Participants: C.A. Murray (Host), David DeRose MD, Greg Steinke MD, Trudie Li
Series Code: TL
Program Code: TL017505B
00:05 ♪ >>> AND WE ARE BACK.
00:16 WE ARE TALKING ABOUT HEART PRESSURE -- EASY FOR YOU TO 00:21 SAY -- HIGH BLOOD PRESSURE. MY GUESTS ARE DR. DAVID DeROSE. 00:27 NURSE TRUDIE LI. AND DR. GREG STEINKE. 00:30 >> GOOD JOB. >> PRAISE THE LORD. 00:32 PRAISE THE LORD, AND HOPEFULLY YOU WERE WITH US DURING THE 00:35 FIRST HOUR, BECAUSE WE TALKED ABOUT A NUMBER OF THINGS, AND WE 00:40 ENDED IT TALKING ABOUT OPTIMUM BEVERAGES, AND HOW SOME OF THESE 00:44 THINGS THAT WE DRINK ARE REALLY DOING DAMAGE TO OUR BODY. 00:48 AND HOW MAJOR CHANGES IN YOUR DRINKING HABITS CAN HAVE GREAT 00:52 EFFECTS ON YOUR BODY AND BLOOD PRESSURE. 00:55 TRUE? >> DEFINITELY. 00:56 >> YEAH. >> YOU MENTIONED GUZZLING WATER. 01:02 JUST DRINKING ONE GLASS OF WATER CAN INCREASE YOUR METABOLISM BY 01:14 25%. >> SO WALK ME THROUGH THAT. 01:15 >> BASICALLY YOUR BODY IS BURNING FAT OFF FASTER. 01:19 >> UH-HUH. >> AFTER YOU DRINK LIKE TWO CUPS 01:22 OF WATER, BASICALLY. >> 500 CC'S OF WATER, ROUGHLY 01:31 TWO CUPS. YOU ARE BURNING MORE CALORIES, 01:34 EVEN IF YOU ARE JUST SITTING WORKING AT YOUR DESK. 01:37 >> RIGHT. IT MAKES PERFECT SENSE WHEN YOU 01:41 OPEN UP MORE BLOOD PRESSURE VESSELS. 01:42 YOU HAVE MORE PIPES OPENING UP BECAUSE THERE IS MORE FLUID 01:47 GOING THROUGH THEM. AND THEY RAMP UP THEIR 01:51 METABOLISM BECAUSE OF THAT. >> I DON'T WANT TO BE 01:58 INDELICATE. ONE THING WATER DOES FOR YOU. 02:01 IT GETS YOU IN AND OUT OF THE BATHROOM QUICKER. 02:03 [ LAUGHTER ] >> AMEN. 02:05 >> THAT'S INTERESTING YOU MENTION THAT, BECAUSE ONE OF THE 02:09 PROBLEMS WE HAVE IS SITTING TOO MUCH. 02:13 ESPECIALLY ON LONG TRIPS. PEOPLE SAY I DON'T WANT TO DRINK 02:18 WATER, BECAUSE I DON'T WANT TO STOP. 02:22 YOU NEED TO STOP MORE. [ LAUGHTER ] 02:26 >> THE BODY IS SO -- SERIOUSLY WONDERFULLY MADE, AND SO 02:34 INTERCONNECTED. YOU DO ONE THING HERE, YOU THINK 02:35 YOU ARE DOING THIS, BUT YOU ARE ALSO DOING THIS. 02:39 FOR GOOD OR TO ILL, BUT THERE ARE THESE TIGHT CORRECTIONS THAT 02:45 NOTHING IS WASTED. YOU ARE DRINKING WATER AND 02:49 SPEEDING UP YOUR METABOLISM. YOU ARE HYDRATING YOUR BODY, 02:57 ELIMINATING SALT AND RAMPING UP YOUR METABOLISM. 03:00 >> A LOT OF PATIENTS ARE ON HIGH BLOOD PRESSURE MEDICINES. 03:10 AND THOSE MEDICINES MAKE YOU LOSE WATER QUICKLY. 03:13 AND MANY PATIENTS ARE, YOU KNOW,-TOO SLUGGISH IN THE AMOUNT OF WATER THEY DRINK, AND THEY GET 03:23 DEHYDRATED, AND THAT CAN BECAUSE YOU TO HAVE LOW BLOOD PRESSURES 03:27 THAT ARE POTENTIALLY DANGEROUS. >> UH-HUH. 03:30 SO DRINKING WATER HAS THIS LAUNDRY LIST OF BENEFITS THAT 03:34 MAY GO UNNOTICED, BUT YOU ARE DOING A LOT OF GOOD FOR YOURSELF 03:38 WHEN YOU DO SO. >> DEFINITELY. 03:41 >> LET US GO TO THE ELEPHANT IN THE ROOM, NUTRITION. 03:44 YOU TALKED ABOUT DRINKING, AND THE THINGS YOU DRINK. 03:49 WALK ME THROUGH NOW HOW TO EAT RIGHT TO TRY TO MAINTAIN OPTIMUM 03:54 BLOOD PRESSURE. >> WE BASICALLY COVERED IN THREE 04:01 SUCCINCT PRINCIPLES, THE FIRST WOULD BE THAT WE WANT TO EAT 04:06 MORE WHOLE PLANT FOODS. WE HAVE QUITE A GRAPH THAT SHOWS 04:10 A STUDY OF FOODS THAT WOULD EITHER INCREASE YOUR BLOOD 04:14 PRESSURE OR DECREASE YOUR BLOOD PRESSURE. 04:16 I WAS BLOWN AWAY WITH ONE OF THE GRAPHICS THAT WENT WAY OUT OF 04:24 THIS RIGHT, THAT WOULD INCREASE YOUR BLOOD PRESSURE. 04:27 AND WHAT DO YOU THINK THAT WAS? >> FRIED FOODS? 04:33 >> FRENCH FOODS, YOU GOT IT. SO WHOLE PLANT FOODS. 04:40 >> THERE ARE A NUMBER OF PROPERTIES THAT WE ARE 04:44 DISCOVERING THAT ARE IN FOODS. THESE POPULAR MEDICATIONS CALLED 04:52 ACE INHIBITORS. THOSE ARE VERY POPULAR MEDICINES 04:56 TO LOWER BLOOD PRESSURE, AND DID YOU KNOW THAT THOSE ARE IN FOOD? 05:02 THAT THEY ARE IN A NUMBER OF DIFFERENT FOODS. 05:05 >> IN PLANT FOODS. >> IN PLANT FOODS. 05:08 ONLY IN PLANT FOODS. >> GIVE ME IF YOUR MIND CAN 05:12 RECALL, THE NUMBER, THE TOP THREE OR FOUR THINGS THAT WOULD 05:17 HELP BLOOD PRESSURE FOOD WISE, NUTRITION WISE. 05:20 >> WE LOOK AT CONSTITUENTS. THINGS THAT ARE RICH IN ACE 05:26 INHIBITORS. THINGS RICH IN MAGNESIUM, 05:32 POTASSIUM, AND CALCIUM. THE LATEST DATA ON THE BEST 05:37 SOURCE OF CALCIUM, WE LOOK AT IT PER CALORIE. 05:42 ALL OF THE TOP 10 FOODS ARE PLANT FOODS. 05:47 THIS IS THE USDA DATABASE. SO IF YOU WANT TO RAMP UP THE 05:54 CONSTITUENTS THAT LOWER YOUR BLOOD PRESSURE, MAGNESIUM, THE 06:00 CALCIUM, POTASSIUM, YOU HAVE TO DO WHAT TRUDIE SAID, EAT LOTS OF 06:06 WHOLE PLANT FOODS. WE HAVE A GRAPH IN THERE -- I 06:10 MEAN WAS HUMBLED. SOMEONE CAME UP TO ME, THEY SAID 06:15 DR. DeROSE, I CAME TO THAT LECTURE OF YOURS SIX MONTHS AGO, 06:20 IT CHANGED MY WHOLE LIFE. AND I WAS TEMPTED TO GET A 06:25 LITTLE PROUD. AND THE LORD HELP DEFLATE THAT, 06:32 BECAUSE THAT PERSON SAID, DR. DeROSE, IT WAS NOTHING YOU 06:38 SAID. [ LAUGHTER ] 06:39 >> I SAID WHAT WAS IT? HE SAID IT WAS THAT GRAPH. 06:42 IT SHOWS LESS ANIMAL PRODUCTS, LOWER BLOOD PRESSURE, LOWER 06:46 DIABETES RATES, THE LESS THE ANIMAL PRODUCTS, THE LOWER THE 06:51 RATES SO THE VEGANS HAVE THE LOWEST RATES -- LIKE ONE-FIFTH 06:56 THE LIKELIHOOD OF HAVING DIABETES AND HIGH BLOOD PRESSURE 07:00 AS THE PERSON ON THE AVERAGE AMERICAN DIET, IF YOU ARE IN 07:04 BETWEEN, YOU ARE DOING BETTER, BUT IF YOU WANT TO BE ON THE 07:09 BEST, HANG OUT WITH TRUDIE AND OUR HUSBAND. 07:13 >> HUM. >> AND WE WANT PEOPLE TO BE 07:16 PROGRESSIVE, WE'RE REALLY GOING AFTER A -- A STRATEGY, WHERE 07:19 YOU'RE MAKING ADJUSTMENTS. YOU'RE GOING AFTER A GOAL AND 07:24 BEING REALISTIC WITH YOUR LIFE AND SITUATION. 07:27 >> YEAH. >> IF SOMEONE IS REALLY SICK AND 07:30 HAS MAJOR BLOOD PRESSURE PROBLEMS, THEY NEED TO BE MORE 07:34 DRASTIC, BUT FOR OTHERS THEY OFTEN NEED TO TAKE IT ONE STEP 07:39 AT A TIME AND DO WHAT THEY CAN DO. 07:42 WE TELL PEOPLE THE GOALS THEY NEED TO AIM FOR IN TERMS OF 07:47 HELPING THEM SEE THE BIG PICTURE, BUT THEY HAVE TO APPLY 07:49 IT TO THEIR OWN LIVES AND BRING IT DOWN TO THE DAILY THINGS THAT 07:54 THEY ARE DOING. >> I WANT TO FOLLOW ALONG THAT 07:59 TRAJECTORY JUST A LITTLE BIT. BECAUSE YOU WANT TO GIVE PEOPLE 08:02 GOALS THAT THEY CAN REACH AND NOT GET DISCOURAGED. 08:06 BECAUSE IF THEY GET DISCOURAGED, THEY ARE GOING TO QUIT. 08:10 >> I WANT TO ASK A QUESTION WHICH MAY SOUND NOT TOO 08:16 INTELLIGENT. YOU HAVE A PERSON THAT IS EATING 08:19 A LOT OF RED MEAT, CHICKEN AND FISH. 08:22 IF YOU WANT TO TELL THEM CUT THIS OUT AS YOU WORK YOUR WAY TO 08:29 OPTIMUM, WHICH WOULD YOU HAVE THEM JETTISON FIRST? 08:34 THE RED MEAT, CHICKEN OR FISH? OR DOES IT MATTER? 08:39 >> WELL, WE HAVE A WORKSHEET. WE'RE HAVING PEOPLE SET THEIR 08:43 OWN GOALS. WE SUGGEST A GOAL AT THE END OF 08:46 CHAPTER 5, AND WE SAY THIS IS JUST AN EXAMPLE FOR SOMEONE WHO 08:51 MAY BE ON THE AVERAGE AMERICAN DIET. 08:54 EVERY WEEK HAVE AT LEAST THREE MEAT-FREE DAYS. 08:59 AND SOMEONE ELSE MAY SAY, NO, IT WOULD BE A BIG DEAL JUST TO 09:03 LEAVE OFF THE RED MEAT ONE DAY. AND TO YOUR QUESTION, THE RED 09:07 MEAT IS THE SINGLE WORST THING. WE HAVE DATA FROM HARVARD, SAME 09:14 GRAFT, THE MORE RED MEAT, THE SHORTER YOUR LIFE SPAN. 09:19 >> UH-HUH. >> LESS RED MEAT, GREAT THING TO 09:22 DO TO HELP YOUR BLOOD PRESSURE AND EVERYTHING ELSE. 09:25 >> I LIKE THE IDEA OF SELECTING A NUMBER OF DAYS DURING THE WEEK 09:29 WHERE YOU JUST CUT IT OUT. >> YEAH. 09:31 >> THAT SEEMS LIKE A WORKABLE THING. 09:34 >> ANOTHER BIG PROBLEM PEOPLE HAVE IS EATING OUT TOO MUCH. 09:37 EATING AT RESTAURANTS TOO MUCH. TOO MUCH FAST-FOOD AND TAKING A 09:42 LOOK AT THAT, AND SAYING THOSE RESTAURANTS ARE IN IT FOR THE 09:45 BUSINESS AND FOR THE MONEY, AND THEY ARE TRYING TO PLEASE MY 09:51 PALLET, AND STARTING TO LOOK AROUND AND SAYING HOW CAN I EAT 09:55 MORE AT HOME? HOW CAN I GET THAT FIGURED OUT? 09:59 OR IF I HAVE TO EAT OUT AT RESTAURANTS, HOW CAN I FIND 10:03 BETTER WAYS TO GET HEALTHIER FOOD? 10:06 THAT'S A BIG DEAL. >> AND TRUDIE YOU TALKED ABOUT 10:09 THOSE THREE PRINCIPLES OF NUTRITION. 10:17 HE IS TALKING ABOUT RESTAURANT FOODS. 10:18 THAT TIES IN WITH THE THIRD ONE. >> THE THIRD PRINCIPLE IS THAT 10:20 YOU NEED TO LIMIT SODIUM. BUT IF PRESIDENT TRUMP COULD 10:25 KNOW ABOUT THIS POINT, IT COULD SAVE THE U.S. BUDGET 10 TO 10:32 $24 BILLION A YEAR IN HEALTHCARE KOS IF AMERICANS WOULD EAT HALF 10:36 A TEASPOON LESS OF SODIUM. AND AMERICANS EAT ABOUT A 10:45 TEASPOON AND A HALF NOW. AND WE'RE ASKING THEM TO CUT IT 10:49 BY A THIRD. AND THEN WE WOULD SEE LESS HEART 10:54 ATTACKS, FEWER STROKES. IN THE SOUTHEASTERN U.S., WE 11:00 CALL IT THE STROKE BELT, BECAUSE STROKES ARE A THIRD MORE COMMON 11:06 THAN THE REST OF THE NATION. AND IF THEY COULD CUT BACK ON 11:09 THEIR SODIUM, JUST IN THAT ONE THING, THEY WOULD SEE LESS 11:14 STROKES, LESS SUFFERING. IT'S A BIG DEAL. 11:16 >> IT IS A BIG DEAL. WHICH IS WORSE ON THE BODY, 11:20 SODIUM OR SUGAR? BECAUSE THEY ARE BOTH BAD 11:24 ACTORS. >> MOST PEOPLE DON'T KNOW THIS, 11:26 SUGAR AND SALT HIDE EACH OTHER. SO IF SOMETHING HAS MORE SUGAR 11:30 IN IT, YOU NEED TO PUT MORE SALT IN IT TO MAKE IT PALATABLE. 11:36 AND THE FOOD INDUSTRY KNOWS THIS, SO THEY OFTEN TRACK 11:41 TOGETHER. >> BUT WE'RE NOT SAYING DON'T 11:44 EAT ANY SALT. WE KNOW -- ESPECIALLY IF YOU 11:46 HAVE HEART FAILURE, YOU MAY NOT -- IT MAY NOT BE GOOD FOR 11:50 YOU TO CUT BACK ON YOUR SODIUM. IT JUST DEPENDS ON THE PERSON. 11:55 MOST PEOPLE OFTEN DO, BUT THERE ARE PEOPLE THAT ARE ESPECIALLY 11:58 SENSITIVE TO SODIUM. YOU CAN HAVE A PERSON TRACKING 12:02 ALONG EATING A RELATIVELY NORMAL SODIUM DIET, AND THEN THEY GO 12:06 OUT FOR THAT ONE MEAL, OR THEY GO OVER TO A RELATIVES HOUSE FOR 12:12 THANKSGIVING AND THEY EAT THAT BIG PACKED SODIUM MEAL, AND ALL 12:16 OF A SUDDEN FOR THE NEXT WEEK OR TWO, THEIR BLOOD PRESSURE IS OUT 12:20 OF CONTOL. THOSE ARE SALT-SENSITIVE PEOPLE. 12:22 THOSE ARE PEOPLE WHO ARE USUALLY PRONE TO MORE BLOOD PRESSURE 12:28 PROBLEMS. OVERWEIGHT. 12:31 THE AFRICAN AMERICAN POPULATION, PEOPLE WITH CHRONIC KIDNEY 12:35 CHANGES. CERTAIN KINDS OF CHARACTERISTICS 12:38 MAKE YOU MORE SENSITIVE TO SALT. SOMETIMES GENETIC 12:42 CHARACTERISTICS. AND THESE ARE IMPORTANT FEATURES 12:46 TO THINK ABOUT. >> AND WE ADDRESS THAT IN THE 12:49 BOOK. WHO NEEDS TO BE CAREFUL. 12:50 WHO IS LIKELY TO BENEFIT AND WHO IS NOT? 12:53 >> YEAH. YEAH. 12:54 AND AS I'M LISTENING HERE, THIS IS A VERY COMPREHENSIVE -- THIS 13:00 COVERS JUST ABOUT EVERY QUESTION THAT YOU COULD POSSIBLY HAVE. 13:04 THIS IS A GOOD WORK -- I WANT TO STOP RIGHT HERE. 13:07 YOU SAID YOU ARE SELF PUBLISHED. HOW THEN CAN WE GET THIS? 13:11 >> THE SIMPLEST WAY TO GET THE BOOK IS ON AMAZON. 13:17 THERE IS A KINDL EDITION, THERE IS AN AUDIO EDITION. 13:24 IT IS ME READING IT. [ LAUGHTER ] 13:27 >> WE HAVE GOT THE AUDIO BOOK AND THE SOFT COVER BOOK. 13:30 BUT THEN OUR WEBSITE, THE COMPASSHEALTH WEBSITE, 13:37 COMPASSHEALTH.NET, WITH WE HAVE THE BOOK AND LINKS TO OTHER 13:41 RESOURCES. ONE STOP SHOP, 13:45 COMPASSHEALTH.NET, BUT IF YOU CAN'T REMEMBER THAT, GO TO 13:50 AMAZON.COM. >> OR CALL US HERE. 13:56 COMPASSHEALTH.NET. WER 14:03 VERY WELL SAID GETS OF PICTURES AND GRAPHS. 14:07 I HATED AVOCADOS. [ LAUGHTER ] 14:10 >> BUT MY WIFE LOVED AVOCADOS. AND I LOVED MY WIFE. 14:14 SO I -- I FORCED MYSELF TO LEARN TO LIKE AVOCADOS, BECAUSE SHE 14:20 WOULD SNEAK THEM IN SALADS AND SUFFICIENT, AND I WAS LIKE THERE 14:23 IS SOMETHING IN THERE. NOW I LIKE THEM. 14:28 WE EAT THEM -- KIND OF A LOT. I HAVE HEARD GOOD FAT, BAD FAT, 14:33 THAT KIND OF THING, BUT YOU NEED TO BE CAREFUL EVEN WITH 14:39 AVOCADOS. >> WHEN I LOOK AT LAB RESULTS 14:41 FOR PATIENTS, WHEN I LOOK AT THEIR GOOD CHOLESTEROL, WHICH IS 14:46 THE HDL, AND WHEN IT IS HIGH, I SAY YOU MUST LIKE AVOCADOS, OR 14:55 WALNUTS OR SEEDS? AND THEY ARE LIKE HOW DO YOU 14:57 KNOW? BECAUSE IT HELPS TO KEEP YOUR 15:03 BAD CHOLESTEROL LOW. >> IT'S VERY IMPORTANT TO EAT 15:06 GOOD FATS. NOT TOO MANY, BUT TO EAT A 15:10 PROPER AMOUNT. FAT HAS 9 CALORIES PER GRAM, SO 15:15 IT'S A POTENT CALORIC LOAD. BUT IT'S IMPORTANT TO EAT SOME 15:20 GOOD FATS. WE TALK ABOUT OMEGA-3 IN THE 15:24 BOOK. DAVID WHAT IS THAT ABOUT? 15:26 I FORGET NOW? [ LAUGHTER ] 15:28 >> COME ON NOW. MOST PEOPLE WHEN THEY HEAR 15:32 OMEGA-3 -- FISH OIL. BUT FISH DO NOT MAKE OMEGA-3 15:40 FATS. THE ONLY WAY OMEGA-3 COME IN 15:44 NATURE IS IN PLANTS. THE BEST SOURCES IN OUR 15:48 ESTIMATION, WHEN YOU LOOK AT THE WHOLE NUTRITIONAL PICTURE, 15:52 INCLUDING TOXIN EXPOSURE, STAY AWAY FROM THE FISH, AND 15:58 EMPHASIZE THOSE PLANT SOURCES. WALNUTS, CHIA SEEDS, A NUMBER OF 16:04 THINGS ON THAT LIST. >> BEFORE WE LEAVE THIS AREA, I 16:08 NEED TO PUT IN A PLUG FOR IRMA. SHE MAKES AN AVOCADO KEY LIME 16:18 PIE. RAW. 16:18 >> WOW. >> REALLY, REALLY GOOD. 16:20 >> HAVE HER BRING SOME OVER. [ LAUGHTER ] 16:23 >> IT'S EXCELLENT. >> HIS POINT ABOUT THE FISH IS 16:27 REALLY INTERESTING, BECAUSE, YOU KNOW, WE'RE FINING THAT FISH 16:30 HAVE A LOT OF TOXINS, THE -- THE FISH BUILD UP A LOT OF TOXINS 16:36 THAT WE HAVE BEEN THROWING IN THE OCEANS FOR A LONG TIME. 16:39 >> UH-HUH. >> AND THIS IS WEIGHING IN ON 16:43 CONDITIONS LIKE DIABETES, HYPERTENSION, I THINK THAT MAY 16:46 BE PART OF THE REASON WHY THAT GRAPH THAT DAVID TALKED ABOUT 16:50 EARLIER, WHERE WE HAVE THE NON-VEGETARIANS AND THE PARTIAL, 16:54 AND THE FISH-EATING VEGETARIANS. YOU WOULD THINK THAT FISH SHOULD 16:59 BE A HEALTHY FOOD, BUT IT'S NOT. AND I THINK PART OF THAT STORY 17:05 HAS TO DO WITH MERCURY AND -- >> YEAH. 17:08 YEAH. >> WE HAVE A SECTION IN THE 17:10 BOOK, AS YOU MIGHT EXPECT -- [ LAUGHTER ] 17:13 >> NO, REALLY, WE TALKED ABOUT THAT CHAPTER, AVOIDING TOXINS, 17:18 PRESSERS, WE CALL THEM, THINGS THAT RAISE BLOOD PRESSURE. 17:22 AMERICASY, LEAD, ARSENIC. CADMIUM. 17:26 WHERE DO YOU FIND THEM? WHERE DO YOU AVOID THEM? 17:29 ONE OF THE THINGS TO AVOID, POLLUTED WATER AND FISH, FISH, 17:34 FISH COMES UP AGAIN AND AGAIN. >> I LIVE RIGHT BY THE OCEAN 17:39 RIGHT ON THE OREGON COAST, AND AT FIRST I WAS CHECKING MERCURY 17:45 LEVELS IN MY PATIENTS FAIRLY OFTEN, BUT I REALIZED ALL I HAD 17:50 TO DO IS ASK PATIENTS HOW OFTEN THEY WERE EATING FISH. 17:54 AND IF THEY WERE EATING FISH A LOT, AND I CHECKED THE MERCURY 17:58 LEVEL IT WAS ALWAYS HIGH. >> WOW. 18:00 DOES IT MATTER, OCEAN FISH, LAKE FISH, STREAM FISH? 18:05 DOES IT MATTER? IT'S JUST EVERYWHERE? 18:09 >> IT'S PRETTY PERVASIVE. I HAD A GUEST THAT LOOKED AT 18:13 THIS, AND COMPARED FISH CAUGHT IN PRISTINE WATERS, WITH FISH 18:19 CAUGHT IN POLLUTED WATERS, AND HE FOUND BASICALLY THE TOXIN 18:23 LEVELS IN SOME OF THOSE FISH WERE WORSE THAN THE ONES IN THE 18:28 POLLUTED WATERS. THE QUESTION IS HOW COULD THAT 18:31 BE? THE ANSWER WAS, ACID RAIN, AND 18:34 THE FACT THAT FISH DON'T STAY IN ONE SPOT. 18:36 [ LAUGHTER ] >> RIGHT. 18:37 RIGHT. BEFORE WE LEAVE THIS -- AND WE 18:39 HAVE A NICE LITTLE CONSTELLATION OF QUESTIONS HERE. 18:43 I WANT TO TALK ABOUT MEDICATION AND SUPPLEMENTS. 18:47 BECAUSE -- I HAD A VERY GOOD FRIEND. 18:50 HIS MOM PASSED, AND ONE OF THE THINGS THAT -- THAT HE SAYS THE 18:54 DOCTORS TOLD HIM IS THAT THE YEARS OF BLOOD PRESSURE 18:57 MEDICATION REALLY RUINED HER KIDNEYS -- OR MAYBE HER LIVER, 19:02 BUT THAT CONTRIBUTED -- SHE PASSED FAIRLY YOUNG, 72, TO ME 19:07 IS YOUNG. THAT'S NOT THAT OLD. 19:09 >> UH-HUH. >> BUT HE -- ONE OF THE 19:13 CONTRIBUTING FACTORS WAS YEARS OF MAYBE TAKING BLOOD PRESSURE 19:17 MEDICATION MAYBE SINCE SHE WAS 20. 19:19 SO 50-PLUS YEARS OF BP MEDICATION. 19:23 TALK ABOUT THAT. YOU KNOW, YOU HAVE IT UNDER 19:26 CONTROL, BUT YOU ARE REALLY DOING OTHER KINDS OF DAMAGE. 19:29 AND THEN I WANT TO TALK ABOUT HERBAL SUPPLEMENTS AND NATURAL 19:33 KINDS OF THINGS. >> BLOOD PRESSURE MEDICINES GET 19:40 YOUR BLOOD PRESSURE DOWN BUT AT A COST. 19:43 THERE IS SIDE EFFECTS RELATED TO DIZZINESS, AND SIDE EFFECTS 19:48 RELATED TO FEELING FATIGUED, YOU KNOW. 19:50 YOU WOULD THINK THAT THE MEDICINE WOULD MAKE PEOPLE FEEL 19:55 BETTER, BUT OFTENTIMES IT MAKES PEOPLE FEEL WORSE. 20:00 >> WOW. >> PEOPLE FEEL BETTER WITH HIGH 20:03 BLOOD PRESSURE, EVEN THOUGH THAT IS HURTING THEIR BODY TOO. 20:06 >> UH-HUH. UH-HUH. 20:08 SO WE ADVOCATE WHENEVER POSSIBLE TO MINIMIZE THE AMOUNT OF 20:12 MEDICATIONS USED. SOME PEOPLE HAVE TO BE ON 20:16 MEDICINES, AND THERE ARE CERTAIN PEOPLE THAT NEED REGIMENS THAT 20:19 ARE IMPORTANT, BUT WHATEVER WE CAN DO TO GET OUR MEDICATION 20:23 NEED DOWN IN AMERICA, WE'RE DOING A GOOD THING. 20:25 >> OKAY. >> THE OTHER PART OF THE STORY 20:28 IS THE PEOPLE ON MEDICATIONS, THE RESEARCH SHOWS THAT SOME 50% 20:32 OF THEM DO NOT HAVE THEIR BLOOD PRESSURE ADEQUATELY CONTROLLED. 20:35 THEY ARE GETTING THE WORST OF BOTH WORLDS. 20:38 THEY ARE GETTING THE SIDE EFFECT FROM THE DRUG. 20:42 IT IS DAMAGING THE KIDNEYS, HEART AND BRAIN, AND IT DOESN'T 20:48 TAKE A ROCKET SCIENTIST TO FIGURE OUT THAT THAT IS NOT THE 20:52 WAY TO LIVE THE LONGEST ON THE PLANET. 20:56 >> AND I SUSPECT AFTER A WHILE THAT IS GOING TO CATCH UP WITH 20:59 YOU. >> YEAH. 21:00 >> IF YOU THINK IT IS UNDER CONTROL, THERE IS NO INCENTIVE 21:04 TO CHANGE YOUR HABITS. I CAN STILL EAT THAT PORK CHOP 21:08 OR WHATEVER IS KILLING ME, BUT YOU STILL WANT TO DO IT. 21:13 WHAT ABOUT NATURAL MEDICATIONS? HAWTHORN BERRY OR SOME OF THESE 21:23 OTHER THINGS THAT PEOPLE WILL TAKE TO BRING THEIR BLOOD 21:27 PRESSURE DOWN. >> YOU HEARD ONE OF GREG'S 21:35 FAVORITE. TRUDIE TO YOU HAVE ONE? 21:38 >> I AM JUST BEGUN TO USE MAGNESIUM. 21:41 AND IT IS VERY USEFUL. THERE ARE A LOT OF HERBS OUT 21:50 THERE, BUT THEY MIGHT CARRY LEADER THEY ARE NOT PURIFIED OR 21:55 THEY DON'T DEAL WITH THE PATHOPHYSIOLOGY, AND IT IS 22:05 SUBSTITUTING A HERB FOR A PILL. MAGNESIUM I LIKE, BECAUSE IT 22:13 RELAXES THE BLOOD VESSELS. SO IF WE DO ABOUT 500 MILLIGRAMS 22:18 A DAY, I HAVE SEEN GOORESULTS. A LOT OF MY PASH -- PATIENTS 22:29 SAY DO YOU HAVE AN ALTERNATIVE? >> IS THAT A PILL? 22:34 >> YOU CAN DO A PILL. BUT YOU CAN ALSO DO THE LIQUID 22:40 FORM. BUT BE CAREFUL, BECAUSE IT CAN 22:42 BECAUSE THE RUNS. >> IT IS A LAXATIVE TOO. 22:46 >> YEAH, MILK OF MAG KNEE SHA, I GUESS THAT'S -- 22:52 >> ONE THAT IS POPULAR IS CO-ENZYME Q10. 23:04 IT IS A -- JUST A -- YOU KNOW, A FACTOR IN OUR BODY. 23:11 THAT OUR BODY MAKES, BUT OFTEN WE'RE DEFICIENT, AND IF WE GET 23:16 ENOUGH IN OUR BODY, WE ACTUALLY -- OUR 23:24 BLOOD PRESSURE COMES DOWN. >> IS THIS SOMETHING NATURAL YOU 23:30 CAN EAT TO GET Q-10. >> IT IS USUALLY JUST THE 23:36 SUPPLEMENT. STATINS WITH ALSO LOWER LEVELS 23:41 OF CO-ENZYME Q-10. EXPERTS RECOMMEND A SUPPLIMENT 23:49 IF YOU ARE ONE OF THOSE DRUGS. >> AND THE AVERAGE PERSON WILL 23:53 BE ON LIKE 400 MILLIGRAMS A DAY. MAYBE 300 MILLIGRAMS A DAY, BUT 23:59 IT'S NOT WELL ABSORBED, SO THERE IS A VERSION THAT YOU ONLY NEED 24:04 ABOUT 100 MILLIGRAMS, BECAUSE IT IS WELL-ABSORBED. 24:09 >> OKAY. ARE YOU READY TO TAKE SOME 24:12 QUESTIONS? >> ABSOLUTELY. 24:14 >> LET'S GO FOR IT. >> OKAY. 24:16 LET'S SEE WHAT WE HAVE GOT. DOES THE USE OF NATURAL 24:22 AGRICULTURE METHODS, SUCH AS GRASS-FED OR RANGE-FREE MEATS 24:30 AFFECT THE IMPACT OF -- ON HEALTH ESPECIALLY WITH REGARD TO-RED MEAT? 24:40 >> THT'S A GOOD QUESTION. EVEN IF YOU ARE USING BETTER 24:45 AGRICULTURAL PRACTICES, ANIMAL PRODUCTS AND THE SATURATED FAT 24:49 ACTUALLY IS PART OF WHAT IS DAMAGING OUR METABOLISM, IT IS 24:53 TRUE THAT FREE-RANGE ANIMALS WILL HAVE LOWER FAT CONTEXT, 24:58 WHICH IS BENEFICIAL. >> YEAH. 25:00 >> SO MAYBE A BETTER CHOICE IS TO EAT EVEN LESS OF THAT. 25:07 MEAT PRODUCTS, FLESH FOOD, YOU HAVE TO COOK, AND WHEN YOU DO 25:15 THAT, YOU CREATE CARCINOGENS, AND THAT'S WHAT CAUSE CANCER FOR 25:21 COLON CANCER AND A NUMBER OF 3 OTHER CANCERS. 25:24 SO WHETHER IT'S GRASS-FED OR RANGE-FED MEAT, YOU STILL HAVE 25:32 TO PUT A FLAME TO IT. >> IS IT BETTER TO EAT FIVE 25:37 SMALL MEALS A DAY, RATHER THAN THREE SMALL MEALS A DAY. 25:43 >> OUR BOOK ADDRESSES THAT. AND SAYS THAT THE SCIENCE IS 25:47 LEANING AGAINST T-- >> AGAINST THE FIVE MEALS. 25:54 >> YES. INSPREAD TWO TO THREE MEALS A 26:00 DAY. >> ALL RIGHT. 26:01 SHE IS VEGAN, 50 YEARS OF AGE, 145 POUNDS, ASKING WHY DO I 26:09 STILL HAVE BP, HIGH BLOOD PRESSURE. 26:13 >> THERE IS A NICE SECTION IN THE BOOK, GOING THROUGH SOME OF 26:17 THE UNDERLYING ISSUES THAT PEOPLE OFTEN HAVE. 26:20 IF YOUR MOTHER THROUGH ABOUT 28 TO 36 WEEKS GUESS RATION WENT 26:26 THROUGH A LOT OF INORDINATE STRESS IN SOME WAY, PHYSICAL OR 26:33 EMOTIONAL STRESS, OR, YOU KNOW, AN ILLNESS, THAT CAN MESS UP THE 26:36 DEVELOPMENT OF THE KIDNEYS DURING THAT TIME AND -- AND 26:39 CHANGE THE NUMBER OF FILTERING UNITS WE CALL NEPHRONS THAT ARE 26:47 DROPPED. AND IF THERE ARE LESS OF THOSE, 26:50 WE KNOW YOU ARE MORE PRONE TO GETTING HIGH BLOOD PRESSURE 26:54 EARLY IN YOUR LIFE. IF YOU ARE A SMALL BABY, THERE 26:58 ARE OTHER FACTORS. SO SOMETIMES IT CAN BE 27:03 FROM -- BEFORE YOU HAD ANY INFLUENCE IN YOUR LIFE.-AND YOU HAD NO REAL INFLUENCE TO 27:08 CHANGE THOSE THINGS FROM THE PAST, BUT BECAUSE BLOOD PRESSURE 27:13 PROBLEMS ARE SUCH A COMPLEX ISSUE, YOU CAN STILL DO THINGS 27:16 NOW TO HELP IT GET BETTER. >> UH-HUH. 27:19 >> EVEN THOUGH -- MAYBE THIS OCCURRED, YOU KNOW, UNBEKNOWNST 27:23 TO YOU. >> AND THERE ARE A NUMBER OF 27:26 NATURAL SUPPLEMENTS THAT WE HAVE BEEN TALKING ABOUT, SOME OF 27:30 WHICH, THAT CAN HELP THOSE PEOPLE. 27:33 NOT EVERYONE CAN JUST WITH LIFESTYLE HAVE NORMAL BLOOD 27:37 PRESSURE, THEY MAY NEED TO USE OTHER PRODUCTS. 27:43 WE TALK ABOUT A NUMBER OF THESE COMPOUNDS THAT CAN AID IN 27:47 LOWERING THE BLOOD PRESSURE. >> BUT THE HOPE IS, THERE ARE 27:49 NATURAL THINGS YOU CAN DO, AS OPPOSED TO GETTING ON DRUGS THE 27:54 REST OF YOUR LIFE. >> RIGHT. 27:56 WE'RE TRYING TO HELP PEOPLE FEEL BETTER. 28:00 >> ALL RIGHT. WHAT CAN A PERSON DO TO CORRECT 28:09 ORTHOSTATIC HYPOTENSION. >> THAT'S LITERALLY WHEN YOU 28:13 TAKE THE STRAIGHT POSITION, LIKE STANDING UP, YOUR BLOOD PRESSURE 28:17 DROPS. AND ONE OF THE MORE COMMON 28:19 THINGS THAT RELATE TO THIS, IS JUST NOT GETTING HYDRATED WELL 28:25 ENOUGH, AND OFTENTIMES THESE PEOPLE START WITH HIGH BLOOD 28:29 PRESSURE, AND THEN SOME OF THE MEDICATION SIDE EFFECTS 28:33 CONTRIBUTE TO THIS PROBLEM. THE STRATEGY IS SIMILAR TO WHAT 28:35 WE HAVE BEEN TALKING ABOUT, THAT IS DECREASE THE DEPENDANCE ON 28:41 MEDICATION, AND HELP STABILIZE THE BLOOD PRESSURE SO YOU ARE 28:43 NOT USING MEDICATIONS THAT SOMETIMES HAVE A MORE FORCIBLE 28:49 EFFECT. >> BUT SOME PATIENTS HAVE 28:51 PROBLEMS WITH THAT, BECAUSE OF MEDICAL CONDITIONS -- 28:53 >> THAT'S TRUE. >> SO DEFINITELY THEY NEED TO 28:56 WORK WITH THEIR DOCTOR TO -- TO FIGURE THAT OUT, BECAUSE IT'S 29:00 NOT ALWAYS THAT SIMPLE. HOPEFULLY IT IS. 29:03 HOPEFULLY IT IS JUST REDUCING MEDICATION, AND IT GETS BETTER, 29:07 AND OFTEN IT WILL. >> WHAT DOES THE THIRD NUMBER 29:12 MEAN ON THE BLOOD PRESSURE MONITOR? 29:14 >> IT'S PROBABLY THE PULSE, THE HEART RATE. 29:17 >> UH-HUH. OKAY. 29:19 ALL RIGHTY. IF YOU ARE ON MEDS FOR IRREGULAR 29:24 HEARTBEAT, CAN YOU WORK WITH THIS PROGRAM? 29:27 >> I CAN ANSWER THAT. SO I'M ASSUMING THAT THE 29:37 IRREGULAR HEARTBEAT IS ATRIAL FIBULATION. 29:43 OFTEN DOCTORS WILL PUT YOU ON A BLOOD THINNER, BUT IT DEPENDS. 29:48 AND OFTEN THEY WILL PUT YOU ON A MEDICINE THAT SLOWS THE HEART 29:53 RATE. IF YOU HAVE A TENDENCY TO HAVE A 29:56 FAST HEART RATE, AD YOU SLOW THE HEART RATE, AND IT SLOWS THE 30:02 BLOOD PRESSURE PROBLEMS AS WELL. THERE ARE PATIENTS WHO HAVE 30:06 ATRIAL FIBULATION WHO DON'T NEED THE HEART-RATE SLOWING MEDICINE. 30:11 IT IS SLOW BY ITSELF. FOR SOME PATIENTS AS SOON AS 30:16 THEY START WEANING THE MEDICINE, THEIR HEART RATE STARTS TO 30:22 RAISE. FOR A LOT OF PATIENTS GETTING 30:24 OFF OF THE BLOOD THINNER IS DIFFICULT TO DO, BECAUSE OF THE 30:29 RISK OF STROKE. ESPECIALLY AS A LADY, AS YOU GET 30:32 INTO YOUR OLDER YEARS, ANY LADY OVER 65 OFTEN IS OFFERED SOME 30:38 BLOOD-THINNING MEDICINE, BECAUSE THE RISK OF STROKE STARTS TO GO 30:43 TOO HIGH, BECAUSE THE HEART IS SHAKING LIKE THIS, AND THE BLOOD 30:47 CLOT BEGINNING TO FORM INSIDE THAT CHAMBER, AND IF THAT BLOOD 30:52 CLOT IS SITTING THERE, IT CAN SHOOT OFF INTO THE BRAIN OR 30:56 OTHER PARTS OF THE BODY ANY TIME. 30:58 IT'S VERY DANGEROUS. >> AND THE ANSWER TO THE 31:01 QUESTION, AND OF COURSE GREG IS ADDRESSING IT VERY PRECISELY, IS 31:07 THESE DRUGS HAVE WHAT WE CALL A NARROW THERAPEUTIC RANGE, AND 31:12 THAT MEANS YOU START ADDING SUPPLEMENTS OR CHANGING YOUR 31:17 DIET, THAT CAN ACTUALLY EFFECT THE BLOOD-THINNING PROPERTIES. 31:22 SO DEFINITELY A REASON TO WORK WITH A PHYSICIAN, BUT NO REASON 31:27 NOT TO DO MANY OF THE THINGS THAT WE'RE TALKING ABOUT, BUT 31:30 THE KEY POINT, IS WORK WITH YOUR PROVIDER. 31:33 I WILL TELL YOU PERSONALLY -- I'M GLAD THAT MORE 31:36 PHYSICIANS ARE SEEING THIS, BUT IN THE OLD DAYS, PEOPLE USED TO 31:40 BE PUT IN THE HOSPITAL FOR THESE CONDITIONS. 31:42 THEY WOULD PUT B PUT ON A BLOOD THINNER, AND THEY WERE TOLD, NOW 31:48 JUST EAT LIKE YOU HAVE BEEN GETTING IN THE HOSPITAL, THIS 31:51 LOUSY DIET WITH NO GREEN STUFF. AND DON'T EAT ANY GREEN 31:56 VEGETABLES. THIS IS ABSOLUTELY RIDICULOUS. 31:58 WHAT THINKING PROFESSIONALS TODAY SAY, IF YOU WANT TO EAT 32:03 MORE GREEN STUFF, THAT'S FINE, BUT EAT IT CONSISTENTLY SO WE 32:08 CAN ADJUST YOUR BLOOD THINNER TO THE RIGHT AMOUNT. 32:12 >> SO THE GREEN STUFF IS THINNING YOUR BLOOD? 32:14 >> IT DOES. IT GIVES YOU MORE VITAMIN K. 32:23 >> IN THIS STUDY, PEOPLE WILL SOMETIMES -- THEY HAVE DONE 32:27 STUDIES SHOWING THAT IF A PERSON TAKES A VITAMIN K SUPPLEMENT 32:35 THAT CAN HELP THE LEVELS OF THEIR BLOOD THINNING TO 32:40 NORMALIZE A LOT. BUT WE DEFINITELY DON'T WANT 32:42 PEOPLE TO AVOID KALE AT ALL COSTS, ET CETERA. 32:50 BUT KALE HAS SUCH HIGH LEVELS OF VITAMIN K IN IT, THAT THEY HAVE 32:57 TO EAT IT CONSISTENTLY. >> WHAT ABOUT FLAXSEED? 33:01 >> THAT ALSO HELP LOWER YOUR BLOOD PRESSURE. 33:07 >> YEAH. >> IF THEY DON'T HAVE FULL BLOWN 33:11 AT IT REAL FIBULATION, THE MAGNESIUM HAS STABLING FACTORS 33:20 AS WELL. >> HOW MUCH MAGNESIUM? 33:27 >> ABOUT 500 A DAY. >> AND IF PEOPLE HAVE KIDNEY 33:35 DISEASE WE DON'T RECOMMEND TAKING MASS -- MAGNESIUM. 33:46 >> AND PART OF THE PROBLEM IS THAT WE ARE DEFICIENT IN 33:52 MAGNESIUM BECAUSE WE DON'T EAT ENOUGH IN OUR FOOD. 33:55 WE DON'T EAT ENOUGH OF THOSE POWERFUL PLANT FOODS. 33:59 IT'S IN THE PLANT FOODS. SO IF WE EAT A WIDE VARIETY OF 34:06 PLANT FOODS, THE GREENS, THE LEAFY VEGETABLES, THE BEANS, 34:14 THEN OUR BLOOD PRESSURE WILL IMPROVE. 34:16 >> AND THOSE COMMONLY PRESCRIBED BLOOD PRESSURE MEDICATIONS, THEY 34:24 ARE DIURETICS. THEY SAY I'M JUST ON DIVAN. 34:37 THE INTERESTING THING IS, THERE IS ALSO A DIURETIC ADDED TO THE 34:41 DRUG, AND EVERYONE KNOWS -- WELL, MANY PATIENTS 34:45 KNOW THAT LOWERS THEIR POTASSIUM AND MAGNESIUM. 34:50 SO WE'RE TAKING DRUGS THAT MAKE YOU LOWER YOUR MAGNESIUM AND 35:00 THAT HELPS TO LOWER YOUR BLOOD PRESSURE. 35:03 >> IF YOU ARE A DIABETIC, YOU ARE ON A DIURETIC, YOU ARE 35:13 ALMOST CERTAINLY MAGNESIUM DEFICIENT. 35:16 >> SO IF YOU ARE ON THAT FOR YEARS AND YEARS, YOU ARE DOING 35:22 MAJOR DAMAGE -- >> AND IT'S GOOD INTENTIONS, AND 35:25 THE MEDICINES HAVE GOOD INTE 35:32 INTE INTENTIONS. 35:33 BUT WHATEVER THEY CAN DO TO LESSEN THE APPLES. 35:37 IF YOU CAN JUST EVEN TURN DOWN THE DOSE OF THE MEDICINE. 35:41 THE GOOD EFFECTS ARE HOPEFULLY GOING TO HAPPEN SOME, AND THEN 35:44 THE BAD EFFECTS WILL BE MUCH LESS LIKELY -- AND YOU WILL BE 35:50 MUCH LESS LIKELY TO LOSE MAGNESIUM, ET CETERA. 35:54 >> THERE SEEMS TO BE A WIDE VARIETY OF BLOOD PRESSURE 36:04 MEDICINES. >> HUGE. 36:05 >> IN THE BOOK WE HAVE A GRAPHIC, AND WE'RE TALKING ABOUT 36:08 THE ISSUE OF SIDE EFFECTS, THE WORST-TOLERATED MEDICATIONS, 36:15 ONLY ABOUT ONE IN FOUR PEOPLE WILL STICK WITH THAT BLOOD 36:22 PRESSURE MEDICATION FOR ABOUT A YEAR. 36:29 MOST PEOPLE GO BACK TO THEIR DOCTOR AND SAY, I CAN'T TAKE 36:34 THIS BECAUSE OF THE SIDE EFFECTS. 36:37 SEXUAL FUNCTION, ENERGY LEVEL, EXERCISE CAPACITY. 36:41 THEY CAN CAUSE A COUGH. CHRONIC COUGH. 36:43 THAT'S ONE OF THE SIDE EFFECTS OF A COMMON CLASS OF DRUGS. 36:48 SO, YEAH, THERE'S ALL OF THESE PROBLEMS -- BUT WE'RE NOT 36:51 SAYING -- AS I THINK MY COLLEAGUES HAVE REALLY MADE A 36:55 GOOD POINT OF DON'T JUST WATCH THIS SHOW AND THROW OUT YOUR 37:00 MEDICINE. THAT'S NOT THE MESSAGE. 37:01 WORK WITH YOUR PHYSICIAN, BECAUSE YOU CAN GET INTO SERIOUS-DANGER ABRUPTLY STOPPING 37:09 MEDICATIONS. >> AND HOW MANY PEOPLE 37:11 HAVE -- HAVE THIS ISSUE IN ONE IN THREE AMERICANS HAVE THIS 37:15 PROBLEM RIGHT NOW. >> YEAH. 37:16 >> AND ONCE YOU HIT 55 YEARS OF AGE, YOU HAVE A 90% CHANCE BY 37:21 THE TIME YOU ARE 80, 85 YEARS OF AGE TO HAVE THIS ISSUE. 37:26 >> ONE IN THREE. >> THAT'S STAGGERING. 37:29 >> IT IS. >> AND WE TREAT IT SO 37:37 NONCHALANTLY. >> WHEN CAN YOU TAKE YOUR MEDS 37:39 FOR -- WHEN CAN YOU TAKE MEDS FOR BLOOD PRESSURE? 37:44 HERS IS 135/85, SOMETIMES 140/90, AND HER DOCTOR PUT HER 37:52 ON MEDICATION. SHE IS WONDERING AM I BEING 37:57 OVERMEDICATED? >> NONE OF US WANT TO SIT IN 37:58 JUDGMENT OF HER PEERS. BUT HERE IS SOMETHING WE DO 38:02 KNOW. WE TALK ABOUT IT IN THE BOOK. 38:05 WHEN YOU WALK INTO THE DOCTOR'S OFFICE YOUR BLOOD PRESSURE IS 38:09 TYPICALLY MUCH HIGHER THAN IT IS NORMALLY RUNNING. 38:12 >> YEAH, IT'S CALLED WHITE COAT SYNDROME. 38:16 HAVE YOU HEARD ABOUT THIS? [ LAUGHTER ] 38:19 >> THE DOCTOR'S WHITE COAT. AND WE KNOW THAT BLOOD PRESSURE 38:26 LEVELS GO UP. PATIENTS ARE LAYING IN BED, 38:29 WAITING FOR A DOCTOR TO COME, AND WHEN THE DOCTOR WALKS IN THE 38:34 ROOM, GUESS HOW HIGH THE BLOOD PRESSURE GOES UP? 38:36 ON AVERAGE 15 POINTS. MAYBE 20 POINTS. 38:40 THE BLOOD PRESSURE GOES UP. SO WE KNOW THE DOCTOR HAS AN 38:44 EFFECT ON OUR STRESS LEVELS. WE MAY NOT EVEN FEEL IT, BUT IT 38:49 HAPPENS. SO THE BEST THING TO DO IS TO 38:50 CHECK IT AT HOME. WRITE DOWN THE VALUES. 38:53 IF YOU ARE GOING THROUGH LIFESTYLE CHANGES, WE RECOMMEND 38:57 THREE TIMES A DAY, WRITE DOWN YOUR VALUES, AND THEN TRACK IT 39:05 AT HOME. AND YOU WILL HAVE A MUCH MORE 39:09 ACCURATE READING, COMPARED TO WHEN YOU GO INTO THESE DOCTOR'S -pOFFICE. 39:15 >> TRUDIE, WHAT WOULD YOU DO IF THE PATIENT'S 150/100 IN THE 39:22 OFFICE, AND THEY BRING A LOG IN. ARE YOU GOING TO PUT THEM ON 39:32 MEDICINE IN THEY ARE 130/80. ARE YOU GOING TO PUT THEM ON 39:40 MEDICATION? >> NO, I WILL GO OVER LIFESTYLE 39:43 ISSUES. AND IF WE CAN WORK WITH 39:45 LIFESTYLE CHANGE, FINING WHAT IS THE CAUSE? 39:52 >> AND I THINK MOST DOCTORS TOO, THEY ARE REASONABLE PEOPLE, AND 39:56 IF YOU BRING IN THAT LOG -- BUT IT'S HARD WHEN YOU ARE A 40:00 PHYSICIAN WHEN YOU SEE THOSE HIGH NUMBERS IN THE OFFICE, SOME 40:03 PEOPLE ARE OVERMEDICATED, BUT IN ANY ONE INDIVIDUAL, WITHOUT 40:09 HAVING ALL OF THE DATA, WE DON'T WANT TO SAY YAY OR NAY. 40:14 >> AND THIS WHITE COAT PHENOMENON, THOSE FOLKS HAVE 40:19 MORE RISK. YOU MAY NOT HAVE FULL BLOWN 40:22 HYPERTENSION YET, BUT WE KNOW YOU DO HAVE MORE RISK, AND IT 40:25 DOES NEED TO BE LOOKED AT SERIOUSLY. 40:29 >> ROSS HAS A QUESTION. CAN AN 80-YEAR-OLD HAVE THE SAME 40:34 BLOOD PRESSURE AS A 30-YEAR-OLD? >> I -- I THINK ABSOLUTELY YOU 40:40 CAN. YOU KNOW, OBVIOUSLY, THE WEAR 40:42 AND TEAR ON THE BODY, MAKES IT MORE DIFFICULT, BUT YOU CAN. 40:47 YOU CAN REVERSE THINGS. YOU CAN REVERSE THAT HARDENING 40:51 OF THE ARTERY PROCESS THAT BEGINS TO OCCUR . 40:57 WE KNOW THIS HAPPENS. I HAVE SEEN KIDNEY DAMAGE 41:02 REVERSED OCCASIONALLY. BUT IF YOU HAVE GONE TO A 41:07 IRREVERSIBLE STATE, WHERE YOU HAVE TOO MUCH DAMAGE TO YOUR 41:11 KIDNEY OR HAVE SIGNIFICANT HARDENING OF THE ARTERIES THAT 41:14 IS NOT BACKING OFF WITH LIFESTYLE CHANGE, THEN THERE IS 41:19 A CHANCE YOUR BLOOD PRESSURE IS GOING TO BE HIGHER. 41:21 BUT IT DOESN'T HAVE TO BE. YOU NEED TO TEST THE LIFESTYLE 41:26 CHANGES AND THE KNOWLEDGE THAT YOU HAVE AS MUCH AS YOU CAN TO 41:30 SEE IF YOU CAN GET IT BETTER WITHOUT BLOOD PRESSURE 41:38 MEDICINES. >> THE TIGHTER THE BLOOD 41:41 VESSELS, THE HARDER YOUR HEART HAS TO WORK. 41:45 BUT LIKE GREG SAID, YOU CAN OFTEN REVERSE THAT, AND SOME OF 41:48 THE THINGS THAT TRUDIE -- YOU KNOW, YOU WERE POINTING OUT 41:52 EARLIER WITH THE MAGNESIUM, ONE OF THE WAYS THAT WORKS IS 41:57 THROUGH BLOOD VESSEL EFFECTS. >> UH-HUH. 42:02 AND I BELIEVE THE BIBLE SAID THAT MOSES, WHEN HE PASSED AWAY 42:06 HE HAD CLEAR EYES. >> AND HE WAS 120, RIGHT? 42:13 >> YEAH. YEAH. 42:15 PRETTY GOOD. IS IT HEALTHY TO TAKE A BABY 42:20 ASPIRIN DAILY IF STROKE RUNS IN YOUR FAMILY? 42:23 AND WE TOUCHED ON THIS BEFORE, BUT MAYBE WE'LL HIT IT AGAIN. 42:27 WHAT ABOUT IBUPROFEN. >> YEAH, THEY ARE TWO DIFFERENT 42:32 THINGS. THERE ARE CERTAIN GUIDELINES ON 42:34 THE USE OF ASPIRIN. AND FOR THE AVERAGE PERSON THERE 42:38 DOES SEEM TO BE BENEFITS IN CERTAIN SETTINGS. 42:44 SO IF A DOCTOR HAS PRESCRIBED A BABY MEDICINE, I WOULDN'T JUST 42:50 STOP THAT. BUT WHEN IT COMES TO IBUPROFEN 42:59 THAT IS TYPICALLY PRESCRIBED FOR PAIN. 43:01 >> I HAVE BEEN GETTING GOOD FEEDBACK ABOUT TUMERIC, 500 43:12 MILLIGRAMS, THREE TIMES ADAY, HELPS. 43:14 >> AND IT LOWERS BLOOD PRESSURE RATHER THAN RAISING IT. 43:18 >> TUMERIC IS A LITTLE HARD TO ABSORB, SO MAYBE TAKE IT WITH A 43:24 LITTLE BIT OF FOOD HEALTHY FAT WITH A MEAL. 43:27 >> AVOCADO. >> AVOCADO. 43:30 >> AVOCADO CHEESECAKE. >> THERE YOU GO. 43:33 >> DORIS WANTS TO KNOW, I HAVE LABI -- 43:39 >> IT FLUCTUATES. >> AH. 43:44 WITH HYPOTENSION/HYPERTENSION AND IT GOES VERY LOW DURING THE 43:48 DAY AND VERY HIGH AT NIGHT. HOW DANGEROUS IS THIS WITH HIGH 43:57 LAB -- WITH HYPER AND HYPO? >> YEAH, THAT'S DIFFICULT, 44:01 THERE'S A NUMBER OF CAUSES OF THAT. 44:04 SOMETIMES IT'S RELATED TO YOUR FOOD IN TAKE. 44:07 SOMETIMES WHEN PEPLE EAT A MEAL, THEY SOMETIMES GET A 44:11 PROBLEM WITH THAT. IT JUST DEPENDS ON THE DETAILS. 44:17 WE DON'T WANT IT GOING TOO HIGH OR TOO LOW, AND IT CAN BE 44:22 DIFFICULT. BUT THE DETAILS ARE REALLY WHERE 44:24 THE RUBBER MEETS THE ROAD ON THAT ONE. 44:28 >> YEAH, MOST PEOPLE WITH HIGH BLOOD PRESSURE HAVE PRIMARY 44:35 HYPERTENSION. IT'S THERE WITH NO OTHER DISEASE 44:39 STATE. BUT THERE RER CAUSES WE SPEAK 44:40 ABOUT IN THE BOOK OF -- WE CALL SECONDARY HYPERTENSION, SOME CAN 44:45 CAUSE THAT. ONE OF THE CLASSIC ONES IS A 44:48 TUMOR WHERE YOU ACTUALLY ARE PRODUCING THESE BLOOD 44:54 PRESSURE-RAISING HORMONES, AND THAT ONE OF THE THINGS THAT HAS 44:57 TO BE CHECKED. IF YOU HAVE PROFOUND SWINGS IN 45:02 BLOOD PRESSURE. >> AND SOME MEDICATIONS ACTUALLY 45:06 CAUSE REBOUND HYPERTENSION, MEANING THAT AS THE MEDICINE IS 45:09 WEARING OFF, YOU ACTUALLY GO FROM A LOW BLOOD PRESSURE STATE 45:15 TO A HIGH BLOOD PRESSURE STATE, SO SOME PEOPLE JUST PROCESS THE 45:21 MEDICINE THEY TAKE QUICKLY. THE MEDICINE WEARS OFF MORE 45:25 QUICKLY THAN YOU EXPECT, AND THEN THE BLOOD PRESSURE GOES WAY 45:28 UP. SO IT JUST DEPENDS ON THE 45:33 DETAILS. >> AND THE STRATEGY ON THAT ONE, 45:36 YOU MAY NEED TO TAKE HALF OF THE DRUG TWICE A DAY. 45:39 >> SYLVIA -- WE TALKED ABOUT THIS BEFORE, BUT MAYBE SHE 45:43 DIDN'T HEAR. WHAT ARE THE NUMBERS THAT ARE 45:47 CONSIDERED HIGH BLOOD PRESSURE? >> ANYTHING ABOUT 140 TO 150 ON 45:51 THE UPPER NUMBER, AND THEN OVER 90 ON THE BOTTOM NUMBER. 45:55 >> AND IN THE ELDERLY NOW, WELL -- 60 YEARS OLD IS THAT 46:02 ELDERLY? >> DEFINITELY NOT. 46:04 [ LAUGHTER ] >> IF YOU ARE 60 OR OLDER, THE 46:08 NEW RECOMMENDATIONS ARE IF YOU DON'T HAVE KIDNEY OR DIABETES, 46:13 IT'S OKAY TO ALLOW THE BLOOD PRESSURE TO GO UP TO 150/90 IN 46:18 THAT SETTING IN TERMS OF MEDICATION LORDING. 46:22 WE'RE TALKING ABOUT MEDICATION LOWERING. 46:25 WE ALWAYS WANT THE BLOOD PRESSURE TO BE 110/70, THAT 46:34 WOULD BE WONDERFUL. BUT WE'RE NOT GOING TO USE 46:37 MEDICATION TO PUSH IT THAT LOW. IT CAN HURT THE EYES. 46:42 IT CAN WRECK YOUR EYES IF YOU PUSH YOUR BLOOD PRESSURE TOO LOW 46:48 WITH BLOOD PRESSURE MEDICINE. SO YOU DON'T WANT TO DO THAT. 46:51 YOU WANT TO LOWER YOUR BLOOD PRESSURE OUT OF THE MOST 46:54 DANGEROUS RANGE WITH BLOOD PRESSURE MEDICINES IF THAT IS 46:58 NEEDED. AGAIN, PREFERABLY WE WANT TO GO 47:01 THE NATURAL ROUTE, WHICH IS THE -SAFEST. >> AND YOU CAN WRECK YOUR EYES 47:10 IF YOUR BLOOD PRESSURE IS TOO HIGH FOR TOO LONG. 47:12 >> OH, FOR SURE. >> ONE OF THE INTERESTING 47:16 STUDIES WAS WHAT WE SAW WITH SUNSHINE AND BLOOD PRESSURE 47:21 LOWERING. DOES SUNSHINE RAISE YOUR BLOOD 47:22 PRESSURE OR LORD IT? WHAT DO YOU THINK? 47:25 IT ACTUALLY LOWERS YOUR BLOOD PRESSURE. 47:28 AND FOR A LONG TIME WE THOUGHT IT WAS RELATED TO THE VITAMIN D. 47:34 AND WE THINK THERE MAY BE SOME EFFECTS THERE. 47:37 BUT A LOT OF STUDIES ARE NOT SHOWING THAT THOSE EFFECTS ARE 47:41 VERY -- VERY MUCH. BUT WE KNOW THAT SUNSHINE LOWERS 47:45 BLOOD PRESSURE, AND WE THINK THERE'S SOMETHING GOING ON IN 47:47 THE SKIN THAT IS PUTTING A CHEMICAL INTO THE BLOOD PRESSURE 47:52 STREAM THAT IS DILATING THE ARTERIES AND MAKING THE BLOOD 47:56 PRESSURE GO DOWN. >> WE'RE DOWN TO THE LAST HALF 47:59 OF THE LAST HALF OF THE LAST HALF OF THE PROGRAM. 48:03 SO I'M GOING TO ASK FOR THE READER'S DIGEST VERSION. 48:07 WHAT IS THE IMPACT OF WEIGHT LOSS AND BLOOD PRESSURE IF YOU 48:11 HAVE ONE OF THE ADRENAL GLANDS REMOVED. 48:19 >> YOU WILL DO JUST FINE WITH ONE ADRENAL GLAND. 48:24 >> MY BLOOD PRESSURE IS HIGHER AT THE DOCTOR'S OFFICE THAN WHEN 48:28 I TAKE IT AT HOME. WE TOUCHED ON THIS. 48:30 ALSO WHEN IT IS THE BEST TIME TO TAKE MY BLOOD PRESSURE? 48:36 WHEN IS THE BEST TIME TO TAKE YOUR BLOOD PRESSURE? 48:40 >> WE ENCOURAGE YOU TO TAKE IT THREE TIMES OF THE DAY, AT 48:45 DIFFERENT TIMES A DAY. BUT YOU SHOULD BE SITTING DOWN, 48:50 QUIET, CALM FOR ABOUT FIVE MINUTES, JUST TALKING, NOT JUST 48:55 FINISHED PLAYING BASKETBALL. >> IT'S A TOTAL CUMULATIVE 49:00 EFFECT OF HIGH BLOOD PRESSURE. IT'S THE TOTAL EFFECT. 49:02 SO YOU WANT TO CHECK IT THROUGHOUT THE DAY TO SEE WHAT 49:06 IS GOING ON. >> IS TAKE GARLIC GOOD FOR 49:10 BRINGING DOWN BLOOD PRESSURE? >> IF YOU ARE USING GARLIC, USE 49:15 IT CONSISTENTLY. IT HAS BENEFICIAL EFFECTS. 49:19 IT HAS THOSE ACE INHIBITOR C COM 49:24 COMPOUNDS. >> YEAH, IT WOULD BE A MILD 49:27 EFFECT. >> TRUDIE SAID SHE SAW PATIENTS 49:29 IN THEIR 50S WITH NORMAL BLOOD PRESSURE. 49:32 BUT LATER ON 80% WILL HAVE HIGH BLOOD PRESSURE. 49:37 WILL IT INCREASE NATURALLY OR IS IT STRESS? 49:40 >> IT JUST DEPENDS, RIGHT? IT DEPENDS ON THE PERSON. 49:44 YOU CAN HAVE STRESS IN YOUR 80S. ASK AN 80 YEAR OLD, RIGHT? 49:50 BUT A LOT OF TIMES WE'RE WORRYING ABOUT THIS HARDENING OF 49:54 THE ARTERIES AS WE GET INTO THE AGE GROUP, AND THAT'S A COMMON 49:59 CAUSE OF THE BLOOD PRESSURE GOING UP HIGHER. 50:02 >> HEALTHY LIFESTYLE WHATEVER AGE IS GOING TO HELP YOU. 50:06 >> HOW MUCH EXERCISE IS ENOUGH EXERCISE? 50:09 DO WE NEED TO GO TO THE GYM AND SWEAT -- YOU KNOW? 50:13 >> THE QUESTION WE NEED TO ASK IS HOW OFTEN SHOULD WE EXERCISE?-AND THAT WOULD BE DAILY? 50:19 >> SO A MINUTE A DAY IS ENOUGH? [ LAUGHTER ] 50:22 >> THERE'S AMAZING STUDIES THAT JUST INKREEZING YOUR EXERCISE BY 50:28 30 MINUTES A WEEK WILL DROP YOUR BLOOD PRESSURE BY ABOUT 7 50:32 POINTS. >> THAT'S FOUR OR FIVE, SIX 50:34 MINUTES A DAY. >> EVERYBODY IS DOING AT LEAST 50:36 ONE SIT UP A DAY, RIGHT? THEY SIT UP IN THE MORNING -- 50:40 >> JUST RAMP IT UP. >> YEAH, EVERYONE IS DOING A 50:43 LITTLE BIT. [ LAUGHTER ] 50:45 >> WE THINK THAT A DAILY IDEA IS VERY EFFECTIVE BECAUSE OF THE 50:51 HABIT FORMING. AND IT JUST DOESN'T GET INTO 50:54 YOUR HABIT PATTERN IF YOU ARE DOING IT A COUPLE OF TIMES A 50:58 WEEK. >> IF YOU ARE STARTING OUT IN 51:00 YOUR REASONABLE FITNESS, WE USUALLY START WITH 20 MINUTES. 51:05 WE DID A STUDY SOME YEARS AGO AND WORKED PEOPLE UP TO ABOUT AN 51:09 HOUR A DAY. >> EXCELLENT. 51:11 I KNEW SOME QUESTIONS WOULD COME IN ON THIS. 51:16 SWEETENERS, WHAT IS BETTER, HONEY, STEIA. 51:19 THIS SUGAR THING IS A BIG DEAL. >> SURE. 51:22 HONEY IS A WEIGHT-GAINING ITEM. SO HONEY HAS SOME BENEFICIAL 51:29 ANTIOXIDANTS IN IT. YOU WANT TO OBVIOUSLY USE IT IN 51:33 MODERATION. IF YOU HAVE A WEIGHT PROBLEM, 51:34 THEN YOU WANT TO LIMIT IT. IF YOU WANT TO GET YOUR WEIGHT 51:38 DOWN. STEVIA IS OKAY, BUT YOU JUST 51:41 NEED TO USE IT SPARINGLY, BECAUSE OVERDOSING ON STEVIA 51:45 WILL HURT YOUR LIVER. >> GOOD TO KNOW. 51:48 I HEAR SOME TALK ABOUT -- IS IT COCONUT OIL -- COCONUT PALM 51:53 SUGAR -- OR COCONUT SUGAR? THERE'S NO MUCH IN THE AIR, GOOD 51:59 NEWS, BAD NEWS, FALSE NEWS -- >> THE BASICALLY PRINCIPALS 52:06 DON'T CHANGE. EAT THE WHOLE PLANT FOODS, USE 52:10 THE ADDITIVES LESS. WHATEVER THE LATEST GREATEST 52:14 THING IS, PROBABLY ISN'T ALL THAT GREAT. 52:18 [ LAUGHTER ] >> WELL SAID. 52:20 HIGH BLOOD PRESSURE AND CONGESTIVE HEART, 52:24 THINKS -- THINKS SHE SHOULDN'T DRINK WATER. 52:29 >> WITH CONGESTIVE HEART FAILURE, YOU NEED TO FOLLOW YOUR 52:34 DOCTOR'S RECOMMENDATIONS. SOME PEOPLE ARE SENSITIVE TO THE-WATER IN TAKE. 52:41 SO, YOU KNOW, BUT MOST -- IN MY EXPERIENCE MOST PATIENTS W 52:49 WITH -- CONGESTIVE HEART FAILURE ARE NOT DRINKING ANY WATER AT 52:55 ALL. MOST DOCTORS ARE FINE WITH THEM 52:59 TAKING SIX TO EIGHT GLASSES A DAY. 53:02 SO TALK WITH YOUR DOCTOR AND SEE, BUT MOST PATIENTS WITH 53:06 HEART FAILURE ARE PROBABLY NOT DRINKING ENOUGH, ESPECIALLY 53:11 BECAUSE MOST OF THEM ARE ON DIURETICS. 53:14 >> AND SAME THING WITH CHRONIC KIDNEY FAILURE AS WELL. 53:19 >> OKAY. IRIS WANTS TO KNOW IS TOFU GOOD 53:23 OR BAD FOR SOMEONE WITH THYROID ISSUES? 53:26 >> I CAN ANSWER THAT. IF -- IF YOU HAVE ADEQUATE 53:32 IODINE INTAKE, TOFU SHOULD BE FINE. 53:36 IT'S WHEN YOU GET IODINE DEFICIENT THAT SOME OF THESE 53:40 FOODS THAT HAVE COMPOUNDS THAT THEY BECOME -- THEY GET A LITTLE 53:46 MORE SENSITIVE TO IT. YOU DON'T HAVE TO WORRY ABOUT 53:49 ANY OF THOSE ISSUES IN PLANT FOODS IF YOU GET ENOUGH IODINE. 53:53 SO YOU CAN LOOK INTO THAT. >> ALL RIGHT. 53:57 THIS IS SOMEONE FROM NIGERIA, WHERE YOU MET YOUR WIFE. 54:02 >> WOW. >> AND WANTS TO KNOW HOW CAN I 54:04 GET THE BOK IN NIGERIA? >> WELL, AMAZON -- YOU CAN 54:10 ORDER, I THINK THROUGHOUT THE WORLD. 54:13 IT IS ON KED -- KINDL, SO IT'S AN E-BOOK. 54:21 SO YOU CAN GET IT THAT WAY. HI, FROM AMERICA. 54:27 >> HOW WAS PORK FIGURE INTO THIS SITUATION. 54:30 I KNOW WHEN YOU GET HIGH BLOOD PRESSURE THEY TAKE YOU OFF OF 54:35 PORK IMMEDIATELY. >> YEAH, PORK IS JUST LIKE RED 54:39 MEATS IN ITS EFFECTS IN THAT REGARD. 54:43 WE DON'T RECOMMEND PORK TO LOWER YOUR BLOOD PRESSURE. 54:47 A LOT OF THE PORK PRODUCTS HAVE A LOT OF SODIUM, SO THAT IS 54:52 GOING TO RAISE YOUR BLOOD PRESSURE AND CAUSE PROBLEMS. 54:55 >> JESSICA CLARK. THE WATERY DRINK NEEDS TO BE 55:01 PURE AND NON-FLUORIDATED, DO YOU AGREE? 55:04 >> I DEFINITELY AGREE WITH THE PURE. 55:09 FLUORIDE IS SOMETIMES FOUND NATURALLY IN WATERS. 55:12 SO IF SOMEONE HAS A NATURAL SPRING, IF THERE IS FLUORIDE IN 55:17 IT, WE'RE NOT SAYING THEY CAN'T USE IT. 55:20 BUT THERE ARE SEVERAL OF THE CLARK FAMILY -- HE HAS 55:24 DEFINITELY GOT A LOT MORE EXPERTISE WHEN IT COMES TO THE 55:28 DENTAL EFFECTS OF FLUORIDE -- >> WE'LL HAVE TO SAVE THAT -- 55:31 >> YEAH, WE'LL HAVE TO SAVE THAT FOR WHEN HE IS ON. 55:34 I I'M NOT AWARE OF ANY BLOOD PRESSURE EFFECTS IN THAT REGARD. 55:42 >> AND PHOSPHATE -- EVIDENTLY IT'S NOT THE BEST THING, AND 55:47 THAT'S WHERE HIS BURDEN LIES. IF YOU HAVE LOW HEART RATE AND 55:56 LOW BLOOD PRESSURE WHAT CAN YOU DO TO INCREASE IT AS A VEGAN. 56:01 WHAT ARE THE EFFECTS OF LOW BLOOD PRESSURE AT THE PAGE OF 56:07 32. >> MOST PEOPLE THAT HAVE BEEN 56:09 HOLD THEY HAVE LOW BLOOD PRESSURE IT'S NOT DANGEROUS. 56:14 THE MAIN EFFECTS IS MAYBE GETTING LIGHT-HEADED WHEN YOU 56:17 STAND UP, AND MAYBE BEING PRONE TO COLD HANDS AND FEET, BUT I 56:23 WOULD MUCH RATHER HAVE THOSE PROBLEMS THAN STROKE, HEART 56:28 ATTACK AND KIDNEY FAILURE. SO UNLESS THERE IS A SERIOUS 56:33 PROBLEM, WE DON'T USUALLY HAVE TO TELL PEOPLE TO RAISE THEIR 56:37 BLOOD PRESSURE. >> YEAH, FOLKS JUST STAND UP 56:42 MORE SLOWLY, AND USUALLY THEY GAIN RATE OVERTIME, AND THAT 56:48 BLOOD PRESSURE STARTS TO COME UP. 56:49 >> OUR TIME HAS SLIPPED AWAY FROM US. 56:52 WE'RE DOWN TO OUR LAST 19 SECONDS. 56:54 LET ME THANK YOU THREE, DOCTOR, DOCTOR, AND NURSE, FOR A REALLY 57:00 WONDERFUL, WONDERFUL DISCUSSION.-pTHE BOOK YOU CAN GET. CALL US AND LET US KNOW. 57:06 OUR TIME HAS QUICKLY SLIPPED INTO ETERNITY. 57:11 THROUGH THE GRACE OF JESUS CHRIST, WE'LL SEE YOU AGAIN 57:19 SOON. GOOD-BYE, AND GOD BLESS. 57:22 ♪ |
Revised 2017-02-03