• Hypertension (HTN) means elevated blood pressure and can be defined as systolic blood pressure (SBP) higher than 120 mg and diastolic blood pressure (DBP) higher than 80.
  • There are 3 different stages of hypertension described, depending on the degree of blood pressure elevation and the corresponding treatment recommendations. Pre-hypertension is described as SBP of 120-139 and DBP of 80-89; stage 1 is described as SBP of 140-159 and DBP of 90- 99; Stage 2 SBP greater than 160 and DBP greater than 100.
  • HTN is considered the most important risk factor for cardiovascular morbidity and mortality in industrialized countries others include smoking and elevated cholesterol.
  • Risk factors for developing HTN may include male gender, genetic predisposition, and aging. It is estimated that more than 65% of persons 65 years old or older are hypertensive.
  • Even a small reduction of 5 mm Hg of SBP is shown to reduce mortality by 7%.
  • HTN is frequently asymptomatic and does not cause discomfort thus may not seem significant to patients.


  • Rule out medical conditions: During the workup process for HTN, the following medical conditions should be checked and treated – if necessary:
  • Insulin Resistance
  • Apnea
  • Nutritional deficiencies
  • Toxins
  • Inflammatory/autoimmune conditions
  • Gut issues


  • Some lifestyle changes may make a big difference in the treatment of HTN such as:
  • Eat whole foods, mostly plant-based, and do not overeat
  • Increase soluble fiber intake, oily fish, 70% cacao dark chocolate
  • Reduce unhealthy fats including hydrogenated vegetable oils, unhealthy sugars including high-fructose corn syrup, alcohol, caffeine, sodium
  • Exercise at least 30 minutes a day at least 4 days per week.
  • Do not smoke.
  • Try DASH diet
  • Lose weight, if overweight


  • Mind-body techniques have proven effective in the treatment of HTN including:
  • Relaxation techniques such as breathing techniques and biofeedback
  • Daily meditation, starts with 10-15 minutes and then expands to longer periods.
  • Yoga and tai chi

Supplements can be helpful when used under the care of your provider.

Medications are the standard therapy for HTN and may be used selectively if required.

To schedule an appointment please contact us

Carolina Integrative Clinic

254 Towne Village Dr, Cary, NC 27513, United States

Email: office@ciclinic.com

Tel: (919) 869-6661

Fax: (919) 301-9349