¤ >>> AND WE ARE BACK. 00:00:05.70\00:00:16.01 WE ARE TALKING ABOUT HEART PRESSURE -- EASY FOR YOU TO 00:00:16.01\00:00:21.12 SAY -- HIGH BLOOD PRESSURE. MY GUESTS ARE DR. DAVID DeROSE. 00:00:21.12\00:00:27.69 NURSE TRUDIE LI. AND DR. GREG STEINKE. 00:00:27.69\00:00:30.83 >> GOOD JOB. >> PRAISE THE LORD. 00:00:30.83\00:00:32.63 PRAISE THE LORD, AND HOPEFULLY YOU WERE WITH US DURING THE 00:00:32.63\00:00:35.73 FIRST HOUR, BECAUSE WE TALKED ABOUT A NUMBER OF THINGS, AND WE 00:00:35.73\00:00:40.27 ENDED IT TALKING ABOUT OPTIMUM BEVERAGES, AND HOW SOME OF THESE 00:00:40.27\00:00:44.41 THINGS THAT WE DRINK ARE REALLY DOING DAMAGE TO OUR BODY. 00:00:44.41\00:00:48.51 AND HOW MAJOR CHANGES IN YOUR DRINKING HABITS CAN HAVE GREAT 00:00:48.51\00:00:52.78 EFFECTS ON YOUR BODY AND BLOOD PRESSURE. 00:00:52.78\00:00:55.72 TRUE? >> DEFINITELY. 00:00:55.72\00:00:56.62 >> YEAH. >> YOU MENTIONED GUZZLING WATER. 00:00:56.62\00:01:02.49 JUST DRINKING ONE GLASS OF WATER CAN INCREASE YOUR METABOLISM BY 00:01:02.49\00:01:14.00 25%. >> SO WALK ME THROUGH THAT. 00:01:14.00\00:01:15.57 >> BASICALLY YOUR BODY IS BURNING FAT OFF FASTER. 00:01:15.57\00:01:19.34 >> UH-HUH. >> AFTER YOU DRINK LIKE TWO CUPS 00:01:19.34\00:01:22.48 OF WATER, BASICALLY. >> 500 CC'S OF WATER, ROUGHLY 00:01:22.48\00:01:31.45 TWO CUPS. YOU ARE BURNING MORE CALORIES, 00:01:31.45\00:01:34.86 EVEN IF YOU ARE JUST SITTING WORKING AT YOUR DESK. 00:01:34.86\00:01:37.83 >> RIGHT. IT MAKES PERFECT SENSE WHEN YOU 00:01:37.83\00:01:41.03 OPEN UP MORE BLOOD PRESSURE VESSELS. 00:01:41.03\00:01:42.83 YOU HAVE MORE PIPES OPENING UP BECAUSE THERE IS MORE FLUID 00:01:42.83\00:01:47.57 GOING THROUGH THEM. AND THEY RAMP UP THEIR 00:01:47.57\00:01:51.27 METABOLISM BECAUSE OF THAT. >> I DON'T WANT TO BE 00:01:51.27\00:01:58.88 INDELICATE. ONE THING WATER DOES FOR YOU. 00:01:58.88\00:02:01.15 IT GETS YOU IN AND OUT OF THE BATHROOM QUICKER. 00:02:01.15\00:02:03.85 [ LAUGHTER ] >> AMEN. 00:02:03.85\00:02:05.49 >> THAT'S INTERESTING YOU MENTION THAT, BECAUSE ONE OF THE 00:02:05.49\00:02:09.39 PROBLEMS WE HAVE IS SITTING TOO MUCH. 00:02:09.39\00:02:13.73 ESPECIALLY ON LONG TRIPS. PEOPLE SAY I DON'T WANT TO DRINK 00:02:13.73\00:02:18.37 WATER, BECAUSE I DON'T WANT TO STOP. 00:02:18.37\00:02:22.04 YOU NEED TO STOP MORE. [ LAUGHTER ] 00:02:22.04\00:02:26.44 >> THE BODY IS SO -- SERIOUSLY WONDERFULLY MADE, AND SO 00:02:26.44\00:02:34.02 INTERCONNECTED. YOU DO ONE THING HERE, YOU THINK 00:02:34.02\00:02:35.48 YOU ARE DOING THIS, BUT YOU ARE ALSO DOING THIS. 00:02:35.48\00:02:39.52 FOR GOOD OR TO ILL, BUT THERE ARE THESE TIGHT CORRECTIONS THAT 00:02:39.52\00:02:45.03 NOTHING IS WASTED. YOU ARE DRINKING WATER AND 00:02:45.03\00:02:49.00 SPEEDING UP YOUR METABOLISM. YOU ARE HYDRATING YOUR BODY, 00:02:49.00\00:02:57.47 ELIMINATING SALT AND RAMPING UP YOUR METABOLISM. 00:02:57.47\00:03:00.78 >> A LOT OF PATIENTS ARE ON HIGH BLOOD PRESSURE MEDICINES. 00:03:00.78\00:03:10.42 AND THOSE MEDICINES MAKE YOU LOSE WATER QUICKLY. 00:03:10.42\00:03:13.96 AND MANY PATIENTS ARE, YOU KNOW,-TOO SLUGGISH IN THE AMOUNT OF WATER THEY DRINK, AND THEY 00:03:13.96\00:03:23.57 GET DEHYDRATED, AND THAT CAN BECAUSE YOU TO HAVE LOW BLOOD 00:03:23.57\00:03:27.50 PRESSURES THAT ARE POTENTIALLY DANGEROUS. >> UH-HUH. 00:03:27.50\00:03:30.81 SO DRINKING WATER HAS THIS LAUNDRY LIST OF BENEFITS THAT 00:03:30.81\00:03:34.74 MAY GO UNNOTICED, BUT YOU ARE DOING A LOT OF GOOD FOR YOURSELF 00:03:34.74\00:03:38.91 WHEN YOU DO SO. >> DEFINITELY. 00:03:38.91\00:03:41.08 >> LET US GO TO THE ELEPHANT IN THE ROOM, NUTRITION. 00:03:41.08\00:03:44.65 YOU TALKED ABOUT DRINKING, AND THE THINGS YOU DRINK. 00:03:44.65\00:03:49.52 WALK ME THROUGH NOW HOW TO EAT RIGHT TO TRY TO MAINTAIN OPTIMUM 00:03:49.52\00:03:54.56 BLOOD PRESSURE. >> WE BASICALLY COVERED IN THREE 00:03:54.56\00:04:01.80 SUCCINCT PRINCIPLES, THE FIRST WOULD BE THAT WE WANT TO EAT 00:04:01.80\00:04:06.31 MORE WHOLE PLANT FOODS. WE HAVE QUITE A GRAPH THAT SHOWS 00:04:06.31\00:04:10.18 A STUDY OF FOODS THAT WOULD EITHER INCREASE YOUR BLOOD 00:04:10.18\00:04:14.98 PRESSURE OR DECREASE YOUR BLOOD PRESSURE. 00:04:14.98\00:04:16.82 I WAS BLOWN AWAY WITH ONE OF THE GRAPHICS THAT WENT WAY OUT OF 00:04:16.82\00:04:24.13 THIS RIGHT, THAT WOULD INCREASE YOUR BLOOD PRESSURE. 00:04:24.13\00:04:27.13 AND WHAT DO YOU THINK THAT WAS? >> FRIED FOODS? 00:04:27.13\00:04:33.40 >> FRENCH FOODS, YOU GOT IT. SO WHOLE PLANT FOODS. 00:04:33.40\00:04:40.38 >> THERE ARE A NUMBER OF PROPERTIES THAT WE ARE 00:04:40.38\00:04:44.08 DISCOVERING THAT ARE IN FOODS. THESE POPULAR MEDICATIONS CALLED 00:04:44.08\00:04:52.29 ACE INHIBITORS. THOSE ARE VERY POPULAR MEDICINES 00:04:52.29\00:04:56.93 TO LOWER BLOOD PRESSURE, AND DID YOU KNOW THAT THOSE ARE IN FOOD? 00:04:56.93\00:05:02.63 THAT THEY ARE IN A NUMBER OF DIFFERENT FOODS. 00:05:02.63\00:05:05.93 >> IN PLANT FOODS. >> IN PLANT FOODS. 00:05:05.93\00:05:08.80 ONLY IN PLANT FOODS. >> GIVE ME IF YOUR MIND CAN 00:05:08.80\00:05:12.54 RECALL, THE NUMBER, THE TOP THREE OR FOUR THINGS THAT WOULD 00:05:12.54\00:05:17.28 HELP BLOOD PRESSURE FOOD WISE, NUTRITION WISE. 00:05:17.28\00:05:20.45 >> WE LOOK AT CONSTITUENTS. THINGS THAT ARE RICH IN ACE 00:05:20.45\00:05:26.79 INHIBITORS. THINGS RICH IN MAGNESIUM, 00:05:26.79\00:05:32.86 POTASSIUM, AND CALCIUM. THE LATEST DATA ON THE BEST 00:05:32.86\00:05:37.77 SOURCE OF CALCIUM, WE LOOK AT IT PER CALORIE. 00:05:37.77\00:05:42.80 ALL OF THE TOP 10 FOODS ARE PLANT FOODS. 00:05:42.80\00:05:47.94 THIS IS THE USDA DATABASE. SO IF YOU WANT TO RAMP UP THE 00:05:47.94\00:05:54.72 CONSTITUENTS THAT LOWER YOUR BLOOD PRESSURE, MAGNESIUM, THE 00:05:54.72\00:06:00.46 CALCIUM, POTASSIUM, YOU HAVE TO DO WHAT TRUDIE SAID, EAT LOTS OF 00:06:00.46\00:06:06.09 WHOLE PLANT FOODS. WE HAVE A GRAPH IN THERE -- I 00:06:06.09\00:06:10.77 MEAN WAS HUMBLED. SOMEONE CAME UP TO ME, THEY SAID 00:06:10.77\00:06:15.84 DR. DeROSE, I CAME TO THAT LECTURE OF YOURS SIX MONTHS AGO, 00:06:15.84\00:06:20.38 IT CHANGED MY WHOLE LIFE. AND I WAS TEMPTED TO GET A 00:06:20.38\00:06:25.95 LITTLE PROUD. AND THE LORD HELP DEFLATE THAT, 00:06:25.95\00:06:32.62 BECAUSE THAT PERSON SAID, DR. DeROSE, IT WAS NOTHING YOU 00:06:32.62\00:06:38.03 SAID. [ LAUGHTER ] 00:06:38.03\00:06:39.16 >> I SAID WHAT WAS IT? HE SAID IT WAS THAT GRAPH. 00:06:39.16\00:06:42.00 IT SHOWS LESS ANIMAL PRODUCTS, LOWER BLOOD PRESSURE, LOWER 00:06:42.00\00:06:46.63 DIABETES RATES, THE LESS THE ANIMAL PRODUCTS, THE LOWER THE 00:06:46.63\00:06:51.27 RATES SO THE VEGANS HAVE THE LOWEST RATES -- LIKE ONE-FIFTH 00:06:51.27\00:06:56.34 THE LIKELIHOOD OF HAVING DIABETES AND HIGH BLOOD PRESSURE 00:06:56.34\00:07:00.52 AS THE PERSON ON THE AVERAGE AMERICAN DIET, IF YOU ARE IN 00:07:00.52\00:07:04.89 BETWEEN, YOU ARE DOING BETTER, BUT IF YOU WANT TO BE ON THE 00:07:04.89\00:07:09.26 BEST, HANG OUT WITH TRUDIE AND OUR HUSBAND. 00:07:09.26\00:07:13.19 >> HUM. >> AND WE WANT PEOPLE TO BE 00:07:13.19\00:07:16.43 PROGRESSIVE, WE'RE REALLY GOING AFTER A -- A STRATEGY, WHERE 00:07:16.43\00:07:19.80 YOU'RE MAKING ADJUSTMENTS. YOU'RE GOING AFTER A GOAL AND 00:07:19.80\00:07:24.64 BEING REALISTIC WITH YOUR LIFE AND SITUATION. 00:07:24.64\00:07:27.18 >> YEAH. >> IF SOMEONE IS REALLY SICK AND 00:07:27.18\00:07:30.48 HAS MAJOR BLOOD PRESSURE PROBLEMS, THEY NEED TO BE MORE 00:07:30.48\00:07:34.42 DRASTIC, BUT FOR OTHERS THEY OFTEN NEED TO TAKE IT ONE STEP 00:07:34.42\00:07:39.59 AT A TIME AND DO WHAT THEY CAN DO. 00:07:39.59\00:07:42.39 WE TELL PEOPLE THE GOALS THEY NEED TO AIM FOR IN TERMS OF 00:07:42.39\00:07:47.23 HELPING THEM SEE THE BIG PICTURE, BUT THEY HAVE TO APPLY 00:07:47.23\00:07:49.86 IT TO THEIR OWN LIVES AND BRING IT DOWN TO THE DAILY THINGS THAT 00:07:49.86\00:07:54.44 THEY ARE DOING. >> I WANT TO FOLLOW ALONG THAT 00:07:54.44\00:07:59.17 TRAJECTORY JUST A LITTLE BIT. BECAUSE YOU WANT TO GIVE PEOPLE 00:07:59.17\00:08:02.14 GOALS THAT THEY CAN REACH AND NOT GET DISCOURAGED. 00:08:02.14\00:08:06.15 BECAUSE IF THEY GET DISCOURAGED, THEY ARE GOING TO QUIT. 00:08:06.15\00:08:10.42 >> I WANT TO ASK A QUESTION WHICH MAY SOUND NOT TOO 00:08:10.42\00:08:16.26 INTELLIGENT. YOU HAVE A PERSON THAT IS EATING 00:08:16.26\00:08:19.03 A LOT OF RED MEAT, CHICKEN AND FISH. 00:08:19.03\00:08:22.73 IF YOU WANT TO TELL THEM CUT THIS OUT AS YOU WORK YOUR WAY TO 00:08:22.73\00:08:29.37 OPTIMUM, WHICH WOULD YOU HAVE THEM JETTISON FIRST? 00:08:29.37\00:08:34.88 THE RED MEAT, CHICKEN OR FISH? OR DOES IT MATTER? 00:08:34.88\00:08:39.11 >> WELL, WE HAVE A WORKSHEET. WE'RE HAVING PEOPLE SET THEIR 00:08:39.11\00:08:43.02 OWN GOALS. WE SUGGEST A GOAL AT THE END OF 00:08:43.02\00:08:46.45 CHAPTER 5, AND WE SAY THIS IS JUST AN EXAMPLE FOR SOMEONE WHO 00:08:46.45\00:08:51.33 MAY BE ON THE AVERAGE AMERICAN DIET. 00:08:51.33\00:08:54.56 EVERY WEEK HAVE AT LEAST THREE MEAT-FREE DAYS. 00:08:54.56\00:08:59.10 AND SOMEONE ELSE MAY SAY, NO, IT WOULD BE A BIG DEAL JUST TO 00:08:59.10\00:09:03.34 LEAVE OFF THE RED MEAT ONE DAY. AND TO YOUR QUESTION, THE RED 00:09:03.34\00:09:07.24 MEAT IS THE SINGLE WORST THING. WE HAVE DATA FROM HARVARD, SAME 00:09:07.24\00:09:14.92 GRAFT, THE MORE RED MEAT, THE SHORTER YOUR LIFE SPAN. 00:09:14.92\00:09:19.49 >> UH-HUH. >> LESS RED MEAT, GREAT THING TO 00:09:19.49\00:09:22.59 DO TO HELP YOUR BLOOD PRESSURE AND EVERYTHING ELSE. 00:09:22.59\00:09:25.19 >> I LIKE THE IDEA OF SELECTING A NUMBER OF DAYS DURING THE WEEK 00:09:25.19\00:09:29.10 WHERE YOU JUST CUT IT OUT. >> YEAH. 00:09:29.10\00:09:31.07 >> THAT SEEMS LIKE A WORKABLE THING. 00:09:31.07\00:09:34.24 >> ANOTHER BIG PROBLEM PEOPLE HAVE IS EATING OUT TOO MUCH. 00:09:34.24\00:09:37.31 EATING AT RESTAURANTS TOO MUCH. TOO MUCH FAST-FOOD AND TAKING A 00:09:37.31\00:09:42.14 LOOK AT THAT, AND SAYING THOSE RESTAURANTS ARE IN IT FOR THE 00:09:42.14\00:09:45.48 BUSINESS AND FOR THE MONEY, AND THEY ARE TRYING TO PLEASE MY 00:09:45.48\00:09:51.85 PALLET, AND STARTING TO LOOK AROUND AND SAYING HOW CAN I EAT 00:09:51.85\00:09:55.96 MORE AT HOME? HOW CAN I GET THAT FIGURED OUT? 00:09:55.96\00:09:59.86 OR IF I HAVE TO EAT OUT AT RESTAURANTS, HOW CAN I FIND 00:09:59.86\00:10:03.43 BETTER WAYS TO GET HEALTHIER FOOD? 00:10:03.43\00:10:06.43 THAT'S A BIG DEAL. >> AND TRUDIE YOU TALKED ABOUT 00:10:06.43\00:10:09.57 THOSE THREE PRINCIPLES OF NUTRITION. 00:10:09.57\00:10:17.81 HE IS TALKING ABOUT RESTAURANT FOODS. 00:10:17.81\00:10:18.85 THAT TIES IN WITH THE THIRD ONE. >> THE THIRD PRINCIPLE IS THAT 00:10:18.85\00:10:20.45 YOU NEED TO LIMIT SODIUM. BUT IF PRESIDENT TRUMP COULD 00:10:20.45\00:10:25.29 KNOW ABOUT THIS POINT, IT COULD SAVE THE U.S. BUDGET 10 TO 00:10:25.29\00:10:32.46 $24 BILLION A YEAR IN HEALTHCARE KOS IF AMERICANS WOULD EAT HALF 00:10:32.46\00:10:36.80 A TEASPOON LESS OF SODIUM. AND AMERICANS EAT ABOUT A 00:10:36.80\00:10:45.37 TEASPOON AND A HALF NOW. AND WE'RE ASKING THEM TO CUT IT 00:10:45.37\00:10:49.58 BY A THIRD. AND THEN WE WOULD SEE LESS HEART 00:10:49.58\00:10:54.28 ATTACKS, FEWER STROKES. IN THE SOUTHEASTERN U.S., WE 00:10:54.28\00:11:00.86 CALL IT THE STROKE BELT, BECAUSE STROKES ARE A THIRD MORE COMMON 00:11:00.86\00:11:06.76 THAN THE REST OF THE NATION. AND IF THEY COULD CUT BACK ON 00:11:06.76\00:11:09.66 THEIR SODIUM, JUST IN THAT ONE THING, THEY WOULD SEE LESS 00:11:09.66\00:11:14.37 STROKES, LESS SUFFERING. IT'S A BIG DEAL. 00:11:14.37\00:11:16.77 >> IT IS A BIG DEAL. WHICH IS WORSE ON THE BODY, 00:11:16.77\00:11:20.54 SODIUM OR SUGAR? BECAUSE THEY ARE BOTH BAD 00:11:20.54\00:11:24.21 ACTORS. >> MOST PEOPLE DON'T KNOW THIS, 00:11:24.21\00:11:26.85 SUGAR AND SALT HIDE EACH OTHER. SO IF SOMETHING HAS MORE SUGAR 00:11:26.85\00:11:30.45 IN IT, YOU NEED TO PUT MORE SALT IN IT TO MAKE IT PALATABLE. 00:11:30.45\00:11:36.86 AND THE FOOD INDUSTRY KNOWS THIS, SO THEY OFTEN TRACK 00:11:36.86\00:11:41.50 TOGETHER. >> BUT WE'RE NOT SAYING DON'T 00:11:41.50\00:11:44.43 EAT ANY SALT. WE KNOW -- ESPECIALLY IF YOU 00:11:44.43\00:11:46.94 HAVE HEART FAILURE, YOU MAY NOT -- IT MAY NOT BE GOOD FOR 00:11:46.94\00:11:50.54 YOU TO CUT BACK ON YOUR SODIUM. IT JUST DEPENDS ON THE PERSON. 00:11:50.54\00:11:55.41 MOST PEOPLE OFTEN DO, BUT THERE ARE PEOPLE THAT ARE ESPECIALLY 00:11:55.41\00:11:58.95 SENSITIVE TO SODIUM. YOU CAN HAVE A PERSON TRACKING 00:11:58.95\00:12:02.38 ALONG EATING A RELATIVELY NORMAL SODIUM DIET, AND THEN THEY GO 00:12:02.38\00:12:06.89 OUT FOR THAT ONE MEAL, OR THEY GO OVER TO A RELATIVES HOUSE FOR 00:12:06.89\00:12:12.73 THANKSGIVING AND THEY EAT THAT BIG PACKED SODIUM MEAL, AND ALL 00:12:12.73\00:12:16.13 OF A SUDDEN FOR THE NEXT WEEK OR TWO, THEIR BLOOD PRESSURE IS OUT 00:12:16.13\00:12:20.14 OF CONTOL. THOSE ARE SALT-SENSITIVE PEOPLE. 00:12:20.14\00:12:22.87 THOSE ARE PEOPLE WHO ARE USUALLY PRONE TO MORE BLOOD PRESSURE 00:12:22.87\00:12:28.98 PROBLEMS. OVERWEIGHT. 00:12:28.98\00:12:31.01 THE AFRICAN AMERICAN POPULATION, PEOPLE WITH CHRONIC KIDNEY 00:12:31.01\00:12:35.82 CHANGES. CERTAIN KINDS OF CHARACTERISTICS 00:12:35.82\00:12:38.55 MAKE YOU MORE SENSITIVE TO SALT. SOMETIMES GENETIC 00:12:38.55\00:12:42.52 CHARACTERISTICS. AND THESE ARE IMPORTANT FEATURES 00:12:42.52\00:12:46.16 TO THINK ABOUT. >> AND WE ADDRESS THAT IN THE 00:12:46.16\00:12:49.03 BOOK. WHO NEEDS TO BE CAREFUL. 00:12:49.03\00:12:50.47 WHO IS LIKELY TO BENEFIT AND WHO IS NOT? 00:12:50.47\00:12:53.17 >> YEAH. YEAH. 00:12:53.17\00:12:54.77 AND AS I'M LISTENING HERE, THIS IS A VERY COMPREHENSIVE -- THIS 00:12:54.77\00:13:00.94 COVERS JUST ABOUT EVERY QUESTION THAT YOU COULD POSSIBLY HAVE. 00:13:00.94\00:13:04.28 THIS IS A GOOD WORK -- I WANT TO STOP RIGHT HERE. 00:13:04.28\00:13:07.18 YOU SAID YOU ARE SELF PUBLISHED. HOW THEN CAN WE GET THIS? 00:13:07.18\00:13:11.12 >> THE SIMPLEST WAY TO GET THE BOOK IS ON AMAZON. 00:13:11.12\00:13:17.53 THERE IS A KINDL EDITION, THERE IS AN AUDIO EDITION. 00:13:17.53\00:13:24.40 IT IS ME READING IT. [ LAUGHTER ] 00:13:24.40\00:13:27.00 >> WE HAVE GOT THE AUDIO BOOK AND THE SOFT COVER BOOK. 00:13:27.00\00:13:30.41 BUT THEN OUR WEBSITE, THE COMPASSHEALTH WEBSITE, 00:13:30.41\00:13:37.45 COMPASSHEALTH.NET, WITH WE HAVE THE BOOK AND LINKS TO OTHER 00:13:37.45\00:13:41.65 RESOURCES. ONE STOP SHOP, 00:13:41.65\00:13:45.35 COMPASSHEALTH.NET, BUT IF YOU CAN'T REMEMBER THAT, GO TO 00:13:45.35\00:13:50.73 AMAZON.COM. >> OR CALL US HERE. 00:13:50.73\00:13:56.87 COMPASSHEALTH.NET. WER 00:13:56.87\00:14:03.00 VERY WELL SAID GETS OF PICTURES AND GRAPHS. 00:14:03.00\00:14:07.54 I HATED AVOCADOS. [ LAUGHTER ] 00:14:07.54\00:14:10.08 >> BUT MY WIFE LOVED AVOCADOS. AND I LOVED MY WIFE. 00:14:10.08\00:14:14.15 SO I -- I FORCED MYSELF TO LEARN TO LIKE AVOCADOS, BECAUSE SHE 00:14:14.15\00:14:20.32 WOULD SNEAK THEM IN SALADS AND SUFFICIENT, AND I WAS LIKE THERE 00:14:20.32\00:14:23.86 IS SOMETHING IN THERE. NOW I LIKE THEM. 00:14:23.86\00:14:28.73 WE EAT THEM -- KIND OF A LOT. I HAVE HEARD GOOD FAT, BAD FAT, 00:14:28.73\00:14:33.67 THAT KIND OF THING, BUT YOU NEED TO BE CAREFUL EVEN WITH 00:14:33.67\00:14:39.51 AVOCADOS. >> WHEN I LOOK AT LAB RESULTS 00:14:39.51\00:14:41.41 FOR PATIENTS, WHEN I LOOK AT THEIR GOOD CHOLESTEROL, WHICH IS 00:14:41.41\00:14:46.72 THE HDL, AND WHEN IT IS HIGH, I SAY YOU MUST LIKE AVOCADOS, OR 00:14:46.72\00:14:55.02 WALNUTS OR SEEDS? AND THEY ARE LIKE HOW DO YOU 00:14:55.02\00:14:57.93 KNOW? BECAUSE IT HELPS TO KEEP YOUR 00:14:57.93\00:15:03.47 BAD CHOLESTEROL LOW. >> IT'S VERY IMPORTANT TO EAT 00:15:03.47\00:15:06.57 GOOD FATS. NOT TOO MANY, BUT TO EAT A 00:15:06.57\00:15:10.87 PROPER AMOUNT. FAT HAS 9 CALORIES PER GRAM, SO 00:15:10.87\00:15:15.74 IT'S A POTENT CALORIC LOAD. BUT IT'S IMPORTANT TO EAT SOME 00:15:15.74\00:15:20.08 GOOD FATS. WE TALK ABOUT OMEGA-3 IN THE 00:15:20.08\00:15:24.35 BOOK. DAVID WHAT IS THAT ABOUT? 00:15:24.35\00:15:26.19 I FORGET NOW? [ LAUGHTER ] 00:15:26.19\00:15:28.62 >> COME ON NOW. MOST PEOPLE WHEN THEY HEAR 00:15:28.62\00:15:32.93 OMEGA-3 -- FISH OIL. BUT FISH DO NOT MAKE OMEGA-3 00:15:32.93\00:15:40.24 FATS. THE ONLY WAY OMEGA-3 COME IN 00:15:40.24\00:15:44.97 NATURE IS IN PLANTS. THE BEST SOURCES IN OUR 00:15:44.97\00:15:48.28 ESTIMATION, WHEN YOU LOOK AT THE WHOLE NUTRITIONAL PICTURE, 00:15:48.28\00:15:52.51 INCLUDING TOXIN EXPOSURE, STAY AWAY FROM THE FISH, AND 00:15:52.51\00:15:58.15 EMPHASIZE THOSE PLANT SOURCES. WALNUTS, CHIA SEEDS, A NUMBER OF 00:15:58.15\00:16:04.76 THINGS ON THAT LIST. >> BEFORE WE LEAVE THIS AREA, I 00:16:04.76\00:16:08.40 NEED TO PUT IN A PLUG FOR IRMA. SHE MAKES AN AVOCADO KEY LIME 00:16:08.40\00:16:18.04 PIE. RAW. 00:16:18.04\00:16:18.67 >> WOW. >> REALLY, REALLY GOOD. 00:16:18.67\00:16:20.94 >> HAVE HER BRING SOME OVER. [ LAUGHTER ] 00:16:20.94\00:16:23.24 >> IT'S EXCELLENT. >> HIS POINT ABOUT THE FISH IS 00:16:23.24\00:16:27.35 REALLY INTERESTING, BECAUSE, YOU KNOW, WE'RE FINING THAT FISH 00:16:27.35\00:16:30.12 HAVE A LOT OF TOXINS, THE -- THE FISH BUILD UP A LOT OF TOXINS 00:16:30.12\00:16:36.46 THAT WE HAVE BEEN THROWING IN THE OCEANS FOR A LONG TIME. 00:16:36.46\00:16:39.63 >> UH-HUH. >> AND THIS IS WEIGHING IN ON 00:16:39.63\00:16:43.00 CONDITIONS LIKE DIABETES, HYPERTENSION, I THINK THAT MAY 00:16:43.00\00:16:46.80 BE PART OF THE REASON WHY THAT GRAPH THAT DAVID TALKED ABOUT 00:16:46.80\00:16:50.81 EARLIER, WHERE WE HAVE THE NON-VEGETARIANS AND THE PARTIAL, 00:16:50.81\00:16:54.74 AND THE FISH-EATING VEGETARIANS. YOU WOULD THINK THAT FISH SHOULD 00:16:54.74\00:16:59.88 BE A HEALTHY FOOD, BUT IT'S NOT. AND I THINK PART OF THAT STORY 00:16:59.88\00:17:05.19 HAS TO DO WITH MERCURY AND -- >> YEAH. 00:17:05.19\00:17:08.16 YEAH. >> WE HAVE A SECTION IN THE 00:17:08.16\00:17:10.36 BOOK, AS YOU MIGHT EXPECT -- [ LAUGHTER ] 00:17:10.36\00:17:13.33 >> NO, REALLY, WE TALKED ABOUT THAT CHAPTER, AVOIDING TOXINS, 00:17:13.33\00:17:18.43 PRESSERS, WE CALL THEM, THINGS THAT RAISE BLOOD PRESSURE. 00:17:18.43\00:17:22.67 AMERICASY, LEAD, ARSENIC. CADMIUM. 00:17:22.67\00:17:26.31 WHERE DO YOU FIND THEM? WHERE DO YOU AVOID THEM? 00:17:26.31\00:17:29.28 ONE OF THE THINGS TO AVOID, POLLUTED WATER AND FISH, FISH, 00:17:29.28\00:17:34.95 FISH COMES UP AGAIN AND AGAIN. >> I LIVE RIGHT BY THE OCEAN 00:17:34.95\00:17:39.42 RIGHT ON THE OREGON COAST, AND AT FIRST I WAS CHECKING MERCURY 00:17:39.42\00:17:45.33 LEVELS IN MY PATIENTS FAIRLY OFTEN, BUT I REALIZED ALL I HAD 00:17:45.33\00:17:50.73 TO DO IS ASK PATIENTS HOW OFTEN THEY WERE EATING FISH. 00:17:50.73\00:17:54.00 AND IF THEY WERE EATING FISH A LOT, AND I CHECKED THE MERCURY 00:17:54.00\00:17:58.67 LEVEL IT WAS ALWAYS HIGH. >> WOW. 00:17:58.67\00:18:00.58 DOES IT MATTER, OCEAN FISH, LAKE FISH, STREAM FISH? 00:18:00.58\00:18:05.95 DOES IT MATTER? IT'S JUST EVERYWHERE? 00:18:05.95\00:18:09.48 >> IT'S PRETTY PERVASIVE. I HAD A GUEST THAT LOOKED AT 00:18:09.48\00:18:13.52 THIS, AND COMPARED FISH CAUGHT IN PRISTINE WATERS, WITH FISH 00:18:13.52\00:18:19.06 CAUGHT IN POLLUTED WATERS, AND HE FOUND BASICALLY THE TOXIN 00:18:19.06\00:18:23.93 LEVELS IN SOME OF THOSE FISH WERE WORSE THAN THE ONES IN THE 00:18:23.93\00:18:28.67 POLLUTED WATERS. THE QUESTION IS HOW COULD THAT 00:18:28.67\00:18:31.41 BE? THE ANSWER WAS, ACID RAIN, AND 00:18:31.41\00:18:34.41 THE FACT THAT FISH DON'T STAY IN ONE SPOT. 00:18:34.41\00:18:36.75 [ LAUGHTER ] >> RIGHT. 00:18:36.75\00:18:37.81 RIGHT. BEFORE WE LEAVE THIS -- AND WE 00:18:37.81\00:18:39.81 HAVE A NICE LITTLE CONSTELLATION OF QUESTIONS HERE. 00:18:39.81\00:18:43.89 I WANT TO TALK ABOUT MEDICATION AND SUPPLEMENTS. 00:18:43.89\00:18:47.36 BECAUSE -- I HAD A VERY GOOD FRIEND. 00:18:47.36\00:18:50.89 HIS MOM PASSED, AND ONE OF THE THINGS THAT -- THAT HE SAYS THE 00:18:50.89\00:18:54.73 DOCTORS TOLD HIM IS THAT THE YEARS OF BLOOD PRESSURE 00:18:54.73\00:18:57.87 MEDICATION REALLY RUINED HER KIDNEYS -- OR MAYBE HER LIVER, 00:18:57.87\00:19:02.30 BUT THAT CONTRIBUTED -- SHE PASSED FAIRLY YOUNG, 72, TO ME 00:19:02.30\00:19:07.98 IS YOUNG. THAT'S NOT THAT OLD. 00:19:07.98\00:19:09.78 >> UH-HUH. >> BUT HE -- ONE OF THE 00:19:09.78\00:19:13.01 CONTRIBUTING FACTORS WAS YEARS OF MAYBE TAKING BLOOD PRESSURE 00:19:13.01\00:19:17.19 MEDICATION MAYBE SINCE SHE WAS 20. 00:19:17.19\00:19:19.25 SO 50-PLUS YEARS OF BP MEDICATION. 00:19:19.25\00:19:23.63 TALK ABOUT THAT. YOU KNOW, YOU HAVE IT UNDER 00:19:23.63\00:19:26.06 CONTROL, BUT YOU ARE REALLY DOING OTHER KINDS OF DAMAGE. 00:19:26.06\00:19:29.06 AND THEN I WANT TO TALK ABOUT HERBAL SUPPLEMENTS AND NATURAL 00:19:29.06\00:19:33.54 KINDS OF THINGS. >> BLOOD PRESSURE MEDICINES GET 00:19:33.54\00:19:40.91 YOUR BLOOD PRESSURE DOWN BUT AT A COST. 00:19:40.91\00:19:43.14 THERE IS SIDE EFFECTS RELATED TO DIZZINESS, AND SIDE EFFECTS 00:19:43.14\00:19:48.92 RELATED TO FEELING FATIGUED, YOU KNOW. 00:19:48.92\00:19:50.69 YOU WOULD THINK THAT THE MEDICINE WOULD MAKE PEOPLE FEEL 00:19:50.69\00:19:55.46 BETTER, BUT OFTENTIMES IT MAKES PEOPLE FEEL WORSE. 00:19:55.46\00:20:00.80 >> WOW. >> PEOPLE FEEL BETTER WITH HIGH 00:20:00.80\00:20:03.80 BLOOD PRESSURE, EVEN THOUGH THAT IS HURTING THEIR BODY TOO. 00:20:03.80\00:20:06.70 >> UH-HUH. UH-HUH. 00:20:06.70\00:20:08.67 SO WE ADVOCATE WHENEVER POSSIBLE TO MINIMIZE THE AMOUNT OF 00:20:08.67\00:20:12.84 MEDICATIONS USED. SOME PEOPLE HAVE TO BE ON 00:20:12.84\00:20:16.78 MEDICINES, AND THERE ARE CERTAIN PEOPLE THAT NEED REGIMENS THAT 00:20:16.78\00:20:19.85 ARE IMPORTANT, BUT WHATEVER WE CAN DO TO GET OUR MEDICATION 00:20:19.85\00:20:23.45 NEED DOWN IN AMERICA, WE'RE DOING A GOOD THING. 00:20:23.45\00:20:25.72 >> OKAY. >> THE OTHER PART OF THE STORY 00:20:25.72\00:20:28.16 IS THE PEOPLE ON MEDICATIONS, THE RESEARCH SHOWS THAT SOME 50% 00:20:28.16\00:20:32.06 OF THEM DO NOT HAVE THEIR BLOOD PRESSURE ADEQUATELY CONTROLLED. 00:20:32.06\00:20:35.76 THEY ARE GETTING THE WORST OF BOTH WORLDS. 00:20:35.76\00:20:38.83 THEY ARE GETTING THE SIDE EFFECT FROM THE DRUG. 00:20:38.83\00:20:42.74 IT IS DAMAGING THE KIDNEYS, HEART AND BRAIN, AND IT DOESN'T 00:20:42.74\00:20:48.04 TAKE A ROCKET SCIENTIST TO FIGURE OUT THAT THAT IS NOT THE 00:20:48.04\00:20:52.41 WAY TO LIVE THE LONGEST ON THE PLANET. 00:20:52.41\00:20:56.18 >> AND I SUSPECT AFTER A WHILE THAT IS GOING TO CATCH UP WITH 00:20:56.18\00:20:59.69 YOU. >> YEAH. 00:20:59.69\00:21:00.36 >> IF YOU THINK IT IS UNDER CONTROL, THERE IS NO INCENTIVE 00:21:00.36\00:21:04.26 TO CHANGE YOUR HABITS. I CAN STILL EAT THAT PORK CHOP 00:21:04.26\00:21:08.30 OR WHATEVER IS KILLING ME, BUT YOU STILL WANT TO DO IT. 00:21:08.30\00:21:13.87 WHAT ABOUT NATURAL MEDICATIONS? HAWTHORN BERRY OR SOME OF THESE 00:21:13.87\00:21:23.91 OTHER THINGS THAT PEOPLE WILL TAKE TO BRING THEIR BLOOD 00:21:23.91\00:21:27.38 PRESSURE DOWN. >> YOU HEARD ONE OF GREG'S 00:21:27.38\00:21:35.22 FAVORITE. TRUDIE TO YOU HAVE ONE? 00:21:35.22\00:21:38.06 >> I AM JUST BEGUN TO USE MAGNESIUM. 00:21:38.06\00:21:41.96 AND IT IS VERY USEFUL. THERE ARE A LOT OF HERBS OUT 00:21:41.96\00:21:50.47 THERE, BUT THEY MIGHT CARRY LEADER THEY ARE NOT PURIFIED OR 00:21:50.47\00:21:55.18 THEY DON'T DEAL WITH THE PATHOPHYSIOLOGY, AND IT IS 00:21:55.18\00:22:05.25 SUBSTITUTING A HERB FOR A PILL. MAGNESIUM I LIKE, BECAUSE IT 00:22:05.25\00:22:13.09 RELAXES THE BLOOD VESSELS. SO IF WE DO ABOUT 500 MILLIGRAMS 00:22:13.09\00:22:18.90 A DAY, I HAVE SEEN GOORESULTS. A LOT OF MY PASH -- PATIENTS 00:22:18.90\00:22:29.81 SAY DO YOU HAVE AN ALTERNATIVE? >> IS THAT A PILL? 00:22:29.81\00:22:34.52 >> YOU CAN DO A PILL. BUT YOU CAN ALSO DO THE LIQUID 00:22:34.52\00:22:40.09 FORM. BUT BE CAREFUL, BECAUSE IT CAN 00:22:40.09\00:22:42.82 BECAUSE THE RUNS. >> IT IS A LAXATIVE TOO. 00:22:42.82\00:22:46.73 >> YEAH, MILK OF MAG KNEE SHA, I GUESS THAT'S -- 00:22:46.73\00:22:52.63 >> ONE THAT IS POPULAR IS CO-ENZYME Q10. 00:22:52.63\00:23:04.55 IT IS A -- JUST A -- YOU KNOW, A FACTOR IN OUR BODY. 00:23:04.55\00:23:11.02 THAT OUR BODY MAKES, BUT OFTEN WE'RE DEFICIENT, AND IF WE GET 00:23:11.02\00:23:16.36 ENOUGH IN OUR BODY, WE ACTUALLY -- OUR 00:23:16.36\00:23:24.40 BLOOD PRESSURE COMES DOWN. >> IS THIS SOMETHING NATURAL YOU 00:23:24.40\00:23:30.57 CAN EAT TO GET Q-10. >> IT IS USUALLY JUST THE 00:23:30.57\00:23:36.78 SUPPLEMENT. STATINS WITH ALSO LOWER LEVELS 00:23:36.78\00:23:41.02 OF CO-ENZYME Q-10. EXPERTS RECOMMEND A SUPPLIMENT 00:23:41.02\00:23:49.42 IF YOU ARE ONE OF THOSE DRUGS. >> AND THE AVERAGE PERSON WILL 00:23:49.42\00:23:53.33 BE ON LIKE 400 MILLIGRAMS A DAY. MAYBE 300 MILLIGRAMS A DAY, BUT 00:23:53.33\00:23:59.67 IT'S NOT WELL ABSORBED, SO THERE IS A VERSION THAT YOU ONLY NEED 00:23:59.67\00:24:04.97 ABOUT 100 MILLIGRAMS, BECAUSE IT IS WELL-ABSORBED. 00:24:04.97\00:24:09.78 >> OKAY. ARE YOU READY TO TAKE SOME 00:24:09.78\00:24:12.51 QUESTIONS? >> ABSOLUTELY. 00:24:12.51\00:24:14.12 >> LET'S GO FOR IT. >> OKAY. 00:24:14.12\00:24:16.45 LET'S SEE WHAT WE HAVE GOT. DOES THE USE OF NATURAL 00:24:16.45\00:24:22.59 AGRICULTURE METHODS, SUCH AS GRASS-FED OR RANGE-FREE MEATS 00:24:22.59\00:24:30.23 AFFECT THE IMPACT OF -- ON HEALTH ESPECIALLY WITH REGARD 00:24:30.23\00:24:40.04 TO-RED MEAT? >> THT'S A GOOD QUESTION. EVEN IF YOU ARE USING 00:24:40.04\00:24:45.11 BETTER AGRICULTURAL PRACTICES, ANIMAL PRODUCTS AND THE 00:24:45.11\00:24:49.22 SATURATED FAT ACTUALLY IS PART OF WHAT IS DAMAGING OUR 00:24:49.22\00:24:53.52 METABOLISM, IT IS TRUE THAT FREE-RANGE ANIMALS WILL HAVE 00:24:53.52\00:24:58.59 LOWER FAT CONTEXT, WHICH IS BENEFICIAL. >> YEAH. 00:24:58.59\00:25:00.80 >> SO MAYBE A BETTER CHOICE IS TO EAT EVEN LESS OF THAT. 00:25:00.80\00:25:07.37 MEAT PRODUCTS, FLESH FOOD, YOU HAVE TO COOK, AND WHEN YOU DO 00:25:07.37\00:25:15.11 THAT, YOU CREATE CARCINOGENS, AND THAT'S WHAT CAUSE CANCER FOR 00:25:15.11\00:25:21.55 COLON CANCER AND A NUMBER OF 3 OTHER CANCERS. 00:25:21.55\00:25:24.89 SO WHETHER IT'S GRASS-FED OR RANGE-FED MEAT, YOU STILL HAVE 00:25:24.89\00:25:32.69 TO PUT A FLAME TO IT. >> IS IT BETTER TO EAT FIVE 00:25:32.69\00:25:37.70 SMALL MEALS A DAY, RATHER THAN THREE SMALL MEALS A DAY. 00:25:37.70\00:25:43.71 >> OUR BOOK ADDRESSES THAT. AND SAYS THAT THE SCIENCE IS 00:25:43.71\00:25:47.88 LEANING AGAINST T-- >> AGAINST THE FIVE MEALS. 00:25:47.88\00:25:54.85 >> YES. INSPREAD TWO TO THREE MEALS A 00:25:54.85\00:26:00.42 DAY. >> ALL RIGHT. 00:26:00.42\00:26:01.56 SHE IS VEGAN, 50 YEARS OF AGE, 145 POUNDS, ASKING WHY DO I 00:26:01.56\00:26:09.40 STILL HAVE BP, HIGH BLOOD PRESSURE. 00:26:09.40\00:26:13.87 >> THERE IS A NICE SECTION IN THE BOOK, GOING THROUGH SOME OF 00:26:13.87\00:26:17.57 THE UNDERLYING ISSUES THAT PEOPLE OFTEN HAVE. 00:26:17.57\00:26:20.28 IF YOUR MOTHER THROUGH ABOUT 28 TO 36 WEEKS GUESS RATION WENT 00:26:20.28\00:26:26.68 THROUGH A LOT OF INORDINATE STRESS IN SOME WAY, PHYSICAL OR 00:26:26.68\00:26:33.29 EMOTIONAL STRESS, OR, YOU KNOW, AN ILLNESS, THAT CAN MESS UP THE 00:26:33.29\00:26:36.99 DEVELOPMENT OF THE KIDNEYS DURING THAT TIME AND -- AND 00:26:36.99\00:26:39.93 CHANGE THE NUMBER OF FILTERING UNITS WE CALL NEPHRONS THAT ARE 00:26:39.93\00:26:47.27 DROPPED. AND IF THERE ARE LESS OF THOSE, 00:26:47.27\00:26:50.81 WE KNOW YOU ARE MORE PRONE TO GETTING HIGH BLOOD PRESSURE 00:26:50.81\00:26:54.41 EARLY IN YOUR LIFE. IF YOU ARE A SMALL BABY, THERE 00:26:54.41\00:26:58.38 ARE OTHER FACTORS. SO SOMETIMES IT CAN BE 00:26:58.38\00:27:03.52 FROM -- BEFORE YOU HAD ANY INFLUENCE IN YOUR LIFE.-AND YOU HAD NO REAL INFLUENCE TO 00:27:03.52\00:27:08.52 CHANGE THOSE THINGS FROM THE PAST, BUT BECAUSE BLOOD PRESSURE 00:27:08.52\00:27:13.26 PROBLEMS ARE SUCH A COMPLEX ISSUE, YOU CAN STILL DO THINGS 00:27:13.26\00:27:16.23 NOW TO HELP IT GET BETTER. >> UH-HUH. 00:27:16.23\00:27:19.70 >> EVEN THOUGH -- MAYBE THIS OCCURRED, YOU KNOW, UNBEKNOWNST 00:27:19.70\00:27:23.77 TO YOU. >> AND THERE ARE A NUMBER OF 00:27:23.77\00:27:26.31 NATURAL SUPPLEMENTS THAT WE HAVE BEEN TALKING ABOUT, SOME OF 00:27:26.31\00:27:30.81 WHICH, THAT CAN HELP THOSE PEOPLE. 00:27:30.81\00:27:33.28 NOT EVERYONE CAN JUST WITH LIFESTYLE HAVE NORMAL BLOOD 00:27:33.28\00:27:37.69 PRESSURE, THEY MAY NEED TO USE OTHER PRODUCTS. 00:27:37.69\00:27:43.69 WE TALK ABOUT A NUMBER OF THESE COMPOUNDS THAT CAN AID IN 00:27:43.69\00:27:47.40 LOWERING THE BLOOD PRESSURE. >> BUT THE HOPE IS, THERE ARE 00:27:47.40\00:27:49.96 NATURAL THINGS YOU CAN DO, AS OPPOSED TO GETTING ON DRUGS THE 00:27:49.96\00:27:54.14 REST OF YOUR LIFE. >> RIGHT. 00:27:54.14\00:27:56.81 WE'RE TRYING TO HELP PEOPLE FEEL BETTER. 00:27:56.81\00:28:00.14 >> ALL RIGHT. WHAT CAN A PERSON DO TO CORRECT 00:28:00.14\00:28:09.92 ORTHOSTATIC HYPOTENSION. >> THAT'S LITERALLY WHEN YOU 00:28:09.92\00:28:13.39 TAKE THE STRAIGHT POSITION, LIKE STANDING UP, YOUR BLOOD PRESSURE 00:28:13.39\00:28:17.93 DROPS. AND ONE OF THE MORE COMMON 00:28:17.93\00:28:19.76 THINGS THAT RELATE TO THIS, IS JUST NOT GETTING HYDRATED WELL 00:28:19.76\00:28:25.67 ENOUGH, AND OFTENTIMES THESE PEOPLE START WITH HIGH BLOOD 00:28:25.67\00:28:29.24 PRESSURE, AND THEN SOME OF THE MEDICATION SIDE EFFECTS 00:28:29.24\00:28:33.14 CONTRIBUTE TO THIS PROBLEM. THE STRATEGY IS SIMILAR TO WHAT 00:28:33.14\00:28:35.48 WE HAVE BEEN TALKING ABOUT, THAT IS DECREASE THE DEPENDANCE ON 00:28:35.48\00:28:41.32 MEDICATION, AND HELP STABILIZE THE BLOOD PRESSURE SO YOU ARE 00:28:41.32\00:28:43.92 NOT USING MEDICATIONS THAT SOMETIMES HAVE A MORE FORCIBLE 00:28:43.92\00:28:49.32 EFFECT. >> BUT SOME PATIENTS HAVE 00:28:49.32\00:28:51.06 PROBLEMS WITH THAT, BECAUSE OF MEDICAL CONDITIONS -- 00:28:51.06\00:28:53.63 >> THAT'S TRUE. >> SO DEFINITELY THEY NEED TO 00:28:53.63\00:28:56.06 WORK WITH THEIR DOCTOR TO -- TO FIGURE THAT OUT, BECAUSE IT'S 00:28:56.06\00:29:00.57 NOT ALWAYS THAT SIMPLE. HOPEFULLY IT IS. 00:29:00.57\00:29:03.81 HOPEFULLY IT IS JUST REDUCING MEDICATION, AND IT GETS BETTER, 00:29:03.81\00:29:07.24 AND OFTEN IT WILL. >> WHAT DOES THE THIRD NUMBER 00:29:07.24\00:29:12.05 MEAN ON THE BLOOD PRESSURE MONITOR? 00:29:12.05\00:29:14.02 >> IT'S PROBABLY THE PULSE, THE HEART RATE. 00:29:14.02\00:29:17.02 >> UH-HUH. OKAY. 00:29:17.02\00:29:19.15 ALL RIGHTY. IF YOU ARE ON MEDS FOR IRREGULAR 00:29:19.15\00:29:24.26 HEARTBEAT, CAN YOU WORK WITH THIS PROGRAM? 00:29:24.26\00:29:27.86 >> I CAN ANSWER THAT. SO I'M ASSUMING THAT THE 00:29:27.86\00:29:37.47 IRREGULAR HEARTBEAT IS ATRIAL FIBULATION. 00:29:37.47\00:29:43.18 OFTEN DOCTORS WILL PUT YOU ON A BLOOD THINNER, BUT IT DEPENDS. 00:29:43.18\00:29:48.72 AND OFTEN THEY WILL PUT YOU ON A MEDICINE THAT SLOWS THE HEART 00:29:48.72\00:29:53.12 RATE. IF YOU HAVE A TENDENCY TO HAVE A 00:29:53.12\00:29:56.69 FAST HEART RATE, AD YOU SLOW THE HEART RATE, AND IT SLOWS THE 00:29:56.69\00:30:02.00 BLOOD PRESSURE PROBLEMS AS WELL. THERE ARE PATIENTS WHO HAVE 00:30:02.00\00:30:06.23 ATRIAL FIBULATION WHO DON'T NEED THE HEART-RATE SLOWING MEDICINE. 00:30:06.23\00:30:11.44 IT IS SLOW BY ITSELF. FOR SOME PATIENTS AS SOON AS 00:30:11.44\00:30:16.61 THEY START WEANING THE MEDICINE, THEIR HEART RATE STARTS TO 00:30:16.61\00:30:22.18 RAISE. FOR A LOT OF PATIENTS GETTING 00:30:22.18\00:30:24.39 OFF OF THE BLOOD THINNER IS DIFFICULT TO DO, BECAUSE OF THE 00:30:24.39\00:30:29.12 RISK OF STROKE. ESPECIALLY AS A LADY, AS YOU GET 00:30:29.12\00:30:32.33 INTO YOUR OLDER YEARS, ANY LADY OVER 65 OFTEN IS OFFERED SOME 00:30:32.33\00:30:38.27 BLOOD-THINNING MEDICINE, BECAUSE THE RISK OF STROKE STARTS TO GO 00:30:38.27\00:30:43.47 TOO HIGH, BECAUSE THE HEART IS SHAKING LIKE THIS, AND THE BLOOD 00:30:43.47\00:30:47.64 CLOT BEGINNING TO FORM INSIDE THAT CHAMBER, AND IF THAT BLOOD 00:30:47.64\00:30:52.61 CLOT IS SITTING THERE, IT CAN SHOOT OFF INTO THE BRAIN OR 00:30:52.61\00:30:56.08 OTHER PARTS OF THE BODY ANY TIME. 00:30:56.08\00:30:58.22 IT'S VERY DANGEROUS. >> AND THE ANSWER TO THE 00:30:58.22\00:31:01.92 QUESTION, AND OF COURSE GREG IS ADDRESSING IT VERY PRECISELY, IS 00:31:01.92\00:31:07.00 THESE DRUGS HAVE WHAT WE CALL A NARROW THERAPEUTIC RANGE, AND 00:31:07.00\00:31:12.10 THAT MEANS YOU START ADDING SUPPLEMENTS OR CHANGING YOUR 00:31:12.10\00:31:17.41 DIET, THAT CAN ACTUALLY EFFECT THE BLOOD-THINNING PROPERTIES. 00:31:17.41\00:31:22.71 SO DEFINITELY A REASON TO WORK WITH A PHYSICIAN, BUT NO REASON 00:31:22.71\00:31:27.08 NOT TO DO MANY OF THE THINGS THAT WE'RE TALKING ABOUT, BUT 00:31:27.08\00:31:30.42 THE KEY POINT, IS WORK WITH YOUR PROVIDER. 00:31:30.42\00:31:33.59 I WILL TELL YOU PERSONALLY -- I'M GLAD THAT MORE 00:31:33.59\00:31:36.89 PHYSICIANS ARE SEEING THIS, BUT IN THE OLD DAYS, PEOPLE USED TO 00:31:36.89\00:31:40.16 BE PUT IN THE HOSPITAL FOR THESE CONDITIONS. 00:31:40.16\00:31:42.86 THEY WOULD PUT B PUT ON A BLOOD THINNER, AND THEY WERE TOLD, NOW 00:31:42.86\00:31:48.07 JUST EAT LIKE YOU HAVE BEEN GETTING IN THE HOSPITAL, THIS 00:31:48.07\00:31:51.84 LOUSY DIET WITH NO GREEN STUFF. AND DON'T EAT ANY GREEN 00:31:51.84\00:31:56.31 VEGETABLES. THIS IS ABSOLUTELY RIDICULOUS. 00:31:56.31\00:31:58.58 WHAT THINKING PROFESSIONALS TODAY SAY, IF YOU WANT TO EAT 00:31:58.58\00:32:03.85 MORE GREEN STUFF, THAT'S FINE, BUT EAT IT CONSISTENTLY SO WE 00:32:03.85\00:32:08.59 CAN ADJUST YOUR BLOOD THINNER TO THE RIGHT AMOUNT. 00:32:08.59\00:32:12.09 >> SO THE GREEN STUFF IS THINNING YOUR BLOOD? 00:32:12.09\00:32:14.36 >> IT DOES. IT GIVES YOU MORE VITAMIN K. 00:32:14.36\00:32:23.24 >> IN THIS STUDY, PEOPLE WILL SOMETIMES -- THEY HAVE DONE 00:32:23.24\00:32:27.41 STUDIES SHOWING THAT IF A PERSON TAKES A VITAMIN K SUPPLEMENT 00:32:27.41\00:32:35.42 THAT CAN HELP THE LEVELS OF THEIR BLOOD THINNING TO 00:32:35.42\00:32:40.02 NORMALIZE A LOT. BUT WE DEFINITELY DON'T WANT 00:32:40.02\00:32:42.66 PEOPLE TO AVOID KALE AT ALL COSTS, ET CETERA. 00:32:42.66\00:32:50.00 BUT KALE HAS SUCH HIGH LEVELS OF VITAMIN K IN IT, THAT THEY HAVE 00:32:50.00\00:32:57.87 TO EAT IT CONSISTENTLY. >> WHAT ABOUT FLAXSEED? 00:32:57.87\00:33:01.68 >> THAT ALSO HELP LOWER YOUR BLOOD PRESSURE. 00:33:01.68\00:33:07.28 >> YEAH. >> IF THEY DON'T HAVE FULL BLOWN 00:33:07.28\00:33:11.75 AT IT REAL FIBULATION, THE MAGNESIUM HAS STABLING FACTORS 00:33:11.75\00:33:20.83 AS WELL. >> HOW MUCH MAGNESIUM? 00:33:20.83\00:33:27.77 >> ABOUT 500 A DAY. >> AND IF PEOPLE HAVE KIDNEY 00:33:27.77\00:33:35.44 DISEASE WE DON'T RECOMMEND TAKING MASS -- MAGNESIUM. 00:33:35.44\00:33:46.89 >> AND PART OF THE PROBLEM IS THAT WE ARE DEFICIENT IN 00:33:46.89\00:33:52.56 MAGNESIUM BECAUSE WE DON'T EAT ENOUGH IN OUR FOOD. 00:33:52.56\00:33:55.20 WE DON'T EAT ENOUGH OF THOSE POWERFUL PLANT FOODS. 00:33:55.20\00:33:59.43 IT'S IN THE PLANT FOODS. SO IF WE EAT A WIDE VARIETY OF 00:33:59.43\00:34:06.54 PLANT FOODS, THE GREENS, THE LEAFY VEGETABLES, THE BEANS, 00:34:06.54\00:34:14.18 THEN OUR BLOOD PRESSURE WILL IMPROVE. 00:34:14.18\00:34:16.52 >> AND THOSE COMMONLY PRESCRIBED BLOOD PRESSURE MEDICATIONS, THEY 00:34:16.52\00:34:24.23 ARE DIURETICS. THEY SAY I'M JUST ON DIVAN. 00:34:24.23\00:34:37.21 THE INTERESTING THING IS, THERE IS ALSO A DIURETIC ADDED TO THE 00:34:37.21\00:34:41.21 DRUG, AND EVERYONE KNOWS -- WELL, MANY PATIENTS 00:34:41.21\00:34:45.18 KNOW THAT LOWERS THEIR POTASSIUM AND MAGNESIUM. 00:34:45.18\00:34:50.15 SO WE'RE TAKING DRUGS THAT MAKE YOU LOWER YOUR MAGNESIUM AND 00:34:50.15\00:35:00.96 THAT HELPS TO LOWER YOUR BLOOD PRESSURE. 00:35:00.96\00:35:03.83 >> IF YOU ARE A DIABETIC, YOU ARE ON A DIURETIC, YOU ARE 00:35:03.83\00:35:13.38 ALMOST CERTAINLY MAGNESIUM DEFICIENT. 00:35:13.38\00:35:16.81 >> SO IF YOU ARE ON THAT FOR YEARS AND YEARS, YOU ARE DOING 00:35:16.81\00:35:22.28 MAJOR DAMAGE -- >> AND IT'S GOOD INTENTIONS, AND 00:35:22.28\00:35:25.95 THE MEDICINES HAVE GOOD INTE 00:35:25.95\00:35:32.56 INTE INTENTIONS. 00:35:32.56\00:35:33.73 BUT WHATEVER THEY CAN DO TO LESSEN THE APPLES. 00:35:33.73\00:35:37.57 IF YOU CAN JUST EVEN TURN DOWN THE DOSE OF THE MEDICINE. 00:35:37.57\00:35:41.27 THE GOOD EFFECTS ARE HOPEFULLY GOING TO HAPPEN SOME, AND THEN 00:35:41.27\00:35:44.97 THE BAD EFFECTS WILL BE MUCH LESS LIKELY -- AND YOU WILL BE 00:35:44.97\00:35:50.05 MUCH LESS LIKELY TO LOSE MAGNESIUM, ET CETERA. 00:35:50.05\00:35:54.32 >> THERE SEEMS TO BE A WIDE VARIETY OF BLOOD PRESSURE 00:35:54.32\00:36:04.16 MEDICINES. >> HUGE. 00:36:04.16\00:36:05.13 >> IN THE BOOK WE HAVE A GRAPHIC, AND WE'RE TALKING ABOUT 00:36:05.13\00:36:08.03 THE ISSUE OF SIDE EFFECTS, THE WORST-TOLERATED MEDICATIONS, 00:36:08.03\00:36:15.24 ONLY ABOUT ONE IN FOUR PEOPLE WILL STICK WITH THAT BLOOD 00:36:15.24\00:36:22.48 PRESSURE MEDICATION FOR ABOUT A YEAR. 00:36:22.48\00:36:29.22 MOST PEOPLE GO BACK TO THEIR DOCTOR AND SAY, I CAN'T TAKE 00:36:29.22\00:36:34.86 THIS BECAUSE OF THE SIDE EFFECTS. 00:36:34.86\00:36:37.19 SEXUAL FUNCTION, ENERGY LEVEL, EXERCISE CAPACITY. 00:36:37.19\00:36:41.83 THEY CAN CAUSE A COUGH. CHRONIC COUGH. 00:36:41.83\00:36:43.87 THAT'S ONE OF THE SIDE EFFECTS OF A COMMON CLASS OF DRUGS. 00:36:43.87\00:36:48.17 SO, YEAH, THERE'S ALL OF THESE PROBLEMS -- BUT WE'RE NOT 00:36:48.17\00:36:51.27 SAYING -- AS I THINK MY COLLEAGUES HAVE REALLY MADE A 00:36:51.27\00:36:55.98 GOOD POINT OF DON'T JUST WATCH THIS SHOW AND THROW OUT YOUR 00:36:55.98\00:37:00.42 MEDICINE. THAT'S NOT THE MESSAGE. 00:37:00.42\00:37:01.85 WORK WITH YOUR PHYSICIAN, BECAUSE YOU CAN GET INTO SERIOUS-DANGER ABRUPTLY STOPPING 00:37:01.85\00:37:09.79 MEDICATIONS. >> AND HOW MANY PEOPLE 00:37:09.79\00:37:11.63 HAVE -- HAVE THIS ISSUE IN ONE IN THREE AMERICANS HAVE THIS 00:37:11.63\00:37:15.33 PROBLEM RIGHT NOW. >> YEAH. 00:37:15.33\00:37:16.90 >> AND ONCE YOU HIT 55 YEARS OF AGE, YOU HAVE A 90% CHANCE BY 00:37:16.90\00:37:21.70 THE TIME YOU ARE 80, 85 YEARS OF AGE TO HAVE THIS ISSUE. 00:37:21.70\00:37:26.54 >> ONE IN THREE. >> THAT'S STAGGERING. 00:37:26.54\00:37:29.54 >> IT IS. >> AND WE TREAT IT SO 00:37:29.54\00:37:37.05 NONCHALANTLY. >> WHEN CAN YOU TAKE YOUR MEDS 00:37:37.05\00:37:39.82 FOR -- WHEN CAN YOU TAKE MEDS FOR BLOOD PRESSURE? 00:37:39.82\00:37:44.46 HERS IS 135/85, SOMETIMES 140/90, AND HER DOCTOR PUT HER 00:37:44.46\00:37:52.33 ON MEDICATION. SHE IS WONDERING AM I BEING 00:37:52.33\00:37:57.04 OVERMEDICATED? >> NONE OF US WANT TO SIT IN 00:37:57.04\00:37:58.54 JUDGMENT OF HER PEERS. BUT HERE IS SOMETHING WE DO 00:37:58.54\00:38:02.28 KNOW. WE TALK ABOUT IT IN THE BOOK. 00:38:02.28\00:38:05.28 WHEN YOU WALK INTO THE DOCTOR'S OFFICE YOUR BLOOD PRESSURE IS 00:38:05.28\00:38:09.52 TYPICALLY MUCH HIGHER THAN IT IS NORMALLY RUNNING. 00:38:09.52\00:38:12.35 >> YEAH, IT'S CALLED WHITE COAT SYNDROME. 00:38:12.35\00:38:16.83 HAVE YOU HEARD ABOUT THIS? [ LAUGHTER ] 00:38:16.83\00:38:19.59 >> THE DOCTOR'S WHITE COAT. AND WE KNOW THAT BLOOD PRESSURE 00:38:19.59\00:38:26.80 LEVELS GO UP. PATIENTS ARE LAYING IN BED, 00:38:26.80\00:38:29.44 WAITING FOR A DOCTOR TO COME, AND WHEN THE DOCTOR WALKS IN THE 00:38:29.44\00:38:34.38 ROOM, GUESS HOW HIGH THE BLOOD PRESSURE GOES UP? 00:38:34.38\00:38:36.95 ON AVERAGE 15 POINTS. MAYBE 20 POINTS. 00:38:36.95\00:38:40.75 THE BLOOD PRESSURE GOES UP. SO WE KNOW THE DOCTOR HAS AN 00:38:40.75\00:38:44.12 EFFECT ON OUR STRESS LEVELS. WE MAY NOT EVEN FEEL IT, BUT IT 00:38:44.12\00:38:49.06 HAPPENS. SO THE BEST THING TO DO IS TO 00:38:49.06\00:38:50.86 CHECK IT AT HOME. WRITE DOWN THE VALUES. 00:38:50.86\00:38:53.09 IF YOU ARE GOING THROUGH LIFESTYLE CHANGES, WE RECOMMEND 00:38:53.09\00:38:57.83 THREE TIMES A DAY, WRITE DOWN YOUR VALUES, AND THEN TRACK IT 00:38:57.83\00:39:05.47 AT HOME. AND YOU WILL HAVE A MUCH MORE 00:39:05.47\00:39:09.74 ACCURATE READING, COMPARED TO WHEN YOU GO INTO THESE DOCTOR'S 00:39:09.74\00:39:15.35 -pOFFICE. >> TRUDIE, WHAT WOULD YOU DO IF THE PATIENT'S 150/100 00:39:15.35\00:39:22.82 IN THE OFFICE, AND THEY BRING A LOG IN. ARE YOU GOING TO PUT 00:39:22.82\00:39:32.17 THEM ON MEDICINE IN THEY ARE 130/80. ARE YOU GOING TO PUT 00:39:32.17\00:39:40.04 THEM ON MEDICATION? >> NO, I WILL GO OVER LIFESTYLE 00:39:40.04\00:39:43.11 ISSUES. AND IF WE CAN WORK WITH 00:39:43.11\00:39:45.95 LIFESTYLE CHANGE, FINING WHAT IS THE CAUSE? 00:39:45.95\00:39:52.59 >> AND I THINK MOST DOCTORS TOO, THEY ARE REASONABLE PEOPLE, AND 00:39:52.59\00:39:56.06 IF YOU BRING IN THAT LOG -- BUT IT'S HARD WHEN YOU ARE A 00:39:56.06\00:40:00.60 PHYSICIAN WHEN YOU SEE THOSE HIGH NUMBERS IN THE OFFICE, SOME 00:40:00.60\00:40:03.87 PEOPLE ARE OVERMEDICATED, BUT IN ANY ONE INDIVIDUAL, WITHOUT 00:40:03.87\00:40:09.00 HAVING ALL OF THE DATA, WE DON'T WANT TO SAY YAY OR NAY. 00:40:09.00\00:40:14.51 >> AND THIS WHITE COAT PHENOMENON, THOSE FOLKS HAVE 00:40:14.51\00:40:19.35 MORE RISK. YOU MAY NOT HAVE FULL BLOWN 00:40:19.35\00:40:22.25 HYPERTENSION YET, BUT WE KNOW YOU DO HAVE MORE RISK, AND IT 00:40:22.25\00:40:25.92 DOES NEED TO BE LOOKED AT SERIOUSLY. 00:40:25.92\00:40:29.09 >> ROSS HAS A QUESTION. CAN AN 80-YEAR-OLD HAVE THE SAME 00:40:29.09\00:40:34.03 BLOOD PRESSURE AS A 30-YEAR-OLD? >> I -- I THINK ABSOLUTELY YOU 00:40:34.03\00:40:40.07 CAN. YOU KNOW, OBVIOUSLY, THE WEAR 00:40:40.07\00:40:42.27 AND TEAR ON THE BODY, MAKES IT MORE DIFFICULT, BUT YOU CAN. 00:40:42.27\00:40:47.81 YOU CAN REVERSE THINGS. YOU CAN REVERSE THAT HARDENING 00:40:47.81\00:40:51.65 OF THE ARTERY PROCESS THAT BEGINS TO OCCUR . 00:40:51.65\00:40:57.15 WE KNOW THIS HAPPENS. I HAVE SEEN KIDNEY DAMAGE 00:40:57.15\00:41:02.59 REVERSED OCCASIONALLY. BUT IF YOU HAVE GONE TO A 00:41:02.59\00:41:07.73 IRREVERSIBLE STATE, WHERE YOU HAVE TOO MUCH DAMAGE TO YOUR 00:41:07.73\00:41:11.13 KIDNEY OR HAVE SIGNIFICANT HARDENING OF THE ARTERIES THAT 00:41:11.13\00:41:14.27 IS NOT BACKING OFF WITH LIFESTYLE CHANGE, THEN THERE IS 00:41:14.27\00:41:19.21 A CHANCE YOUR BLOOD PRESSURE IS GOING TO BE HIGHER. 00:41:19.21\00:41:21.54 BUT IT DOESN'T HAVE TO BE. YOU NEED TO TEST THE LIFESTYLE 00:41:21.54\00:41:26.11 CHANGES AND THE KNOWLEDGE THAT YOU HAVE AS MUCH AS YOU CAN TO 00:41:26.11\00:41:30.65 SEE IF YOU CAN GET IT BETTER WITHOUT BLOOD PRESSURE 00:41:30.65\00:41:38.63 MEDICINES. >> THE TIGHTER THE BLOOD 00:41:38.63\00:41:41.56 VESSELS, THE HARDER YOUR HEART HAS TO WORK. 00:41:41.56\00:41:45.13 BUT LIKE GREG SAID, YOU CAN OFTEN REVERSE THAT, AND SOME OF 00:41:45.13\00:41:48.80 THE THINGS THAT TRUDIE -- YOU KNOW, YOU WERE POINTING OUT 00:41:48.80\00:41:52.27 EARLIER WITH THE MAGNESIUM, ONE OF THE WAYS THAT WORKS IS 00:41:52.27\00:41:57.75 THROUGH BLOOD VESSEL EFFECTS. >> UH-HUH. 00:41:57.75\00:42:02.02 AND I BELIEVE THE BIBLE SAID THAT MOSES, WHEN HE PASSED AWAY 00:42:02.02\00:42:06.99 HE HAD CLEAR EYES. >> AND HE WAS 120, RIGHT? 00:42:06.99\00:42:13.66 >> YEAH. YEAH. 00:42:13.66\00:42:15.43 PRETTY GOOD. IS IT HEALTHY TO TAKE A BABY 00:42:15.43\00:42:20.70 ASPIRIN DAILY IF STROKE RUNS IN YOUR FAMILY? 00:42:20.70\00:42:23.64 AND WE TOUCHED ON THIS BEFORE, BUT MAYBE WE'LL HIT IT AGAIN. 00:42:23.64\00:42:27.81 WHAT ABOUT IBUPROFEN. >> YEAH, THEY ARE TWO DIFFERENT 00:42:27.81\00:42:32.15 THINGS. THERE ARE CERTAIN GUIDELINES ON 00:42:32.15\00:42:34.08 THE USE OF ASPIRIN. AND FOR THE AVERAGE PERSON THERE 00:42:34.08\00:42:38.09 DOES SEEM TO BE BENEFITS IN CERTAIN SETTINGS. 00:42:38.09\00:42:44.29 SO IF A DOCTOR HAS PRESCRIBED A BABY MEDICINE, I WOULDN'T JUST 00:42:44.29\00:42:50.77 STOP THAT. BUT WHEN IT COMES TO IBUPROFEN 00:42:50.77\00:42:59.44 THAT IS TYPICALLY PRESCRIBED FOR PAIN. 00:42:59.44\00:43:01.88 >> I HAVE BEEN GETTING GOOD FEEDBACK ABOUT TUMERIC, 500 00:43:01.88\00:43:12.85 MILLIGRAMS, THREE TIMES ADAY, HELPS. 00:43:12.85\00:43:14.62 >> AND IT LOWERS BLOOD PRESSURE RATHER THAN RAISING IT. 00:43:14.62\00:43:18.26 >> TUMERIC IS A LITTLE HARD TO ABSORB, SO MAYBE TAKE IT WITH A 00:43:18.26\00:43:24.93 LITTLE BIT OF FOOD HEALTHY FAT WITH A MEAL. 00:43:24.93\00:43:27.07 >> AVOCADO. >> AVOCADO. 00:43:27.07\00:43:30.64 >> AVOCADO CHEESECAKE. >> THERE YOU GO. 00:43:30.64\00:43:33.81 >> DORIS WANTS TO KNOW, I HAVE LABI -- 00:43:33.81\00:43:39.58 >> IT FLUCTUATES. >> AH. 00:43:39.58\00:43:44.25 WITH HYPOTENSION/HYPERTENSION AND IT GOES VERY LOW DURING THE 00:43:44.25\00:43:48.82 DAY AND VERY HIGH AT NIGHT. HOW DANGEROUS IS THIS WITH HIGH 00:43:48.82\00:43:57.23 LAB -- WITH HYPER AND HYPO? >> YEAH, THAT'S DIFFICULT, 00:43:57.23\00:44:01.77 THERE'S A NUMBER OF CAUSES OF THAT. 00:44:01.77\00:44:04.11 SOMETIMES IT'S RELATED TO YOUR FOOD IN TAKE. 00:44:04.11\00:44:07.78 SOMETIMES WHEN PEPLE EAT A MEAL, THEY SOMETIMES GET A 00:44:07.78\00:44:11.38 PROBLEM WITH THAT. IT JUST DEPENDS ON THE DETAILS. 00:44:11.38\00:44:17.25 WE DON'T WANT IT GOING TOO HIGH OR TOO LOW, AND IT CAN BE 00:44:17.25\00:44:22.46 DIFFICULT. BUT THE DETAILS ARE REALLY WHERE 00:44:22.46\00:44:24.66 THE RUBBER MEETS THE ROAD ON THAT ONE. 00:44:24.66\00:44:28.53 >> YEAH, MOST PEOPLE WITH HIGH BLOOD PRESSURE HAVE PRIMARY 00:44:28.53\00:44:35.00 HYPERTENSION. IT'S THERE WITH NO OTHER DISEASE 00:44:35.00\00:44:39.11 STATE. BUT THERE RER CAUSES WE SPEAK 00:44:39.11\00:44:40.24 ABOUT IN THE BOOK OF -- WE CALL SECONDARY HYPERTENSION, SOME CAN 00:44:40.24\00:44:45.45 CAUSE THAT. ONE OF THE CLASSIC ONES IS A 00:44:45.45\00:44:48.65 TUMOR WHERE YOU ACTUALLY ARE PRODUCING THESE BLOOD 00:44:48.65\00:44:54.06 PRESSURE-RAISING HORMONES, AND THAT ONE OF THE THINGS THAT HAS 00:44:54.06\00:44:57.86 TO BE CHECKED. IF YOU HAVE PROFOUND SWINGS IN 00:44:57.86\00:45:02.83 BLOOD PRESSURE. >> AND SOME MEDICATIONS ACTUALLY 00:45:02.83\00:45:06.00 CAUSE REBOUND HYPERTENSION, MEANING THAT AS THE MEDICINE IS 00:45:06.00\00:45:09.27 WEARING OFF, YOU ACTUALLY GO FROM A LOW BLOOD PRESSURE STATE 00:45:09.27\00:45:15.31 TO A HIGH BLOOD PRESSURE STATE, SO SOME PEOPLE JUST PROCESS THE 00:45:15.31\00:45:21.02 MEDICINE THEY TAKE QUICKLY. THE MEDICINE WEARS OFF MORE 00:45:21.02\00:45:25.95 QUICKLY THAN YOU EXPECT, AND THEN THE BLOOD PRESSURE GOES WAY 00:45:25.95\00:45:28.92 UP. SO IT JUST DEPENDS ON THE 00:45:28.92\00:45:33.03 DETAILS. >> AND THE STRATEGY ON THAT ONE, 00:45:33.03\00:45:36.33 YOU MAY NEED TO TAKE HALF OF THE DRUG TWICE A DAY. 00:45:36.33\00:45:39.37 >> SYLVIA -- WE TALKED ABOUT THIS BEFORE, BUT MAYBE SHE 00:45:39.37\00:45:43.61 DIDN'T HEAR. WHAT ARE THE NUMBERS THAT ARE 00:45:43.61\00:45:47.31 CONSIDERED HIGH BLOOD PRESSURE? >> ANYTHING ABOUT 140 TO 150 ON 00:45:47.31\00:45:51.05 THE UPPER NUMBER, AND THEN OVER 90 ON THE BOTTOM NUMBER. 00:45:51.05\00:45:55.32 >> AND IN THE ELDERLY NOW, WELL -- 60 YEARS OLD IS THAT 00:45:55.32\00:46:02.42 ELDERLY? >> DEFINITELY NOT. 00:46:02.42\00:46:04.86 [ LAUGHTER ] >> IF YOU ARE 60 OR OLDER, THE 00:46:04.86\00:46:08.16 NEW RECOMMENDATIONS ARE IF YOU DON'T HAVE KIDNEY OR DIABETES, 00:46:08.16\00:46:13.47 IT'S OKAY TO ALLOW THE BLOOD PRESSURE TO GO UP TO 150/90 IN 00:46:13.47\00:46:18.84 THAT SETTING IN TERMS OF MEDICATION LORDING. 00:46:18.84\00:46:22.48 WE'RE TALKING ABOUT MEDICATION LOWERING. 00:46:22.48\00:46:25.21 WE ALWAYS WANT THE BLOOD PRESSURE TO BE 110/70, THAT 00:46:25.21\00:46:34.39 WOULD BE WONDERFUL. BUT WE'RE NOT GOING TO USE 00:46:34.39\00:46:37.26 MEDICATION TO PUSH IT THAT LOW. IT CAN HURT THE EYES. 00:46:37.26\00:46:42.86 IT CAN WRECK YOUR EYES IF YOU PUSH YOUR BLOOD PRESSURE TOO LOW 00:46:42.86\00:46:48.37 WITH BLOOD PRESSURE MEDICINE. SO YOU DON'T WANT TO DO THAT. 00:46:48.37\00:46:51.24 YOU WANT TO LOWER YOUR BLOOD PRESSURE OUT OF THE MOST 00:46:51.24\00:46:54.68 DANGEROUS RANGE WITH BLOOD PRESSURE MEDICINES IF THAT IS 00:46:54.68\00:46:58.41 NEEDED. AGAIN, PREFERABLY WE WANT TO GO 00:46:58.41\00:47:01.22 THE NATURAL ROUTE, WHICH IS THE -SAFEST. >> AND YOU CAN WRECK 00:47:01.22\00:47:10.39 YOUR EYES IF YOUR BLOOD PRESSURE IS TOO HIGH FOR TOO LONG. 00:47:10.39\00:47:12.69 >> OH, FOR SURE. >> ONE OF THE INTERESTING 00:47:12.69\00:47:16.93 STUDIES WAS WHAT WE SAW WITH SUNSHINE AND BLOOD PRESSURE 00:47:16.93\00:47:21.10 LOWERING. DOES SUNSHINE RAISE YOUR BLOOD 00:47:21.10\00:47:22.40 PRESSURE OR LORD IT? WHAT DO YOU THINK? 00:47:22.40\00:47:25.14 IT ACTUALLY LOWERS YOUR BLOOD PRESSURE. 00:47:25.14\00:47:28.81 AND FOR A LONG TIME WE THOUGHT IT WAS RELATED TO THE VITAMIN D. 00:47:28.81\00:47:34.92 AND WE THINK THERE MAY BE SOME EFFECTS THERE. 00:47:34.92\00:47:37.25 BUT A LOT OF STUDIES ARE NOT SHOWING THAT THOSE EFFECTS ARE 00:47:37.25\00:47:41.59 VERY -- VERY MUCH. BUT WE KNOW THAT SUNSHINE LOWERS 00:47:41.59\00:47:45.03 BLOOD PRESSURE, AND WE THINK THERE'S SOMETHING GOING ON IN 00:47:45.03\00:47:47.76 THE SKIN THAT IS PUTTING A CHEMICAL INTO THE BLOOD PRESSURE 00:47:47.76\00:47:52.57 STREAM THAT IS DILATING THE ARTERIES AND MAKING THE BLOOD 00:47:52.57\00:47:56.64 PRESSURE GO DOWN. >> WE'RE DOWN TO THE LAST HALF 00:47:56.64\00:47:59.47 OF THE LAST HALF OF THE LAST HALF OF THE PROGRAM. 00:47:59.47\00:48:03.81 SO I'M GOING TO ASK FOR THE READER'S DIGEST VERSION. 00:48:03.81\00:48:07.45 WHAT IS THE IMPACT OF WEIGHT LOSS AND BLOOD PRESSURE IF YOU 00:48:07.45\00:48:11.55 HAVE ONE OF THE ADRENAL GLANDS REMOVED. 00:48:11.55\00:48:19.59 >> YOU WILL DO JUST FINE WITH ONE ADRENAL GLAND. 00:48:19.59\00:48:24.63 >> MY BLOOD PRESSURE IS HIGHER AT THE DOCTOR'S OFFICE THAN WHEN 00:48:24.63\00:48:28.34 I TAKE IT AT HOME. WE TOUCHED ON THIS. 00:48:28.34\00:48:30.51 ALSO WHEN IT IS THE BEST TIME TO TAKE MY BLOOD PRESSURE? 00:48:30.51\00:48:36.58 WHEN IS THE BEST TIME TO TAKE YOUR BLOOD PRESSURE? 00:48:36.58\00:48:40.98 >> WE ENCOURAGE YOU TO TAKE IT THREE TIMES OF THE DAY, AT 00:48:40.98\00:48:45.99 DIFFERENT TIMES A DAY. BUT YOU SHOULD BE SITTING DOWN, 00:48:45.99\00:48:50.36 QUIET, CALM FOR ABOUT FIVE MINUTES, JUST TALKING, NOT JUST 00:48:50.36\00:48:55.03 FINISHED PLAYING BASKETBALL. >> IT'S A TOTAL CUMULATIVE 00:48:55.03\00:49:00.24 EFFECT OF HIGH BLOOD PRESSURE. IT'S THE TOTAL EFFECT. 00:49:00.24\00:49:02.87 SO YOU WANT TO CHECK IT THROUGHOUT THE DAY TO SEE WHAT 00:49:02.87\00:49:06.37 IS GOING ON. >> IS TAKE GARLIC GOOD FOR 00:49:06.37\00:49:10.18 BRINGING DOWN BLOOD PRESSURE? >> IF YOU ARE USING GARLIC, USE 00:49:10.18\00:49:15.12 IT CONSISTENTLY. IT HAS BENEFICIAL EFFECTS. 00:49:15.12\00:49:19.12 IT HAS THOSE ACE INHIBITOR C COM 00:49:19.12\00:49:24.63 COMPOUNDS. >> YEAH, IT WOULD BE A MILD 00:49:24.63\00:49:27.13 EFFECT. >> TRUDIE SAID SHE SAW PATIENTS 00:49:27.13\00:49:29.96 IN THEIR 50S WITH NORMAL BLOOD PRESSURE. 00:49:29.96\00:49:32.63 BUT LATER ON 80% WILL HAVE HIGH BLOOD PRESSURE. 00:49:32.63\00:49:37.34 WILL IT INCREASE NATURALLY OR IS IT STRESS? 00:49:37.34\00:49:40.81 >> IT JUST DEPENDS, RIGHT? IT DEPENDS ON THE PERSON. 00:49:40.81\00:49:44.41 YOU CAN HAVE STRESS IN YOUR 80S. ASK AN 80 YEAR OLD, RIGHT? 00:49:44.41\00:49:50.52 BUT A LOT OF TIMES WE'RE WORRYING ABOUT THIS HARDENING OF 00:49:50.52\00:49:54.52 THE ARTERIES AS WE GET INTO THE AGE GROUP, AND THAT'S A COMMON 00:49:54.52\00:49:59.83 CAUSE OF THE BLOOD PRESSURE GOING UP HIGHER. 00:49:59.83\00:50:02.36 >> HEALTHY LIFESTYLE WHATEVER AGE IS GOING TO HELP YOU. 00:50:02.36\00:50:06.43 >> HOW MUCH EXERCISE IS ENOUGH EXERCISE? 00:50:06.43\00:50:09.64 DO WE NEED TO GO TO THE GYM AND SWEAT -- YOU KNOW? 00:50:09.64\00:50:13.68 >> THE QUESTION WE NEED TO ASK IS HOW OFTEN SHOULD WE EXERCISE?-AND THAT WOULD BE 00:50:13.68\00:50:19.65 DAILY? >> SO A MINUTE A DAY IS ENOUGH? [ LAUGHTER ] 00:50:19.65\00:50:22.22 >> THERE'S AMAZING STUDIES THAT JUST INKREEZING YOUR EXERCISE BY 00:50:22.22\00:50:28.02 30 MINUTES A WEEK WILL DROP YOUR BLOOD PRESSURE BY ABOUT 7 00:50:28.02\00:50:32.13 POINTS. >> THAT'S FOUR OR FIVE, SIX 00:50:32.13\00:50:34.03 MINUTES A DAY. >> EVERYBODY IS DOING AT LEAST 00:50:34.03\00:50:36.60 ONE SIT UP A DAY, RIGHT? THEY SIT UP IN THE MORNING -- 00:50:36.60\00:50:40.97 >> JUST RAMP IT UP. >> YEAH, EVERYONE IS DOING A 00:50:40.97\00:50:43.61 LITTLE BIT. [ LAUGHTER ] 00:50:43.61\00:50:45.14 >> WE THINK THAT A DAILY IDEA IS VERY EFFECTIVE BECAUSE OF THE 00:50:45.14\00:50:51.51 HABIT FORMING. AND IT JUST DOESN'T GET INTO 00:50:51.51\00:50:54.08 YOUR HABIT PATTERN IF YOU ARE DOING IT A COUPLE OF TIMES A 00:50:54.08\00:50:58.19 WEEK. >> IF YOU ARE STARTING OUT IN 00:50:58.19\00:51:00.92 YOUR REASONABLE FITNESS, WE USUALLY START WITH 20 MINUTES. 00:51:00.92\00:51:05.56 WE DID A STUDY SOME YEARS AGO AND WORKED PEOPLE UP TO ABOUT AN 00:51:05.56\00:51:09.93 HOUR A DAY. >> EXCELLENT. 00:51:09.93\00:51:11.43 I KNEW SOME QUESTIONS WOULD COME IN ON THIS. 00:51:11.43\00:51:16.24 SWEETENERS, WHAT IS BETTER, HONEY, STEIA. 00:51:16.24\00:51:19.61 THIS SUGAR THING IS A BIG DEAL. >> SURE. 00:51:19.61\00:51:22.51 HONEY IS A WEIGHT-GAINING ITEM. SO HONEY HAS SOME BENEFICIAL 00:51:22.51\00:51:29.92 ANTIOXIDANTS IN IT. YOU WANT TO OBVIOUSLY USE IT IN 00:51:29.92\00:51:33.05 MODERATION. IF YOU HAVE A WEIGHT PROBLEM, 00:51:33.05\00:51:34.92 THEN YOU WANT TO LIMIT IT. IF YOU WANT TO GET YOUR WEIGHT 00:51:34.92\00:51:38.56 DOWN. STEVIA IS OKAY, BUT YOU JUST 00:51:38.56\00:51:41.06 NEED TO USE IT SPARINGLY, BECAUSE OVERDOSING ON STEVIA 00:51:41.06\00:51:45.07 WILL HURT YOUR LIVER. >> GOOD TO KNOW. 00:51:45.07\00:51:48.40 I HEAR SOME TALK ABOUT -- IS IT COCONUT OIL -- COCONUT PALM 00:51:48.40\00:51:53.81 SUGAR -- OR COCONUT SUGAR? THERE'S NO MUCH IN THE AIR, GOOD 00:51:53.81\00:51:59.91 NEWS, BAD NEWS, FALSE NEWS -- >> THE BASICALLY PRINCIPALS 00:51:59.91\00:52:06.09 DON'T CHANGE. EAT THE WHOLE PLANT FOODS, USE 00:52:06.09\00:52:10.09 THE ADDITIVES LESS. WHATEVER THE LATEST GREATEST 00:52:10.09\00:52:14.10 THING IS, PROBABLY ISN'T ALL THAT GREAT. 00:52:14.10\00:52:18.93 [ LAUGHTER ] >> WELL SAID. 00:52:18.93\00:52:20.67 HIGH BLOOD PRESSURE AND CONGESTIVE HEART, 00:52:20.67\00:52:24.14 THINKS -- THINKS SHE SHOULDN'T DRINK WATER. 00:52:24.14\00:52:29.94 >> WITH CONGESTIVE HEART FAILURE, YOU NEED TO FOLLOW YOUR 00:52:29.94\00:52:34.45 DOCTOR'S RECOMMENDATIONS. SOME PEOPLE ARE SENSITIVE TO 00:52:34.45\00:52:41.49 THE-WATER IN TAKE. SO, YOU KNOW, BUT MOST -- IN MY EXPERIENCE 00:52:41.49\00:52:49.26 MOST PATIENTS W WITH -- CONGESTIVE HEART FAILURE ARE NOT DRINKING ANY WATER AT 00:52:49.26\00:52:55.84 ALL. MOST DOCTORS ARE FINE WITH THEM 00:52:55.84\00:52:59.84 TAKING SIX TO EIGHT GLASSES A DAY. 00:52:59.84\00:53:02.51 SO TALK WITH YOUR DOCTOR AND SEE, BUT MOST PATIENTS WITH 00:53:02.51\00:53:06.35 HEART FAILURE ARE PROBABLY NOT DRINKING ENOUGH, ESPECIALLY 00:53:06.35\00:53:11.35 BECAUSE MOST OF THEM ARE ON DIURETICS. 00:53:11.35\00:53:14.82 >> AND SAME THING WITH CHRONIC KIDNEY FAILURE AS WELL. 00:53:14.82\00:53:19.73 >> OKAY. IRIS WANTS TO KNOW IS TOFU GOOD 00:53:19.73\00:53:23.10 OR BAD FOR SOMEONE WITH THYROID ISSUES? 00:53:23.10\00:53:26.13 >> I CAN ANSWER THAT. IF -- IF YOU HAVE ADEQUATE 00:53:26.13\00:53:32.01 IODINE INTAKE, TOFU SHOULD BE FINE. 00:53:32.01\00:53:36.08 IT'S WHEN YOU GET IODINE DEFICIENT THAT SOME OF THESE 00:53:36.08\00:53:40.75 FOODS THAT HAVE COMPOUNDS THAT THEY BECOME -- THEY GET A LITTLE 00:53:40.75\00:53:46.69 MORE SENSITIVE TO IT. YOU DON'T HAVE TO WORRY ABOUT 00:53:46.69\00:53:49.72 ANY OF THOSE ISSUES IN PLANT FOODS IF YOU GET ENOUGH IODINE. 00:53:49.72\00:53:53.83 SO YOU CAN LOOK INTO THAT. >> ALL RIGHT. 00:53:53.83\00:53:57.70 THIS IS SOMEONE FROM NIGERIA, WHERE YOU MET YOUR WIFE. 00:53:57.70\00:54:02.17 >> WOW. >> AND WANTS TO KNOW HOW CAN I 00:54:02.17\00:54:04.87 GET THE BOK IN NIGERIA? >> WELL, AMAZON -- YOU CAN 00:54:04.87\00:54:10.45 ORDER, I THINK THROUGHOUT THE WORLD. 00:54:10.45\00:54:13.01 IT IS ON KED -- KINDL, SO IT'S AN E-BOOK. 00:54:13.01\00:54:21.99 SO YOU CAN GET IT THAT WAY. HI, FROM AMERICA. 00:54:21.99\00:54:27.86 >> HOW WAS PORK FIGURE INTO THIS SITUATION. 00:54:27.86\00:54:30.27 I KNOW WHEN YOU GET HIGH BLOOD PRESSURE THEY TAKE YOU OFF OF 00:54:30.27\00:54:35.77 PORK IMMEDIATELY. >> YEAH, PORK IS JUST LIKE RED 00:54:35.77\00:54:39.24 MEATS IN ITS EFFECTS IN THAT REGARD. 00:54:39.24\00:54:43.61 WE DON'T RECOMMEND PORK TO LOWER YOUR BLOOD PRESSURE. 00:54:43.61\00:54:47.32 A LOT OF THE PORK PRODUCTS HAVE A LOT OF SODIUM, SO THAT IS 00:54:47.32\00:54:52.49 GOING TO RAISE YOUR BLOOD PRESSURE AND CAUSE PROBLEMS. 00:54:52.49\00:54:55.92 >> JESSICA CLARK. THE WATERY DRINK NEEDS TO BE 00:54:55.92\00:55:01.63 PURE AND NON-FLUORIDATED, DO YOU AGREE? 00:55:01.63\00:55:04.67 >> I DEFINITELY AGREE WITH THE PURE. 00:55:04.67\00:55:09.27 FLUORIDE IS SOMETIMES FOUND NATURALLY IN WATERS. 00:55:09.27\00:55:12.21 SO IF SOMEONE HAS A NATURAL SPRING, IF THERE IS FLUORIDE IN 00:55:12.21\00:55:17.21 IT, WE'RE NOT SAYING THEY CAN'T USE IT. 00:55:17.21\00:55:20.15 BUT THERE ARE SEVERAL OF THE CLARK FAMILY -- HE HAS 00:55:20.15\00:55:24.02 DEFINITELY GOT A LOT MORE EXPERTISE WHEN IT COMES TO THE 00:55:24.02\00:55:28.22 DENTAL EFFECTS OF FLUORIDE -- >> WE'LL HAVE TO SAVE THAT -- 00:55:28.22\00:55:31.59 >> YEAH, WE'LL HAVE TO SAVE THAT FOR WHEN HE IS ON. 00:55:31.59\00:55:34.86 I I'M NOT AWARE OF ANY BLOOD PRESSURE EFFECTS IN THAT REGARD. 00:55:34.86\00:55:42.10 >> AND PHOSPHATE -- EVIDENTLY IT'S NOT THE BEST THING, AND 00:55:42.10\00:55:47.61 THAT'S WHERE HIS BURDEN LIES. IF YOU HAVE LOW HEART RATE AND 00:55:47.61\00:55:56.38 LOW BLOOD PRESSURE WHAT CAN YOU DO TO INCREASE IT AS A VEGAN. 00:55:56.38\00:56:01.86 WHAT ARE THE EFFECTS OF LOW BLOOD PRESSURE AT THE PAGE OF 00:56:01.86\00:56:07.50 32. >> MOST PEOPLE THAT HAVE BEEN 00:56:07.50\00:56:09.86 HOLD THEY HAVE LOW BLOOD PRESSURE IT'S NOT DANGEROUS. 00:56:09.86\00:56:14.00 THE MAIN EFFECTS IS MAYBE GETTING LIGHT-HEADED WHEN YOU 00:56:14.00\00:56:17.97 STAND UP, AND MAYBE BEING PRONE TO COLD HANDS AND FEET, BUT I 00:56:17.97\00:56:23.81 WOULD MUCH RATHER HAVE THOSE PROBLEMS THAN STROKE, HEART 00:56:23.81\00:56:28.15 ATTACK AND KIDNEY FAILURE. SO UNLESS THERE IS A SERIOUS 00:56:28.15\00:56:33.09 PROBLEM, WE DON'T USUALLY HAVE TO TELL PEOPLE TO RAISE THEIR 00:56:33.09\00:56:37.53 BLOOD PRESSURE. >> YEAH, FOLKS JUST STAND UP 00:56:37.53\00:56:42.00 MORE SLOWLY, AND USUALLY THEY GAIN RATE OVERTIME, AND THAT 00:56:42.00\00:56:48.40 BLOOD PRESSURE STARTS TO COME UP. 00:56:48.40\00:56:49.74 >> OUR TIME HAS SLIPPED AWAY FROM US. 00:56:49.74\00:56:52.31 WE'RE DOWN TO OUR LAST 19 SECONDS. 00:56:52.31\00:56:54.61 LET ME THANK YOU THREE, DOCTOR, DOCTOR, AND NURSE, FOR A REALLY 00:56:54.61\00:57:00.18 WONDERFUL, WONDERFUL DISCUSSION.-pTHE BOOK YOU CAN GET. CALL US AND LET US KNOW. 00:57:00.18\00:57:06.02 OUR TIME HAS QUICKLY SLIPPED INTO ETERNITY. 00:57:06.02\00:57:11.09 THROUGH THE GRACE OF JESUS CHRIST, WE'LL SEE YOU AGAIN 00:57:11.09\00:57:19.40 SOON. GOOD-BYE, AND GOD BLESS. 00:57:19.40\00:57:22.00 ¤ 00:57:22.00\00:57:24.07