the removal of excess cholesterol from cells and excretion from the body. Anyone with high blood pressure should be sure to reduce the consumption of red meat and eggs, foods which are rich in cholesterol-containing fats. Salt, as well as large amounts of stimulants (including alcohol and caffeine) constrict blood vessels, so consume these only in moderation or eliminate them from your diet. Eating fish, on the other hand, is highly recommended because it contains multiple unsaturated fatty acids, which can have the effect of lowering blood pressure.
Eat plenty of fruits and vegetables, such as apples, asparagus, bananas, broccoli, cabbage, cantaloupe, eggplant, garlic, grapefruit, green leafy vegetables, melons, peas, prunes, raisins, squash, and sweet potatoes.
Beneficial Vegetables & Spices for Hypertension
A number of common vegetables and spices have beneficial effects in controlling hypertension. Incorporate these into your cooking. Alternately, you can make a tea or a vegetable soup.
Celery (Apium graveolens). Oriental Medicine practitioners have long used celery for lowering high blood pressure. There are some experimental evidence that shows that celery is useful for this. In one animal study, laboratory animals injected with celery extract showed lowered blood pressure. Eating as few as four celery stalks was found to be beneficial in lowering blood pressure in human beings.
Garlic (Allium sativum). Garlic is a wonder drug for heart. It has beneficial effects in all cardiovascular system including blood pressure. In a study, when people with high blood pressure were given one clove of garlic a day for 12 weeks, their diastolic blood pressure and cholesterol levels were significantly reduced. Eating quantities as small as one clove of garlic a day was found to have beneficial effects on managing hypertension. Use garlic in your cooking, salad, soup, pickles, etc. It is very versatile.
Onion (Allium cepa). Onions are useful in hypertension. What is best is the onion essential oil. Two to three tablespoons of onion essential oil a day was found to lower the systolic levels by an average of 25 points and the diastolic levels by 15 points in hypertension subjects. This should not be surprising because onion is a cousin of garlic.
Tomato (Lycopersicon lycopersicum). Tomatoes are high in gamma-amino butyric acid (GABA), a compound that can help bring down blood pressure.
Broccoli (Brassica oleracea). This vegetable contains several active ingredients that reduce blood pressure.
Carrot (Daucus carota). Carrots also contain several compounds that lower blood pressure.
Saffron (Crocus sativus). Saffron contains a chemical called crocetin that lowers the blood pressure. You can use saffron in your cooking. (It is a very popular spice in Arabic cooking.) You can also make a tea with it. Many Indians add a pinch of saffron in the brewed tea to give a heavenly flavor. Unfortunately, it is very expensive.
Assorted spices. Spices such as Fennel, Oregano, Black Pepper, Basil and Tarragon have active ingredients that is beneficial in hypertension. Use them in your cooking.
Include fresh "live" juices in the diet. The following juices are healthful: beet, carrot and celery, currant, cranberry, citrus fruit, parsley, spinach, and watermelon. See Juicing for more information about preparing fresh juices.
Eat grains like brown rice, buckwheat, millet, and oats.
Drink steam-distilled or quality water (without added sodium).
Take 2 tablespoons of Flaxseed Oil daily.
Apple pectin aids in reducing blood pressure.
A diet low in calcium, potassium, and magnesium and high in sodium may cause high blood pressure. Avoid using too much sodium. Make sure you eat a low/no sodium diet with foods rich in calcium, potassium, magnesium, and fiber.
Follow a strict salt-free diet - unless you are pregnant, you need some sodium in your diet for your expanding blood volume during pregnancy - consult with your midwife! General rule of thumb for pregnancy is to salt to taste. However, become a label reader and actively control how much sodium you are ingesting from your foods. See MoonDragon's Nutritional Guidelines for detailed information for pregnancy. SODIUM (SALT) & HYPERTENSION
Approximately 80 million Americans have increased sensitivity to dietary sodium. African-Americans in particular are prone to salt-sensitive hypertension.
Research has revealed that people with variations in two specific genes are twice as likely to develop high blood pressure from salt consumption. This discovery may make it possible to identify children prone to high blood pressure; if such people can be identified in early childhood, it may be possible to modify their diets so that they can avoid developing high blood pressure later in life.
Follow a strict salt-free diet. This is essential for lowering blood pressure. Lowering your salt intake is not enough. You should try to eliminate all dietary salt. Read labels carefully and avoid those food products that have "salt," "soda," "sodium," or the symbol "Na" on the label. Some foods and food additives that should be avoided on this diet include monosodium glutamate (Accent, MSG); baking soda; canned vegetables (unless marked sodium- or salt-free); commercially prepared foods; toothpastes containing saccharin or baking soda; over-the-counter medications that contain ibuprofen (such as Advil or Nuprin); diet soft drinks; foods with mold inhibitors, preservatives, and sugar substitutes; meat tenderizers; softened water; and soy sauce. Use herbs and spices to season your food in place of salt. If you must use any salt for seasoning, use a very small amount of quality sea salt that contains trace elements of other minerals or powdered kelp (a natural source of trace minerals and natural iodine) as a substitute for regular table salt (sodium chloride).
These are only a few of the salt-free seasoning blends from Amazon.com. Use the Amazon.com search box located further down on this page to search for a complete listing of products:
POTASSIUM
Potassium helps to prevent and control blood pressure. Be sure to get enough potassium in the foods you eat. Some good sources are various fruits, vegetables, dairy foods, and fish. Foods high in potassium are apricots, lean pork, prunes and prune juice, bananas, lean veal, pumpkin, catfish, lima beans, spinach, cod, milk, stewed tomatoes, dry peas and beans, orange juice, sweet potatoes, flounder, peaches, trout, green beans, plantain, winter squash, potatoes, and yogurt.
Herbal Remedies: Potassium Supplement Products
MAGNESIUM
Researchers at the State University of New York found that the lower the level of magnesium in the body, the higher the blood pressure. This double-blind, placebo-controlled trial showed that taking supplemental magnesium can result in a significant, dose-dependent reduction in both systolic and diastolic blood pressure.
Because of the use of diuretic drugs causes increased urinary excretion of magnesium, it can cause hypomagnesemia in elderly people. Magnesium is needed in conjunction with calcium to prevent bone deterioration, as well as to maintain normal heart rhythm and muscular contraction. Losses of potassium due to diuretics may be dangerous, causing heart malfunction. Herbal diuretics are far safer. Consult your health care provider before using diuretics.
Magnesium deficiency has been implicated in high blood pressure. Magnesium levels are shown to be consistently low in people suffering from hypertension. Leafy greens, legumes, whole grains, purslane, poppy seeds and string beans are good dietary sources for magnesium. Other foods high in magnesium are beans, okra, soy milk, broccoli, oysters, spinach, chard, plantain, tofu, croaker, scallops, whole grain ready-to-eat and cooked cereals, mackerel, sea bass, whole wheat bread, nuts and seeds. Or you can take a daily supplement of 400 mg magnesium.
Herbal Remedies: Magnesium Supplement Products
CALCIUM
Calcium is an important nutrient for overall good health. Population studies indicate that hypertensive individuals consume less daily calcium. They may benefit from calcium supplementation. Several clinical studies have demonstrated the blood pressure lowering effect of calcium supplementation. Take 1 gram of elemental calcium daily. Good sources of calcium are dairy foods such as milk, yogurt, and cheese. Be sure to choose skim or low fat varieties. Low fat and nonfat dairy products have more calcium than the high fat versions. Foods high in calcium are broccoli, perch, turnip greens, cheese, salmon, tofu (made with calcium sulfate), mackerel, spinach, yogurt, and milk.
Herbal Remedies: Calcium Supplement Products
Eat a diet rich in essential fatty acids, vitamin C, Coenzyme Q-10, Zinc and other valuable nutrients. ESSENTIAL FATTY ACIDS
Increasing dietary linoleic acid decreases the blood pressure. Hypertensive patients are deficient in E series prostaglandins. Linoleic acid was found to normalize prostaglandins. Fish oil (omega-3 fatty acids) also may have some effect on lowering blood pressure.
Herbal Remedies: Omega-3 Essential Fatty Acid Supplement Products
COENZYME Q-10
Coenzyme Q-10 (CoQ10) is an essential component of the metabolic processes involved in energy production. Individuals with cardiovascular disease (including hypertension, angina and congestive heart failure) often are deficient in CoQ10 and require increased tissue levels of CoQ10. Clinical studies have indicated that CoQ10 is of considerable benefit in the treatment of hypertension and other cardiovascular disease.
Herbal Remedies: Coenzyme Q-10 (CoQ10) Supplement Products
VITAMIN C
The lower the serum vitamin C level, the higher the blood pressure in persons suffering from hypertension. Whether this is due to dietary habits or a blood pressure lowering effect of vitamin C has yet to be determined.
Herbal Remedies: Vitamin C Supplement Products
ZINC
Zinc has been shown to reverse cadmium induced hypertension effectively in rats. Do not exceed 100 mg of zinc from all nutritional sources.
Herbal Remedies: Zinc Supplement Products
BOVINE RENAL EXTRACT (KIDNEY GLANDULAR)
Bovine renal extract, also known as kidney glandular, has shown to possess blood pressure lowering effects in animals and hypertensive human subjects. "Raw Kidney" glandular contains growth and repair factors for the kidneys with 2 vitamins known to be beneficial to membranous tissue. The kidneys perform basically two major functions: excrete body wastes and control the concentrations of the constituents of body fluids. In many illnesses, these functions are impeded, resulting in disease of the kidney itself, including: acute renal shutdown, chronic renal insufficiency, nephrotic syndrome and specific tubular abnormalities. The importance of kidney support in any disease state cannot be overemphasized since progressive decrease in functioning nephrons can lead to electrolyte overload, hypertension, anemia, osteomalacia, and finally death.
BASIC MULTI-VITAMIN & MINERAL FORMULA
Use a multi-vitamin and multi-mineral complex for all nutrients needed to maintain nutritional balance. Use a natural supplement preferably made from organic "whole foods" for best quality. See Nutritional Supplements further down on this page for more information. Recommended levels of nutrients found in a multi-formula are:500 IU Vitamin A
4000 mg Vitamin C
400 IU Vitamin D
600 IU Vitamin E
100 mg Vitamin B-15
50 mg niacinamide
50 mg Vitamin B-1
1000 mg pantothenic acid
50 mg Vitamin B-2
300 mcg folic acid
100 mg vitamin B-6
100 mcg biotin
500 mcg vitamin B-12
Herbal Remedies: Multi-Vitamin & Multi-Mineral Supplement Products
TYROSINE, TYRAMINE & AMINO ACIDS
If you are taking an MAO inhibitor (one of a class of drugs prescribed to counter depression, lower blood pressure, and treat infections and cancer), avoid the chemical tyramine and its precursor, tyrosine. Combining MAO inhibitors with tyramine causes the blood pressure to soar and could cause a stroke. Tyramine-containing foods include almonds, avocados, bananas, beef or chicken liver, beer, cheese (including cottage cheese), chocolate, coffee, fava beans, herring, meat tenderizer, peanuts, pickles, pineapple, pumpkin seeds, raisins, sausage, sesame seeds, sour cream, soy sauce, wine, yeast extracts (including brewer's yeast), yogurt, and other foods. In general, any high-protein food that has undergone aging, pickling, fermentation, or similar processes should be avoided. Over-the-counter cold and allergy remedies should also be avoided. See Tyramine-Restricted Diet for more in depth information.
Do not take supplements containing the amino acids phenylalanine or tyrosine. Also avoid the artificial sweetener aspartame (Equal, NutraSweet), which contains phenylalanine.
Amino acids, Arginine, Carnitine and Glutamine (Glutamic Acid) should be included in your diet if you have hypertension problems. See Nutritional Supplements further down on this page for more information.
Herbal Remedies: Amino Acid Supplement Products
Herbal Remedies: Arginine / L-Arginine Amino Acid Supplement Products
Herbal Remedies: Carnitine / L-Carnitine Amino Acid Supplement Products
Herbal Remedies: Glutamine / L-Glutamine / L-Glutamic Acid Amino Acid Supplement Products
See Amino Acids for more information.
Avoid all animal fats. Bacon, beef, boullions, chicken liver, corned beef, dairy products, gravies, pork, sausage, and smoked or processed meats are prohibited. The only acceptable animal foods are broiled white fish and skinless turkey or chicken, and these should be consumed in moderation only. Get protein from vegetable sources, grains, and legumes instead. If you are on a vegan or primarily vegetarian diet (low or restricted animal products), consider taking a complete amino acid complex supplement to provide the essential amino acids required for the building blocks of protein or a protein supplement (usually comes in a powder that can be mixed with juices to make a protein smoothie). A vitamin B-12 supplement may need to be taken as well to help with the digestion of proteins in your diet. See Nutritional Supplements further down on this page for more recommendations.
Herbal Remedies: Amino Acids Complex Supplement Products
Herbal Remedies: Protein Supplement Products
Herbal Remedies: Vitamin B-12 Supplement Products
Avoid foods such as aged cheese, aged meats, anchovies, avocados, chocolate, fava beans, pickled herring, sour cream, wine, and yogurt. If you don't eat yogurt with active cultures, you may need a probiotic supplement to replenish friendly "bacteria" in your digestive tract to be able to help digestion and to keep your intestinal flora healthy.
Herbal Remedies: Probiotics Supplement Products
Avoid or restrict all caffeine and alcohol. Avoid tobacco. Do not use any alcohol or tobacco during pregnancy and greatly reduce or eliminate caffeine from your pregnancy diet. Drink recommended herbal teas and juices instead of coffee or other caffeine products.
Eat a high fiber diet and take supplemental fiber. Oat bran is a good source of fiber. Note: Always take supplemental fiber separately from other supplements and medications.
Herbal Remedies: Fiber Supplement Products
OTHER RECOMMENDATIONS
Keep your weight down. If you are overweight, take steps to lose the excess pounds. See Obesity for more information. If you are pregnant, do not diet. However, you can work on your diet by consuming more fruits, vegetables and whole grains. Avoid junk foods, fried foods, and high calorie processed foods. Obtain your proteins from low fat dairy and meat products including skinless chicken, turkey, and fish. Avoid red meat and other saturated fat products.
Fast for 3 to 5 days each month. Periodic cleansing fasts help to detoxify the body. Do not fast during pregnancy. See Fasting Therapy for more information.
Get regular moderate exercise. Take care not to over-exert yourself, especially on hot, humid days. Caution: Consult with your health care provider before beginning a new exercise regimen, particularly if you have been sedentary for some time. Getting a minimum of 30 minutes of aerobic exercise per day is recommended. Walking is an excellent exercise.
Have your blood pressure checked at least every four to six months. Because hypertension often shows no signs, regular blood pressure checks by a professional are important, especially if you are in a high-risk category.
If you are pregnant, have your blood pressure monitored frequently by your midwife or health care provider. Untreated hypertension in pregnancy can progress suddenly and pose a serious threat to both mother and child.
ALTERNATIVE OR COMPLEMENTARY MEDICINE THERAPIES
Alternative or complementary medicine therapies that help reduce stress and improve quality of life may have some effect on blood pressure. These therapies include:
- Acupressure. Massage your forehead with 2 fingers several times a day in slow, circular movements from the center of the brow toward your temples, and then from the hairline, down to the side and ' back of your neck. See Acupressure for Hypertension.
- Acupuncture. See Acupuncture for Hypertension.
- Aromatherapy. See Aromatherapy for Hypertension.
- Ayruveda. See Ayurvedic Treatment for Hypertension.
- Bach Flower Remedies. See Bach Flower Remedies for Hypertension.
- Biofeedback. See Biofeedback for Hypertension.
- Color Therapy. See Color Therapy for Hypertension.
- Homeopathy. Argentum nitricum, 12X, for high blood pressure that is triggered by stress; take 5 pills 2-3 times daily. Glonoinum, 6X, for a high blood pressure with red face, headache and ringing in the ears; take 2 pills every 10 minutes. See Homeopathy for Hypertension.
- Reflexology. See Reflexology for Hypertension.
- Shiatsu. See Shiatsu for Hypertension.
- Guided imagery. See Guided Imagery for more information.
- Yoga. See Yoga Information.
- Meditation. See Meditation for Hypertension and Meditation for more information.
- Music Therapy. See Music Therapy for more information.
- Hypnosis. See Hypnotherapy for more information.
- Humor Therapy. See Humor Therapy for more information.
VEGETARIAN OR VEGAN DIET
A vegetarian diet has been shown to be prophylactic against hypertension. Most vegetarians enjoy lower blood pressure readings than meat eaters. The reason is that the components of a vegetarian diet - more fiber, vitamin C, vitamin E, magnesium, calcium, potassium, and significantly less salt and less total fat, saturated fat, and cholesterol - help to fight hypertension. Some people do not do well as vegetarians; they feel tired and run-down on a vegetarian diet, especially if they have been eating sugars and have low blood sugar. And for many people it is impractical to go a strictly vegetarian diet. But some of people are vegetarians and are quite robust and healthy. While strict vegetarianism may not be sensible for many people, it is advisable for them to adopt as many of the aspects of a vegetarian diet as possible, particularly the reduction of saturated fat and cholesterol. Studies have been done with Finns, who eat more saturated and less polyunsaturated fats compared with Americans, and who have a higher incidence of hypertension. When their saturated fat intake was decreased, despite the fact that their sodium intake was unchanged, they experienced an average pressure drop of 7.5 mm Hg systolic and 2.8 mm Hg diastolic. When their previous, high saturated fat intake levels were resumed, their pressure once again went up.
DIETARY APPROACHES TO STOP HYPERTENSION (DASH) DIET
Introduction: Following the DASH diet which is an eating plan that is low in cholesterol, saturated fat, and total fat, but rich in low-fat dairy foods, fruits, and vegetables, has been proven to lower blood pressure. DASH also recommends eating whole grains, fish, poultry and nuts as part of a balanced diet.
DASH is one of several lifestyle changes your health care provider will use to lower your high blood pressure. Your health care provider may also want you to decrease the amount of sodium and sodium-rich prepared foods in your diet. Lowering sodium while following DASH has been proven to lower blood pressure even further than just DASH alone.
Key points: To increase the potassium in your diet, fruits and vegetables are excellent sources of this nutrient. Dairy products are high in calcium and magnesium. DASH recommends that you eat 8 to 10 servings of fruits and vegetables, and 3 servings of low-fat dairy products per day.
Eating a diet low in both saturated fats and total fat will also help lower your blood pressure. Only 30 percent of your total calories should be from fats, with only 7 to 10 percent of your fat calories from saturated fats. Saturated fats are found in meats, cheese, butter, poultry, snack foods, and other foods.
In general, vegetarian diets reduce blood pressure. The DASH diet could easily be a vegetarian diet if legumes were substituted for meat. Vegetarian diets tend to be higher in potassium, magnesium, and calcium, as does the DASH diet. Vegetarian diets also are higher in fiber and unsaturated fats than other diets.
Make small changes first by changing only your fruit and vegetable intake. Keep track of the fruits and vegetables you eat, and slowly add more to your diet. Your goal is 8 to 10 servings per day. Check what counts as a serving in the food guide pyramid.
Reduce the amount of saturated fat you eat. Substitute monounsaturated and polyunsaturated oils instead.
If you also need to reduce the amount of sodium in your diet, cut down on the amount of processed foods you eat, such as snack items, luncheon meats, and canned soups.
The DASH plan shown below is based on 2,000 calories a day. The number of daily servings in a food group may vary from those listed depending on your caloric needs.
FOOD GROUP DAILY
SERVINGS
(except
as noted)SERVING SIZES Grains & grain products 7-8 1 slice bread
1 cup ready-to-eat cereal*
1/2 cup cooked rice, pasta, or cerealVegetables 4-5 1 cup raw leafy vegetable
1/2 cup cooked vegetable
6 ounces vegetable juiceFruits 4-5 1 medium fruit
1/4 cup dried fruit
1/2 cup fresh, frozen, or canned fruit
6 ounces fruit juiceLowfat or fat free dairy foods 2-3 8 ounces milk
1 cup yogurt
1.5 ounces cheeseLean meats, poultry, and fish 2 or less 3 ounces cooked lean meats, skinless poultry, or fish Nuts, seeds, and dry beans 4-5 per week 1/3 cup or 1.5 ounces nuts
1 tablespoon or 1/2 ounce seeds
1/2 cup cooked dry beansFats & oils** 2-3 1 teaspoon soft margarine
1 tablespoon lowfat mayonnaise
2 tablespoons light salad dressing
1 teaspoon vegetable oilSweets 5 per week 1 tablespoon sugar
1 tablespoon jelly or jam
1/2 ounce jelly beans
8 ounces lemonade
** Fat content changes serving counts for fats and oils: For example, 1 tablespoon of regular salad dressing equals 1 serving; 1 tablespoon of a lowfat dressing equals 1/2 serving; 1 tablespoon of a fat free dressing equals 0 servings.
Source: National Institutes of Health
Think about including fruits and/or vegetables in every meal. Take fruit to work or school as a snack.
Drink nonfat milk. A glass of skim milk has only 80 calories and no fat and is packed with blood pressure - lowering nutrients. Have a "skinny" lattè (caffè lattè made with skim milk) as a way to add milk to your diet. If you don't drink coffee, try a skinny almond milk.
Make a baked potato bar. Serve baked potatoes with a variety of toppings, including chili, broccoli, ratatouille, salsa, refried beans, and shredded low-fat cheese.
Be creative. You could end up with 4 or 5 servings of vegetables at one meal. Use a variety of cut-up vegetables with a low-fat dip as an appetizer, instead of high-fat chips and dips. Try some new vegetables. Make a stir-fry containing lots of different vegetables. Try some vegetarian meals featuring legumes (cooked dried beans and peas). Add garbanzo beans to a salad; use fat-free refried beans; have some split pea or black bean soup.
Buy a vegetarian cookbook and try one recipe per month or per week.
Combine a ready-made pizza crust with low-fat mozzarella cheese, and lots of vegetable toppings. Use tomatoes, zucchini, spinach, carrots, cauliflower, and onions.
For breakfast, have whole grain cereal, fruit, and milk.
For a snack, have a smoothie made with low-fat milk and frozen fruit chunks. Make a dip for fruit from low-fat vanilla yogurt and cinnamon.
DASH DIET SAMPLE MENU
Here is a sample menu for the Dietary Approaches to Stop Hypertension (DASH) diet. It is based on a 2,000-calorie diet.
BREAKFAST1 cup corn flakes with 1 teaspoon of sugar
8 ounces low-fat milk
1 banana
1 slice whole-wheat toast
1 tablespoon jelly
1/2 grapefruit
LUNCH2 ounces sliced turkey
1 pita bread
1 tablespoon low-fat mayonnaise
Raw vegetables: 3-4 carrot sticks, celery sticks, radishes, 2 loose lettuce leaves
1/2 cup fruit cocktail
SNACK1/4 cup dried apricots
3/4 cup mini pretzels
1/3 cup mixed nuts
1 cup flavored low-fat yogurt
DINNER3 ounces grilled lean beef
1 cup scallion rice
1 cup steamed broccoli
Spinach salad with 1/2 cup raw spinach, 2 cherry tomatoes, 2 cucumber slices
1 tablespoon light Italian dressing
8 ounces low-fat chocolate milk
For more sample menus and recipes, contact the National Heart Lung and Blood Institute: NHLBI Health Information Center, P.O. Box 30105, Bethesda, MD, 20824-0105; or go to http://www.nhlbi.nih.gov, and click on the high blood pressure information.
People who do not eat a balanced diet or one that includes mainly processed foods usually do not get enough and potassium, calcium, and magnesium in their diets. Not getting enough of these nutrients, which come from fruits, vegetable and dairy products, may contribute to high blood pressure.
Researchers believe that it is the combination of 8 to 10 servings a day of fruits and vegetables, and 3 servings of low-fat dairy products that causes the DASH diet to lower blood pressure. Simply adding calcium, potassium, and magnesium supplements to the diet does not lower blood pressure.
Good sources of potassium: Bananas, cantaloupe, oranges, and orange juice, Raw or cooked spinach, lima beans, zucchini, broccoli, carrots, cauliflower, and artichokes Potatoes Legumes (cooked dried beans and peas) such as pinto beans, chickpeas, and lentils
A serving size of fruits and vegetables includes:3/4 cup fruit or vegetable juice.
1/2 cup raw, canned, or cooked fruits or vegetables.
1 medium apple or banana.
1 cup raw, leafy vegetables
Good sources of calcium: Low-fat dairy products (yogurt, skim milk, cheese)
A serving size includes:1 cup milk or yogurt.
1.5 to 2 ounces low-fat cheese.
1/2 cup cottage cheese.
Good sources of magnesium: Legumes (cooked dried beans and peas), Rice and potatoes, Bananas.
A serving size includes:1/2 cup cooked dry beans.
1/2 cup pasta or rice.
Ask your health care provider to recommend a dietitian who can work with you to change your eating habits and help you plan menus that follow the DASH eating style. See a sample DASH menu. Use a form to track your eating habits. Record everything you eat before you start DASH, charting the number of servings you eat in the following food groups: grains, vegetables, fruits, dairy, meats (including poultry and fish) nuts, seeds and beans, fats and oils, and sweets. As well as you can, record the amount of sodium in everything you eat. After you begin the DASH eating plan, keep the same charts, and compare your lists.
Use the following as a guide for the DASH eating plan:Milk and dairy: 2-3 servings per day. One serving equals: 8 ounces of nonfat milk; 1 cup of low-fat yogurt; or 1-1/2 ounces of low-fat cheese.
Fruits: 4-5 servings per day. One serving equals: 1 medium fruit; 1/4 cup dried fruit; 1/2 cup frozen or canned fruit; or 6 ounces of fruit juice.
Vegetables: 4-5 servings. One serving equals: 1 cup raw leafy vegetables; 1/2 cup cooked vegetables; or 6 ounces vegetable juice.
Grains: 7-8 servings per day. One serving equals: 1 slice whole-wheat bread; 1/2 cup dry or hot cereal; 1/2 cup cooked rice or pasta.
Meat, fish, poultry: 2 or fewer servings per day. One serving equals: 3 ounces cooked meat, poultry, or fish (about the size of a deck of cards).
Nuts, seeds, dried beans: 4-5 servings per week. One serving equals: 1/3 cup nuts; 2 tablespoon seeds; or 1/2 cup cooked dried beans.
HERBS
Cayenne (capsicum), Chamomile, Fennel, Hawthorn Berries, Parsley, and Rosemary are used for high blood pressure. Caution: Do not use Chamomile on an ongoing basis, as ragweed allergy may result. Avoid it completely if you are allergic to ragweed.
Drink 3 cups of Suma Tea daily or take Suma supplement. Suma is used as a dietary addition to increase stamina and endurance.
Herbal Remedies: Suma Root (Brazilian Ginseng), 500 mg, 100 Caps
Mountain Rose Herbs: Suma Root, Wildharvested, Root & Powdered, 4 oz to 1 lb
Hops are good for calming the nerves.
Avoid the herbs Ephedra (ma huang) and Licorice, as these herbs can elevate blood pressure.
Hawthorn (Crataegus, various species). Hawthorn has been used as a heart tonic for centuries. Make a tea by adding one teaspoon of dried hawthorn herb to cup of boiling water. Drink up to two cups a day.
To strengthen the heart muscle, to help keep your blood pressure level down and improve cardiac function, add Hawthorn to your diet. To make a tea, pour 1 cup of boiling water over 2 teaspoons of dried Hawthorn Flowers. Steep for 10 minutes, strain. Drink 1 cup twice daily.
To increase circulation and to help dilate blood vessels, which will increase circulation, make a tea by pouring 1 cup of boiling water over 2 teaspoons dried Yarrow Flowers and steep for 10 minutes. Drink 1 cup 3 times daily.
Certain herbs, such as Ginkgo and Ginger, are known to reduce blood pressure and prevent hardening of the arteries. Take Ginkgo tablets twice a day for 2-3 months at a time. Or, try to deter elevated blood pressure with ginger. Grate 1/4 teaspoon of fresh ginger root into your food daily.
Lime Blossom (Tilia Europea), also known as European Linden. For treating hypertension associated with arteriosclerosis and anxiety, take an infusion. Pour one cup of boiling water onto one teaspoonful of the dried flowers; leave to infuse ten minutes, filter, and drink.
Kudzu (Pueraria Lobata). Chinese studies suggest that kudzu helps normalize blood pressure. When a tea containing about eight teaspoons of kudzu root was given daily to 52 people for two to eight weeks, 17 people experienced marked decline in their blood pressure. Kudzu is a powerful antioxidant. It has 100 times the antioxidant activity of vitamin E. Hence it also helps prevent heart disease and cancer.
Garlic (Allium Sativum). Garlic is a wonder drug for heart. It has beneficial effects in all cardiovascular system including blood pressure. In clinical studies, garlic has been shown to decrease the systolic pressure by 20-30 mm Hg and the diastolic by 10-20 mm Hg. When people with high blood pressure were given one clove of garlic a day for 12 weeks, their diastolic blood pressure and cholesterol levels were significantly reduced. Eating quantities as small as one clove of garlic a day was found to have beneficial effects in managing hypertension. The pharmaceutical mechanism of garlic's effect on blood pressure is believed to be related to its effect on the autonomic nervous system, lipid-lowering properties and perhaps its high content of sulfur-containing compounds. People with high blood pressure were found to have decreased levels of sulfur-containing amino acids in their plasma. Use garlic in your cooking, salad, soup, pickles, etc. It is very versatile.
Saffron (Crocus Sativus). Saffron contains a chemical called crocetin that lowers the blood pressure. You can use saffron in your cooking. (It is a very popular spice in Arabic cooking.) You can also make a tea with it. Many Indians add a pinch of saffron in the brewed tea to give a heavenly flavor. Unfortunately, it is very expensive.
Valerian (Valeriana Officinalis). Valerian is good for hypertension and calming the nerves. It contains a chemical called valerenic acid that inhibits an enzyme that breaks down GABA. GABA (Gamma-amino butyric acid) is known to control blood pressure. Its effect on blood pressure may also be from its sedative action.
Mistletoe (Viscum Album). Mistletoe is believed to function as a regulator of blood pressure, exerting a healing effect in both hypertension and hypotension. In Europe, mistletoe has often been combined with hawthorn (crataegus) in treating hypertension. Do not take mistletoe during pregnancy.
HERBAL BLENDS
Hawthorn Combination Blend: Hawthorn Berries (Crataegus) - 1 part
Lime (Linden) Blossom (Tilia Europea) - 1 part
Yarrow (Achillea) - 1 part
TCM FORMULAS
Siler and Platycodon Formula (Sang-Feng-Tung-Shen-San) for hypertension accompanied by obesity and constipation.Siler Root (Fang Feng) 3.0 g
Talc 3.0 g
Skullcap Root 2.0 g
Licorice Root 2.0 g
Gypsum 2.0 g
Platycodon (Balloon Flower Root) 2.0 g
Paichu (White Atractylodes Rhizome) 2.0 g
Chinese Angelica Root 1.2 g
Ma-Huang (Ephedera) 1.2 g
Cnidium 1.2 g
Peony Root 1.2 g
Gardenia Fruit 1.2 g
Rhubarb Rhizome 1.5 g
Ginger 1.2 g
Field Mint 1.2 g
Forsythia Fruit 1.2 g
Chinchieh Herb (Schizonepeta) 1.2 g
Nitrous Sulfate 1.5 g
Rehmannia Eight Formula: For older people with hypertension, fatigue, frequent kidney atrophy or nephritis. Chinese Foxglove (Rehmmania) 8.0 g
Yam (Dioscorea) 4.0 g
Cornus 4.0 g
Hoelen 3.0 g
Tree Peony Bark 3.0 g
Aconite Root 1.0 g
Cinnamon Twigs 1.0 g
These formulas must be obtained from a TCM supplier or practitioner. The first link below has both of these formulas for purchase:
Chinese Herbal Medicine - Sunten & Lanzhou Herbs (Formulas)
Oriental/Chinese Herbs (Single Herbs)
NUTRITIONAL SUPPLEMENT RECOMMENDATIONS
The following nutrients are important for healing once appropriate local treatment has been administered. Unless otherwise specified, the following recommended doses are for those over the age of 18. For a child between 12 and 17 years old, reduce the dose to 3/4 the recommended amount. For a child between 6 and 12 years old, use 1/2 the recommended dose, and for a child under 6, use 1/4 the recommended amount.
NUTRIENTS Supplement Suggested Dosage Comments Essential Calcium 1,500-3,000 mg daily, in divided doses, after meals and at bedtime. Important in the proper functioning of the cardiac muscle. Deficiencies have been linked to high blood pressure.
Calcium Ionic Mineral Supplement, Fully Absorbable, 700 +/- ppm, 16 fl. oz.,
Liquid Calcium W/ConcenTrace, Orange Vanilla, Trace Minerals, 1000 mg, 32 fl. oz.,
Cal-Mag Pre-Chelated Calcium & Magnesium, Vital Earth, 240 GelcapsMagnesium 750-1,000 mg daily, in divided doses, after meals and at bedtime. Vital for a health heart. Connected to over 300 enzyme actions controlling glucose, proteins, and fats. Deficiency have been linked to high blood pressure. Works with calcium to help absorption.
Magnesium Ionic Mineral Supplement, Fully Absorbable, 350 +/- ppm, 16 fl. oz.,
Just An Ounce Calcium & Magnesium Liquid, Almond Flavor, 16 fl. oz.,
Calcium & Magnesium Mineral Complex, 100% Natural, Nature's Way, 500 mg / 250 mg, 250 CapsPotassium As directed on label. Needed for electrolyte balance, especially if taking cortisone or blood pressure medication. If you take cortisone or high blood pressure medication, take extra potassium to counteract depletion of this mineral.
Potassium Ionic Mineral Supplement, Fully Absorbable, 340 +/- ppm, 16 fl. oz.,
Potassium Chelate, 100% Natural, Nature's Way, 99 mg, 100 Caps,
Potassium Chloride Powder, NOW Foods, Vegetarian, 8 oz.Coenzyme Q-10 As directed on label. Increases oxygenation of heart tissue. Has been shown to prevent recurrences in individuals who have had a heart attack. Improves heart function.
CoQ10, Vegetarian Coenzyme, NOW Foods, 30 mg, 60 VCaps,
CoQ10, Now Foods, 400 mg, 60 SoftgelsCoenzyme A As directed on label. Works effectively with Coenzyme Q-10 to support the immune system's detoxification of many dangerous substances by removing them from the body. Can streamline metabolism, increase energy, support adrenal glands, process fats, boost the immune system, and improve overall physical and mental processes.
Pantethine (Coenzyme A Precursor), Highly Active Form of Vitamin B-5, 300 mg, NOW Foods, 60 Softgels,Essential Fatty Acids
(Flaxseed Oil, Black Currant Seed Oil, MaxEPA, Primrose Oil, and Salmon Oil are all good sources.)As directed on label. Important for circulation and for lowering blood pressure. Helps prevent hardening of the arteries.
Ultimate Oil, Essential Fatty Acids Supplement, Nature's Secret, 90 SoftGels,
Barlean's Flax Oil, 100% Highest Lignan Content, Organic, Pesticide & Herbicide Free, 16 fl. oz.,
Barlean's Flax Oil, Highest Lignan, 1000 mg, 250 Caps,
Black Currant Oil, 500 mg, NOW Foods, 100 SoftGels,
Barlean's Primrose Oil, With Gamma Linolenic Acid (GLA), 1300 mg, 120 SoftGels,
Wild Salmon Oil, 2000 mg, 120 EPA/ 80 DHA, NOW Foods, 250 SoftGelsKyolic EPA As directed on label. Reduces triglyceride levels in the blood.
Garlic (Kyolic) 2 capsules 3 times daily. Effective in lowering blood pressure and helps to strengthen the heart muscle. Thins the blood.
Garlic Oil Tincture, Alcohol Free, Nature's Way, 1 fl. oz.,
Garlic Bulb Cloves, Garlic Supplement, Nature's Way, 580 mg, 100 Caps,
Odorless Garlic Supplement, NOW Foods, 50 mg, 250 SoftGels,
Garlic Supplement, Kwai, Triple Concentrated, 180 Tabs,
Every Day Garlic Supplement, Kwai, 30 Tabs,
Garlic Tincture, 100% Organic, 2 fl. oz.,
Aged Garlic Extract, Cardiovascular Formula 100, Wakunaga Kyolic Supplements, 300 Caps,
Kyolic Liquid Aged Garlic Extract, Cardiovascular, Vegetarian, Wakunaga Kyolic, 4 fl. oz.,
Kyolic Aged Garlic Extract, One-A-Day, Vegetarian, 1000 mg, Wakunaga Kyolic, 30 Caps,
Aged Garlic Extract, Cholesterol Formula 104, Wakunaga Kyolic, 200 CapsLiquid Kyolic
(Take with B-1 & B-12)As directed on label. Lowers blood pressure and thins the blood.
L-Arginine As directed on label. Take with carbohydrates rather than protein, which inhibits absorption. Improves blood flow. Shown to play an increasingly important role in heart health by lowering blood pressure and cholesterol levels.
L-Arginine, Pharmaceutical Grade, Free Form, NOW Foods, 500 mg, 100 Caps,
L-Arginine, Pharmaceutical Grade, Vegetarian, NOW Foods, 1000 mg, 120 TabsL-Carnitine 500 mg twice daily. Helps to strengthen the heart muscle and to promote circulation by transporting long fatty acid chains. Reduces fat and triglyceride levels in the blood. Increases oxygen uptake and stress tolerance. Together with L-Glutamic acid and L-Glutamine, aids in preventing heart disease.
Shark Liver Oil With Vitamin A, NOW Foods, 40 mg / 10,000 IU, 120 SoftGels,
L-Carnitine Liquid, Double Strength, NOW Foods, 16 fl. oz.,
L-Carnitine, Stable Tartrate Form, NOW Foods, 500 mg, 60 CapsPlus
L-Glutamic Acid
And
L-Glutamine500 mg each daily, on an empty stomach. Take with water or juice. Do not take with milk. Take with 50 mg vitamin B-6 and 100 mg vitamin C for better absorption. To detoxify ammonia and aid in preventing heart disease. See Amino Acids for more information.
L-Glutamine, Amino Acid Supplement, NOW Foods, 1000 mg, 120 Caps,
L-Glutamine, Amino Acid Supplement, NOW Foods, 500 mg, 120 Caps,
L-Glutamine Powder, 100% Pure Free Form Amino Acid & GH Releaser, Vegetarian, NOW Foods, 1 lb.
Selenium 200 mcg daily. Do not exceed a total daily intake of 800 mcg daily from all sources, including diet. If you are pregnant, do not exceed 40 mcg daily. Deficiency has been linked with heart disease. Destroys free radicals in the heart. Caution: Do not take supplemental selenium if you are pregnant or have heart, kidney, or liver disease.
Selenium Supplement, Yeast Free, NOW Foods, 200 mcg, 180 Caps,
Selenium Ionic Mineral Supplement, Fully Absorbable, 50 +/- ppm, 16 fl. oz.,
Ionic Selenium, Trace Minerals, 300 mcg, 2 fl. oz.,
Selenium, 100% Natural, Nature's way, 200 mcg, 100 CapsVitamin E
And/Or
Octacosonol (See Below)Start with 100-200 IU daily and increase slowly, adding 100 IU each week until the dosage is 400 IU daily. Consult your health care provider if you are taking anticoagulant medication. Strengthens the immune system and heart muscle, improves circulation, and destroys free radicals. Vitamin E also acts as a blood-thinning agent; use with caution if you are taking blood thinners. Use d-alpha-tocopherol form. Use emulsion form for easier assimilation and greater safety at high doses. Caution: Use this supplement only under the supervision of a health care provider.
Ester E Natural Vitamin E, California Natural, 400 IU, 60 Softgels,
Vitamin E, 400 IU, 100% Natural, NOW Foods, 100 Gels,
Vitamin E-1000, NOW Foods, 1000 IU, 100 Gels,
Vitamin E, d-alpha-tocopherol, 400 IU, 100 Softgels
Octacosanol
And/Or
Wheat GermAs directed on label.
As directed on label.Improves endurance and heart function; relieves muscle pain.
Octacosanol, NOW Foods, 5000 mcg, 100 Caps,
Wheat Germ Oil, Expeller Pressed, Vegetarian, NOW Foods, 16 fl. oz.Very Important Apple Pectin As directed on label. Lowers cholesterol levels by binding fats and heavy metals. Vitamin C With Bioflavonoids 3,000-6,000 mg, in divided doses. Extremely important in treating cardiovascular disease. Improves adrenal function; reduces blood-clotting tendencies.
Vitamin C Liquid w/ Rose Hips & Bioflavonoids, Kosher, Natural Citrus Flavor, Dynamic Health, 1000 mg, 16 fl. oz.,
Ester C With Bioflavonoids, Nature's Way, 1000 mg, 90 Tabs,
Vitamin C 1000 With Bioflavonoids, Nature's Way, 100% Natural, 1000 mg, 250 VCaps,
The Right C, Nature's Way, 1000 mg, 120 TabsImportant Lecithin Granules
Or
Capsules1 tablespoon 3 times daily, before meals.
1,200 mg 3 times daily, with meals.Emulsifies (breaks up) fats. Improves liver function, and lowers blood pressure.
Lecithin Vegetarian Granules, NOW Foods, 97% Phosphatides, Identity Preserved Non-GE, 1 lb,
Lecithin Liquid, NOW Foods, Vegetarian, 16 fl. oz.,
Lecithin Concentrate, Nature's Way, 400 mg, 100 SoftGelsOr
Lipotropic FactorsAs directed on label. Reduces fat and triglyceride levels in the blood. Helpful Plus
BromelainAs directed on label. An enzyme that aids in the digestion of fats.
Bromelain 2000 GDU Supplement, NOW Foods, 500 mg, 90 TabsRed Yeast Rice As directed on label. Contains lovastatin, which has been proven to reduce cholesterol levels (synthetic lovastatin is often prescribed for this purpose).
Red Yeast Rice, By Hi-Tech Pharmaceuticals, 90 Tabs,
Red Yeast Rice Extract, Vegetarian, NOW Foods, 600 mg, 120 VCaps,
Red Yeast Rice Powder, NOW Foods, 4 oz.Kelp 1,000-1,500 mg daily with meals. A rich source of important vitamins, minerals, and trace elements and a natural source of natural iodine.
Kelp Supplement, Nature's Way, Certified, 650 mg, 100 Caps,
Kelp Seaweed, Norwegian, NOW Foods, 100% Natural, 550 mg, 250 Caps,
Kelp Seaweed, Norwegian Powder, 4 oz. Bulk"Green Drinks" With Fresh Wheatgrass Juice
Or Kyo-Green from WakunagaAs directed on label. Concentrated barley and wheatgrass juice; contains nutrients needed for healing and prevention of heart disease. Use liquid or tablet form. Also prepare fresh "green drinks" from green leafy vegetables.
Wheatgrass Supplements & Products
Maitake
Or
Shiitake
Or
ReishiAs directed on label.
As directed on label.
As directed on label.To help reduce high blood pressure and prevent heart disease.
Mushroom Master 3 Mushroom Tincture, Red Reishi, Shiitake & Maitake Mushroom Extracts, Herbal Remedies USA, 2 fl. oz.,
Reishi Mushroom, Whole, 100% Organic, 4 oz.,
Shiitake Mushroom, Whole, 100% Organic, 4 oz.,
Maitake Mushroom, Whole, 100% Organic, 4 oz.Multi-Vitamin & Multi-Mineral Complex As directed on label. All nutrients are needed in balance.
Super Multi-Vitamin & Multi-Mineral, Pure Vital Earth, 32 fl. oz. (98% Bio-Available for Absorption), Damage Control Master Formula, High Potency, Multi-Vitamin & Mineral, 60 Packets (30 Day Supply)Vitamin A 15,000 IU daily. If you are pregnant, do not exceed 10,000 IU daily. Needed for tissue repair and immune function.
Vitamin A, 10,000 IU, 100% Natural, Nature's Way, 100 SoftgelsPlus
Natural Beta-Carotene
Or
Carotenoid Complex (Betatene)As directed on label. An antioxidant and precursor of vitamin A. Needed by all cells for repair and rebuilding.
Beta Carotene (Natural Dunaliella Salina), Nature's Way, 100% Natural, 25,000 IU, 100 Softgels,
Multi-Carotene Antioxidant, Nature's Way, 60 SoftgelsZinc 50 mg daily. Do not exceed a total of 100 mg daily from all supplements. Important in all enzyme systems and tissue repair.
Zinc Ionic Mineral Supplement, Fully Absorbable, 100 +/- ppm, 16 fl. oz.,
Colloidal Silver & Zinc Lozenges, Silva Solution, 90 Lozenges,
Zinc Lozenges W/ Echinacea & Vitamin C, Nature's Way, 23 mg, 60 Lozenges,
Zinc (Chelated), 100% Natural, Nature's Way, 30 mg, 100 CapsProteolytic Enzymes As directed on label. Take between meals. Aids in cleansing the circulatory system. Completes protein digestion.
MetabolicZyme (Hypoallergenic), Allergy Research Group / Nutricology, 900 Tabs,
Plant Enzymes, NOW Foods, Vegetarian, 120 VCaps,
Enzymes, All Complete, 250 mg, 90 CapsBio-Cardiozyme Forte As directed on label. A complex that strengthens the heart muscle. Contains antioxidants, cholesterol fighters, herbs, and vitamins that work together to promote cardiovascular function. Heart Science
From Source Naturals1 Tablet 3 times daily. Contains antioxidants, cholesterol fighters, herbs, and vitamins that work together to protect the heart and promote cardiovascular function. Vitamin B Complex 100 mg of each B vitamin daily, with meals 3 times daily (amounts of individual vitamins in a complex will vary). B vitamins work best when taken together.
Ultimate B (Vitamin B Complex), Nature's Secret, 60 Tabs,
Vitamin B-100 Complex, w/ Coenzyme B-2, Nature's Way, 631 mg, 100 CapsPlus Extra
Vitamin B-1 (Thiamine)50 mg daily. B vitamins work best when taken together. Deficiency in the heart muscle leads to heart disease. Lowers cholesterol and improves circulation.
Vitamin B-1 / Thiamine HCl (Hydrochloric Acid), 100% Natural, Nature's Way, 100 mg, 100 CapsVitamin B-3 (Niacin) 50 mg daily. Do not exceed a total of 200 mg daily if you have a history of rheumatic heart disease or other valvular heart disease. B vitamins work best when taken together. Lowers cholesterol and improves circulation. Caution: Do not take niacin if you have a liver disorder, gout, or high blood pressure.
Niacin Supplement (Vitamin B-3), 100% Natural, Nature's Way, 100 mg, 100 CapsAnd
Vitamin B-6 (Pyridoxine)50 mg daily. Reduces water content in tissues to relieve pressure on the cardiovascular system. Deficiency has been linked to heart disease. Extremely important for formation of red blood cells and neurotransmitters.
Vitamin B-6 / Pyridoxine, Nature's Way, 100 mg, 100 CapsAnd
Folic Acid400 mcg daily. Needed for the formation of oxygen-carrying red blood cells. Studies have shown that deficiencies of B-6 and Folic acid may lead to an increase in levels of homocysteine levels, an amino acid that has been linked to heart disease.
Vitamin B-9 (Folic Acid), 100% Natural, Nature's Way, 800 mcg, 100 CapsPlus
Choline & Inositol50 mg twice daily. Reduces water content in tissues to relieve pressure on the cardiovascular system. Improves brain function and circulation to the brain.
Choline Supplement, 100% Natural, Nature's Way, 500 mg, 100 Tabs,
Choline & Inositol, 100% Natural, Nature's Way, 250 / 250 mg, 100 Caps,
Inositol (Vitamin B-8), 100% Natural, Pure Crystalline, Nature's Way, 500 mg, 100 Caps
HYPERTENSION & CARDIOVASCULAR DISEASE SUPPLEMENTS & PRODUCTS
Information, supplements and products for hypertension, high cholesterol, heart disease, cardiovascular disease, and circulatory problems that include heart attack, stroke, and other disturbances to the heart and circulatory system.
Acai Green Tea, Superfruit Tea, Republic of Tea, 50 Tea Bags
Açai (ah-sigh-ee) berry is one of the most nutritious fruits in the world. For centuries, inhabitants of the Amazon rainforest have gathered these berries from the azaicero palm tree for their powerful health benefits. This deep purple fruit has the rich flavors of concord grape and ripe blueberries.Addiction Free Naturally; Liberating Yourself From Sugar, Caffeine, Food Addictions, Tobacco, By Brigitte Mars
A comprehensive guide that helps you overcome addictions by using natural remedies including herbs, homeopathy, aromatherapy, flower essence remedies, color therapy, acupressure, and more.Advanced Gamma E Complex, Vitamin W/ Mixed Tocopherol & Tocotrienols, 120 SoftGels
Advanced Gamma E Complex vitamin provides the necessary full range of antioxidant protection because it contains a more natural balance of Tocopherols plus a full complement of Tocotrienols.Alive! Whole Food Energizer, Ultra Multi-Vitamin Powder Shake Mix With Soy Protein, vanilla, Nature's Way, 2.2 lb.
Alive Ultra Shake multi vitamin is the ultimate source for nutritional energy. In addition to being a comprehensive whole food multivitamin it has the added benefit of Solae soy protein. There are more invigorating nutrients from more natural sources in each serving than are contained in any other supplement.Alive! Whole Food Energizer, Ultra Shake Soy Protein Powder, Apple Cinnamon, Nature's Way, 2.2 lb.
Alive Ultra Shake multi vitamin is the ultimate source for nutritional energy. In addition to being a comprehensive whole food multi vitamin it has the added benefit of Solae soy protein. There are more invigorating nutrients from more natural sources in each serving than are contained in any other supplement.All Natural Travel Size Stevia Sweetener, SteviaClear Liquid, 6 ml., 60 Servings
Stevia Sweetener an all natural, no calories, no carbs, no bitter aftertaste, with endless uses sweetener.Alpha Lipoic Acid Nature's Ultimate Antioxidant, By Allan Sosin, M.D. & Beth Ley, Ph.D.
This book shows how to fight back against aging and degenerative diseases with nature's powerful antioxidant.Alpha Lipoic Acid, NOW Foods, 250 mg, 60 Caps
Alpha-Lipoic Acid is a versatile water and fat soluble metabolic antioxidant. Another benefit is that it also acts as a potent free radical quencher and aids other vitamins in their antioxidant activities.Aromatherapy Scent Inhaler, Appetite Control With Pure Essential Oils
Each pocket-sized essential oil inhaler helps to address our unhealthy habits and daily concerns. They work by coordinating positive affirmations with a scientific blend of natural plant extracts. Scents: rosemary, basil, clove and black pepper.Ayurvedic Remedies, Ayurvedic Cures For Common Diseases By Bhagwan Dash
Ayurveda provides rational methods for the treatment of many diseases which are considered to be obstinate and incurable in other systems of medicine.Back To Youth, TCM Formula, Congrong Huanshao, 100% Natural, 60 Caps
Back to Youth, TCM Formula is made of extracts from prepared rehmannia root, common yam, achyranthes, wolfberry, dogwood fruit, poria, salty eucommia bark, polygala prepared with licorice, roasted morinda, schizandra fruit, salty fennel, chinquapin seed, cistanche, acorus root and common jujube fruit, Chinese herbs for aging.Barlean's Fish Oil Capsule, Omega-3 EPA/DHA, 250 SoftGels
Barlean's Fish Oil Capsule's signature formula is ideal for people who are seeking the absolute highest quality fish oil at the best value.Barlean's Organic Fish Oil Premium Potency DHA Omega-3, 90 SoftGels
Barlean's Organic Fish Oil with Super Potency DHA is a pure and pristine source of molecularly distilled, fish oil providing highly concentrated DHA omega-3 to support memory, cognition and emotional well-being for your vibrant health and energy.Barlean's Organic Fish Oil, Fresh Catch Fish Oil, EPA-DHA Concentrate, 60 SoftGels
Fresh Catch® Barlean's Organic Oil Super High Potency EPA - DHA is a pure and pristine source of fish oil providing highly concentrated EPA Omega-3 to support cardiovascular, joint, immune and colon health for your vibrant health and energy.Barlean's Organic Oil, Super High Potency Omega-3 EPA, 60 SoftGels
Fresh Catch® Barlean's Organic Oil Super High Potency EPA is a pure and pristine source of fish oil providing highly concentrated EPA Omega-3 to support cardiovascular, joint, immune and colon health for your vibrant health and energy.Barlean's Fishery's Oil, Fresh Catch, Lemonade Flavor, Cod Liver Oil, 8 fl. oz.
Barlean's Fishery brings you Fresh Catch® Cod Liver Oil, a pure and pristine source of molecularly distilled cod liver oil ideal for those who seek a naturally occurring, well-balanced ratio of EPA, DHA and vitamins A & D.Barley Grass Tincture, 2 fl. oz.
Super Greens like Barley Grass help with digestion, elimination, detoxification, internal cleansing, tissue repair, skin problems and healing.Bayberry Root Bark, Nature's Way, 475 mg, 100 Caps
Bayberry Root Bark is often used for its astringent properties and can boost the immune system.Become Younger, By Dr. N.W. Walker, D.Sc., Paperback
Gets you out of the rut to become younger today. Scores of aids to help, plus the philosophy necessary and plans for natural food meals.Bee Pollen With Siberian Eleuthero (Siberian Ginseng Root), Nature's Way, 500 mg, 100 Caps
Bee pollen capsules can improve overall vitality and endurance, especially when active and demanding lifestyles create fatigue or reduce work capacity and concentrate.Bitter Orange Extract (Citrus Aurantium), Standardized, Nature's Way, 450 mg, 60 Tabs
Nature's Way Standardized Bitter Orange Extract provides high levels, 6%, of the key compound, Synephrine, which has been the focus of study for its thermogenic properties.Black Cherry Concentrate, Organic, Kosher, Dynamic Health, 16 fl. oz.
Our Black Cherry Concentrate is made from Organic Cherries, is kosher, fat free and has no sugar added.Black Seed Theramune Ultimate With Garlic, 100 Caps
Promotes healthy circulation, useful for arthritis and cardiovascular & respiratory support. It also supports digestion and is a natural remedy for ulcers. Garlic is known to lower cholesterol naturally.Blood Circulator, 100% Natural, 450 mg, 60 Caps
This time-honored formula is used in Chinese medicine to promote micro-circulation, increase blood flow to heart muscles, open and clear arteries, inhibit intestinal adhesion, soothe the liver, remove stasis and maintain healthy blood circulation and regular menses.Blood Pressure Balance TCM Formula, Gegen Pingya, 100% Natural, 60 Caps
Blood Pressure Balance TCM Formula is made of pueraria root and lotus embryo, this well-known blood pressure herb formula is used in Chinese medicine to maintain healthy blood pressure and blood flow.Blood Pressure Health, NOW Foods, 90 Caps
Blood Pressure Health contains proprietary Grape Seed Extract (GSE), which scientific studies have shown contains flavonoids that can support healthy arterial function already within the healthy range through a number of mechanisms.Blood Pressure Herbal Tea, 20 Tea Bags
Used in Chinese medicine as a principal herb to maintain normal blood pressure and to strengthen the heart. Usage Warnings: Do not use if you have low blood pressure.Blood Pressure Mild Scent Wellness Oil, 2 fl. oz.
A few drops of Blood Pressure Wellness Oil on your wrist or behind your ear once a day helps to reduce your blood pressure.Bloodroot Root (Sanguinaria Candadensis) Powder, 4 oz. Bulk
BloodRoot (Sanguinaria canadensis) is chiefly used as an expectorant for chronic bronchitis and as a local application in chronic eczema, specially when secondary to varicose ulcers. Of value in pulmonary consumption, nervous irritation and helpful in lowering high pulse, and in heart disease and weakness and palpitation of heart of great use.Blood Tonifier & Circulator Herbal Tea, 20 Tea Bags
A select blend of herbs used in Chinese medicine to tonify the blood and facilitate blood circulation and defense.Breath Alive, 60 Caps
Breath Alive helps promote weak lungs and works on strengthening their usage and effects.Britemind Elder For Enhanced Brain Function, Luma Congmin, 100% Natural, 500 mg, 60 Caps
This time-honored formula is used in Chinese medicine to maintain healthy brain and mental functions, and sexual potency.Buffered Vitamin C-500 Ascorbate, 100% Natural, 500 mg, 250 Caps
Nature's Way Buffered Vitamin C is less irritating to the stomach. Vitamin C provides antioxidant protection for many of the body's important enzyme systems. White blood cells (neutrophils) utilize Vitamin C to help produce cytotoxic enzymes which they use to eliminate foreign matter.Bungleweed Herb Powder, 100% Organic, 4 oz. Bulk
Bugleweed is a mild narcotic similar to digitalis and it is used for treating mild hyperthyroidism (i.e. Grave's disease) symptoms such as rapid pulse, weight loss, sensitivity to heat, excessive sweating, fatigue, enlarged thyroid and bulging eyes.Butcher's Broom Root, Nature's Way, 470 mg, 100 Caps
Popular in Europe for improving circulation in the legs, Butcher's Broom Root contains a mixture of steroidal saponins which produce a vasoconstrictive effect.Calcium Ionic Mineral Supplement, Fully Absorbable, 700 +/- ppm, 16 fl. oz.
WaterOz Ionic Calcium is a pure liquid Calcium supplement. Calcium is one of the most essential of the major biochemical elements needed in human nutrition. It is needed in every organ of the body, including the brain. Calcium is called the "knitter" because it promotes healing or knitting everywhere in the body. It is valuable for tone, power, strength, longevity, vitality, and endurance, healing of wounds, counter-acting acids, and helping regulate metabolism.CapsiCool, Cayenne Supplement, Nature's Way, 390 mg, 100 Caps
CapsiCool is a special cayenne supplement that provides the benefits of Cayenne Pepper without the burning feeling and discomfort in the stomach that otherwise may be experienced.Cardio EDTA Oral Chelation Formula, With Ethylene-Diamine-Tetra-Acetic Acid & Garlic, 690 mg, 120 Caps
A Health Care Provider recommended, scientifically advanced, Cardio EDTA Oral Chelation Formula with 400 mg of EDTA, EthyleneDiamineTetraAcetic Acid, and Garlic to promote Cardiovascular Health and well being.Cascara Sagrada (Rhamnus Purshiana) Tincture, 100% Organic, 2 fl. oz.
One of the best herbs for the entire digestive tract. It tones and increases peristaltic action without being habit forming. It promotes secretions of the stomach, liver, pancreas and gallbladder ducts.Cayenne Pepper Supplement, Nature's Way, 450 mg, 180 Caps
Cayenne Pepper Supplement is a blood warming herb that has an invigorating effect on several body systems.Cayenne Pepper Tincture, 100% Organic, 2 fl. oz.
A strong stimulant, Cayenne is a digestive and heart tonic. Relaxes the stomach and colon, helps to heal ulcers, improves circulation, and stops bleeding. It stimulates the heart, increasing and strengthening the pulse.Cayenne & Hawthorn Supplement With Vitamin E & Lecithin, Nature's Way, 480 mg, 100 Caps
Nature's Way has formulated its Cayenne and Hawthorn supplement with Vitamin E and Lecithin with the greatest concern for its purity, safety and effectiveness.Celery Seed Tincture, 100% Organic, 2 fl. oz.
Celery seed, an arthritis herbal remedy, also has an ancient reputation for treating muscle spasms, high blood pressure, gout, sleeplessness, depression, and anxiety.Cellfood Liquid Multi-Vitamin, 100% RDA Spray, 1 fl. oz.
CellFood Liquid Multi Vitamin has an absorption and assimilation rate of almost 20 times more than vitamin pill supplementation.Cellfood Natural Weight Loss Formula, 4 fl. oz.
Cellfood Natural Weight Loss Formula, with amino acids, electrolytes, digestive enzymes, and minerals helps regulate metabolism and breakdown organic material, while increasing your fat burning potential. Even while you sleep!Cerebral Cardiovascular Cleanser, 100% Natural, Fibrinolytic & Hemolytic, Qilong Yufeng, 500 mg, 60 Caps
Cerebral Cardiovascular Cleanser, Fibrinolytic and Hemolytic, is made of extracts of astragalus root, Chinese angelica root, common peony root, lumbricus (earthworm), cnidium, safflower flower and peach seed.Chinese Red Yeast Rice, By Rita Elkins, M.H.
"Woodland Health Series" This booklet examines the historical uses of red yeast rice, the recent scientific data documenting its applications and its safety and usage in reducing high cholesterol levels.Chlorella Green Algae, Nature's Way, 410 mg, 100 Caps
Green Algae Chlorella is helpful as a support for long-term debilitating systemic conditions which lower energy and resistance; such as diabetes, arthritis, high blood pressure, allergies, and infections.Chlorofresh, Chlorophyll Supplement, Nature's Way, 50 mg, 90 SoftGels
Chlorofresh, Chlorophyll Supplement, is used chiefly as an aid to reduce odor from a colostomy or ileostomy and to reduce fecal odor due to incontinence.Choledrene Natural Cholesterol Supplement, 100% Natural, Pharmaceutical Grade, High-Tech, 600 mg, 90 Caps
Choledrene Natural Cholesterol Supplement has been thoroughly tested for three years to prove its efficacy and safety before bringing it to market.Cholesterol Guard Capsule (Blood Fat Cutter), TCM Formula, Shanze Xiaozhi, 60 Caps
Cholesterol Guard Capsule is made of extracts of medicinal rhubarb root, wolfberry, cistanche, Chinese hawthorn fruit, alisma, lotus leaf and cassia seed, cholesterol herbs.Cholesterol Guard Herbal Tea, 20 Tea Bags
A caffeine free Herbal Tea designed to disperse stagnant blood, soften and dilate blood vessels, to maintain healthy cholesterol level and normal blood pressure.Cholesterol Lowering & Controlling - 3 Week Plan Handbook & Cookbook (Revised) By Patricia & Edward Krimmel
Anyone, regardless of age, gender or ethnic background, can develop a high cholesterol level without even being aware of it. Are you one of the many individuals who has or is at risk for developing cardiovascular disease?Cholesterol Support Formula With Policosanol, Tocotrienols, PureGar Guggul & Chromium, NOW Foods, 90 VCaps
Recommended by Dr. James Balch, Cholesterol Support is an herbal cholesterol supplement specifically formulated to support your body's natural metabolism of cholesterol.Cholesterol Support Wellness Oil, 2 fl. oz.
Simply apply one to two pumps of Cholesterol Support Wellness Oil to inner wrists or shoulders.Choline Supplement, 100% Natural, Nature's Way, 500 mg, 100 Tabs
Nature's Way Choline Supplement is 100% natural choline with improved absorption.Chromium Ionic Mineral Supplement, Fully Absorbable, 50 +/- ppm, 16 fl. oz.
WaterOz Ionic Chromium is a pure liquid chromium supplement. Chromium helps the body regulate metabolism, regulate insulin and blood sugar levels, helps the body lose weight by stimulating enzymes that metabolize glucose, burns fat. Chromium deficiencies may contribute to Infertility and decreased sperm count.Chrysanthemum Tea, 30 Tea Bags
Chrysanthemum Tea is caffeine free and flavored with jasmine flower. Chrysanthemum tea has adenine, choline, vitamins A, B, amino acids, glycosides, volatile oil and more.Cinnamon Bark (Cinnamonum Verum), NOW Foods, 600 mg, 240 Caps
Experiments conducted by the USDA have shown that this - the variety we call "True Cinnamon" can lower blood sugar by mimicking insulin, activating insulin receptors and working with insulin in the cells to reduce blood sugar by up to 20%.Circulation Formula Tincture, 100% Organic, 2 fl. oz.
The Circulation formula helps with circulatory problems, dizziness, fainting and heart problems as well as chills.Clear Eye & Sharp Ear, TCM Formula, Shanze Xiaozhi, 60 Caps
Clear Eye & Sharp Ear Chinese Formulas are made of extracts from astragalus root, pueraria root, seashore vitex, common peony root, cimicifuge, phellodendron, licorice, cnidium, Chinese angelica root (Dong Quai) and ginseng.Coconut Cures By Bruce Fife, N.D.
Discover the amazing health benefits of coconut meat, milk, water and oil. Learn how to use coconut to prevent heart disease, balance blood sugar and control diabetes, protect against cancer, lose excess body fat and more.Coenzyme Q10: All-Around Nutrient For All-Around Health! Latest Research As A Heart Strengthener, Energy Promoter, Aging Fighter & Much More.
This book discusses an amazing antioxidant that helps patients with heart failure, hypertension, coronary artery disease, high cholesterol levels and other diseases.Complete Cardio Heart & Cholesterol Health, Heart Supplement, Irwin Naturals, 110 Liquid SoftGels
Complete Cardio Heart & Cholesterol Health Heart Supplement provides an effective addition to a healthy diet and exercise program, helping to support heart function, help maintain healthy cholesterol levels and protect heart and vascular tissues from the oxidative effects of stress and aging.Complete Heart II Without Hormones, Allergy Research Group / Nutricology, 300 g
Take Heart II is a powdered, comprehensive cardiovascular support formula. Take Heart II supports general nutrition, ATP (adenosine triphosphate) production, catabolism and homocysteine metabolism, antioxidant function, maintenance of serum viscosity and cardiovascular health.Copper Ionic Mineral Supplement, Fully Absorbable, 50 +/- ppm, 16 fl. oz.
WaterOz Ionic Copper is a pure liquid Copper supplement. Copper influences protein metabolism and general healing, improves vitamin c oxidation and is integral in the formation of RNA.CoQ10, All Natural, Hypoallergenic, Nature's way, 60 mg, 60 SoftGels
CoQ10 is vital for cellular energy production and is a powerful antioxidant and free radical scavenger.CoQ10 With Omega-3 Fish Oils, 60 Gels
Years of research has shown that CoQ10 supports healthy cardiovascular and immune system functions in addition to its vital role in energy production.CoQ10, NOW Foods, 400 mg, 60 Softgels
As an active contributor to all aspects of cellular function, coq10 has become universally regarded as one of the most vital nutrients ever made available to the public.CoQ10 With Vitamin E, NOW Foods, 200 mg, 90 Lozenges
Our new orange flavored chewable CoQ10 200 mg is formulated with 100 IU of Vitamin E in a base of non-genetically engineered Soy Lecithin.Coronary Ease For Heart Health, TCM Formula, Dansheen Shuxion, 500 mg, 60 Caps
Made of extracts from red sage root, notoginseng root with rosewood oil, this well-known formula is used in traditional Chinese medicine to maintain regular heart beat and coronary health.Coral Calcium (Okinawa) Plus Magnesium & Vitamin D, 100% Natural, NOW Foods, 500 mg, 100 VCaps
Okinawa Coral Calcium Plus with Magnesium, Vitamin D and 70 other trace minerals provides essential minerals, restores body alkalinity, supports the immune system, and is bio available for better absorption.Daily Green Tea, Ginger Peach, Republic of Tea, 50 Tea Bags
Ginger Peach Green Tea offers the lushness of a ripe peach and the tingle of spicy ginger in a fresh green tea base. This flavorful and healthy cup will make the head wiggle with delight.Daily Honey Ginseng Green Tea, Republic of Tea, 50 Tea Bags
Republic of Teas relaxing blend Honey Ginseng Tea combines the ancient healthy properties of China green tea with Panax ginseng and full blossom honey.Dandelion Root (Taraxacum Officinale) Powder, 4 oz. Bulk
Dandelion root is known as a blood purifier used for liver and kidney disorders. Dandelion root also contains nutritive salts to build up the blood.Dandelion Root Tincture, 100% Organic, 8 fl. oz.
A blood purifier used for liver and kidney disorders; contains nutritive salts to build up the blood and is very useful for skin problems and diseases.Devil's Claw Root (Harpagophytum Procumbens) Powder, 4 oz. Bulk
Devil's claw root is recognized by The British Herbal Pharmacopoeia as possessing analgesic, sedative and diuretic properties.DHEA / Dehydroepiandrosterone, Pharmaceutical Grade, Anti-Aging Support, Hypoallergenic, 25 mg, 180 Caps
DHEA (Dehydroepiandrosterone) is the most abundant steroid in the blood stream produced mainly in the adrenal glands. DHEA is the biochemical building blocks for the synthesis of other hormones.DHEA / Dehydroepiandrosterone, Pharmaceutical Grade, Anti-Aging Support, Hypoallergenic, 50 mg, 180 Caps
DHEA may be used for immune system dysfunction, heart disease, diabetes, obesity, osteoporosis, arthritis, anti-aging and auto-immune diseases.DMG Supplement N,N-Dimethyl Glycine, NOW Foods, 125 mg, 100 Caps
NOW Foods DMG Supplement is a methylated amino acid found in all cells. DMG is an antioxidant and methyl donor that has a number of beneficial effects. It has shown to have potential in increasing immune response to the flu and salmonella.Dr. Dean Ornish's Program for Reversing Heart Disease, The Only System Scientifically Proven to Reverse Heart Disease Without Drugs or Surgery, By Dr. Dean Ornish, M.D.
Dr. Dean Ornish's Program For Reversing Heart Disease, is a medically proven program that combines the all natural concept of prevention and diet, exercise, meditation, visualization and stress reduction to reduce the risk of heart disease.Dry Vitamin D, Nature's Way, 100% Natural, 400 IU, 100 Caps
Vitamin D helps the body to regulate the transport of calcium through the bloodstream to bone. It also assists in the retention of calcium and phosphorus.Eat More, Weigh Less: Dr. Dean Ornish's Life Choice Program for Losing Weight Safely While Eating Abundantly, By Dean Ornish, M.D.
As this groundbreaking book, a NEW YORK TIMES BEST SELLER, clearly shows it's not just how much you eat it's primarily what you eat. Dr. Ornish's program takes a new approach: abundance rather than deprivation.EFA-Gold Mega DHA Supplement, Nature's Way, 1000 mg, 60 SoftGels
This Mega DHA Supplement contains the premier fish oil source of DHA - an essential fatty acid for healthy metal and visual function.EGCg Green Tea Extract, Vegetarian Formula, NOW Food, 400 mg, 90 VCaps
Green Tea Extract contains numerous compounds, including Polyphenols and Catechins, that provide potent antioxidant benefits. One Catechin in particular, EGCg, has demonstrated extraordinary free radical quenching power in laboratory studies. In non-clinical studies, EGCg has also been shown to be protective against chemical and environmental assault on tissues and helps to support healthy cell cycle regulation.Eleutheroccocus Senticosus (Siberian Ginseng) Powder, Alternative Health & Herbs, 4 oz.
This variety is suitable for women as well as men. Improves cerebral circulation and detoxifies the blood. Considered one of the best tonics. Protects against radiation damage, stress, fatigue, high blood sugar. Increases endurance and balances hormones.Eleutheroccocus Senticosus (Siberian Ginseng) Tincture, 2 fl. oz.
Siberian Ginseng root is suitable for women as well as men and improves cerebral circulation and detoxifies the blood.Encyclopedia of Nutritional Supplements: The Essential Guide For Improving Your Health Naturally, By Michael T. Murray, N.D.
The companion volume to the Encyclopedia of Natural Medicine offers detailed profiles of vitamins, minerals, essential fatty acids, and other nutritional supplements. What sets this guide apart from similar works is the impressive list of references for each entry (55 pages in total).Energy Drink, Ola Loa Vitamin Energy Supplement Powder Drink Mix, Orange Repair, 30 Packets
Ola Loa is the most extensive vitamin and mineral supplement available in a great tasting effervescent energy drink.Energizer Formula With Siberian Eleuthero, Nature's Way, 430 mg, 100 Caps
Nature's Way Energizer formula includes Siberian Eleuthero and Bee Pollen.Enzymes, All Complete, 250 mg, 90 Caps
All Complete Enzymes, dietary supplement, is an important combination of critical enzymes that help support normal digestive function, cholesterol levels, fat metabolism and more, all in one convenient tablet.EPA 18 (Eiscosapentanoic Acid) High Potency Fish Oil With Vitamin E, Nature's Way, 1000 mg / 20 IU, 200 SoftGels
Nature's Way EFAGold is the highest quality cold water Fish Oil guaranteed to contain 18% EPA and 20% DHA.EPA 30 (Eiscosapentanic Acid) High Potency Fish Oil With Vitamin E, Nature's Way, 1000 mg / 10 IU, 90 SoftGels
Nature's Way EFAGold is the highest quality cold water Fish Oil - guaranteed to contain 30% EPA and 20% DHA.EPA 30 (Eiscosapentanic Acid) High Potency Fish Oil With Vitamin E, Nature's Way, 1000 mg / 10 IU, 180 SoftGels
Nature's Way EFAGold is the highest quality cold water Fish Oil - guaranteed to contain 30% EPA and 20% DHA.Fish Oil Update By Richard Passwater, Ph.D.
Why and how marine lipids exercise a beneficial effect on many degenerative and autoimmune diseases such as lupus, arthritis, migraines, heart disease and even cancer.Fisol Fish Oil Supplement, EPA/DHA, Enteric Coated, Nature's Way, 500 mg, 90 Softgels
Fisol, enteric coated, fish oil supplement delivers 30% EPA and 20% DHA. The unique coating withstands stomach acid so Fisol dissolves in the small intestine and maximizes the body's absorption of Omega-3 Essential Fatty Acids.Flush Free Niacin, 320 mg, 90 Caps
This flush free Niacin is formulated to avoid Niacin flush, a red tingly rash.Formula One With Chromium Picolinate, Healthy Associates, 120 Caps
Healthy Associate's Formula one with Chromium Picolinate is formulated to help you loose weight and have some extra energy.Fresh Catch Fish Oil, Liquid Fish Oil Supplement, EPA/DHA, World's Freshest Fish Oil, Barlean's, 8 fl. oz.
Barlean's Fresh Catch Liquid Fish Oil Supplement, is a pristine source of ultra-purified fish oil providing naturally occurring levels of EPA and DHA for your vibrant health and energy.Garlicin Cholesterol Control, Odor Free, Nature's Way, 350 mg, 90 Enteric Coated Tabs
SmartRelease Garlicin odor free garlic supplement is the most effective garlic supplement on the market today.Garlicin HC, Healthy Circulation Formula With Odor Free Garlic Supplement, Nature's Way, 90 Enteric Coated Tabs
Garlicin HC odor free garlic supplement supports cardiovascular health with the help of Hawthorn, Cayenne and Vitamin E.Garlic Tincture, 100% Organic, 2 fl. oz.
The Europeans use garlic as an all-around treatment for preventing atherosclerosis, the cause of heart disease and strokes.Ginger Root Tincture, 100% Organic, 2 fl. oz.
Ginger root has also been recommended as a treatment for atherosclerosis, migraine headaches, rheumatoid arthritis, high cholesterol, burns, ulcers, depression, impotence, and liver toxicity.Ginkgo Biloba Extract, Standardized, Nature's Way, 60 mg, 120 Vegetarian Caps
Nature's Way Ginkgo biloba extract is a technically and scientifically advanced herbal extract standardized to 24% Ginkgo flavone glycosides and 6% terpene lactones, supported by whole Gotu Kola herb.GinkGold Ginkgo Biloba Extract, Standardized, Nature's Way, Vegetarian, 60 mg, 150 Tabs
Backed by over 35 years of extensive research, including over 400 published scientific and clinical studies, Nature's Way Ginkgold ginkgo biloba extract has been proven to support healthy circulation to the brain as well as the extremities.Ginkgo Leaf Tincture, 100% Organic, 2 fl. oz.
Preliminary studies show that Gingko Leaf is helpful in ordinary age-related memory loss as well.Ginseng Royal Vitality, Yogi Tea, 16 Tea Bags
Ginseng Royal Vitality is specially designed to boost mental and physical energy for both men and women.Glucomannan (Konjac Fiber), Nature's Way, 665 mg, 180 Caps
Nature's Way Glucomannan (Amorphophallus konjac fiber) is a 100% dietary fiber source obtained from the root of the konjac plant.Glucosamine Hydrochloride, Sodium Free, Nature's Way, 375 mg, 80 Tabs
FlexMax Glucosamine HCl contains more elemental glucosamine per milligram than sulfate forms and is more readily absorbed making it highly effective.Glucosamine Sulfate (FlexMax), Nature's Way, 750 mg, 80 Tabs
Numerous scientific studies show glucosamine sulfate to be highly effective. An advancement over competitive brands, FlexMax glucosamine sulfate is non-irritating to the stomach because of its proprietary StomachGuard technology that utilizes plant fibers to form a protective gel around the tablet upon entering the digestive tract.Golden Flax Seeds, NOW Foods, Whole Bulk, 16 oz.
Flax Seeds are an important source of polyunsaturated fatty acids, including Omega-3, plus Magnesium, Zinc and dietary fiber. Flax oil from flax seeds is the richest known source of linolenic acid. It contains protein, mucilage, phytosterols and lignans, which are naturally included at 100 times the level of the next best source, wheat bran.Goldenseal Root Tincture (Hydrastis Canadensis), 100% Organic, 2 fl. oz.
Goldenseal is an antibacterial and antiseptic. Use especially when mucus turns thick and discolored. Use short term only with other herbs.Gotu Kola Powder, 100% Organic, 4 oz. Bulk
This herb rebuilds the energy reserves, and is useful after a nervous breakdown and to help prevent nervous breakdowns.Gotu Kola Tincture, 100% Organic, 2 fl. oz.
Gotu Kola helps support thyroid if low, the vascular, and the nervous system. Gotu Kola is also used as a nutritive brain tonic for poor memory and mental clarity.Grape Seed Extract, 350 mg, 90 Caps
A very powerful antioxidant, this standardized Grape Seed Extract helps maintain capillary health, and has the ability to neutralize free radicals.Green Chai Tea, Yogi Tea, Certified Organic, 16 Tea Bags
Our Organic Green Chai By Yogi Tea in a refreshing alternative to the rich, dark flavor of our Black Chai.Green Blends Light Appetite, 180 Caps
Green Blends Light Appetite is a unique and natural formula for supporting weight maintenance.Green Herbal Tea, Kiwi Pear Tea, Republic of Tea, 50 Tea Bags
This green herbal kiwi pear tea is luscious with the naturally sweet flavor of ripe pears and tropical tang of kiwi.Green Tea & Apple Blossom Daily Tea (50 Tea Bags)
Green Tea & Apple Blossom is enriched with the crisp tart-sweet flavor of apples and the floral note of fruit blossoms. This tea has traveled far to protect the body and mind.Green Tea Energy, Natural Energy Boost, Certified Organic, 16 Tea Bags
Green Tea Energy is a vital tonic specially formulated to promote greater energy and well-being. It helps reduce certain effects of aging and stress.Green Tea Extract Diet Support With Panax Ginseng, 10.2 fl. oz., 30 vials
For Weight Management: Prince of Peace green tea Extract With Panax Ginseng is an excellent dietary supplement to accompany a healthy diet and regular exercise plan.Green Tea, Pineapple Ginger Tea, Republic of Tea, 50 Tea Bags
Daily Green Tea - Fragrant, fresh China green tea paired with fruity pineapple and the tingle of spicy ginger. This cup helps you simultaneously relax and pay attention. Excellent iced.Green Tea Tincture, 100% Organic Green Tea, Natural, 2 fl. oz.
Green Tea inhibits cancer growth, kills cancer cells, lowers LDL cholesterol levels, inhibits abnormal clotting (reducing heart attack risks), burns calories, and prevents tooth decay!Green Tea, Wild Berry Plum Tea, Republic of Tea, 50 Tea Bags
This deep flavored green tea is buoyant with the nectar of sweet wild berries and balanced with the tart flavor of ripe plums.GTF Chromium Polynicotinate, Nature's Way, 200 mcg, 100 Caps
Nature's Way GTF Chromium polynicotinate is the patented ChromeMate polynicotinate form. Chromium polynicotinate meets all the requirements for GTF. It contains no artificial ingredients or preservatives.Guarana Seed Powder (Paullinia Cupana), Alternative Health & Herbs, 4 oz.
Guaraná is a creeping shrub native to the Amazon (and particularly the regions of Manaus and Parintins). In the lushness of the Brazilian Amazon where it originates, it often grows to 12 meters high. The fruit is small, round, bright-red in color, and grows in clusters. As it ripens, the fruit splits and a black seed emerges - giving it the appearance of an "eye" about which Indians tell legends.Hawthorn Berries, Nature's Way, 510 mg, 180 VCaps
Hawthorn berries of this European species have been used since ancient times for well-being and as a cardiovascular tonic.Hawthorn Berry Tincture (Heart Herb), 100% Organic, 2 fl. oz.
Throughout Europe, Hawthorn berry is recognized as a safe and effective treatment for the early stages of congestive heart failure (CHF).Hawthorne Leaf (Crataegus Oxycantus) Powder, 4 oz. Bulk
One of the most valuable herbs for the heart and circulation. Used for organic and functional heart troubles.Hawthorne Leaf Tincture, 100% Organic, 2 fl. oz.
Hawthorne is one of the most valuable herbs for the heart and circulation.Healthy Adult From Barlean's Organic Oils, Omega-3 Concentrate, 60 SoftGels
Fresh Catch® Healthy Adult formula is one of Barlean's Organic Oils, a pure and pristine source of molecularly distilled fish oil formulated with the ideal dose and ratio of highly concentrated EPA and DHA omega-3 for the vibrant health and energy of healthy adults.Healthy Mom Fish Oil Pregnancy Supplement, High Potency Omega-3, EPA DHA Nutrition During Pregnancy & Lactation, Lemon Flavored, 90 SoftGels
Healthy Mom Fish Oil Pregnancy Supplement is a pure and pristine source of molecularly distilled, pharmaceutical grade fish oil formulated with the ideal dose and ratio of DHA and EPA to address the health and nutrition priorities of pregnant and lactating women.Heart & Cholesterol Support, Cholesterol Supplement, TheraVedas Narsimha, 60 VCaps
TheraVeda's Narsimha Cholesterol Supplement Formula was developed using unique herbs to support the heart by regulating lipid metabolism and promoting healthy cholesterol levels.HeartCare, Hawthorn Extract, Nature's Way, 80 mg, 120 Tabs
HeartCare improves blood and nutrient flow to the heart muscle. It also supports efficient circulation and blood flow to the heart by reducing flow resistance in the peripheral blood vessel.Heart Formula Tincture, 100% Organic, 2 fl. oz.
The Heart Formula can be used for anemia, fatigue, and heart problems.Heart Formula With Hawthorn CoQ10 & Vitamin E, Nature's Way, 60 Caps
Heart Formula with Hawthorn CoQ10 & Vitamin E represents the powerful synergy of current scientific research and traditional herbal medicine. Key ingredients include Hawthorn Extract, CoQ10, and Natural Vitamin E.Heart Formula Supports Proper Function of the Heart, Banyan Botanicals, 90 Tabs
Heart Formula is a rejuvenating combination of herbs that promotes the proper function of the heart and circulatory system. As a cardiac tonic, Heart Formula nourishes and strengthens the heart muscle, thereby stimulating blood circulation and allowing an increase of oxygen flow to the heart. Ingredients such as hawthorn berry and guggulu promote healthy cholesterol levels, thus aiding in the defense against arteriosclerosis and coronary heart disease.Heart Fortifier Herb Tea, 20 Tea Bags
Heart Fortifier Herb Tea is used to invigorate blood supply and circulation, nurture the blood and maintain normal heart functions.Heart Plus, 100 Tabs
Along with the base of vitamins and minerals, research proven nutrients are in Heart Plus to support a healthy heart.High Blood Pressure Tincture, 100% Organic, 2 fl. oz.
High Blood Pressure Tincture can assist in regulating proper blood pressure.Honeybush Tea, Organic Loose, 3.2 oz.
Honeybush Tea is a herbal tea that is caffeine free and very low in tannic acid. It has a very pleasant sweet tasting honey flavor and also a very healthy drink.Hyssop Herb, Nature's Way, 445 mg, 100 Caps
Hyssop herb regulates blood pressure, purifies the blood and promotes circulation, excellent aid for the eyes, hoarseness, lungs, mucous buildup, nervous disorders and skin problems.Iron Ionic Mineral Supplement, Fully Absorbable, 20 +/- ppm, 16 fl. oz.
WaterOz Ionic Iron is a pure liquid Iron supplement. Iron is called the "energy giver." It attracts oxygen and builds blood. Along with manganese and copper it is necessary for healthy blood chemistry and is essential for recovery from illness.Jiaogulan Herbal Tea, Organic, 40 Tea Bags
Get all the remarkable benefits of jiaogulan with this slightly bitter, slightly sweet tasting tea.Jiaogulan Herbal Tea, Premium Organic, 20 Tea Bags
Get all the remarkable benefits of jiaogulan with this remarkable healing Jiaogulan tea.Jiaogulan Tea Pills, 20 mg, 200 Pills
Each Jiaogulan tea pill contains the equivalent of approximately 60 mg. of standardized gypenisides.Kombucha Miracle Fungus, Kombucha Tea Benefit's, By Harald Tietze, Paperback
One time best seller, Kombucha Miracle Fungus is all about synergy and Kombucha Tea Benefit's it is an easy read for those interested in the synergy Kombucha offers or Kombucha benefit's.Kombucha 2000, Concentrated, 30 Caps
Concentrated Kombucha Capsules are new to the market, but Kombucha 2000 is one of the very first successful kombucha tea producers in the United States.Kombucha Tea, 100% Organic, Original Flavor, 64 fl. oz
Kombucha's benefits to the physical body vary widely. It is said to enhance the immune system. By detoxifing the body, kombucha makes it unlikely for disease causing bacteria and viruses to find a suitable growth environment. This results in a healthier physical body!Korean Ginseng Root, Nature's Way, 560 mg, 100 Caps
Korean Ginseng Root (Panax Ginseng) is revered in the Orient for centuries as a traditional herb to promote vitality.L-Arginine, Pharmaceutical Grade, Free Form, NOW Foods, 500 mg, 100 Caps
L-Arginine is a conditionally essential basic amino acid involved primarily in urea metabolism and excretion as well as DNA synthesis.L-Carnitine, Liquid Double Strength, NOW Foods, 16 fl. oz.
NOW® L-Carnitine Liquid provides all of the extensive benefits of Carnitine in a highly absorbable liquid form. L-Carnitine Liquid is a non-essential amino acid that helps to maintain overall good health by facilitating the transfer of fatty acid groups into NOW® L-Carnitine 2X Liquid provides double (1g) the potency of some competing brands per serving size.L-Carnitine Liquid, Plus Pantothenic Acid, Dynamic Health, 16 fl. oz.
Dynamic's Health's liquid L-Carnitine can help boost energy, build new muscle and improve mental performance.L-Carnitine, Stable Tartrate Form, NOW Foods, 250 mg, 30 Caps
Pure L-Carnitine is an amino acid that normally attracts water which can cause it to deteriorate rapidly. This is a tartrate form to help ensure that NOW L-Carnitine maintains stability and full potency.Lecithin Concentrate, Nature's Way, 400 mg, 100 SoftGels
Nature's Way Lecithin Supplement is 100% natural from soy oil and it contains no artificial ingredients or preservatives.Lecithin Fine Vegetarian Granules, NOW Foods, 97% Phosphatides, Pure & Fresh, 1 lb.
Contains Choline & Inositol which are essential for the breakdown of fats and cholesterol. It helps prevent arterial congestion, helps distribute bodyweight, increases immunity to virus infections, cleans the liver and purifies the kidneys.Lick The Sugar Habit, By Nancy Appleton, Ph.D.
Nancy Appleton, Ph.D., shows you how sugar upsets the body chemistry and devastates the endocrine and immune systems, leading to a host of diseases and conditions including hypoglycemia, diabetes, osteoporosis, arthritis, cancer, heart disease, headaches, allergies, asthma, obesity, periodontal disease, tooth decay, and more.Licorice Root, Certified, Nature's Way, 450 mg, 100 Caps
Licorice Root (Glycyrrhiza Glabra) is a member of the legume family and its major constituent, glycyrrhizin, is 50 times sweeter than sucrose. Warning: Licorice may cause blood pressure rise.LipoGar, Black Seed With High Potency, Garlic & Lecithin, 100 Caps
Lecithin is a rich source of choline, which the body requires to make acetyl choline, a neurotransmitter which is essential for normal nerve function.Liquid Flavored Sweetleaf Stevia, 4 Flavored 6 ml Bottles, 60 Servings Each
Flavored Sweetleaf Stevia has Four exciting All Natural, Zero Cal, Zero Carb, Zero Glycemic index - Flavored Stevia bottles at an exciting value of only one penny per drop.L-Lysine, Pharmaceutical Grade Stable Tartrate Form, NOW Foods, 500 mg, 100 Caps
L-Lysine helps symptoms of herpes infection and cold sores and L-Lysine is an essential amino acid.L-Phenylalanine, Free Form, NOW Foods, 500 mg, 60 Caps
L-Phenylalanine is an Essential Amino Acid that helps to elevate positive mood and may be used in the treatment of some forms of depression. It is essential for the production of adrenalin.L-Theanine With Decaffeinated Green Tea Extract, NOW Foods, 100 mg, 90 VCaps
L-Theanine is an amino acid found in green tea that produces tranquilizing effects in the brain and creates a feeling of relaxation without drowsiness. Helps reduce high blood pressure and relieve stress.Lucid Head, PCK Technologies, Inc / MagiHerbs, 60 Caps
This 100% natural herbal formula is based on Chinese decoctions proven effective to relieve, in the early stage, symptoms of nervous system and vascular disorders in the head, including pain, dizziness, blurredness, forgetfulness.Maitake Mushroom Tincture, 100% Organic, 2 fl. oz.
The unique chemicals in raw, cooked, and dried Maitake mushrooms may help boost immunity, fend off infections and fight cancer.Maitake Mushroom whole, Certified Organic, 4 oz. Dry Weight
The Maitake Mushroom is not only the medicinal mushroom that leads as an anti-cancer agent specializing in breast and prostate cancers, but is also renown for it's ability to regulate blood sugar, cholesterol, blood pressure, inflammation, and blood clots.Man Kind Tea, Blueberry Green Tea, Republic of Tea, 2.65 oz.
Premium China green tea with blueberries for men's prostate health, benefiting the Prostate Cancer Foundation.Molecular Distilled Omega-3, NOW Foods, 1000 mg, 90 Softgels
The Natural Fish Oil Concentrate used in NOW Foods Omega 3 is molecularly distilled and manufactured under strict quality control standards.Nattokinase for Circulatory Health, NOW Foods, Vegetarian, 100 mg, 60 VCaps
Natto has been consumed safely for thousands of years for its numerous health benefits. More recently, both clinical and non-clinical studies have demonstrated that Nattokinase supports heart health and promotes healthy circulation.Natural Fiber Supplement, Truman's, 12 oz.
Truman's Natural Fiber Supplement formula helps to give bulk to the stool and to check diarrhea; thus, creating balance in the bowel movements.Natural Hormone Replacement For Women Over 45, Jonathan Wright, M.D. & J. Morgenthaler
Finally, an alternative to conventional hormone replacement therapy - compelling evidence that natural hormone replacement (NHR) provides all the benefits of conventional HRT but with drastically reduced risks of unwanted side effects and cancer.NephroEase for Kidney Health, TCM Formula, Luma Yushen, 100% Natural, 500 mg, 60 Caps
Used in Chinese medicine for its nutritive, brain nurturing, cardiotonic, diuretic, kidney tonifying, liver supporting, bone and muscle strengthening, spleen and kidney warming.Niacin Supplement (Vitamin B-3), 100% Natural, Nature's Way, 100 mg, 100 Caps
Niacin or vitamin B-3, is necessary for normal breakdown of fats and fatty acids and the release of energy from carbohydrates. It is also an excellent vasodilator and may be useful in maintaining proper cholesterol levels.Noni Juice, Trace Minerals, 32 fl. oz.
Trace Minerals Noni Juice product may provide nutritional support for Bio-Electric Health & Body Mineral Balancing.Oat Bran Extract, Standardized 54% Beta Glucan, Vegetarian, Nature's Way, 60 VCaps
One serving of Nature's Way standardized Oat Bran Extract provides 750 mg of this soluble fiber. Oat Bran Extract is standardized to 54% beta glucan.Odorless Garlic Supplement, NOW Foods, 50 mg, 250 SoftGels
Odorless Garlic supplement is extracted from Allum sativum and is a specially made Japanese product. Our Odorless Garlic yields high amounts of Scordiin, a unique sulfur compound which may be responsible for many of garlic's renowned benefits.Omega-3,6,9 Oil, Mega EFA Blend, Lime Flavored, Nature's Way, 1350 mg, 90 Softgels
Omega-3,6,9 Oil MEGA EFA BLEND is the most complete daily source of Omega 3-6-9 fatty acids for healthy skin, joints and cardiovascular function.Omega-3 Fish Oil, NOW Foods, Lemon Flavored, All Natural, 7 oz.
Omega-3 Fish Oil is important for mental and cardiac development.Omega-3 Fish Oil Supplement, Mood Aid, EFA Gold, Enteric Coated, Nature's Way, 60 SoftGels
Mood Aid Fish Oil Supplement is a highly concentrated source of EPA (Eicosapentaenoic acid) from pure cold water fish oil.Organic Coconut Oil, Virgin Unrefined Premium Nutritional Edible Oil, Vegetarian, NOW Foods, 12 oz.
NOW Organic Coconut Oil is a high grade, virgin unrefined premium nutritional edible oil obtained from the first cold pressing of organic coconut (Cocos nucifera) kernels.Organic Flax Protein / Fiber / Lignan Cold Milled Powder Plus Omega-3, Certified, Nature's Way, 16 oz.
Nature's Way EFAGold is the highest quality flax seed protein powder, and one of nature's richest sources of protein, fiber & essential fatty acids.Ovary & Uterus Clean, TCM Formula, Guifu Ankum, 500 mg, 60 Caps
This time-honored formula is used in Chinese medicine for its blood circulation promoting, blood vessel dilating, stasis dispersing, internal secretion and hormone regulating, immune system supporting, hemolytic, analgesic and anti-inflammation properties to maintain healthy ovary and uterus and their proper functions.PainEase (Analgesic Formula), 100% Natural, 350 mg, 60 Caps
Made of corydalis tuber and angelica root, this well-known formula is used in Chinese medicine for its tranquilizing, analgesic, antibacterial, and anti-hypoxia properties to regulate the Qi, promote normal blood circulation, protect mucous membrane of the stomach and to stop pain.Papaya Juice, Natural, Kosher, Dynamic Health, 16 fl oz.
Papaya juice is a great everyday drink and also good in ice cold smoothies, mixed drinks, and even for baking.Papavol Male Volume Enhancer, Palo Alto Labs, 60 Caps
Revolutionary Breakthrough in Male Sexual Performance Bodybuilders, especially those who have used anabolic substances, often suffer from extremely low levels of testosterone, which is one of the main causes leading to a decline in libido function.Passion Flower Tincture, 100% Organic, 2 fl. oz.
Passion Flower is a powerful relaxant to the nervous system important in the treatments of anxiety, tension and insomnia.Pau D'Arco Bark (Tabebuia Impetiginosa) Powder, 4 oz. Bulk
Pau D'Arco bark is a rich source of iron, which contributes to the elimination of wastes from the body and the assimilation of nutrients.Periwinkle (Vinpocetine) Tincture, 100% Organic, 2 fl. oz.
Rosy Periwinkle produces 70 known alkaloids, some of which are used by the pharmaceutical industry for the treatment of childhood leukemia, Hodgkin's disease, testicular cancer and cancerous tumors.PlasminPlus Thrombolytic, 250 mg, 36 Caps
In China, Plasmin Plus Thrombolytic is used for stroke victims that have suffered paralysis or brain damage, blood clots in the legs and brain, poor circulation, clogged arteries, and to prevent thrombosis associated with airline travel.Pomegranate Extract, Standardized to 40% Ellagic Acid, Nature's Way, 60 VCaps
Pomegranate Extract is standardized to 40% ellagic acid from a pure whole-fruit source to maximize its antioxidant benefits.Potassium Chelate, 100% Natural, Nature's way, 99 mg, 100 Caps
Nature's Way Potassium Chelate is 100% natural for superior absorption. Potassium is a key nutrient in maintaining the electrolyte balance which regulates heart and muscle contraction.Prickly Ash (Xanthoxylum Americanum) Powder, 4 oz. Bulk
Prickly Ash is an alterative, antispasmodic, blood purifier and stimulant. The Prickly Ash is a small North American tree growing in the open air in this country.Pure Virgin Coconut Oil Cream, Cosmetic Cream, NOW Foods, 7 oz.
NOW Foods Pure Virgin Coconut Oil Cream can be used in recipes as it is food grade, but also as an excellent hair and skin treatment.Pushkarmool (Inula Racemosa), 450 mg, 120 Caps
Pushkarmool (Inula) is used for angina pectoris, heart disease and decreases cholesterol.Raw Energy Nut Mix, Unsalted, 1 lb.
Eating 1.5 ounces per day of most nuts, such as Almonds, Pecans, Cashews or Walnuts as part of a diet low in saturated fat and cholesterol may reduce the risk of heart disease.Red Yeast Rice Extract, Vegetarian, NOW Foods, 600 mg, 120 VCaps
Red yeast rice extract offers some very valuable therapeutic benefits.Red Yeast Rice, Hi-Tech Pharmaceuticals, 90 Tabs
Hi-Tech Pharmaceuticals Red Yeast Rice supports Healthy Cardiovascular Function with its essential blend of 9.4 mg of Mevinolinic Acid per serving.Reishi Mushroom Powder, 100% Organic, 4 oz.
Reishi is used as a tonic to help increase energy, improve digestion and sleep, strengthen resistance to disease, and regulate the immune system. It is widely used to improve the cardiovascular system, lower HDL (the "bad" cholesterol), and reduce excess fatty acids.Resveratrol Synergistic Formula, Nature's Way, 37.5 mg, 60 Caps
Japanese knotweed is a potent source of Resveratrol and has been used for the heart, liver and blood vessels.Reversing Heart Disease, Revised Edition By Julian Whitaker, M.D.
Here is an update of the complete guide to cardiac care packed with new ways to conquer heart disease without drugs or bypass surgery! Hundreds of thousands of heart patients have used Dr. Julian Whitaker's best-selling Reversing Heart Disease to successfully deal with cardiac problems naturally. Now, drawing on nearly 20 years of experience at his Whitaker Wellness Institute, Dr. Whitaker examines modern medicines latest diagnostic techniques, treatments, and drugs and offers the newest improvements to his comprehensive cardiac program.Reversing Hypertension, By Julian Whitaker, M.D.
Dr. Whitaker unleashes a new weapon in the war against hypertension. His simple yet dramatic effective plan offers: a comprehensive program of diet, exercise, nutritional supplements and stress management-to replace or cut down your dependence on medication. Over 30 easy recipes for delicious, low fat, healthy eating.Rosemary Leaf (Rosmarinus Officinalis) Tincture, 100% Organic, 2 fl. oz.
Rosemary has been traditionally used for tension headaches, stimulating circulation, strengthening the nervous system. Good tonic for the heart and for high blood pressure.Salmon Oil Capsule, NOW Foods, 120 EPA / 80 DHA, 2000 mg, 250 SoftGels
NOW Food's Salmon Oil is a nutritional supplement that supplies Omega-3 fatty acids which may reduce the risk of coronary heart disease.Selenium Ionic Mineral Supplement, Fully Absorbable, 50 +/- ppm, 16 fl. oz.
WaterOz Ionic Selenium is pure liquid Selenium supplement. Selenium promotes normal body growth, enhances fertility, encourages tissue elasticity and is a potent antioxidant that naturally reduces the retention of toxic metals in the body. Selenium is crucial for the proper functioning of the heart muscle and there is evidence that it can help the body fight cancer.Selenium 100% Natural, 200 mcg, 100 Caps
Selenium is an essential component of glutathione, the body's most potent natural antioxidant system. It is a popular choice in many antioxidant regimens.Serrazimes, NOW Foods, 20,000 Units, 90 Caps
Serrazimes promotes cardiovascular and immune health.Siberian Eleuthero Root, Nature's Way, 410 mg, 100 Caps
Eleuthero Ginseng root, also known as Eleuthero Root or Siberian Ginseng Root, enhances physical and mental vitality and endurance.Siberian Eleuthero Root Extract, Standardized, Nature's Way, 485 mg, 60 Caps
Siberian ginseng nutritionally supports the glandular system. It is called an "adaptogen", which means that it helps the body adapt to any situation which normally would alter its function. Siberian Ginseng has a beneficial effect on the heart and circulation. It stimulates the entire body energy to overcome stress, fatigue, and weakness. Studies suggest that Siberian Ginseng may help reduce blood sugar levels, balance blood pressure levels, and enhance the immune system by boosting the body's production of natural killer cells.Slim-Aid, 60 Caps
Obesity clearly poses a danger to health, having been associated with numerous health problems including heart disease, high blood pressure, diabetes and certain types of cancer.Slimdun, 90 Pills
Supplement for maintaining healthy cholesterol level and reducing weight.Solid Bone for Bone & Muscle Strength, TCM Formula, Luma Zhuanggu, 500 mg, 60 Caps
This time-honored formula is used in Chinese medicine for its bone and muscle strengthening to maintain healthy, strong bones and muscles.Soy Protein, Unflavored, NOW Foods, 1 lb.
Soy Protein also provides beneficial proteins such as Genistein and Diadzein, which have been shown to support good health through various biochemical processes.Snoreclipse Snoring Solution, The High Tech Anti-Snoring Device
Snoreclipse contains rare earth magnets that were carefully designed to apply a constant, gentle pressure on the nasal septum. This pressure increases circulation in the nasal area and promotes opening of the nasal passages. The opening of the nasal passages encourages relaxed breathing through the nose, which is very helpful in preventing snoring.Spirulina Digest & Flora, 180 Caps
Provides an all-inclusive proprietary formula to support gastrointestinal function, antioxidant protection and immunity.Spirulina Greens Blends Cleansing Formula Powder, 7.4 oz.
Earthrise Green Blends Cleansing Formula is a Spirulina-based green food that contains five key ingredients to help detoxify the body naturally.Spirulina Natural, 500 mg, 180 Tabs
Earthrise Spirulina Natural is a concentrated source of antioxidants and total carotenoids which help protect the body from damaging effects of free radicals.Spirulina Natural Powder, 6.3 oz.
Earthrise Spirulina Natural is a concentrated source of antioxidants and total carotenoids which help protect the body from damaging effects of free radicals.Stomach Fortifier, Balanceuticals, TCM Formula, 100% Natural, 60 Caps
Chinese medicine uses it to strengthen the spleen and stomach, normalize peristalsis of the stomach and intestines, promote absorption of water and chlorine ion, improve metabolism, nurture the lung, balance bowel movement and increase energy.Super Fisol Fish Oil Supplement, 70% EPA/DHA, Nature's Way, 90 Enteric Coated Softgels
Nature's Way Fisol, enteric coated, DHA fish oil supplement delivers 40% EPA and 30% DHA with a unique coating that withstands stomach acid so Fisol dissolves in the small intestine and maximizes the body's absorption of Omega-3 Essential Fatty Acids.Super Lignan, Herbal Estrogen Supplement, Nature's Way, 60 VCaps
EFAGold (TM) Super Lignan is an ideal herbal estrogen supplement for supporting breast health during the menopausal phases of life helping alleviate breast tenderness and pain associated with the menstrual cycle.Syndrome X: The Complete Nutritional Program To Prevent & Reverse Insulin Resistance By J. Challem, B. Berkson, M.D., M. Smith
This book introduces a three-step program-including easy-to-follow diets, light physical activity and readily available vitamins and nutritional supplements-guaranteed to safeguard you against Syndrome X or reverse it if you already have it.Sytrinol Cholesterol Control, Natural Cholesterol Supplement, With Fish Oil, All Natural, 120 SoftGels
Sytrinol Natural Cholesterol Supplement, is a patented blend of bioflavonoids, polymethoxylated flavones, and tocotrienols extracted from natural citrus and palm fruits.Sytrinol Cholesterol Control With CoQ10, Natural Cholesterol Supplement, 60 SoftGels
Sytrinol Cholesterol Control with CoQ10, Natural Cholesterol Supplement is a patented Complex blend of bioflavonoids and tocotrienols extracted from natural citrus and palm fruits.Sytrinol Cholesterol Control With Phytoserols, Natural Cholesterol Supplement, 60 SoftGels
Sytrinol Natural Cholesterol Supplement, is a patented blend of bioflavonoids, polymethoxylated flavones, and tocotrienols extracted from natural citrus and palm fruits.Sytrinol Cholesterol Control, Natural Cholesterol Supplement, 150 mg, 60 SoftGels
Sytrinol Natural Cholesterol Supplement, is a patented blend of bioflavonoids, polymethoxylated flavones, and tocotrienols extracted from natural citrus and palm fruits.The Anti-Inflammation Zone By Barry Sears, Ph.D.
Dr. Sears reveals how to combat silent inflammation in order to reduce the risk of heart disease, cancer and dementia. Research confirms that obesity is a primary cause of silent inflammation.The Coconut Oil Miracle, 4th Edition, By Bruce Fife, C.N., N.D.
Dr. Fife says Coconut oil can help protect from heart disease, cancer and other degenerative conditions, improve digestion, strengthen the immune system, beautify skin and hair and much more.The Cure For All Diseases Book By Dr. Hulda Regehr Clark
No diabetes, no high blood pressure, no cancer, no HIV/AIDS, no migraines, no lupus and so on! Not a single disease is left unconquerable with this new understanding!The Green Pharmacy: The Ultimate Compendium Of Natural Remedies From The World's Foremost Authority On Healing Herbs, By James Duke, Ph.D.
The world's foremost authority on medicinal plants and herbs shares his knowledge of thousands of safe, natural remedies that lie untapped in jungles, forests and herbal gardens throughout the world as hidden reserves of healing power.The Metabolic Syndrome Program: Now to Lose Weight, Beat Heart Disease, Stop Insulin Resistance & More, By Karlene RD Karst
Big Belly? High Body Mass Index? High Blood Pressure? If this sounds like you, you may be one of the millions of North Americans with Metabolic Syndrome.The Peoples Green Tea, Republic of Tea, 50 Tea Bags
In the purest sense, this green tea is celebrated for its refreshing subtle taste and health benefits. The true essence of this green tea will energize harmony and spirit.The Rite - Type Diet Plan For Type A Placemat
Take the stress off your digestive system by using this guide while shopping, for blood type A.Triphala Guggulu - Metabolic Function, Banyan Botanicals, 90 Tabs
Triphala Guggulu effectively decongests the channels of the body and scrapes away toxins held within the tissues. It is particularly useful for weight management as it enkindles the digestive fire, promotes healthy metabolism and releases excess kapha from the system. Used preventively, Triphala Guggulu minimizes the accumulation of toxins in the GI tract, blood and joints by supporting proper digestion and elimination.Tributus (Tribulus Terrestris) Tincture, 100% Organic, 2 fl. oz.
Tribulus is Nature's master hormone regulator and has been used for centuries to treat a wide variety of health problems including loss of libido.Ultimate Oil, Essential Fatty Acids Supplement, Nature's Secret, 90 SoftGels
This delicate blend of four gentle oils soothes and lubricates the digestive and eliminative systems while providing your body with the perfect blend of Omega 3 and Omega 6 Fatty Acids necessary for optimum health.Vanadium Ionic Mineral Supplement, Fully Absorbable, 100 +/- ppm, 16 fl. oz.
WaterOz Ionic Vanadium is a pure liquid Vanadium supplement. Vanadium regulates the circulatory system, helps reduce cholesterol levels and buildup in the central nervous system, lowers elevated blood sugar and is believed to help reduce the incidence of heart attack.Vitamin B-12 Lipospray, NOW Foods, 2 oz.
This combination of key B-vitamins may aid the body's regulation of homocysteine, a potentially harmful byproduct of protein metabolism.Vitamin B-12 Liquid Supplement With Folic Acid, 50 mcg / 400 mcg, 1 fl. oz.
This liquid B-12 supplement with its combination of B vitamins can be a very effective revitalizer in supporting the nervous system, prenatal child health, vegetarians, and heart health.Vitamin C 1000 With Bioflavonoids, Nature's Way, 100% Natural, 1000 mg, 250 VCaps
Nature's Way Vitamin C with Bioflavonoids provides antioxidant protection for many of the body's important enzyme systems.Vitamin C 500 With Bioflavonoids, Nature's Way, 100% Natural, 500 mg, 250 Caps
Vitamin C 500 With Bioflavonoids provides antioxidant protection for many of the body's important enzyme systems.Vitamin C 500 W/ Rosehips, 100% Natural, 500 mg, 250 Caps
Nature's Way Vitamin C with rose hips offers a rich whole plant source of vitamin c.Vitamin E 400, 100% Vegetarian, Nature's Way, 400 IU, 100 Liquid VCaps
Nature's Way Vitamin C is a 100% Vegetarian dietary supplement. Natural Vitamin E as d-alpha tocopherol is a powerful antioxidant that combats damaging free radicals. It also prevents oxidation of LDL cholesterol.Vitamin E, Natural D-Alpha-Tocopherol, 400 IU, 100 Softgels
Vitamin E has potent antioxidant activity, supplies oxygen to the blood, aids in strengthening capillary walls, and plays a beneficial role in cancer and cardiovascular disease prevention, anti-aging benefits, circulation, wound-healing, immune function, nervous system function, PMS, hot flushes, diabetes, vascular disease, eye health, tissue repair, athletic performance, leg cramps, skin and hair health, and alleviating fatigue.Vitamin E, 100% Natural D-Alpha-Tocopherol Acetate, 400 IU, 250 SoftGels
Vitamin E is a major antioxidant and the primary defense against lipid peroxidation. It is particularly important in protecting the body's cells from free radical/oxidative damage.Water, The Ultimate Cure, Discover Why Water Is The Most Important Ingredient In Your Diet & Find Out Which Water Is Right For You, By Steve Meyerowitz (Sproutman)
Discover why one's drinking habits may be the cause and cure of headaches, lower back pain, stress and depressions, high blood pressure, high cholesterol and excessive weight.What Your Doctor May Not Tell You About Menopause, The Breakthrough Book on Natural Hormone Balance, By John R. Lee, M.D., & Virginia Hopkins
Dr. Lee brings you lifesaving facts that even your health care provider may not know about Premarin, Provera, and other HRT drugs; gives you an easy-to-follow non-prescription "Hormone Balance" program; and tells you how to stay energized, strong, sexually vigorous, and free from "female problems" before menopause, during the menopausal years, and beyond.What Your Doctor May Not Tell You About Pre-Menopause, Balance Your Hormones & Your Life From 30 to 50, By John R. Lee, M.D., & Jesse Hanley, M.D.
Presents a safe, revolutionary, non-prescription program to balance hormones, restore gynecological health, energy and sex drive and slow the aging process before menopause and even after.Whole Reishi Mushroom, 4 oz.
Reishi is used as a tonic to help increase energy, improve digestion and lower HDL (the "bad" cholesterol), and reduce excess fatty acids. Also, Reishi has been shown to prevent and treat hardening of the arteries.Whole Shiitake Mushroom, 4 oz.
Shiitake Mushroom is a mainstay in the Japanese diet - very high in nutrition.Yohimbe Tincture, 100% Organic, 2 fl. oz.
Yohimbe is often used for impotence and sexual dysfunction. Yohimbe can also be used for high blood pressure, arteriosclerosis, angina pectoris, and as a local anesthetic.
HIGH BLOOD PRESSURE (HYPERTENSION)
HerbalRemedies: High Blood Pressure / Hypertension Information
HerbalRemedies: High Blood Pressure / Hypertension Supplements, Information, & Products
HIGH CHOLESTEROL
HerbalRemedies: High Cholesterol Information
HerbalRemedies: High Cholesterol Supplements, Information & Products
CARDIOVASCULAR & CIRCULATORY DISEASE
HerbalRemedies: Arteriosclerosis / Atherosclerosis Information
HerbalRemedies: Arteriosclerosis / Atherosclerosis Supplements & Products
HerbalRemedies: Heart Attack / Myocardial Infarction Supplements, Information & Products
HerbalRemedies: Heart Disease / Cardiovascular Disease Information
HerbalRemedies: Heart Disease / Cardiovascular Disease Supplements & Products
HerbalRemedies: Circulatory Problem Information
HerbalRemedies: Circulatory Supplements, Information & Products
HerbalRemedies: Stress / Tension Supplements, Information & Products
RELATED MOONDRAGON LINKS
FOR FURTHER INFORMATION
BOOKS
American Heart Association Low-Fat Low-Cholesterol Cookbook
-- By American Heart Association
Eater's Choice: A Food Lover's Guide to Lower Cholesterol
-- By Nancy Goor, Ronald Goor
ORGANIZATIONS
American Heart Association (AHA)
7272 Greenville Avenue
Dallas, TX 75231
Phone: 1-800-AHA-USA1 (1-800-242-8721)
Web Address: http://www.americanheart.org
Call the American Heart Association (AHA) to find your nearest local or state AHA group. The AHA can provide brochures and information on support groups and community programs, including Mended Hearts, a nationwide organization whose members visit heart patients and provide information and support.
National Cholesterol Education Program (NCEP)
of the National Heart, Lung, and Blood Institute
of the National Institutes of Health
P.O. Box 30105
Bethesda, MD 20824-0105
Phone: (301) 592-8573
E-mail: NHLBIinfo@rover.nhlbi.nih.gov
Web Address: http://www.nhlbi.nih.gov
Contact the National Heart, Lung, and Blood Institute (NHLBI) of the National Institutes of Health (NIH) for information on the National Cholesterol Education Program (NCEP). The NCEP can provide information on high cholesterol as a risk factor for heart disease and stroke. You will also find information on cholesterol-lowering diets, recipes, exercise, weight loss, and lifestyle changes.
National Heart, Lung, and Blood Institute (NHLBI)
P.O. Box 30105
Bethesda, MD 20824-0105
Phone: (301) 592-8573
Fax: (301) 592-8563
E-mail: NHLBIinfo@rover.nhlbi.nih.gov
Web Address: http://www.nhlbi.nih.gov
The National Heart, Lung, and Blood Institute (NHLBI) information center is available Monday through Friday, 9 a.m. to 5 p.m. (EST), to accept orders for publications and inquiries on the prevention and treatment of heart, lung, and blood diseases.
NOTIFY YOUR MIDWIFE OR HEALTH CARE PROVIDER IF...
You have high blood pressure and:
- Your blood pressure is usually normal or well controlled but it suddenly goes well above the normal range on more than one occasion.
- Your blood pressure is 180/110 mm Hg or higher.
- A sudden, severe headache.
- Chest pain (angina).
- Other symptoms of a heart attack.
- Symptoms of a stroke or transient ischemic attack (TIA).
Call health care provider if...
- Your blood pressure is 140/90 mm Hg or higher on two or more occasions (taken at home or in a community screening program). If one blood pressure measurement is high, have another reading taken by a health professional to verify the first reading. Many health care offices or clinics will take blood pressure measurements without charge or an appointment.
- You develop significant side effects from any medication you take for high blood pressure.
Adults are encouraged to have their blood pressure checked regularly. See schedule below:
This schedule shows how often you need to have your blood pressure checked, based on your initial blood pressure readings. Your health care provider or midwife may want to see you more frequently or set up a different schedule for your particular situation.
Recommended regular blood pressure checks by a health professional based on a person's initial blood pressure reading. If your initial blood pressure reading is:
Systolic (mm Hg) Diastolic (mm Hg) Then You Should: Below 130 Below 85 Recheck in 2 years. 130 to 139 85 to 89 Recheck in 1 year. 140 to 159 90 to 99 Recheck within 2 months. 160 to 179 100 to 109 Evaluate within 1 month. Over 180 Over 110 See a health professional immediately.
If you have high blood pressure, see your health care provider regularly to evaluate whether your treatment is working and to discuss any adjustments or side effects.
A diagnosis of hypertension is based on the average of two or more blood pressure readings taken at each of two or more visits after an initial screening.
HELPFUL RELATED LINKS
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-- By Sarah Brewer, Michelle Berridale-Johnson
-- By Julian Tudor Hart, Tom Fahey, Wendy Savage, Ian Baird
-- By Sheldon G. Sheps MD
-- By Alan L. Rubin MD
-- By Julian Whitaker MD
-- By David Carroll
-- By Mark C. Houston, Barry Fox, Nadine Taylor
-- By Stephen T. Sinatra
-- By Fireside Books, FC&A Publishing
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