Hello, health champions! Today we're going to talk about the absolute worst advice that people get for high blood pressure. One common thing people are told is that blood pressure is genetic—'Your dad had it, so you're going to get it, and there's nothing you can do about it.
' Well, that advice is absolutely false. There is something called genetics, and then there's something else called epigenetics. Genetics is what you're born with—what you get from your mom and dad at the moment of conception—but epigenetics is how you express it, which is influenced by your lifestyle.
You can have genes and not express them, or you can express them well or poorly. The reason some believe you're going to get high blood pressure if your dad had it is because many people eat like their dad, think like their dad, and sit on the couch like their dad. Therefore, they develop high blood pressure just like their dad.
You're more like your dad or your parents than you might think because of something called mirror neurons. These are brain cells that cause you to mimic what you see. You grow up with them, so when you see something, you tend to mimic it—whether it's posture, the way you speak, or the way you move.
This also applies to beliefs and responses in different situations. By the time you're two years old, many experts state that your personality and responses are about 98% determined, long before you actually have a conscious mind and start thinking about things. This is why it's so important to understand the difference between epigenetics and genetics and to recognize why we are so much like our parents.
But, we can learn, make decisions, change our lifestyle, and shift our belief systems to actively do something about it. To claim that it's genetic and there's nothing you can do about it is very disempowering. Unfortunately, this kind of advice is widespread in mainstream medicine.
We're told, 'This is what you have; this is who you are, and there's nothing you can do about it,' simply because many doctors don't see people change, so they assume that's just the way it is. But I want you to know that if you're watching this, then you were born with near-perfect DNA. Yes, there are genetic variations and differences between people, and we may have predispositions to different things.
But for the most part, your genome is 99. 99999% absolutely perfect, and most of your health issues—or your health potential—are determined by your lifestyle. Another piece of bad advice is: 'Just take this pill and keep taking it for the rest of your life.
If this pill doesn't work, I have other pills we can try. ' This is the essence of the medical model. In mainstream medicine, when we have a symptom, we take a pill for it.
If it doesn’t work, we try something else. But the question we need to ask is, 'Why is your blood pressure high in the first place? ' Blood pressure is not something you 'have'; it's something your nervous system and your body are creating every moment of your existence.
With every heartbeat, you're creating blood pressure. So if it's chronically too high, that means something is out of balance. And 'out of whack' is a scientific term that means your body's ability to regulate and maintain equilibrium—or homeostasis—isn't working properly.
But does this happen for no reason? Or does it happen for some reason? I believe it always happens for a reason.
There is no randomness in the body; it’s designed to do things in a certain way. If something is expressed a certain way, it's because the body is interpreting something that way, or it has lost the ability to maintain equilibrium. Yet, in mainstream medicine, we're often told things just happen for no reason, as if they are random.
I don’t believe that. Another piece of bad advice is, 'Don't worry, it's not that high. ' This can go both ways, because on one hand, some people tend to worry too much.
We need to understand when it's appropriate to worry, so to speak, and when we have some time. If your blood pressure is something like 180/120, this is a crisis—what we call a hypertensive crisis. It's not something to take lightly.
You need to seek help and figure this out as quickly as possible. The next level below that is stage two hypertension, which is when your blood pressure is 140/90 or above. These numbers represent systolic and diastolic pressure.
The first number is the systolic pressure, which is when your heart contracts and squeezes blood. That's when the pressure is highest. The second number, the diastolic pressure, is the background resistance when your heart relaxes and fills back up.
Below that is stage one hypertension, where the blood pressure is 130-139 on the systolic and 80-89 on the diastolic. And then below that is 120-129/80-89, which they call prehypertension. This isn't a huge problem yet, but it’s something to keep an eye on.
So, what do these different levels mean? Well, the top level, that's a crisis. It's an emergency.
Think of it like a car: if your pressure builds up too high, you could blow a gasket. And that’s quite literally what could happen if your blood pressure stays high for any length of time. The sheer pressure and friction in your nervous system can cause a stroke and create physical damage from all that pressure.
If you can’t bring it down within a couple of days, then you probably need to get on some medication until you can figure out what's going on. The next level down, marked in yellow, represents mild hypertension. This level probably won't cause any immediate physical damage, but we're going to discuss why you should still be concerned about it.
Below 130, where they call it prehypertension, I don't really consider that hypertension. For some people, that could be a little too high; for others, it could be normal. We don’t want to jump to conclusions.
It’s also important to check whether these numbers represent a trend or just a one-time occurrence. Have they measured your blood pressure several times over a week, or was it just one measurement? Have you measured it at home in a relaxed setting, or was it taken in a stressful environment like a doctor’s office or a mall, where people are rushing around, there are fluorescent lights, and white coats everywhere?
Those factors can make a big difference. Don't think you have high blood pressure just because you get one high reading. On one hand, there’s a tendency to worry too much; on the other hand, we don't worry quite enough.
And when I say 'worry,' I don’t mean you should stress, because stress itself can raise blood pressure. What I mean is, we don't concern ourselves enough with the right things. If your blood pressure is between 121 and 140, there is a slight correlation between that and cardiovascular disease or poor health.
But it’s not the blood pressure itself that's causing harm, because this level of blood pressure is very unlikely to cause physical damage like the hypertensive crisis would. But when there’s still a correlation to chronic disease, it indicates that something else is going on. This is where I believe we go wrong.
We worry too much about the wrong thing. When you take medication to lower your blood pressure, you might cover up the real problem. If a doctor tells you, 'Just take this pill, it will fix your problem, and you don’t have to worry about it,' that’s absolutely the wrong approach.
Here's a classic piece of bad advice for high blood pressure: 'Eat less salt. ' We’ll discuss why they think that, and this might be one of the most important things for you to understand. Right now, 1.
3 billion people in the world have high blood pressure, and virtually all of them have been told to eat less salt, as if that were the key. Here’s why they’re thinking this way: salt binds water. Water follows salt in the body, especially in the kidneys.
Therefore, if you eat more salt, you're going to retain more water, increasing the fluid volume in your circulatory system and raising blood pressure. So far, that theory is correct. But it's also assuming that the body is stupid, incapable, and random, and that it has no way of regulating and changing blood pressure based on different situations.
However, there's something called pressure diuresis or pressure natriuresis. Don't worry about the terms—we're going to explain them in detail and keep it simple. It's critical that you understand this concept and follow the entire explanation.
We all know what pressure is, and 'diuresis' refers to the flow of urine—the fluid that we filter out of our blood, the extracellular fluid. Pressure diuresis means the excretion of fluid through urine, and pressure natriuresis refers to sodium (or salt) excretion. This means that a very slight increase in blood pressure will increase the flow and pressure through the kidneys, causing less sodium to be reabsorbed.
So, if we go from reabsorbing 99% of sodium to reabsorbing 98. 5%, that's a significant decrease, leading to more sodium excretion. As a result, we get rid of more fluid, decreasing blood volume and reducing blood pressure.
Let’s see what the Journal of Physiology has to say about this. They’re one of the top authorities on this topic. They state that this mechanism—pressure natriuresis—is a uniquely powerful means of stabilizing long-term blood pressure around a set point.
What does this mean? Well, 'uniquely powerful' means that it can override all other responses. Stabilizing long-term pressure around a set point means that blood pressure is supposed to fluctuate based on your situation—whether you're lying down, sleeping, or working out—but the body has a long-term average set point that it strives to maintain.
They go on to say that any long-term or sustained deviation from this set point, like chronic high blood pressure, can only happen if there is an impairment in this regulating mechanism. In other words, this mechanism is so powerful that your blood pressure should return to normal unless something is preventing it from doing so. The body is always evaluating and deciding whether to keep blood pressure high based on the circumstances or to lower it when high blood pressure is no longer needed.
Now, let’s explore the real causes of high blood pressure. There are two main categories: metabolic and neurologic. In the metabolic category, we see things like insulin resistance.
If you've watched my channel before, you know I talk a lot about insulin resistance because it’s the number one contributor to chronic diseases, including high blood pressure. Insulin resistance is followed by sodium retention, an increase in AGEs (Advanced Glycation End-products), chronic inflammation, oxidative stress, vascular dysfunction, decreased kidney function, chronic kidney disease, and an increase in RAAS (Renin-Angiotensin-Aldosterone System). Insulin resistance causes increased sodium retention, which impairs the body’s ability to regulate blood pressure.
It also increases AGEs, which are toxic, inflammatory compounds. Insulin resistance leads to higher blood sugar, and the advanced stage of insulin resistance is type 2 diabetes. AGEs wreak havoc on the vascular system, causing scarring and stiffening of blood vessels, which, in turn, can lead to kidney dysfunction and improper signaling.
All of these factors can cause an increase in RAAS, which we will discuss in more detail shortly. The neurologic response, on the other hand, is purposeful. When we experience a fight-or-flight response, the sympathetic nervous system is activated, increasing blood pressure to deliver more energy to the body.
This neurologic component works primarily through sodium retention and the RAAS mechanism. Now, let's tie this all together using the example of exercise. When you exercise, your body needs more energy, and the way to increase energy production is to send more resources—more blood—to your muscles.
During intense exercise, your blood pressure could rise to as high as 200, or even 300 during short bursts of intense weightlifting. If you're in a sauna and jump into ice water, your blood pressure could also spike due to the sudden constriction of blood vessels. If you remember what we talked about regarding the body's ability to lower blood pressure through pressure diuresis, you might wonder: Does this mean every time you exercise or experience high blood pressure, you’ll start excreting more fluid, potentially "peeing your pants"?
After all, if blood pressure is high, shouldn't your body be trying to lower it by getting rid of extra fluid? The answer is no, it doesn't work that way, because when you exercise, you're supposed to have high blood pressure. Your body has a mechanism to compensate for that.
Whenever you're in a fight-or-flight response, exercising, or under significant stress, your sympathetic nervous system is activated, and your kidneys release a hormone called renin—the 'R' in RAAS (Renin-Angiotensin-Aldosterone System). Renin kick-starts a cascade of events in which angiotensin, another hormone, causes vasoconstriction—meaning it tightens your blood vessels. Think of this like putting your thumb over the end of a garden hose: by reducing the opening, water shoots out faster and further.
This is how the body increases blood pressure. But there is also a counterbalancing system: aldosterone, another hormone released by the adrenal glands. Aldosterone causes your kidneys to retain more sodium, ensuring that during times of high demand—like exercise—the body retains enough fluid to maintain blood pressure and blood volume.
Essentially, while RAAS can increase blood pressure to maintain the blood flow, diuresis can reduce it. These two systems work in balance, ensuring that your body doesn’t deplete itself of fluid during a temporary rise in blood pressure. So if you understand how this system works, it becomes clear that salt is not the cause of chronic high blood pressure.
Salt simply follows the orders of your body’s hormones, being excreted or retained as needed. Salt is one of the most abundant minerals on the planet, and many species, including humans, evolved to thrive in environments with high salt content—think of the ocean. In fact, there are 17 billion pounds of salt per person in the ocean, so it’s not a foreign substance that the body doesn’t know how to handle.
The real issue arises when your body’s regulatory system is broken, which could be due to insulin resistance, kidney failure, or other metabolic dysfunctions. In these cases, eating extra salt can make things worse because your body no longer knows how to properly regulate sodium and fluid levels. But that doesn’t mean salt is the cause of high blood pressure—just that your body has lost its ability to handle it properly.
This misunderstanding is where we often go wrong, especially with the common advice to “just avoid salt. ” We’ve been told that salt is bad for us, and people with high blood pressure are repeatedly warned to reduce their salt intake. But salt doesn’t cause your body’s regulatory system to fail.
It’s other factors, like insulin resistance and inflammation, that impair your body’s ability to regulate blood pressure. If you have severe insulin resistance or kidney failure, reducing your sodium intake may be necessary, and you should discuss it with your doctor. But if you’re healthy, salt is not going to give you high blood pressure or damage your regulatory mechanisms.
Another commonly repeated piece of advice is, “Just avoid stress. ” This sounds nice, but it’s almost useless advice unless you truly understand what stress is and how it affects you. Stress isn’t just about avoiding certain events or things in your environment—because, realistically, you can’t avoid everything.
Stress is about how your body responds to those events. Two different people can experience the exact same event, yet one person is barely affected while the other person is devastated. It’s not the event itself that causes stress—it’s how your nervous system is wired to respond.
Stress can be divided into three main types: chemical, structural (or mechanical), and emotional. Most people only think of stress as emotional—someone cutting you off in traffic or a difficult conversation—but chemical and structural stress are just as important. Chemical stress comes from things like blood sugar fluctuations.
When your blood sugar spikes after eating sugar or processed foods, your body has to release insulin to lower it. When it drops, your body releases cortisol, a stress hormone, to bring it back up. These constant ups and downs are a huge stressor on your system.
Then there are toxins like heavy metals, pesticides, artificial sweeteners, and preservatives. All these things interfere with your body’s regulatory systems and create inflammation. Structural stress comes from a lack of movement, bad posture, or physical trauma.
If you sprain your ankle and start limping, you’re going to create new movement patterns that stress your body in unnatural ways. Lack of movement—whether from sitting all day or poor posture—can disrupt the signals your body sends to the brain. Chiropractic care can help address this by ensuring proper movement and alignment in the spine, which is crucial because 90% of the signals that keep your brain alive come from receptors in your spine.
Finally, we have emotional stress. This isn’t just about the big events that make you cry or get angry; it’s also the constant, low-grade stress many people live with daily—worrying, anger, and the need for control. Many people don’t even realize that when they try to control something, it’s actually that thing that ends up controlling them.
Why? Because if you’re emotionally invested in controlling something, and you can’t control it, then the situation controls your emotional state, which is incredibly stressful. This is why it’s so important to learn to let go and adopt a more relaxed outlook on life.
If you try to control things that are out of your hands, you’re only adding to your stress. I’m sure you’ve also heard, “Just lose some weight. ” It doesn’t matter whether you go to the doctor for knee pain, back pain, or high blood pressure—the advice is always the same: “Just lose some weight.
” There’s nothing wrong with losing weight, but it’s not the primary solution for many health issues. Most people don’t know how to lose weight effectively, and even the doctors giving that advice often don’t either. Weight itself isn’t the problem; the real problem is the underlying factors that lead to weight gain, particularly insulin resistance.
Insulin resistance is at the root of so many health issues because it causes chronic, low-grade inflammation, which creates a vicious cycle. This cycle is made worse by the processed, nutrient-depleted foods we eat, like white sugar, white flour, and processed vegetable oils. These “white trash” foods make up about 70% of the calories consumed in the United States.
Add to that the toxins in our food, water, and air, and you have a recipe for chronic health problems and weight gain. If you want to lose weight and lower your blood pressure, it’s not just about cutting calories or eating less fat. You need to address the underlying metabolic, structural, and emotional issues driving these problems.
For example, bad fats—like those in processed vegetable oils—are harmful, but good fats, like those in extra virgin olive oil, grass-fed beef, and wild-caught fish, are beneficial for your health. It’s not about avoiding fat altogether—it’s about choosing the right kinds of fat. So, if the problem with high blood pressure is really metabolic and neurological, you need to understand where you stand in terms of your metabolic health.
To do that, you need to measure your risk factors, and these are not the standard things most doctors measure, like total cholesterol. You need to be looking at markers like C-reactive protein, which is a measure of inflammation, and insulin levels, which are the best markers for insulin resistance. You should also measure LDL particle count and size, homocysteine, and LP(a), which is a genetic risk factor for sticky cholesterol formation.
Once you know where you stand, you can make changes to address your real risk factors, not just cover them up with medication. In my videos, I talk extensively about these factors, and I've created a course to help you understand what to look for in your blood tests and how it all fits together. If your doctor won’t measure these markers, you can contact my office, and we’ll help you.
In addition to the blood work course, we offer consultations to guide you through the process and help interpret your results. The other half of blood pressure is neurological, so you need to understand how stress works and how to change your stress responses. You can’t change the world, but you can change how your body responds to it.
Your automatic, knee-jerk responses can be rewired through practices like deep breathing and meditation. These techniques literally rewire your nervous system so it no longer reacts in the same way. We also use tools like BrainTap and HeartMath in the office to help people accelerate this process because meditation and breathing exercises can be tricky for beginners.
These tools help you stay focused and get consistent results. If you want to check those out, I’ll put some information below. And if you enjoyed this video, you’ll love the next one.
If you truly want to master your health by understanding how your body really works, make sure to subscribe, hit that bell, and turn on notifications so you never miss a life-saving video.