Story at a Glance
- Nearly half of American adults have high blood pressure (hypertension), which increases your risk for stroke, heart failure, sexual dysfunction, vision loss, heart attack, kidney disease, and kidney failure.
- Elevated insulin and leptin levels are typically the cause of hypertension, so implementing strategies to normalize these levels is the first step to resolving hypertension. In addition to checking your blood pressure, check your fasting insulin level. A healthy level to strive for is about 2 μU/mL or 3 μU/mL.
- To address high blood pressure, be sure to swap out processed foods for whole foods. Also, consider going organic. Foods notorious for causing blood pressure to rise that should be avoided include processed foods, most grains, partially hydrogenated oils (synthetic trans fats), and seed oils (aka vegetable oils) such as corn, canola, soy, and safflower oils.
- Keep an eye on your sodium-to-potassium and omega-3-to-omega-6 ratios. Also, optimize your vitamin D level, ideally through regular sun exposure.
- Exercise regularly, making sure you include isometric (static contraction) exercises such as wall squats and planking, and learn how to effectively address day-to-day stress. One effective stress management tool is the Emotional Freedom Techniques (EFT).
What Causes High Blood Pressure?
One of the primary underlying causes of high blood pressure is related to your body being metabolically inflexible and producing too much insulin and leptin in response to a high-carbohydrate and processed food diet. As your insulin and leptin levels rise, it causes your blood pressure to increase. As noted in one study:4“Insulin resistance and hypertension are the components of metabolic syndrome and often coexist. Clinical studies have shown that about 50% of hypertensive individuals have hyperinsulinemia or glucose intolerance, whereas up to 80% of patients with Type 2 diabetes have hypertension.”Elevated uric acid levels are also significantly associated with high blood pressure, so any program adopted to address high blood pressure needs to help normalize both your insulin sensitivity and uric acid level.
How’s Your Blood Pressure?
There are two numbers given in a blood pressure reading. The upper or first number is your systolic blood pressure. The lower or second number is your diastolic pressure. For example, a reading of 120/80 mm Hg means you have a systolic pressure of 120 and a diastolic pressure of 80.Systolic arterial pressure is the highest pressure in your arteries. It occurs when your ventricles contract at the beginning of your cardiac cycle. Diastolic pressure refers to the lowest pressure and occurs during the resting phase of your cardiac cycle. Ideally, your blood pressure should be about 120/80 without medication.
What’s Your Fasting Insulin Level?
I believe most all stage 1 and even a high percentage of stage 2 hypertension can be successfully treated to where drugs become unnecessary, provided you’re aggressive enough in your diet and lifestyle modifications. However, if you have seriously elevated blood pressure, it would be wise to be on medication to prevent a stroke while you’re revising your lifestyle.In addition to checking your blood pressure on a regular basis, I highly recommend getting a fasting insulin level test done. Remember, high blood pressure and insulin resistance tend to go together, and if your hypertension is the result of elevated insulin levels, you’ll know how to nip it in the bud by the end of this article.
How to Find a Blood Pressure Measuring Device
According to a 2019 study,7 nearly 46 percent of American adults could benefit from self-monitoring to avoid “white coat” hypertension. Whether you suspect (or know) you have high blood pressure, an automatic blood pressure meter is a good investment for every household.- Omron Platinum BP5450.
- Omron Silver BP5250.
- Omron 10 Series BP7450.
- A&D Medical UA767.
- Rite Aid Deluxe Automatic BP3AR1-4DRITE.
- Don’t exercise, smoke, or drink coffee or caffeinated beverages within 30 minutes of measuring your blood pressure. Also, empty your bladder and relax for at least five minutes beforehand.
- Sit with your back straight on a firm chair. Avoid sitting on the couch as that encourages slouching. Keep your feet flat on the floor, and do not cross your ankles or legs.
- Make sure your arm is supported on a flat surface, such as an armrest or table, with your upper arm at heart level.
- Place the blood pressure cuff directly above the bend of your elbow on bare skin. Do not measure on top of clothes. The cuff should be snug but not too tight nor too loose. Press the Start button and remain still while the pressure is being taken.
- Measure your blood pressure at the same time every day, and take multiple readings each time. Ideally, take two readings one minute apart and record the results.
How to Avoid a False Hypertension Diagnosis
To avoid a false hypertension diagnosis, keep in mind that your blood pressure reading can vary significantly from day to day, and even from one hour to the next, so don’t overreact if you get one high reading here or there. It’s when your blood pressure remains consistently or chronically elevated that significant health problems can occur. Several factors can affect the validity of your blood pressure reading, including:- Incorrect blood pressure cuff size: If you’re overweight, taking your reading with a size “average” blood pressure cuff can lead to a falsely elevated blood pressure reading, so make sure your doctor or health care professional is using the correct cuff size for your arm.
- Incorrect arm position: If your blood pressure is taken while your arm is parallel to your body, your reading can be up to 10 percent higher than it really is. Blood pressure readings should always be taken with your arm at a right angle to your body.
- Nervousness: “White coat hypertension” is a term used for when a high blood pressure reading is caused by the stress or fear associated with a doctor or hospital visit. This can be a transient yet serious concern. If this applies to you, stress reduction is key.
Use Waist-to-Hip Ratio to Assess Your Hypertension Risk
Research suggests your waist size may be an effective measure for assessing obesity-related hypertension risk.10 If you have a high waist-to-hip ratio, i.e., you carry more fat around your waist than on your hips, you may be at an increased risk for obesity-related hypertension. Your waist size is also a powerful indicator of insulin sensitivity, and studies indicate that waist size is one of the most powerful ways to predict your risk for diabetes.To calculate your waist-to-hip ratio, measure the circumference of your hips at the widest part, across your buttocks, and your waist at the smallest circumference of your natural waist, just above your belly button. Then divide your waist measurement by your hip measurement to get the ratio.

Drugs Can Increase Risk of Fall-Related Injuries
Before I review lifestyle modifications that can help you normalize your blood pressure, I want to address the issue of medications. It’s important to realize that while blood pressure medications can be very effective at lowering blood pressure, they do not in any way, shape, or form address the underlying cause.“Antihypertensive medications were associated with an increased risk of serious fall injuries, particularly among those with previous fall injuries. The potential harms vs benefits of antihypertensive medications should be weighed in deciding to continue treatment with antihypertensive medications in older adults with multiple chronic conditions.”
Some Blood Pressure Drugs Raise the Risk of Blindness
Another major population study discovered that hypertension drugs called vasodilators increase your risk of early-onset age-related macular degeneration (AMD), which is the most common cause of blindness among American seniors. As noted in a press release:15“Researchers ... conducted a long-term population-based cohort study from 1988 to 2013 of nearly 5,000 residents of Beaver Dam, Wis., aged 43 to 86 years ...
“The researchers found that, after adjusting for age, sex and other factors, using any vasodilator such as Apresoline and Loniten, which open (dilate) the blood vessels—was associated with a 72% greater risk of developing early-stage AMD.
“Among people who were not taking vasodilators, an estimated 8.2% developed signs of early AMD. In comparison, among those taking a vasodilator medication, 19.1% developed the disease.
“The researchers also found that taking oral beta blockers such as Tenormin and Lopressor was associated with a 71% increase in the risk of neovascular AMD, a more advanced and vision-threatening form of the disease.
“Among those who were not taking oral beta blockers an estimated 0.5% developed signs of neovascular AMD. In comparison among those taking oral beta blockers, 1.2% developed neovascular AMD.”
Key Lifestyle Strategies for Lowering Your Blood Pressure
All right, time to get down to the nitty-gritty of normalizing your blood pressure. As mentioned earlier, high blood pressure is typically associated with insulin resistance, resulting from eating a diet too high in the omega-6 fat linoleic acid (LA). As your insulin level elevates, so does your blood pressure.Excessive omega-6/LA consumption is another dietary factor that contributes to high blood pressure by hardening your arteries (atherosclerosis), which researchers now have pinpointed as yet another treatment focus for hypertension.
So make sure you avoid all trans fats or hydrogenated fats that have been modified in such a way as to extend their shelf life. This includes margarine, seed oils, and “butter-like” spreads. Of course, this also includes all foods made or cooked with these fats.
The late Dr. Fred Kummerow was the first scientist to document the dangers of trans fats. Trans fats prevent the formation of prostacyclin, which acts as a natural blood-thinning agent. By diligently avoiding trans fats, your body will make the prostacyclin that keeps your blood thin, reducing your risk of heart attack and stroke.
Now, if you think about these two factors alone—insulin resistance and atherosclerosis—what kind of diet is bound to produce high blood pressure? The answer, of course, is a processed-food diet, loaded with high-fructose corn syrup, grains, and damaged omega-6 fats, a majority of which are LA.
- Replacing processed foods with whole, unprocessed organic foods.
- Avoiding all seed oils: It would be helpful to also eliminate seeds and nuts unless you have been on a low-LA diet for at least three years.
- Optimizing your vitamin D (which I discuss in greater detail below).
- Only use healthy fats: Sources of healthy fats to add to your diet include grass-fed butter, raw organic dairy, organic pastured egg yolks, coconuts, coconut oil, macadamia nuts, grass-fed meats, and pasture-raised poultry. The best carbs to add would be ripe fruit that you tolerate well. But, the key is to make sure your fat intake is below 30 percent, which you can determine with Cronometer. If you fail to do this, the carbs can convert to fat and change your cholesterol profile unfavorably.
- Exercising regularly: In an upcoming section, I’ll review the most effective type of exercise if you have high blood pressure.
Vitamin D Can Relax Arteries and Improve Blood Pressure
Vitamin D deficiency and high consumption of harmful omega-6 fats like linoleic acid (LA) can lead to stiff arteries. Vitamin D deficiency appears to be associated with both arterial stiffness and hypertension.16Each cell in your body has a DNA library that contains information needed to address virtually every kind of stimulus it may encounter, and the master key to enter this library is activated vitamin D. This is why vitamin D functions in so many different tissues and affects such a large number of different diseases and health conditions, one of which is heart disease.
- Sun exposure causes your body to produce vitamin D. Lack of sunlight reduces your vitamin D stores and increases parathyroid hormone production, which increases blood pressure.
- Vitamin D deficiency has also been linked to insulin resistance and metabolic syndrome, a group of health problems that can include insulin resistance, elevated cholesterol and triglyceride levels, obesity, and high blood pressure.
- Vitamin D is also a negative inhibitor of your body’s renin-angiotensin system (RAS), which regulates blood pressure.18 If you’re vitamin D deficient, it can cause inappropriate activation of your RAS, which may lead to hypertension.
- Additionally, exposure to UV rays is thought to cause the release of endorphins, chemicals in your brain that produce feelings of euphoria and relief from pain. Endorphins naturally relieve stress, and stress management is an important factor in resolving hypertension.
Guidelines for Optimizing Your Vitamin D Level
Ideally, you’ll want to get your vitamin D through sun exposure on your bare skin. If you opt for an oral vitamin D supplement, make sure you use vitamin D3, not D2, which is typically prescribed by doctors but has been linked to poorer health outcomes.Also, make sure to measure your vitamin D level before you start supplementing. The reason for this is that you cannot rely on blanket dosing recommendations. The crucial factor here is your blood level, not the dose, as the dose you need is dependent on several individual factors, including your baseline blood level.
Data from GrassrootsHealth’s D*Action studies suggest the optimal level for health and disease prevention is between 60 ng/mL and 80 ng/mL, while the cutoff for sufficiency appears to be around 40 ng/mL.
In Europe, the measurements you’re looking for are 150 to 200 nmol/L and 100 nmol/L, respectively. That said, as a general guideline, research by GrassrootsHealth suggests that adults need about 8,000 IUs per day to achieve a serum level of 40 ng/mL.
- First, measure your vitamin D level: Your doctor can order this test for you.
- Assess your individualized vitamin D dosage: To do that, you can either use the chart below or use GrassrootsHealth’s Vitamin D*calculator. To convert ng/mL into the European measurement (nmol/L), simply multiply the ng/mL measurement by 2.5. To calculate how much vitamin D you may be getting from regular sun exposure in addition to your supplemental intake, use the DMinder app.19
- Retest in three to six months: Lastly, you’ll need to remeasure your vitamin D level in three to six months to evaluate how your sun exposure and/or supplement dose is working for you.
Take Your Vitamin D With Magnesium and K2
Keep in mind that if you decide to supplement with oral vitamin D3, you also need to boost your vitamin K2 intake, as these two nutrients work in tandem. Together, vitamin D and vitamin K2 produce and activate matrix GLA protein (MGP), which congregates around the elastic fibers of your arterial lining, guarding them against calcium crystal formation.Vitamin K2 also activates a protein hormone called osteocalcin, produced by osteoblasts, which is needed to bind calcium into the matrix of your bone. Osteocalcin also appears to help prevent calcium from depositing into your arteries.
In other words, without the help of vitamin K2, the calcium that vitamin D so effectively lets in can work against you by building up inside your arteries rather than your bones.

2 Key Factors to Consider When Buying Meat
While some studies suggest a vegetarian diet can help resolve high blood pressure, I do not believe this makes for an ideal diet in the long run, as avoiding all meats can lead to nutritional deficiencies.From what I’ve learned, I believe the quality and quantity of the meat may be a major part of the equation. First, in terms of quantity, if you eat more protein than your body needs, it will convert most of those calories to sugar. Additionally, it will need to remove the nitrogen waste products from your blood, which will stress your kidneys and deteriorate kidney function if you already have compromised kidneys.
As a general guideline, most adults need about 0.6 to 0.8 grams of protein per pound of lean body mass. (As an example, if your body fat mass is 20 percent, your lean mass is 80 percent of your total body weight.)
In terms of quality, meat from organically raised, grass-fed-and-finished animals is far superior to that from animals raised in concentrated animal feeding operations (CAFOs).
CAFO beef and poultry have many disadvantages, including fewer of the most valuable nutrients found in organically raised meats, while being contaminated with hormones, antibiotics, drugs, pesticides, and herbicides like glyphosate. Furthermore, since most CAFOs feed animals genetically engineered (GE) grains (primarily corn and soy), there’s also the issue of whether such feed might alter the meat in ways we still have not recognized.
Should You Cut Sodium to Lower Your Blood Pressure?
Insulin also affects your blood pressure by causing your body to retain sodium. Sodium retention causes fluid retention. Fluid retention, in turn, can cause high blood pressure, which may ultimately lead to congestive heart failure.A standard recommendation if you have high blood pressure is to reduce the amount of sodium in your diet. While it’s certainly beneficial to cut out processed foods and salt, limiting sodium is not the hypertension cure that many think it is.
Processed foods and LA promote hypertension to a far greater degree than excess salt. Salt is essential for maintaining and regulating blood pressure, but the crux lies in the type of salt you consume.
Natural unprocessed salt, such as Himalayan salt, contains 84 percent sodium chloride and 16 percent naturally occurring trace minerals. Processed (table) salt, on the other hand, contains 97.5 percent sodium chloride, and the rest are manmade chemicals. The natural, unprocessed form is essential for good health; table salt is best avoided altogether.
The Importance of Proper Sodium-to-Potassium Ratio
People who eat processed foods frequently and very few fresh fruits and vegetables likely have an imbalance in their sodium-potassium ratio. The key to relaxing your arterial walls and reducing blood pressure is the ratio between sodium and potassium.In my view, the absolute best way to increase your potassium is by beating ripe fruit. I typically get around 3,000 mg from watermelon, orange juice, and tangerines, and another 2,000 mg from other sources.
The Best Exercises for High Blood Pressure
Exercise is well-known for its ability to normalize blood pressure, but all forms of exercise are not the same in this regard. Existing exercise guidelines for blood pressure management emphasize cardio, such as running and cycling.However, a recent investigation revealed that isometric exercise, where your muscles are in static contraction, is the most effective for lowering blood pressure, while aerobic exercise is next to last in terms of effectiveness.
- Isometric exercise (-8.24/-4.00 mmHg).
- Combined training (-6.04/-2.54 mmHg).
- Dynamic resistance training (-4.55/-3.04 mmHg).
- Aerobic exercise (-4.49/-2.53 mmHg).
- High-intensity interval training (-4.08/-2.50 mmHg).
“Various exercise training modes improve resting blood pressure, particularly isometric exercise. The results of this analysis should inform future exercise guideline recommendations for the prevention and treatment of arterial hypertension.”The key take-home is that static contraction of muscle as you hold your body in one position, i.e., isometric exercise, is the most effective type of exercise if you want to lower your blood pressure. Examples of isometric exercises include the following:29,30,31
- Wall squat.
- Isometric calf raise.
- Planking.
- Hollow-body hold.
- Low isometric squat.
- Static slide lunge.
- Overhead hold.
- Iso hang.
- Glute bridge.
- Incline pushup hold.
- V-sit.
- Single-leg stand.
Addressing Stress-Related Hypertension
Although many people believe that the “tension” part of hypertension refers to stress as the cause, the primary cause is, as previously mentioned, insulin and leptin resistance. That said, the link between stress and hypertension is well-documented.In fact, it has been shown that people with heart disease can significantly lower their risk of a cardiac event by learning to manage their stress. Suppressed negative emotions such as fear, anger, and sadness can radically increase your cortisol levels and severely limit your ability to cope with the unavoidable everyday stresses of life.
It’s not the stressful events themselves that are harmful, but your lack of ability to cope. The good news is that strategies exist to rapidly and effectively transform your suppressed, negative emotions, and relieve stress.
One of the most well-studied of these is an energy psychology method called the Emotional Freedom Techniques (EFT). By teaching your body to slow down and relax when stress hits— essentially short-circuiting your physical stress reaction—you can protect your health. EFT is easy to learn and can be done just about anytime, anywhere. For a demonstration, see the video below.
Other Helpful Strategies
In addition to everything already mentioned, there are still more dietary and lifestyle strategies that can be of help if you struggle with high blood pressure. Here are several additional alternatives for your consideration:Avoid Caffeine
The connection between coffee consumption and high blood pressure is not well understood, but there is ample evidence to indicate that if you have high blood pressure, coffee and other caffeinated drinks and foods can exacerbate your condition.Supplement With Vitamins C and E
Studies indicate that vitamins C32 and E33 may be helpful in lowering blood pressure. If you’re eating a whole-food diet, you should be getting enough of these nutrients through your diet alone.Unless you have radically lowered your LA tissue levels, it is vital to take the correct vitamin E supplement until you do, as it will limit the damage that LA can cause. I consider it to be one of the three most important supplements you can take. It is also helpful in lowering dangerous estrogen levels in your body that can increase your risk of cancer.
Eat More Fruit and Berries
In what researchers called the first-of-its-kind study in the United Kingdom, scientists used objective measures for dietary intake across thousands of residents, using data for 25,618 people in Norfolk, UK, and compared the data against their blood pressure measurements.34The difference in blood pressure between those with the lowest 10 percent of flavanol intake and those with the highest 10 percent of intake was between 2 and 4 mmHg. According to the authors, this was comparable to the difference measured when a person switched to a Mediterranean diet or the Dietary Approaches to Stop Hypertension (DASH) diet.
Quercetin
Quercetin has also been shown to lower blood pressure. Quercetin is a flavonol found in red grapes, onions, red leaf lettuce, elderflower, and green tea, to name a few.35Negative chloride ions help control the intracellular activity of many other ions in the cytosol, which is the water-based fluid that surrounds intracellular structures. The gene expression that controls the chloride ions triggers sodium reabsorption, which then reduces body fluid volume and therefore influences volume-mediated high blood pressure.
Supplement With Magnesium
Magnesium is also important for healthy blood pressure, and few people get enough from their diet these days. Hundreds of studies and scientific papers show there’s a clear correlation between magnesium and high blood pressure.Magnesium stored in your cells relaxes muscles. If your magnesium level is too low, your blood vessels will constrict rather than relax, and this constriction raises your blood pressure.
Engage in Inspiratory Muscle Strength Training (IMST)
Strengthening your breathing muscles with IMST can also be helpful. IMST was originally developed for critically ill patients with respiratory diseases. It helped to improve the strength of their inspiratory muscles by using a handheld device that provides resistance while inhaling.Take Control of Your Blood Pressure
The best treatment strategy for high blood pressure is to evaluate your lifestyle and make the necessary adjustments, with particular emphasis on normalizing your insulin and leptin levels. We’ve covered a lot of ground in this report, so here’s a summary of key points to remember:- In addition to checking your blood pressure, check your fasting insulin level. A healthy level to strive for is about 2 μU/mL or 3 μU/mL.
- Swap out processed foods for whole foods and implement TRE. Also, consider going organic. Meats should ideally be grass-fed and pasture-finished. Foods notorious for causing blood pressure to rise and that should be avoided include processed foods, most grains, partially hydrogenated oils (synthetic trans fats), and seed oils (aka vegetable oils) such as corn, canola, soy, and safflower oils.40
- Keep an eye on your sodium-to-potassium and omega-3-to-omega-6 ratios. This is automatically done if you swap processed foods for whole foods and make sure you are eating plenty of ripe fruit that you enjoy, and it is adjusted to your activity rate and fat intake.
- Optimize your vitamin D level, ideally through regular sun exposure.
- Exercise regularly, and make sure you include isometric (static contraction) exercises such as wall squats and planking.
- Learn how to effectively address day-to-day stress. One effective stress management tool is the Emotional Freedom Techniques (EFT).
- 1, 3 HHS.gov Estimated Hypertension Prevalence, Key Findings Bullet One
- 2 Heart.org Health Threats from High Blood Pressure
- 4 Diabetology & Metabolic Syndrome 2014; 6: 12
- 5 AJMC.com, JNC 8 Hypertension Guidelines: An In-Depth Guide
- 6 Harvard Health November 16, 2021
- 7 Hypertension June 24, 2019; 74: 399-406
- 8 Consumer Reports Best Blood Pressure Meters February 3, 2023
- 9 Heart.org How to Use a Blood Pressure Monitor
- 10 Canadian Journal of Cardiology September 2012: 28(5); S122
- 11 University of Maryland, Waist to Hip Ratio Calculator
- 12 Harvard Health August 1, 2023
- 13, 14 JAMA Internal Medicine 2014;174(4):588-595
- 15 EurekAlert! May 28, 2014
- 16 Vitamin D Council, Hypertension
- 17 Hypertension. 1997; 30: 150-156
- 18 J Steroid Biochem Mol Biol. 2004 May;89-90(1-5):387-92
- 19 DMinder app
- 20 GrassrootsHealth Magnesium and Vitamin K2 Combined Important for Vitamin D Levels
- 21 N Engl J Med 1997; 336:1117-1124
- 22 U.S. Department of Agriculture Food Research Group, Potassium Intake of the U.S. Population
- 23 Nutrition Today September-October 2018; 53(5): 184-195
- 24 National Academies Sciences Engineering Medicine Table S-3
- 25 Harvard Health Publishing, January 23, 2017
- 26 DietaryGuidelines.gov Food Sources of Potassium
- 27 British Journal of Sports Medicine July 25, 2023 DOI: 10.1136/bjsports-2022-106503
- 28 British Journal of Sports Medicine July 25, 2023 DOI: 10.1136/bjsports-2022-106503, Conclusion
- 29 Vertimax
- 30 US News June 15, 2020
- 31 Vertimax 20 Isometric Exercises
- 32 American Journal of Clinical Nutrition 2012 May; 95(5): 1079–1088
- 33 Journal of Human Hypertension 2019; 33: 499-507
- 34 Scientific Reports, 2020;10(1)
- 35 Superfoodly, 100 Quercetin Foods
- 36 Molecules, 2017;22(2)
- 37 The Journal of Clinical Hypertension November 2011; 13(11): 843–847
- 38 Cleveland Clinic Magnesium-Rich Foods
- 39 Journal of the American Heart Association, 2021;10:e020980
- 40 Dr. Sinatra, What is the Best Heart Healthy Diet Plan?