Times Colonist

Natural remedies can help lower blood pressure

- DR. KEITH ROACH Email ToYourGood­Health@ med.cornell.edu

Dear Dr. Roach: What are some natural ways to reduce blood pressure? JW

There are many non-drug ways of reducing blood pressure that are often overlooked.

Not every person with high blood pressure is salt-sensitive, but overall, reducing salt can make a significan­t improvemen­t in high blood pressure — an average of five points systolic and three points diastolic from moderate salt restrictio­n. Other dietary changes proven to improve high blood pressure include high potassium foods, such as fruits; a more plantbased diet with more vegetables and legumes and less meat; and higher calcium and magnesium in the diet.

Alcohol can have a harmful effect on blood pressure in many people, especially the day after drinking three or more drinks. Smoking also raises blood pressure, and quitting has many health benefits beyond the drop in blood pressure. Regular moderate-intensity exercise (40 minutes three or four times weekly) similarly improves blood pressure.

There is evidence for benefit from some supplement­s. A study on aged garlic supplement­s was methodolog­ically strong and showed a drop in systolic blood pressure an average of five points. Smaller trials showed benefit with berberine and whey protein. Dark chocolate and decaf coffee/tea have small beneficial effects.

Some types of meditation have been shown to help lower blood pressure. Even slow, deep breathing techniques can work in the short term.

Not everybody with high blood pressure can avoid medication­s with these natural remedies, but there are many who can, and many of these natural remedies have additional health benefits beyond blood pressure.

Dear Dr. Roach: My husband, his brother and their mother all have had dangerous blood clots that have travelled to their lungs with no prior warning. My concern is for my 26-yearold daughter, who is on hormonal birth control.

She has tested negative for Factor V but there are other conditions besides Factor V that involve hereditary blood clotting. I would feel more confident that she is in the clear if my husband tested positive and she negative. My husband’s doctor says testing him for Factor V would not be reliable because he is on blood thinners. What do you recommend?

CM That degree of family history is concerning enough that I would recommend a visit with a hematologi­st to explore the possibilit­y of an inherited form of thrombophi­lia (increased propensity to blood clots). The Factor V Leiden mutation is one, and it can be tested for while on anticoagul­ants. But there are quite a few others, some of which cannot be tested for while on specific anticoagul­ants, such as protein C and S deficiency while on warfarin.

Both a family history of blood clotting and oral contracept­ives containing estrogen are risks for developing blood clots for your daughter. I would consider a different form of birth control, such as an IUD, in a woman with a family history like hers, unless there was an identifiab­le reason in her father, uncle and grandmothe­r that she was proven NOT to have, just as you said.

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