Treating The Underlying Causes Of High Blood Pressure with Dr. George Papanicolaou

Coming up on this episode of the Doctor's Pharmacy.

There are so many other ways to treat hypertension besides just using pharmaceutical agents.

Welcome to the Doctor's Pharmacy. I'm Dr. Mark Hyman and it's Pharmacy with an F-F-A-R-M-A-C-Y, a place for conversation that matter. And if you're one of the millions and millions of people who have high blood pressure or you know someone with high blood pressure, this conversation is going to matter to you because it's with my friend and colleague at the Ultra Wellness Center in Lenox, Massachusetts, Dr. George Papanicolaou, he's one of our leading physicians here. He's incredible guy who is doing great work here treating patients and they love him. I can just tell you they love him. And I love him. So it's all good. Now we're gonna talk about in this special episode of House Call in the Doctor's Pharmacy, we're gonna talk about high blood pressure or hypertension. So George, tell us how big of a deal is this and what is the general approach of traditional medicine to dealing with high blood pressure and why should we care?

Well, we should care because in the worldwide scheme of things, there is about 1 billion adults, which is about 25% of the adult population in the world that has hypertension.

1 billion people have high blood pressure.

25%. And it's by 2025, they think it's gonna be closer to almost 30% of the world adult population. And it's also considered one of the leading causes of mortality to mankind. So it's a big deal. And in our country, it's about 75 million Americans that have hypertension, that's a one in three, and an additional one in three have what we call pre-hypertensive condition. They're like pre-high blood pressure.

Yeah, pre-high blood pressure.

So the way it's staged, you can, there's a category that's pre-hypertensive.

Well, what was interesting, George, is we constantly change the goalposts. So when I graduated from medical school, the blood pressure we wanted was anything under 140 over 90. Then I was 120 over 80. Now we're down to like 115 over 75 as being normal, right? So why are we changing the blood post constantly?

That's interesting. That's interesting. And quite honestly, I'm not sure why we changed the blood post.

Why are we changing Georgia is this reason because we keep doing the research that's finding that even at lower blood pressures, people are experiencing the consequences of high blood pressure. Right? So what are the consequences of high blood pressure? Why should we care if our blood pressure is high?

Because it's a silent killer, we call it. Yeah, that's the key. It's a silent killer. You don't know you have it. People won't know they have it. And what it causes, it's one of the leading causes of heart disease that's considered like heart attacks, congestive heart failure, arrhythmias, which is abnormal electrical activity in your heart that can lead to, Critical events.

So, the big cause of all kinds of heart disease.

Yes, heart disease, it causes end-stage renal disease. Kidney failure. Yep, kidney failure and stroke. Stroke.

And then stroke creates a great deal.

Of mortality and morbidity for adult population. Even blindness.

Yep. Right? Hypertension. Microvascular disease and blindness. Coming to dementia because of its effects on the vascular system in the brain. Yeah, yeah. And also affects things lower down, right? Yeah. like sexual function. Oh yeah. Right, blood vessels get problematic in your.

Sexual organs, you're not doing things normally. Microvascular disease in the penis can definitely result in erectile dysfunction and that's not a good state, nobody likes that.

It also causes stiffening of the heart of your arteries and you get vascular.

Problems in your legs and blood flow issues. Peripheral artery disease is a major issue and particularly if you have diabetes and you have two things that you have to deal with, the diabetic changes that create the peripheral vascular disease and also the hypertension.

And you can get literally blood flow issues, you need amputations. So this is a serious problem.

Very serious.

And a billion people have it. In America, a lot of people have it.

Yeah.

Right? 50 to 75 million Americans.

Absolutely. And growing.

And how many people are actually like treated well? It's probably like 14 million out of those 50 million.

Yeah, it's true. As we talk about that treatment is primarily medication, it's not always effective. It has lots of side effects and there's so many other ways to treat hypertension besides just using pharmaceutical agents.

And we have determined that by treating people's blood pressure with medications that people do reduce their risk of these complications. So it's important to understand that if you have high blood pressure, you need to treat it. And whether it's with the things we're gonna talk about or medication, you can't let it go. And it's something you should do as a preventive strategy. You can go to the drugstore, they have blood pressure machines, you can stick your arm in or you can buy one for or next to nothing in the drugstore, 29 bucks, and you can monitor your blood pressure. Now, part of the problem with diagnosing blood pressure is that it's often hard to know if you have high blood pressure, 'cause one, it fluctuates all day long. Two, just getting one blood pressure reading in the doctor's office may not really tell you what's going on. You might have white coat hypertension, meaning you get nervous and stressed, it goes up. I mean, when you exercise, your blood pressure goes up. When you're stressed, your blood pressure, Well, what's your average blood pressure? So one of the diagnostics we do is a 24-hour blood pressure test, which I found really effective 'cause you can see what is happening when they're sleeping, when they're active, when they're inactive, and you get a really good sense of what their pattern is day, night, and.

Average, and that'll tell you what your real risks are. Right, so doing 24-hour ambulatory monitoring is something that is really important to do, particularly if you have any concern that the readings you're getting in your office are inappropriate. And you mentioned white coat hypertension, and that is not uncommon. It actually is fairly common. And so we will oftentimes recommend ambulatory blood pressure readings.

And that gives us the clearest picture possible. Yeah, it's true. And sometimes you can just get a cuff at home and have people monitor their blood pressure out the day and that'll help too. You know, I wanna just dig into a little bit before we get talking about the difference with functional medicine and traditional medicine, right? Traditional medicine is you check your blood pressure, it's high, you get medication, you moderate. We call it essential hypertension. Now, there are other causes of hypertension that we know of that are kidney diseases and other problems, but for the most part, people call it essential hypertension, which I joke and I say it means essentially we have no idea what's causing it, but- But we know that's not true. We know that's not true.

So everything has a cause.

Nothing is just random. If you have diabetes, it's not a random event. It's not like, oh, I I got a virus, something happened. Type 2 diabetes. Now, we know some of the major causes of high blood pressure are never addressed. And the two biggest ones that I see treating patients is insulin resistance.

And sleep apnea.

And sleep apnea. So one of the biggest factors is insulin resistance, which is an epidemic in this country. We have one in two Americans who have pre-diabetes or type 2 diabetes. 75% are overweight, 42% are obese, and they all have some degree of trouble regulating their blood sugar, which just causes them to get belly fat. And that belly fat is such a big factor in driving all sorts of diseases, everything from high blood pressure to cancer, to heart disease, to diabetes, to dementia, to depression, and so on. But the insulin resistance drives inflammation. And it drives inflammation throughout the body because those belly fat cells aren't just sitting there holding up your pants, they're dynamic hormonal and immune organs. Your belly fat is an immune organ and it drives inflammation throughout your body and that causes oxidative stress, which is really what causes rusting. So it's like your arteries and your pipes are rusting and stiffening called hardening of the arteries. And that happens as a result of this inflammation and oxidative stress. and so insulin resistance is probably the biggest cause of that today in America and it's really driven by diet. So I think people don't understand how powerful that is.

Diet is very powerful and you know I call it, you mentioned the adipose tissue we have around our waist, I call that the toxic waist dump of the body. And that fat just does have a metabolic effect that is toxic to the body and as you said it creates the hardening of the arteries which is one important cause of high blood pressure.

Yeah, and the other big thing is often misdiagnosed. And by the way, insulin resistance affects so many people, 90% are not diagnosed. So the way you diagnose it is you do a test for insulin and blood sugar. And it's a fast glucose tolerance test.

That we do, I do in almost every patient. Yeah, and this is the other test.

It'S a little more advanced where you take a sugar drink, basically drink the equivalent of two Cokes, check your blood sugar and insulin fasting, and then every one and two hours after. but most doctors just check blood sugar, but that's a very late finding.

You want to check insulin early on. Even doing a fasting insulin isn't going.

To give you an answer. It'll help. But by the time your insulin goes up, fasting, it's already down the road pretty far, right? So I agree. And then we have this other issue, which is sleep apnea, which is so underdiagnosed.

Yeah, so sleep apnea, through about 25 million Americans that have sleep apnea, it is underdiagnosed. It's not just a disease of people that are overweight, that's, you know, most people think about obstructive sleep apnea being related just being overweight, but you also can have upper respiratory anatomy and muscular relaxation that even if you're thin, you can have obstructive sleep apnea.

Yeah, you have a narrow palate, a small airway, you have sinus issues.

And when you have sleep apnea, that means you're just not getting enough oxygen to your body, particularly your brain, also to your, you know, to all your blood vessels and your cortisol levels rise. And then you get into that whole cycle you talked about before, which is an inflammatory cycle, which is an oxidative stress cycle, which can lead to hardening of the arteries. And when you're not getting oxygen to those blood vessels, then they're actually can't perform the work they need to do and create the energy they need to have. And so they can't contract and expand the way they should.

And that can result in high blood pressure. Yeah, and then it also drives insulin resistance. So if you have sleep apnea, it.

Also causes you to be prediabetic. Yeah, it causes- Independent of what you're eating, weight gain.

Weight gain leads to insulin resistance, it leads to diabetes, which complicates everything. I mean, I had this guy who couldn't lose 50 pounds. He was a lawyer, and he told me the story. He said, look, I need to lose the weight. I don't know what to do. I'm trying to eat right. It's not working. I'm trying to exercise. I said, what was your life like? I said, well, I'm a lawyer and I work really hard, but every day I have to stand up at my desk. I can't sit down. And this was before standing desks.

And I'm like, why?

He says, well, if I sit down, I fall asleep. And I'm like, gee, maybe you have sleep apnea. So if you're falling asleep at work, if you're falling asleep in front of the TV, if you feel tired during the day, if your wife says you're snoring, and now there's apps you can get that actually record your on your phone that record your snoring so you can see because people don't believe it, oh, I don't snore. I love that app, by the way. And then there's one called Sleep Cycle that I like. It's a great snoring app. And it's something that is easy to treat. I mean, there's different methods, CPAP and, you know, but it is a treatable condition and the weight loss then will happen and you'll feel better. So that's really important. I just want to talk about a few other causes that I think are really important and worth noting because Those are the two biggest ones, but there's a lot of other ones. People who are nutritionally deficient in certain things can cause high blood pressure. Like magnesium. Right.

And magnesium, studies show that there's a very large percentage of people in our country have low magnesium.

45% of people have low magnesium.

And you know, magnesium, it's not magic, but when we replace magnesium in patients, we see amazing things happen. We see blood pressure come down. We see them being able to sleep better. We see muscle twitching and cramping go away. We see mood improve. Magnesium has a very important role in the body and certainly plays a big role in lowering blood pressure.

Yeah, but I call it the relaxation mineral. And you know, it's funny how in medicine we have these blind spots, but when I was training in obstetrics and gynecology, I was a family doctor, I deliver lots of babies, there's this common condition that women get called preeclampsia, which is high blood pressure in pregnancy. and when they come in and their blood pressure is high, which can cause seizures, the treatment isn't high blood pressure pills because they don't tend to work. We give them intravenous magnesium to relax their blood vessels and save their life. Absolutely. It's just a strange thing to me, we don't think about it that way. The other thing that is important is omega-3 fats and fish oil because it helps relax your blood vessels, make them more pliable. But there's other causes that we also see. For example, environmental toxins, heavy metals in particular, lead and mercury are really common, they're under diagnosed. And when you go in your high blood pressure visit, your doctor's not checking your mercury and lead levels, not even in your blood and probably not on the most important test which we do at the Ultra Wellness Center, which is a challenge test where we give people a drug to pull out the metals, the chelator, and then we check their urine and see how much dumps in there.

And if they have high levels, that's often a big factor as well. and I think you're, you know, you're really hitting on all the things that I think about. And I tell people when they come to me and hypertension is part of what they want me to work with, I said, we're gonna get your hypertension better by not treating your hypertension. We're not gonna treat your hypertension. We're gonna treat everything else that's causing your hypertension. We're gonna find the sleep apnea. We're gonna find the nutritional deficiencies. We're gonna work on your stress levels. We're gonna help you lose weight. You know, when you lose weight, I mean, you actually are going to drop your blood pressure. I think the number is per pound, I think, for every two pounds you lose, you drop your blood pressure by a millimeter of mercury. So, if you lose 20 pounds, you can drop your blood pressure by close.

To 10 millimeters of mercury. So, a diet is so key. You know, we created a program called the 10-Day Reset, which you can find in getpharmacy.com, we put a thousand people through it, track their blood pressures, It was incredible. Their blood pressures dropped an average of 20 points. Yeah, in 10 days.

Well, if you think about it, if you think about that most Americans are at least 25 pounds overweight, or, you.

Know, so let's say- It's better than medication results.

Exactly. If you get them to drop that 25 pounds, they're gonna drop their blood pressure by, you know, near 15 millimeters of mercury.

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And we treat it like a plumbing problem. We do. And going back to the nutritional piece, A little potassium can be another reason why you can have high blood pressure. And that speaks to where do you get potassium, get it from green leafy vegetables. So having a vegetable-based diet is very, very important.

I love my green smoothie in the morning.

Absolutely, yeah, more kale.

Yeah, so this is very important. I think people also think about salt. So people think high blood pressure is salt. But what's the deal with salt and high blood pressure? Is it something we should worry about?

Is it as big a deal as we thought? It's not something everybody needs to worry about. there's more, there's certain populations that are gonna have to be more salt sensitive than others. And so we can actually do genetic tests and we do them here at the Ultra Wellness Center that lets us know if you have those genes that make you more sensitive to salt, more likely to have high blood pressure. So we do need to be concerned about it in certain populations and limit it. Salt actually, it's the salt we add to our food that is the problem because it's processed, all the natural nutrients are taken out of it. It can be iodized and iodine can cause problems.

So it's not the salt that we personally add in our kitchen. It's the salt that's added in factories to process food. Yeah, exactly. That allows huge amounts of intake of salt. Because how do they make junk ingredients taste edible?

Salt, fat, sugar. Salt, yeah, and sugar and processed fats, right? Yeah, so we know that. But if you get really good salt, sea salt that you've purchased that actually has nutrients in it, that can be valuable to you.

Minerals and so forth. Yes, exactly. So, these are some of the common causes we see and they're often things that aren't looked at. When you go to your doctor with high blood pressure, they're not checking your heavy metals, they're not checking your insulin resistance, they're not checking necessarily sleep apnea.

Although some might be thinking of that. That's just medicine. It's interesting. We're not checking your magnesium or anything. And, the reality is that, you know, and just because when I was practicing private medicine before I started functional medicine years ago, I was being graded on if I had a high blood pressure patient, if I had them on certain medications to lower their blood pressure. So my reimbursement was based on whether or not I was using medication, not whether or not I was finding the root cause of the problem, not whether or not I was helping somebody lose weight, not whether I was counseling them on how to lower their stress with meditation. That didn't drive it. And so, in contrast to what we do in functional medicine, we focus on making those changes that really get to the root of the problems and the causes we just talked about.

It's absolutely true. I think the traditional approach in medicine is you diagnose and then you treat. When we diagnose, you say you have high blood pressure, that's the first step in our thinking. Then we start to ask why, why, why. and everybody gets treated differently. In some patients, the treatment for high blood pressure is getting off the sugar and starch. Another person might be treating their sleep apnea. Another person might be detoxifying from heavy metals. Another person it might be giving them extra magnesium. And then we have a lot of techniques that we can use to help mitigate this. Sleep, stress management, exercise, exercise lowers blood pressure. So it's often Frustrating to me, understanding how the body really works. Yep. When I see this knee-jerk response in medicine, it just feels like we're missing the boat. And you're not. And this is not stuff that we're.

Making up in just listen.

This is all in the science.

It's all in the literature. You listen to the patient. Because the clues are always gonna be there. I can't tell you how many of my patients that come here to the UlTrew Wellness Center, I ask them, so they're fatigued. We have a lot of patients that come with chronic fatigue, where fatigue is part of their their complex of complaints. And I asked them if they snore. They don't know. Yeah, they say, yeah, my wife tells me that I snore all the time. I said, so how long has that been going on? And they, I said, has anybody asked you whether you snore before? Has anybody asked you if you wake up refreshed? Does anybody ask you if you have daytime fatigue? And no, they, they, they've gone years and nobody has really explored it, so you have to listen to the patient and ask why and ask it again and keep asking questions so you make sure you have the whole terrain mapped out. Yeah.

That's beautiful about functional medicine. We really do a very detailed history. So, people say, how do you diagnose? Mostly history. I mean, we do a 32-page questionnaire, which is annoying for patients, but it allows us to get a really deep.

Sense of what's going on. So, Mark, how many times have you had a patient come in who has, let's say, high blood pressure? and maybe they're having headaches, they're having migraines, but they have the high blood pressure, they may be a little bit overweight, they have high cholesterol, but they have heartburn, or they have, yeah, I get occasional heartburn, I take a PPI, I take an H2 blocker, these are, you know, acid blocking medications. Acid blocking medications, and they don't connect it to their high blood pressure.

Right, why is PPI or acid blocking medications a problem? Because it inhibits acid production, which you need to absorb magnesium.

Exactly.

Right, and so you're all weighty then.

And calcium and vitamin D, which can be impacted. And they have, oh yeah, I also have difficulties with constipation or I get loose stools. You know what? There's a connection between the gut and the blood pressure.

So tell us about this patient you had who you treated.

Well, I'm glad because that's a perfect segue because he had gut issues. And that sort of is what really was leading to his high blood pressure. so here's the gentleman that came in.

His gut issues leads to inflammation.

It leads to inflammation. And it's not just inflammation in the blood vessels, it's inflammation in the gut lining. So you can get this non-specific lymphocytic infiltration.

It's basically inflammation that means a lot.

Of white blood cells show up in the gut and makes it inflamed. Exactly. So, and so what happens though is then you get a malabsorption of minerals and nutrients. that's when you don't absorb vitamin D, that's when you don't absorb potassium, that's when you don't absorb your calcium, that's when you don't absorb your magnesium. Those are the things that can help regulate blood pressure. So with this particular patient that came in, he was a 52-year-old gentleman and he had been diagnosed with blood pressure, high blood pressure, about almost a year prior to coming. And they had tried multiple blood pressure medications and he had different side effects, which is one of the issues with blood pressure medicine. Oh yeah, there's that. We forgot to talk about that. Exactly. So, you know, that's a big problem. Lots of people have side effects. They get dizzy, they get tired, they get erectile dysfunction, they get lower libido. They've been hair loss associated with their high blood pressure medicine. So he had been put on different medications that resulted in loss of libido, fatigue, brain fog, One of the medications actually caused dehydration that resulted in him being in the emergency room where they found his potassium to be really, really low and had to be replaced. So he was like, I'm coming here because I want a different approach to my blood pressure. So as we were, you know, we go through our new patient packet that's very long, some things that started to stick out were that he was, you know, he did have fatigue and he also had irritable bowel syndrome. And I asked him to explain that to me. And when I hear irritable bowel, I don't hear this, like again, we talk about like- That's just a syndrome. Yeah, like essential hypertension, we essentially don't know what's causing it. It's like we say irritable bowel, it's like, you know what? Your diarrhea is irritating me.

I don't wanna talk about it. We don't wanna get to the bottom line. Well, it's not even that. They don't know. It's like, in other words, When we say people have irritable bowel, oh, the reason you have bloating and gas and diarrhea and constipation is because you have irritable bowel syndrome. Right. No. That's just the name we give to people who have those symptoms. It doesn't tell you about the cause. And that is what's unique about functional medicine is we have a methodology, an operating system, to navigate to the root cause. And we treat that.

And we don't have to treat the hypertension. We treat the cause and the disease goes away as a side effect. Right. So in this particular case, we do testing for the gut microbiome and we can also do testing that tells us some things about the gut. So we can find out if there is inflammation in that endothelial lining and that's basically if you look down a really big stainless steel tube and it's really shiny. Imagine that shiny layer is basically a very thin membrane that protects the rest of the tube from anything that's going in the tube. So that's the endothelial lining, that very.

Shiny basically like a one cell layer between you and the sewer, right?

You got it.

Exactly. Your immune system and they'll poop inside of you.

That's a great way to put it. So when that membrane gets inflamed, it cannot function to absorb nutrients the way it should, and that can lead to all of the things I just spoke about earlier in regards to low magnesium, low vitamin D, low calcium. and so we know that people who have irritable bowel, there's a good percentage of them have non-celiac gluten sensitivity. And so that triggered my thinking and that's why I ordered that test that will look at whether you have leaky gut, whether you have gluten sensitivity, and whether you have crossover to other foods like gluten that can create gluten-like impact on the gut. And so With this particular gentleman, I also did a whole host of metabolic tests that included, you know, a glucose tolerance test. I also looked at his magnesium levels. I looked at inflammatory markers. Omega-3 fats. Omega-3 fats that we look at. So, it did a comprehensive metabolic evaluation. I looked at a very expansive profile that looks at macronutrients, micronutrients, organic acids, amino acids, that gives us a really good clear picture of what his nutritional status is, whether the very important energy making systems in his body are actually working the way they should, are they getting the nutrients that they need, are they being blocked from doing their work by toxins. We do this panel that gives us all that information. It is a very unusual panel in.

Traditional medicine, but we're looking not for disease, we're looking for imbalances or dysfunction that we can correct that will help the body do what it's supposed to do. supposed to do.

Exactly. So I gather all that information with the lab test, but the most interesting thing about this gentleman is that he had one gene positive. It's a gene that would express for celiac disease. But the tests that we do to see if he actually had celiac disease were negative. And what we know about people who have at least one or both of the celiac genes that do not have active celiac disease is they're more likely to be sensitive to gluten. And indeed he was. He had two things going on on that panel that we do to evaluate inflammation and antibody interaction or the immune system creating antibodies against gluten in the body. So he did have leaky gut, meaning that endothelial lining, that one thing saving you from the poop in the center of your intestine from the rest of your body was leaking. And so the immune system was creating antibodies. So we knew there's inflammation. And the second thing was he had enormous numbers that showed that he was sensitive to gluten. And so that gluten sensitivity.

It's not celiac because people understand that there's celiac. And most traditional medicines, like you have, you either have celiac or you're fine. Right. But now there's an increasing body of research. particularly by Dr. Alessio Fasano from Harvard, that shows that a lot of people have non-celiac gluten sensitivity, which you can tell through antibody testing a little bit, but it's a milder case, but it still causes leaky gut, inflammation, and many, many problems. And then there's a whole another category which you can't measure on lab tests called the innate immune system response or cell-mediated response to gluten, which means you can't measure it because it's just a generalized irritation of your immune system. so that can be a case even though these other things are normal. So gluten is often driving leaky gut.

And it's often overlooked, very overlooked, and particularly in a case like this.

And the normal doctor will check your levels and if they're normal, quote normal, like it's 0 to 20, right? Is 19 the same as 1? No. Is 5 the same as 0? No. So I think we have to understand that if there's any level of anybody, it means there's some irritation of your immune system that's causing potential symptoms.

Yeah. So in, in his particular case, I put him on a gluten-free diet. And I also, we, and, and the great thing, the, and honestly, I didn't put him on a gluten-free diet. I identified the gluten sensitivity. And here at the Ultra Wellness Center, we have amazing nutritionists. And when I discuss these types of cases, then they develop a program for a patient that is going to be customized to what their needs are. So, in this particular case, he was on a Mediterranean diet that was gluten-free and that made all the difference. And when he tried to reintroduce gluten back into his diet, his blood pressure went back up. So, it was driving the inflammation that was driving his blood pressure. And he was also low in vitamin D, which was impacted by is gluten because gluten will keep you from absorbing iron and magnesium and potassium and calcium and it can have impacts on lowering.

Vitamin D. And vitamin D regulates inflammation. So, you're in this interactive dynamic biology.

Where everything is connected and that's really what we do in functional medicine. And, there's a lot of observational studies that show that vitamin D in people that have low vitamin D and you replace it, you can lower their blood pressure, particularly in people over 50. So, I replaced his vitamin D, put him on a gluten-free diet, and gave him things that we know that work. He wasn't eating a lot of fish, so we gave him Omega-3s. I also added in some CoQ10 and magnesium. And, he did phenomenally well. He never went back, well, I shouldn't say never, he's been my patient for about eight months now, but his blood pressures have been normal.

Yeah. so this is really incredible story which, which. No medication, no side effects. And here's, here's the view in traditional medicine. Essential hypertension is a one-way street. Once you got it, you got it. You got high blood pressure. You can't get rid of it. You just got to treat it. And that is just is not true. If you address the root causes, which is what we do with functional medicine and what we do at the Ultra Wellness Center, we can often get to the bottom of this. Now, there are some people who have more genetic factors or there's more difficult to treat, but for the most part we can have huge impacts on people's lives and health and well-being using this approach of functional medicine. And it's so refreshing and so invigorating as a provider because we're not just managing these diseases, we're getting rid of them. And we're not treating them, we're treating the factors that are causing them and the diseases go away as a side effect.

Yeah, and that's, I can't say it any better than that, Mark. We do it and you've been doing it here at the Ultra Wellness Center for almost 20 years and we continue to do it and we work as a team to do it and we just have built, we have worked on the things that if you've written about for years and we established some really great ways to approach our patients and so this patient has benefited from that. I actually had read another case in a functional medicine journal that clued me into this. So it was in my mind to think about it. So he was really excited that by changing his diet, not only is improving his blood pressure, but he was also going to improve his health span. And those are those years of health without disease. And also health without side effect from medication. Yeah, that's it. So the side effects of this approach.

Are all good ones, right? Excellent. I mean, getting your omega-3 levels is better hair, skin, and nails, and overall well-being and mood. Vitamin D helps your immune system, magnesium helps you relax and less anxious and sleep better and have better bowel movements. So you basically get all these nice side effects by fixing these problems. It's great. so George, thank you for sharing this incredible case and talking about high blood pressure, which affects a billion people and which is really something we have really been poorly treating with traditional medicines. I'm so excited that we get to have this conversation and be here at the Ulral Wellness Center and I encourage everybody who's concerned about high blood pressure, who has it or has someone in their family they love or someone they know to share this information with them. We at the Ulral Wellness Center here are now doing virtual visits. We can do patients from anywhere in the world through Zoom and did great jobs with getting your tests where you are. You can certainly come in if you want and we'd love to see you. So just go to ultrawellnesscenter.com to learn more about our practice and I would love you to share this podcast if you liked it with your friends and family on social media. Leave a comment, we'd love to hear from you, share your story about how you may have tackled your high blood pressure and subscribe wherever you get your podcasts and we'll see you next time. on the Doctor's Pharmacy. Hey, everybody, it's Dr. Hyman. Thanks for tuning into the Doctor's Pharmacy. I hope you're loving this podcast. It's one of my favorite things to do and introducing you all the experts that I know and I love and that I've learned so much from. And I want to tell you about something else I'm doing, which is called Mark's Picks, it's my weekly newsletter, and in it I share my favorite stuff, from foods to supplements to gadgets to tools to enhance your health. It's all the cool stuff that I use and that my team uses to optimize and enhance our health, and I'd love you to sign up for the weekly newsletter. I'll only send it to you once a week on Fridays, nothing else, I promise. And all you have to do is go to drhyman.com/picks to sign up. That's drhyman.com/picks, P-I-C-K-S, and sign up for the newsletter. and I'll share with you my favorite stuff that I use to enhance my health and get healthier and better and live younger longer.

Hi everyone. I hope you enjoyed this week's episode. Just a reminder that this podcast is for educational purposes only. This podcast is not a substitute for professional care by a doctor or other qualified medical professional. This podcast is provided on the understanding that it does not constitute medical or other professional advice or services. If you're looking for help in your journey, seek out a qualified medical practitioner. If you're looking for a functional medicine practitioner, you can visit ifm.org and search their Find a Practitioner database. It's important that you have someone in your corner who's trained, who's a licensed.

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