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Hypertension is part of metabolic syndrome, largely driven by refined carbohydrates. So first step is to reduce carbohydrate intake, lose weight if overweight, get some exercise (walking 10 minutes after meals) and avoid added sugar. Eat less refined foods. Make sure she’s getting soluble and insoluble fiber. Read Lustig’s Metabolical for actionable advice on blood work and strategies to fight insulin resistance. In the meantime it is important to control excessive blood pressure. Especially if she’s symptomatic. Beware of some medications like ACE inhibitors which can cause a reversible but serious cough. Generally, calcium channel blockers, diuretics, ACE inhibitors and ARB (angiotensin receptor blockers) are the mainstays.

Remember to give sadaqa. This is financial advice. {Stolen from Akbar Zab because he refuses to be on Nostr}