What causes persistent elevated blood pressure?
Patient: 48 year old male, 215 lbs, exercise several times per week, take blood pressure reducing supplements such as garlic, coq10, olive leaf extract, vitamin e and many others, but blood pressure still remains around 140-170 over 90 - 105.  No history of kidney or liver problems and in fairly good physical shape.  Had bad accident almost 20 years ago with rods, plates, pins, wire wraps, etc. in legs & arms and had a direct drip into heart while in hospital.  Could any of that be the problem? Doctor: Hello,Most of the times it's an age related problem, and along with healthy lifestyle you'll need medicine like telmisartan 40 mg. So you can these prescribed from local doctor. You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Eat lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Sagar Makode