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what is high blood pressure also known
as hypertension in the United States alone there is over a hundred million
people about one-third with high blood pressure around the world there is over
1 billion people with hypertension so it is a growing problem but when should we
start being concerned and what can we do about it and how does it all really work
those are questions that we’re gonna answer today coming right up hey I’m dr.
Ekberg I’m a holistic doctor and a former Olympic decathlete and if you’d
like to truly master health by understanding how the body really works
make sure you subscribe and hit that notification bell so that you don’t miss
anything so first what is your blood pressure supposed to be well the normal
has always been considered 120 over 80 that’s what most healthy people have
then in the past anything from 120 up to 140 used to be
called either high normal or pre hypertension so it was still considered
like yeah it’s a little bit high but it’s not a big problem then they’ve
changed the guidelines lately and now anything over 120 is considered elevated
blood pressure so if you have a hundred and twenty one that is now considered
you’re officially have elevated high blood pressure if you are over 130 if
you hit 131 now you are in stage 1 hypertension and if you hit 141 you’re
in stage 2 hypertension so they’ve changed the labels a little bit to kind
of raise the awareness and also my guess is to increase the market potential for
hypertensive medication it used to be stage 1 was 140 to 160 and you weren’t
really considered really hypertensive until you were over 160 and you were in
stage 2 there’s never actually been any conclusive evidence of damage
from blood pressure until it gets over 160 so 159 over 99 while everyone sort
of agrees that yeah it’s a bit high there’s never been any substantial
damage reported so why would we care why would we be concerned with anything like
in a 120 to 140 range and I believe it’s because it’s an indication of
something starting to move in the wrong direction even if that blood pressure in
itself doesn’t cause any damage it is part of a bigger problem that we want to
understand and address they’ve always known that really high blood pressure is
a big problem it’s urgent they call anything over 180 over 120 a crisis and
I don’t have any argument with that if your blood pressure’s up in that range I
suggest that you seek medical help and you get some medication until you can
figure it out don’t plan to be on medication for the rest of your life
because there are solutions to this there’s something that isn’t working
right and why is that called a crisis because it can lead to cardiovascular
damage also resulting in stroke down the road because with that much pressure the
friction on the inside of your blood vessels it’s much higher so there’s more
wear and tear there’s more damage there’s more inflammation
leading to damage and plaque building and so forth it can also lead to
cardiomegaly if you have high blood pressure that means that your heart is
working harder all the time and when it works harder then it starts to grow
especially the part of the heart that is responsible for the pumping out against
the pressure in the body that’s called a left ventricle and what happens when it
starts growing is the wall of that muscle thickens and it might seem like a
good thing with a big strong heart but the problem is when the wall thickens it
doesn’t fill because the blood needs to contract to squeeze the blood out but
then it needs to relax to let the blood back in for the to get
ready for the next heartbeat but if the wall is too thick the heart is inelastic
and it doesn’t fill very well so the efficiency of the heart goes down and
that sets you up for serious long-term problems one being heart failure another
problem that’s very often quoted is kidney damage and eye damage blindness
and these are also two problems that are associated with diabetes because kidney
damage and eye damage are associated with microvascular the tiny tiny blood
vessels in the eye and the kidney they can’t withstand that high pressure so
they get damaged but because it also happens in diabetes it is probably a
combination of the high blood pressure and the inflammation and the swelling
resulting from diabetes from the high blood glucose and that’s what we want to
understand about these things that if you do a search for high blood pressure
or belly fat or blood glucose or diabetes or insulin resistance or any of
these they usually say that there is no known cause that they call the blood
pressure sac for example essential hypertension meaning we don’t know what
caused it and it’s because they’re looking for a single cause they’re
looking for a direct cause rather than a group of circumstances and that group of
circumstances is syndrome X so the lower levels of blood pressure are not
necessarily dangerous in themselves but they point to a growing imbalance and
that’s why high blood pressure is associated with syndrome X with
metabolic syndrome and it’s also associated with dementia but the blood
pressure isn’t the direct cause of these even though they often quote it because
they don’t clarify the cause and effect because they’re always looking at a
single thing but metabolic syndrome is belly fat diabetes insulin resistance
high blood glucose high triglycerides low HDL and high blood pressure and all
of these are a result of in Selene resistance and of congestion in
the body that’s why insulin resistance is the big problem and the blood
pressure just kind of gets tagged along at the tail end of that so let’s talk a
little bit about the bigger picture here why what’s the purpose of blood pressure
what is blood pressure well blood pressure is when the heart
squeezes against a certain resistance so when we look at the number of 120 over
80 the 120 is called systolic that’s when the heart contracts when the heart
actively works the blood pressure goes up then when the heart relaxes
we still need a certain baseline pressure to keep the blood flowing to
keep the blood where it’s supposed to be there’s two reasons why we have blood
pressure and one is that we need a certain pressure to keep the blood
moving and the second is we need a certain amount of pressure to work
against gravity why do we want to keep the blood moving why do we want to have
different amounts of blood moving because blood is the resource delivery
system in the body all the resources get transported they get distributed
depending on how much blood goes to the different body parts so there’s oxygen
and glucose and fatty acids and ketones and minerals and vitamins and hormones
they all get in the blood because they’re about to get delivered so that’s
the purpose of having blood pressure the second thing to understand is that blood
pressure is a variable high blood pressure is not something that jumps on
you because you’re unlucky because you get a disease it’s because your body is
creating the high blood pressure for a reason in this moment and this moment in
this moment and this moment every time the heart beats depending on
circumstances you create blood pressure if you exercise for example then it’s
normal for blood pressure to be 220 the systolic the high number
can be 220 when you exercise and that is perfectly normal because that’s what
your body needs in that moment to deliver the appropriate amount of fuel
to the tissues but hypertension the unbalanced situation is when your blood
pressure goes up for some reason and then the body fails to bring it back to
balance so blood pressure is a variable it’s created in every moment of your
existence and high blood pressure is a failure to regulate it properly so why
is the number 120 over 80 why is that normal is there a reason well of course
there’s a reason the body is not random it’s super intelligent it’s going to
maintain the appropriate blood pressure in that situation it has to do with two
reasons one is it takes a certain pressure to keep the blood moving and
then it takes a certain pressure to lift the blood up against gravity when we
have a certain distance from the heart to the brain the blood has to be
maintained at a pressure high enough to be squeezed from the heart to the brain
against gravity that’s why we have different blood pressure when we lay
down versus when we stand up so if you lay down you stand up quickly and you
get a little lightheaded that’s a sign that your body couldn’t react fast
enough that you have a little bit of adrenal fatigue the adrenals make
adrenaline that squeeze on the blood vessels so when you stand up the blood
rushes to your feet if the squeeze is appropriate and fast enough then the
blood stays in the brain if it’s not fast enough gravity takes over and the
brain is left without blood you get lightheaded so 120 is the number that we
need to get the blood from the heart to the brain when we’re standing up the 80
is how much background pressure we need because if all the blood vessels relaxed
completely all the blood would end up in your feet and it wouldn’t matter how
hard the blood pumped because it would all you’d walk
around with huge feet the body is smart so it’s going to maintain the right
pressure to distribute the blood throughout the body and that’s why 120
over 80 but what it also means is that if your brain is further from your heart
than most people then you need more blood pressure the taller you are and
the longer your neck is the more likely that 130 or even 140 is normal for you
so we said that blood pressure is a variable that your nervous system will
regulate how hard the heart squeezes and how much the blood vessels resist and
there are signals and there’s hormones and there’s a very complicated intricate
system and because it’s all about fuel delivery there’s that’s the ultimate
purpose is to deliver oxygen and nutrients and fuel to the body then any
condition where you have a lessened ability to deliver the fuel or an
increased need then your body might compensate by increasing blood pressure
smokers for example they inhale carbon monoxide on a regular basis that’s a
very toxic and foreign substance to the body and it sticks to the red blood
cells and blocks the ability to take up oxygen so a smoker will typically have
blocked 20% of their oxygen delivery capacity right off the bat so a lot of
smokers their bodies will compensate by increasing blood pressure so if there’s
not so much oxygen in the blood we got to send more blood out there and me me a
same thing if you are anemic you have fewer red blood cells less hemoglobin
there’s a less lesser ability to deliver nutrients and fuel and oxygen to the
body so the body might compensate by raising blood pressure if you have
reduced circulation or if you’re unhealthy for any other reason where
your body is not as good at using the fuel then it’s going to require it’s
going to request more fuel and the core concept to understand when it comes to
high blood pressure is stress because stress is a situation where your body
has an increased need of something stresses when the body perceives real or
imagined that there’s a threat that there’s a reason to produce more energy
because we need more energy so exercise is the obvious example where the body
needs many many times more fuel than normal but if we’re not exercising and
we’re stressed we’re sitting in traffic we’re having too many bills to pay the
kids are screaming the boss is rude or angry then when we get tense when we get
stressed then the blood pressure goes up when we get nervous blood pressure goes
up there’s something called white coat syndrome when you have your blood
pressure taken in a doctor’s office with a lot of white coats around a lot of
people will add 20 30 points to their normal blood pressure because they get
nervous because they have some stress some of the simplest techniques of
breathing that you can take your blood pressure if you notice it’s a few points
high like 135 ish you sit down and breathe for five minutes and your blood
pressure is right at 120 over 80 this will work for 90% of people almost
instantaneously and if you turn it into a habit then your body learns to get
into that relaxed state so if your blood pressure is very high like 160 180 then
you want to seek help as soon as possible but if it’s in the 120 130
range even 140 then you want to start asking why is this happening how can I
reverse this why is my body responding and creating this kind of blood pressure
right now what what imbalance do I need to address blood pressure is associated
with all of the factors of metabolic syndrome so one of the main things that
you want to do is look at your insulin resistance at your carb intake at your
weight at your belly fat all those indicators of insulin resistance of
course the good blood work for that as well but the
second thing is you definitely want to start understanding stress because
people have never been busier they never had more stress more deadlines more
interruptions more fires to put out and this creates a habit of stress it
creates a habit of being of perceiving that the body needs more more fuel more
resources stress raises cortisol which raises blood sugar which raises insulin
resistance but primarily the acute state that it creates is stress so if we can
just breathe for a few minutes that can work wonders for most people and the
last thing is I put number three to get healthy well that sounds sort of like a
redundant argument that’s like people telling you to solve your obesity by
losing weight but here we want to understand what healthy means that
health means homeostasis in every aspect of the word chemical structural and
emotional balance that all the things that we call disease happen because
there is something out of balance homeostasis is not there we’re pushing
the body out of homeostasis so the more we can understand about all these
variables of holistic health the better we can actually get healthy get into
homeostasis high blood pressure is a very important topic and there’s so many
myths and misconceptions out there about salt and minerals and weight and
exercise and losing weight and just do this so I’m gonna do another video
probably to talk about some of the mechanisms in more detail but until then
if you enjoyed this video then you’re gonna love that one thank you so much
for watching and I’ll see you in the next video

Randall Smitham