Jaiwant Rangi, MD, FACEEndocrinologist | Founder, Lower The Dose® | Speaker

Stubbornness and the Silent Killer: A Preventive Failure

27 May 2026 · 1 min

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Dr. Jaiwant Rangi describes an engineer with genetic hypertension who refused medication despite high blood pressure and a strong family history. Exercise and lifestyle changes weren't enough. The patient later had a stroke that medication could have prevented.

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There was an engineer I was seeing, and his blood pressure used to be high, and I would often tell him to watch his salt, and he may need medication after he works on his lifestyle. Now, he had genetics playing a big role. He had family history of heart disease and high blood pressure. He would ride bike all the time. He would exercise a lot, but his blood pressure was still high. So in that case, it should be okay for us to take medication if we need to take, and he didn't want to. And even though I believe in lowering the dose of stress and medications and prescriptions. But in certain cases, you need to take medication. And in this case, he ended up having a stroke. Totally preventable. I wish we had done something earlier, but I was just not able to convince him.