The following program
presents principles designed
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to promote good health
and is not intended to take
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the place of
personalized professional care.
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The opinions and ideas expressed
are those of the speaker.
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Viewers are encouraged to
draw their own conclusions
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about the information presented.
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Hello. I am Dr. Emerson,
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Medical Director at
Eden Valley Lifestyle Center.
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And I wanna continue discussion
on Hypertension today.
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As we learned
last time Hypertension
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is part of the
Insulin Resistance Syndrome.
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We want to find out what
are some of the underlying
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causes of
Essential Hypertension.
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Also I mentioned last time,
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in Insulin Resistance
there are couple of problems.
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The way it's supposed to
work as you take a sugar in,
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blood sugar
increases in your blood.
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The pancreases senses
that, releases insulin
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that is a little key which
opens the doors to your cells,
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allows sugar to leave
the blood go into cells
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and get burned and that
brings your blood sugars down
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and so is supposed to work.
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Animal products we
found increase amount of fats
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in your diet and when
those go into the system
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they plug up the little keyholes
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and they cause an
increase in Insulin Resistance.
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Now when you take a
sugar, the blood sugar raises,
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pancreases releases insulin,
can't get in those keyholes.
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The doors they
shut, blood sugars rise,
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that's Insulin
Resistance leading to diabetes.
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I want to look today how that
affects your blood pressure also
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What we find is that
insulin's job is to get sugar
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from the
intestines into the cells.
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And so part of what it does is,
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opens the insulin
doors to allow sugar
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to enter the cells to be burned.
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The other thing it does
is it dilates arterioles
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in a dose-dependent way to
help blood flow from intestines
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to the peripheral organs
to help the delivery of sugar.
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Insulin has been
found to increase something
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called nitric oxide
in the blood arterioles.
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Nitric oxide is what actually
does the vessel dilating.
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What they find is
that in arterioles,
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the inside lining of
the walls of arterioles
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are called Endothelial Cells,
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and when insulin
stimulates endothelial cells
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they release something
called Nitric Oxide Synthase
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which changes
arginine to nitric oxide
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and that nitric oxide acts like
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nitroglycerin under your tongue.
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It's what
dilates those arterioles.
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It relaxes the arterial muscles
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and allows it to
become bigger and enlarged.
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They are found that when they
infuse insulin into arterioles,
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the arterioles dilate
and the nitric oxide levels
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increase in a
dose-dependent fashion.
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In other words, the
higher the insulin levels
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the higher the
nitric oxide levels.
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This was true in both
arterioles and also in venules.
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Now this Vasodilatory
Effect can be blocked
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by insulin resistance
just like fat can block
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the effect of insulin in opening
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the cell doors to
allow sugar to enter a cell.
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It also can block
the effect of insulin
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on dilating those arterioles.
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This can occur in
diabetics but it also can occur
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in people who are obese
and who have Hypertension.
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It's been
demonstrated that these people
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have a resistance to
the Vasodilatory Effect
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of insulin on their arterioles.
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So high sugar levels
have also been shown to block
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this Vasodilatory Effect
of insulin on the arterioles.
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So when people
are having problems
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with circulation in the heart,
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they find that if you
give insulin the perfusion
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can actually increase but
that this effect is blocked
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if the sugar
levels are too high.
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So two things can block
insulin's Vasodilatory Effect,
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that's insulin resistance
from the animal products
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that we've talked about,
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but also a high
sugar levels can also block
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that Vasodilatory Effect.
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Well, the question then is
what is this insulin resistance
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on the
Vasodilatory Effect of insulin
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have to do with Hypertension.
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In other words if you
block insulin's ability
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to dilate the
arterioles how does that cause
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or effect Hypertension.
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Well, the first
place we would look
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is how does it
affect the kidneys?
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Kidneys get about a
fifth of your blood supply
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and there the organs that
regulate your blood pressure.
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They adjust the
blood pressure thermostat
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up and down based on their need.
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Dr. Goldblatt did an
experiment to demonstrate
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how kidneys affect and
adjust the blood pressure.
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He took a dog and
he took the artery
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that would
supply the dog's kidney
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and he tied a
string around that,
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after removing the other kidney
and he narrowed the artery.
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So now the kidney
thought it was not getting
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the blood supply when kidney
wasn't that it was before.
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The pressure it
saw was much lower
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than the pressure
to the rest of the body
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because that
constriction in the artery.
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The kidney responded.
how does the kidney respond?
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Well, the kidney
thought, you know,
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I am not getting the
blood pressure or the perfusion.
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I was getting
before I need to fix that.
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What I need to do is turn up
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the blood pressure
thermostat and it did this.
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It did this through
a complicated system,
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renin-angiotensin system
in the kidney, turned on.
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There was an initial
hanging on to salt and water.
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This increased the blood volume,
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cardiac output
increased transiently,
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when that
happened the other organs
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tried to protect
themselves from this increase
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blood pressure by
narrowing the arterioles
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that were supplying each
of those peripheral organs
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that increase the
pressure even more.
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Once the pressure was
increased the kidney said,
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okay blood pressure is high.
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Now we can get rid
of that excess fluid.
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The renal level
came back to normal.
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The excess fluid was
released to the kidneys
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and what you were left
with was a higher blood pressure
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and you had
arterial constriction
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to the peripheral organs.
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Now you don't have to really
understand all those steps
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that led to this but the
final picture was important.
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It showed
increased blood pressure
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and arterial constriction
to all the little blood vessels
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supplying the peripheral organs.
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Well, what is the picture
that we see in Hypertension?
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Is there any
evidence that this is actually
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what's happening in Hypertension
the essential Hypertension?
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Well, when they look
at the physiologic picture
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of essential
Hypertension and this dog
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with the artery that's narrowed,
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we find the same identical
picture between the dog
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and people with
essential Hypertension.
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What they find is that
the resistance flow through
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the kidneys has increased
2-4 times in both the dog
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and people with
essential Hypertension.
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Renal perfusion that
flow of blood through
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the kidneys is
decreased in both the dog
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and the people with
essential Hypertension.
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Sometime half normal.
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Blood pressure is
increased by 40% to 60%.
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Cardiac output is
maintained as the same,
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you know,
ability to make urines,
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the same in both pictures.
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Renin levels have
come back down to normal.
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Essentially what you
have is the same picture
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between essential
Hypertension patients
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and the dog with
the narrowed arterial
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or narrowed artery
going to the kidney.
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Dr. Guyton is a
famous physiologist.
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He's written the text
book on "Medical Physiology"
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for many years, in
fact, he is the standing
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feet of written
the whole text book.
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Most people write text
book today will write a chapter
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or two and sign the
other chapters to other people.
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He was in such
caliber that he was able
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to actually
write the whole book.
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He did and studies
in Cardiac Physiology.
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He gave us the
concept of cardiac output,
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peripheral
resistance. All these things
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were developed by Dr. Guyton.
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He studied
essential Hypertension
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and question is,
what did he believe,
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was the cause of
essential Hypertension.
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He actually said
that, according to him,
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He said, the significant
vascular changes in the kidney
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that is the Increased Vascular
Resistance through the kidneys,
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suggest the basic
kidney abnormality
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is in essential Hypertension
is these vascular changes
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or the increased
resistance to blood flow through
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the kidney that is found
in essential Hypertensions.
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Well, what can cause
increased vascular resistance
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through the kidneys?
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Well, as we've
seen insulin resistance
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can't do that very thing.
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And so in essential,
in insulin resistance
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we would expect to see as part
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of the insulin
resistance syndrome,
00:10:28.42\00:10:29.91
essential
Hypertension and in fact,
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when we look at
the list of things
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that is included in the
Insulin Resistance Syndrome
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we have blood sugars above 100
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which we've
talked about diabetes.
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We also have abdominal obesity
but essential Hypertension
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is part of the
Insulin Resistance Syndrome
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and it's through this mechanism
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that the blood
pressures are elevated.
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Well, It would then follow
that if we can do something
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to decrease insulin
resistance we should able
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to increase insulin's ability
to dilate those arterioles,
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increase flow
through the kidneys
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and then allow
the kidneys to say,
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I don't need this high
blood pressure anymore.
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I can adjust the
blood pressure down.
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A plant-based diet
we've found as we've talked
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about earlier can help
reverse insulin resistance
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and in fact, bring
blood pressures down.
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And this is what we
have found in patients
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who chosen to try
the plant based diet
00:11:29.82\00:11:33.21
that with
essential Hypertension,
00:11:33.22\00:11:35.12
usually in a week or
two we see blood pressures
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coming down and
we've been able to adjust
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their medications in
the downward direction.
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Is there any
evidence that vegetarians
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actually have
lower blood pressures?
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Yes, there are. We find
that male college students
00:11:49.03\00:11:51.26
that were Lacto-ovo vegetarians
had lower blood pressures
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than their
carnivorous counterparts.
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They found that
Lacto-ovo vegetarian
00:12:01.41\00:12:03.11
German monks had lower
blood pressures at all ages
00:12:03.12\00:12:06.21
compared to meat eating monks.
00:12:06.22\00:12:07.94
It's also found in
Czechoslovakia areas
00:12:08.31\00:12:11.21
that had greater
animal consumption
00:12:11.22\00:12:13.32
had higher blood
pressures than those
00:12:13.33\00:12:15.36
that had lower
animal consumption.
00:12:15.37\00:12:18.35
In Japan, greater
consumption of animal products
00:12:18.36\00:12:22.13
which was also associated
with higher blood pressures.
00:12:22.14\00:12:24.76
They also found
that the differences
00:12:27.51\00:12:29.18
were not attributed to
changes in salt intakes,
00:12:29.19\00:12:31.85
but the salt intakes were very
similar between the two groups.
00:12:31.86\00:12:35.22
Railway clerks in South India
had sixfold greater meat intake
00:12:35.23\00:12:39.89
than the Northern workers
00:12:39.90\00:12:42.55
and also had much
higher blood pressures.
00:12:42.56\00:12:45.11
Studies in the
Polynesians showed that areas
00:12:47.27\00:12:51.98
that had higher meat consumption
00:12:51.99\00:12:53.41
also had again
higher blood pressures.
00:12:53.42\00:12:55.72
They've also found
that in New Guinea,
00:12:56.68\00:12:58.64
the natives that
had a higher meat rash
00:12:59.54\00:13:02.89
than the others again
had higher blood pressures.
00:13:02.90\00:13:05.44
And numerous studies
have been showing these.
00:13:05.45\00:13:08.65
Well, the question
then is what about salt.
00:13:09.54\00:13:12.26
Haven't I have been told
00:13:12.69\00:13:13.82
that high salt
intake causes Hypertension?
00:13:13.83\00:13:18.25
Actually what
we want to look at,
00:13:18.26\00:13:19.75
what we were
finding is that hanging on
00:13:19.76\00:13:22.01
to salt is the kidney's response
to this narrowed arterioles
00:13:22.02\00:13:26.68
and we are going to
look at that at this point.
00:13:26.69\00:13:28.50
What they found is
that, yes, if we take
00:13:29.94\00:13:31.80
a general population
give them a high salt intake.
00:13:31.81\00:13:36.13
Blood pressures can
rise about 2.5 mmHg systolic.
00:13:36.14\00:13:42.01
If we take hypertenses
00:13:42.52\00:13:44.41
and give them a
high salt intake,
00:13:44.42\00:13:46.67
their blood pressure
rises about 4.5 points.
00:13:47.18\00:13:50.50
On the other hand, if we
take normal tenses of people.
00:13:50.51\00:13:53.53
People who don't
have high blood pressure
00:13:53.54\00:13:55.52
and give them a
high salt intake,
00:13:55.53\00:13:57.53
blood pressure
only rises 1.9 points.
00:13:57.54\00:14:00.88
So they have a
lower response to salt
00:14:00.89\00:14:04.70
if they are not
hypertensive to begin with.
00:14:04.71\00:14:07.23
And these figures can
occur with Dr. Guyton's findings
00:14:08.41\00:14:12.89
that an average blood
pressure drop 4 to 6 mm of Hg
00:14:12.90\00:14:17.52
occurs when you restrict salt.
00:14:17.53\00:14:20.14
Well, they
found that vegetarians
00:14:21.27\00:14:25.49
again have a
lower blood pressure
00:14:25.50\00:14:28.05
than non-vegetarians
and one of the arguments
00:14:28.06\00:14:32.13
or hypothesis for this was
that well maybe vegetarians
00:14:32.14\00:14:35.57
have a lower salt intake,
00:14:35.58\00:14:37.54
maybe that's why their
blood pressure is lower.
00:14:37.55\00:14:39.71
So they want and
they tested this.
00:14:39.72\00:14:41.72
They looked at a group of
vegetarians and found that,
00:14:42.29\00:14:46.80
yes, the vegetarians
blood pressure was significantly
00:14:46.81\00:14:49.91
lower than the meat eaters,
00:14:49.92\00:14:52.43
but when they
measure the salt intake
00:14:53.16\00:14:55.55
between two groups they
found that the vegetarians
00:14:55.56\00:14:59.02
were actually eating
more salt than the meat eaters
00:14:59.03\00:15:02.49
but their blood
pressure was less.
00:15:02.50\00:15:04.82
So he said, well,
it can't be the salt
00:15:04.83\00:15:07.52
which is the
advantage for the vegetarians
00:15:07.53\00:15:09.65
because they are
eating more salt.
00:15:09.66\00:15:10.99
There must be
something else going on
00:15:11.00\00:15:13.10
and of course, we understand
00:15:13.11\00:15:14.39
that it is the
Insulin Resistance Syndrome
00:15:14.40\00:15:16.15
was not
affecting the vegetarians
00:15:16.83\00:15:20.11
as it was the meat eaters.
00:15:20.12\00:15:22.35
The next question is
what causes salt sensitivity?
00:15:24.02\00:15:27.96
What they found is
that for some people
00:15:27.97\00:15:30.80
you give them a high salt intake
00:15:30.81\00:15:32.52
and the blood pressures
go up, other groups of people
00:15:32.53\00:15:35.73
that blood pressures do
not go up significantly,
00:15:35.74\00:15:38.09
what is the difference?
00:15:38.62\00:15:39.90
Well, they separated
a large group of people
00:15:39.91\00:15:42.02
into those whose blood
pressure went up with salt.
00:15:43.33\00:15:46.77
They were the salt sensitives.
00:15:46.78\00:15:48.47
Another group
whose blood pressure
00:15:48.48\00:15:50.31
didn't go up significantly
they were the salt insensitives.
00:15:50.32\00:15:54.55
And then they tested
them for insulin resistance.
00:15:54.56\00:15:57.10
What they found was the
people that were sensitive
00:15:57.58\00:16:00.22
to salt had insulin resistance.
00:16:00.23\00:16:02.45
They were resistance
to the action of insulin.
00:16:02.46\00:16:04.61
Those that did not
have sensitivity to salt,
00:16:05.03\00:16:08.62
the blood pressure
stayed fairly normal
00:16:08.63\00:16:10.13
when they gave
them large dose of salt,
00:16:10.14\00:16:11.58
were not insulin
resistance. So what's going on?
00:16:11.59\00:16:15.60
Why does insulin
resistance have anything
00:16:15.61\00:16:18.72
to do with salt sensitivity?
00:16:18.73\00:16:20.68
What happens is when
there is insulin resistance
00:16:21.12\00:16:24.53
the arterials
again to the kidneys
00:16:24.54\00:16:26.40
are narrowed and the kidney,
00:16:26.41\00:16:31.29
a normal kidney who
has no insulin resistance
00:16:31.30\00:16:34.61
let say you know out
of blood pressure 120/80,
00:16:34.62\00:16:36.92
I am getting all
the perfusion I need.
00:16:37.40\00:16:39.33
I am going to leave
the blood pressure 120/80.
00:16:39.34\00:16:41.78
But if they
become insulin resistance
00:16:42.42\00:16:44.73
the arterioles narrow.
00:16:44.74\00:16:46.35
The kindney
says, I am not getting
00:16:46.36\00:16:47.97
the perfusion I was before.
00:16:47.98\00:16:50.04
I need more perfusion.
00:16:50.05\00:16:51.57
I am going to
turn up the thermostat.
00:16:51.58\00:16:54.09
And we found how
the kidney does that,
00:16:54.10\00:16:56.68
hangs on the salt water
and goes through process
00:16:56.69\00:16:59.08
to eventually come to a higher
00:16:59.09\00:17:00.60
equilibrium
point for Hypertension.
00:17:00.61\00:17:03.40
The blood pressure
is now says 160/100.
00:17:03.41\00:17:07.57
The kidney says, well,
this is better perfusion.
00:17:07.58\00:17:11.75
This is better than
it was. It's not ideal.
00:17:11.76\00:17:14.12
I wish I could
bring it maybe upto 180,
00:17:14.13\00:17:16.66
but this is better.
00:17:16.67\00:17:17.69
If that person takes
salt, a high dose of salt,
00:17:18.15\00:17:21.56
the kidney says, oh, salt.
00:17:21.57\00:17:23.02
This is just
what I am looking for.
00:17:23.03\00:17:24.67
It hangs on to the salt.
00:17:24.68\00:17:26.01
Blood pressure
goes up even higher.
00:17:26.02\00:17:28.22
And now kidneys
say, okay 180/100
00:17:29.99\00:17:32.55
that's getting better perfusion
00:17:32.56\00:17:34.26
and he will leave
it at a higher level
00:17:34.72\00:17:36.90
with addition of that salt.
00:17:36.91\00:17:39.79
If this person on the
other hand would go on a say
00:17:39.80\00:17:42.10
plant based diet, the kidney's
vascular system can now dilate.
00:17:42.11\00:17:47.94
It gets better
perfusion and then what we find
00:17:48.58\00:17:51.57
is the kidneys can now
get rid of that extra fluid
00:17:51.58\00:17:57.01
and that extra salt and
bring the blood pressures
00:17:57.02\00:18:00.69
back down to say 120/80.
00:18:00.70\00:18:03.59
And it says now with
these dilated arterioles,
00:18:03.60\00:18:06.17
since we don't
have insulin resistance,
00:18:06.18\00:18:07.60
I am getting all the perfusion
00:18:08.08\00:18:09.19
I need with a
blood pressure 120/80.
00:18:09.20\00:18:11.86
If this person gets
a high dose of salt,
00:18:11.87\00:18:14.72
the kidneys say,
thanks for the salt
00:18:14.73\00:18:17.15
but I really don't need it
00:18:17.16\00:18:18.46
and just dumps it
out into the urine.
00:18:18.47\00:18:21.34
And so these people
without insulin resistance
00:18:21.35\00:18:23.86
are not salt sensitive
and are not as sensitive
00:18:23.87\00:18:28.37
to the effects of
salt in their diet,
00:18:28.38\00:18:29.94
because the blood
pressure can stay normal.
00:18:29.95\00:18:32.28
Now I shared this concept
at a Lifestyle Center once
00:18:33.18\00:18:37.61
and I got in trouble for it.
00:18:37.62\00:18:39.42
One of the patients was furious
after I shared this concept
00:18:39.43\00:18:44.23
about salt being
not the core issue
00:18:44.24\00:18:46.65
but that was insulin resistance.
00:18:46.66\00:18:48.20
And she wrote
an awful evaluation
00:18:48.21\00:18:51.23
and stormed out of the
room and one of the patients
00:18:51.24\00:18:53.81
who had been
listening said, see that lady.
00:18:53.82\00:18:55.50
She was very upset. I
said, yes, what happened?
00:18:55.51\00:18:57.59
Why was she so upset?
00:18:57.60\00:18:59.34
And he explained it,
well, she had been following
00:18:59.35\00:19:02.32
another patient
around who had Hypertension
00:19:02.33\00:19:04.46
and every time he
put salt on his food
00:19:04.47\00:19:06.32
she was behind him
saying I saw you do that,
00:19:06.33\00:19:08.49
don't you put salt on that food.
00:19:08.50\00:19:09.99
I am going to watch you
00:19:10.00\00:19:11.49
and when I said that
salt wasn't the core problem,
00:19:11.50\00:19:14.11
he turned around
and looked at her
00:19:14.12\00:19:15.87
and said, nah, nah, nah, nah.
00:19:15.88\00:19:18.16
So she was not
happy but nevertheless
00:19:18.17\00:19:23.28
salt wasn't the core issue.
00:19:24.07\00:19:26.60
Now if you have
insulin resistance
00:19:26.61\00:19:29.42
it would be prudent towards salt
00:19:29.43\00:19:31.14
until you are not
insulin resistant anymore.
00:19:31.15\00:19:33.95
Once you are out of
the insulin resistance face
00:19:33.96\00:19:36.55
then you should be
able to handle salt
00:19:36.56\00:19:39.01
much more easily then before.
00:19:39.02\00:19:41.55
So question then is, how
can I lower my blood pressure?
00:19:42.19\00:19:46.47
Well, it's helpful
do things that can avoid
00:19:47.30\00:19:53.35
the short term
elevations of blood pressure.
00:19:53.36\00:19:56.08
Things that will
cause a transient elevations
00:19:57.96\00:20:00.46
of blood pressure include
caffeine, smoking, alcohol
00:20:00.47\00:20:05.90
these can cause transient
elevations of blood pressure.
00:20:05.91\00:20:08.98
Nicotine, for
instance cigarette can elevate
00:20:08.99\00:20:12.34
your blood pressure
for about 30 minutes.
00:20:12.35\00:20:15.15
You might think
well, this is in lung.
00:20:15.16\00:20:17.34
How can that
really be of significance?
00:20:17.35\00:20:20.97
Well, a pack-a-day smoker will
smoke about 20 cigarettes a day
00:20:20.98\00:20:24.53
and that's about 10 hours worth
of blood pressure elevation.
00:20:24.54\00:20:28.02
That can be almost your whole
waking time during the day.
00:20:28.03\00:20:33.38
Caffeine can also cause
00:20:35.97\00:20:37.56
elevations of blood
pressures again transiently.
00:20:37.57\00:20:40.21
They are both
vessel constrictors.
00:20:40.22\00:20:43.28
They cause vasoconstriction
and actually this is part
00:20:43.29\00:20:48.86
of the problem with
withdrawal headaches
00:20:48.87\00:20:51.95
because they
cause vasoconstriction
00:20:52.71\00:20:54.34
when you come
off of the caffeine
00:20:54.35\00:20:56.05
or the nicotine you
actually get a vasodilation.
00:20:56.06\00:20:59.84
Now this is not a
problem in the arms
00:21:00.36\00:21:02.15
or the legs where
there is plenty of room
00:21:02.16\00:21:03.73
for the arteries to dilate.
00:21:03.74\00:21:05.07
But what happens in the head
you can get that vasodilation
00:21:05.08\00:21:08.40
and it causes pounding headache.
00:21:08.41\00:21:10.39
The people that
make aspirins realize
00:21:13.24\00:21:15.94
that many of the
headaches they are treating
00:21:15.95\00:21:17.67
are caffeine
withdrawal headaches
00:21:17.68\00:21:19.38
or nicotine withdrawal headache.
00:21:19.39\00:21:21.80
So what do they add to
the aspirin to treat that?
00:21:22.20\00:21:25.65
Many times they
will add caffeine.
00:21:26.10\00:21:27.87
This will then
cause a vasoconstriction
00:21:28.74\00:21:30.89
and help relieve the
vascular dilation in their head
00:21:30.90\00:21:34.45
causing that pounding headache.
00:21:34.46\00:21:35.88
The problem is that
this prolongs the nicotine
00:21:36.43\00:21:39.66
and the caffeine addiction.
00:21:40.35\00:21:42.65
So what you need
to do is do something
00:21:42.66\00:21:45.91
which can cause
vasoconstriction in the brain
00:21:45.92\00:21:49.23
without prolonging the
caffeine or nicotine addiction.
00:21:49.75\00:21:53.46
One of the best ways
is to use a Hot Foot Bath,
00:21:53.84\00:21:56.58
put your feet in
hot water that helps
00:21:56.59\00:21:58.62
give you some
vasodilation in the feet,
00:21:59.25\00:22:00.95
helps pull blood
away from the heads,
00:22:00.96\00:22:03.34
eyes to the forehead can
also cause some vasoconstriction
00:22:03.87\00:22:06.89
and help relive
that pounding headache.
00:22:06.90\00:22:08.82
The benefits' of this
approach is that if you do it
00:22:09.44\00:22:12.41
for three or four
days, by the fifth day
00:22:12.42\00:22:14.47
you are over the
nicotine withdrawal syndrome
00:22:14.48\00:22:17.69
or the caffeine
withdrawal symptoms.
00:22:17.70\00:22:19.20
And you don't have to
worry about having to repeat
00:22:19.21\00:22:23.89
the nicotine or caffeine
to cause vasoconstriction.
00:22:23.90\00:22:26.24
If on the other
hand, you continue to treat
00:22:26.25\00:22:28.32
with nicotine or
caffeine you gonna continue
00:22:28.33\00:22:30.29
the addiction and every
time you go into withdrawal,
00:22:30.30\00:22:33.24
you can have
the headaches again.
00:22:33.93\00:22:35.40
People who use high
levels of caffeine and nicotine
00:22:35.91\00:22:40.56
when they go at
night and go to sleep,
00:22:41.01\00:22:43.31
they go through
withdrawal and what happens
00:22:43.91\00:22:47.48
is their Arterioles
dilate and what do they wake up
00:22:47.49\00:22:50.24
with but many times a
pounding splitting headache
00:22:50.25\00:22:53.36
and the first
thing they need to do
00:22:53.37\00:22:54.96
to get rid of that is to get
a cup of coffee or the nicotine
00:22:54.97\00:23:00.20
again to help relief that.
00:23:00.21\00:23:02.45
If you can,
however, break the cycle
00:23:02.46\00:23:04.91
and get over these addictions,
you can do much better.
00:23:05.81\00:23:09.47
Things that can be done to
help get over these addictions,
00:23:09.95\00:23:14.11
drinking plenty of water can
flush the nicotine and caffeine
00:23:16.43\00:23:20.40
out of your system more quickly.
00:23:20.41\00:23:21.97
You can do warm showers.
00:23:22.76\00:23:26.40
It actually flushes it
out through your system.
00:23:26.93\00:23:29.85
There are people
have gone through
00:23:31.26\00:23:33.42
nicotine and
caffeine withdrawal programs,
00:23:36.15\00:23:39.52
where they actually
put them in the sauna.
00:23:39.53\00:23:41.34
They come out and
give them a massage
00:23:41.35\00:23:43.30
and the towel comes up yellow.
00:23:43.31\00:23:45.38
Because the nicotine is actually
coming out their sweat pores.
00:23:45.84\00:23:48.19
So if you take
warm showers or saunas,
00:23:48.20\00:23:50.83
you can actually get
rid of that nicotine,
00:23:50.84\00:23:53.14
caffeine much more
quickly than otherwise.
00:23:53.15\00:23:56.71
You also want to avoid
triggers that will cause
00:23:58.07\00:23:59.86
you to want to
smoke or use caffeine
00:23:59.87\00:24:01.92
and the biggest trigger
for smokers is caffeine.
00:24:03.57\00:24:06.85
It triggers a desire to smoke.
00:24:06.86\00:24:08.70
So it's best if you can
stop them both together.
00:24:08.71\00:24:12.52
They have done a study
at one lifestyle center
00:24:12.53\00:24:14.46
where people that
stopped nicotine and caffeine
00:24:14.47\00:24:18.64
at the same time,
they were followed
00:24:18.65\00:24:20.88
after they left the program.
00:24:20.89\00:24:22.92
Those that
stayed off of caffeine,
00:24:22.93\00:24:25.92
90 percent of those were
able to stay off the cigarettes.
00:24:25.93\00:24:29.05
Those that went
back to caffeine,
00:24:29.48\00:24:31.41
90 percent of those
went back to smoking.
00:24:31.42\00:24:34.51
So there is high
correlation between
00:24:34.52\00:24:36.52
smoking and
cigarettes and caffeine.
00:24:36.53\00:24:40.63
You also want to
avoid other triggers
00:24:41.22\00:24:43.23
that will cause
you to want to smoke
00:24:43.24\00:24:44.73
or and those include
alcohol, lack of sleep
00:24:44.74\00:24:49.82
and the smell of smoke.
00:24:49.83\00:24:51.14
You can avoid those.
00:24:51.53\00:24:52.57
You can decrease your risk
of going back to those habits.
00:24:52.58\00:24:57.10
Also, encourage patients to pray
00:25:00.19\00:25:02.37
because giving up
smoking or tobacco
00:25:02.83\00:25:05.52
can be a spiritual battle.
00:25:06.41\00:25:08.44
A friend of mine,
we helped him in Guam.
00:25:09.29\00:25:11.70
He was able to
stop his hard drugs
00:25:12.27\00:25:15.89
and he stopped his alcohol
00:25:15.90\00:25:18.12
and then when he
stopped cigarettes,
00:25:18.13\00:25:20.59
he was coming out of the store
00:25:20.60\00:25:22.14
and somebody in the parking lot,
00:25:22.15\00:25:23.71
said hey, you wanna cigarette.
00:25:23.72\00:25:26.73
In fact, he
handed the whole pack.
00:25:26.74\00:25:27.82
In fact, you can
have the whole carton.
00:25:27.83\00:25:29.83
And I asked Mr.
John, you are 30 years old.
00:25:30.28\00:25:32.86
Does everyone ever offer you
00:25:32.87\00:25:34.42
a free pack of
cigarettes before?
00:25:34.43\00:25:35.96
And He said, no and
certainly never a whole carton.
00:25:35.97\00:25:37.92
And I said, do you
think it's a coincidence
00:25:38.41\00:25:40.61
that on the day you stop someone
00:25:40.62\00:25:41.88
offers you a whole carton.
00:25:41.89\00:25:43.12
I said God's got His
angels, Satan's got his angels,
00:25:43.57\00:25:45.78
and they are
fighting over territory.
00:25:45.79\00:25:47.17
You are the territory.
00:25:47.18\00:25:48.51
I shared this with a
nurse, friend of mine.
00:25:49.04\00:25:50.78
She was a Christian. She
said, oh yes, I know that.
00:25:50.79\00:25:53.02
I told the friend
of mine the same thing
00:25:54.22\00:25:56.19
and he didn't
believe me but the day after
00:25:56.20\00:25:58.11
he stopped smoking,
there was a knock on his door.
00:25:58.12\00:26:00.96
He answered the door.
00:26:00.97\00:26:01.94
It was friend of his and
his friend said, dear George
00:26:01.95\00:26:03.68
You remember that
cigarette I borrowed
00:26:03.69\00:26:06.46
from you a year ago?
00:26:06.47\00:26:07.63
I never gave it
back. Here it is.
00:26:08.33\00:26:10.87
So I consult patients.
You gonna stop cigarettes.
00:26:10.88\00:26:14.00
Remember it is
a spiritual battle
00:26:14.01\00:26:15.70
and prayer is really needed
00:26:16.19\00:26:18.96
because they are
bigger than we are.
00:26:18.97\00:26:20.92
So, it's important to
remember that if for any reason
00:26:20.93\00:26:25.25
your blood
pressure does not response
00:26:25.26\00:26:26.92
to simple lifestyle changes,
you may have a secondary
00:26:26.93\00:26:29.88
cause of Hypertension.
Endocrine tumor can do this.
00:26:29.89\00:26:34.29
Renal artery
stenosis can do this.
00:26:36.50\00:26:38.23
There are several things
that you should be checked for.
00:26:38.24\00:26:40.63
And so for any
reason it does not respond,
00:26:40.64\00:26:43.83
check with your doctor.
00:26:43.84\00:26:45.22
You may need a
further evaluation,
00:26:45.23\00:26:46.42
further work up. But
95 percent of hypertensive
00:26:46.43\00:26:50.05
is essential
Hypertension and does respond
00:26:50.77\00:26:53.76
very well to lifestyle programs.
00:26:53.77\00:26:56.33
So again the things to remember,
00:26:56.34\00:26:59.80
plant based diet,
eliminate the animal products,
00:26:59.81\00:27:03.03
eliminate the oils,
caffeine, nicotine, the alcohol,
00:27:03.04\00:27:08.89
and try to get on
a walking program.
00:27:08.90\00:27:10.55
Do things proactively to
avoid stress in your life
00:27:11.26\00:27:15.77
that could be very healthful.
00:27:15.78\00:27:17.46
And you will find that if you
actually do these for lifestyle,
00:27:17.47\00:27:20.36
things that many times,
00:27:21.96\00:27:23.92
the stress in
your life will go away.
00:27:23.93\00:27:26.36
If you are struggling
remember God's grace can give us
00:27:26.81\00:27:30.28
the power to follow
through on the choices
00:27:30.29\00:27:32.72
that we know are going
to give us the best help,
00:27:32.73\00:27:35.15
encourage you to
seek God and prayer.
00:27:36.22\00:27:38.44
He can give you the
strength and guide you
00:27:38.45\00:27:41.04
in the choices that will help
you to obtain the good health
00:27:41.05\00:27:46.28
that He does want you to have.
00:27:46.29\00:27:48.36
He does encourage
us that He does want us
00:27:49.49\00:27:51.49
to have good health, that
we might reflect His image
00:27:51.50\00:27:56.09
and be of better service to Him
00:27:56.56\00:27:57.89
and to our brothers and sisters.
I enjoyed talking with you.
00:27:57.90\00:28:00.84
Look forward to
talking with you again.
00:28:00.85\00:28:02.44
Until next time, God bless.
00:28:03.47\00:28:05.53