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rising blood pressure

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General fitness, health and nutrition
Published
27 April 2004
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4 May 2004
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Liam
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  1. Recently I have been surprised by a unexpected rise in my
    blood pressure which had stayed more or less constant for a
    year at 80/135-150. Now I am seeing figures in the 90s, and
    the systolic range widened to 135-188

    Should I be concerned ??

    liaM

  2. I am Not a Doctor, but having had a recent scare with my BP
    which the doctor measured in the 140/90 range I would say
    yes. They put me on a BP med (Accupril) which it turns out I
    did not need, and ramped off of, but that is another story.

    From what I have read, normal BP used to be considered
    130/80, but lower is better for your heart risk factors. I
    bought myself a BP monitor and take mine in the morning,
    about noon and then at night. Its highest in the morning. I
    am sure the docs here will chime in.

    You need to make sure you measure it more than once because
    BP fluctuates a lot during the day and probably should be
    averaged. If you go out and run a few miles or do some other
    strenuous exercise your BP will go up, but it should return
    to normal once your body comes back to its normal resting
    state. This is why a doctor is supposed to take it more than
    once before deciding to prescribe meds for it. Also make
    sure you are measuring it properly.

    Bottom line, is your should see your doctor and see if you
    really have a problem.

    "liaM" <[email hidden]> wrote in message news:c6m96m$s45$1@news-
    reader4.wanadoo.fr...

    Quoted message said:

    Recently I have been surprised by a unexpected rise in my
    blood pressure which had stayed more or less constant for
    a year at 80/135-150. Now I am seeing figures in the 90s,
    and the systolic range widened to 135-188

    Should I be concerned ??

    liaM

  3. liaM said:

    Recently I have been surprised by a unexpected rise in my
    blood pressure which had stayed more or less constant for
    a year at 80/135-150. Now I am seeing figures in the 90s,
    and the systolic range widened to 135-188

    Should I be concerned ??

    Your doctor(s) should be. Hypertension tends to worsen
    (sometimes dramatically) with age and weight gain.

    Servant to the humblest person in the universe,

    Andrew

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    heartmdphd.comheartmdphd.com

    **
    Who is the humblest person in the universe?
    makeashorterlink.commakeashorterlink.com

    What is all this about?
    makeashorterlink.commakeashorterlink.com

    Is this spam?
    makeashorterlink.commakeashorterlink.com

  4. Sorry but I meant to say normal was considered 120/80. 130
    is considered borderline high now.

    "smyrna45" <[email hidden]> wrote in message
    "]news:[email hidden]...

    Quoted message said:

    I am Not a Doctor, but having had a recent scare with my
    BP which the


    doctor

    Quoted message said:

    measured in the 140/90 range I would say yes. They put me
    on a BP med (Accupril) which it turns out I did not need,
    and ramped off of, but that


    is

    Quoted message said:

    another story.

    From what I have read, normal BP used to be considered
    130/80, but lower


    is

    Quoted message said:

    better for your heart risk factors. I bought myself a BP
    monitor and take mine in the morning, about noon and then
    at night. Its highest in the morning. I am sure the docs
    here will chime in.

    You need to make sure you measure it more than once
    because BP fluctuates


    a

    Quoted message said:

    lot during the day and probably should be averaged. If you
    go out and run


    a

    Quoted message said:

    few miles or do some other strenuous exercise your BP will
    go up, but it should return to normal once your body comes
    back to its normal resting state. This is why a doctor is
    supposed to take it more than once before deciding to
    prescribe meds for it. Also make sure you are measuring it
    properly.

    Bottom line, is your should see your doctor and see if you
    really have a problem.

    "liaM" <[email hidden]> wrote in message news:c6m96m$s45$1@news-
    reader4.wanadoo.fr...

    Quoted message said:

    Recently I have been surprised by a unexpected rise in
    my blood pressure which had stayed more or less constant
    for a year at 80/135-150. Now I am seeing figures in the
    90s, and the systolic range widened to 135-188

    Should I be concerned ??

    liaM

  5. liaM <[email hidden]> wrote in message news:<[email hidden]>...

    Quoted message said:

    Recently I have been surprised by a unexpected rise in my
    blood pressure which had stayed more or less constant for
    a year at 80/135-150. Now I am seeing figures in the 90s,
    and the systolic range widened to 135-188

    Should I be concerned ?? liaM

    Perhaps your newer reading is incorrect? Proper posture when
    taking your blood pressure is most important, and often
    ignored by physicians. You should *NOT* be sitting up on an
    examining table, with your legs dangling over the edge. You
    must be sitting in a chair, with feet flat on the floor, and
    arm on a desk or table at heart height. Sit there for five
    minutes before your bp is taken. Take BP twice, two minutes
    apart. Do not talk while it is being taken.

    Let us know Liam.

    Some information: nhlbi.nih.govDisea
    ses/Hbp/HBP_Diagnosis.html

    Everything:
    reutershealth.comdoc14.html

    Zee

  6. Quoted message said:

    liaM <[email hidden]> wrote in message


    news:<[email hidden]>...

    Quoted message said:

    Perhaps your newer reading is incorrect? Proper posture
    when taking your blood pressure is most important, and
    often ignored by physicians. You should *NOT* be sitting
    up on an examining table, with your legs dangling over
    the edge. You must be sitting in a chair, with feet flat
    on the floor, and arm on a desk or table at heart height.
    Sit there for five minutes before your bp is taken. Take
    BP twice, two minutes apart. Do not talk while it is
    being taken.

    Good points liam. Until I got my own BP monitor and started
    testing 3-5 times a day and doing some experiments with
    different postures, arm positions, at rest, after exercise,
    etc., I would not have believed it but its true. My doctor's
    nurse took my BP once with me sitting with my legs dangling
    off the examining table, my arm hanging straight down, and
    immediately upon me entering the room. Then the doc proceded
    to give me samples of 20 mg/day and 10 mg/dayof Accupril. I
    started out taking the 10's and measuring my own BP.
    Everything seemed normal (average below 120/80), so I cut my
    10 mg/day in half (with a knife). That showed no increase in
    BP above normal, so I cut it to 1/4 with still no rise above
    normal in my average daily readings. After a week and half I
    cut it out altogether, and still no rise in the average
    above normal. My BP is generally just below
    130/80 when I first get up and walk out to the kitchen where
    I measure it. It will drop to 120/70 or below after
    sitting in my chair a few minutes.

    In the doctors defense, I had chest pains when I went in and
    high blood lipids. I think getting my BP down immediately
    was a wise move, even though a stress echo test later came
    out "excellent" in the caridologists words. What disturbed
    me a bit was after my stess echo proved "excellent" when I
    told the GP that I had only been taking 1/2 to 1/4 of the BP
    dose recommended, he proceeded to prescribe a 20 mg/day
    dose. Perhaps he figured that I would cut it back being the
    non obedient patient that I am lol.

    It probably didn't hurt any that I have lost 17 pounds and
    falling through diet and more exercise, thanks in part to Dr
    Chung's 2PD. I started having knee pains after being on the
    Accupril for a few weeks, but it could be unrelated, since I
    was running more. I am now having to walk 5 miles each day,
    instead of running while the knee heals. Since exercise is
    an integral part of my plan and something I enjoy, I am
    especially adverse to anything that makes my joints or
    muscles hurt. I am down to 168 from 185 and am 5'8" tall.

    It's important in my opinion to use some common sense and
    to ask a lot questions when prescribing or taking
    powerful meds.

    Regards,

  7. Quoted message said:

    Perhaps your newer reading is incorrect? Proper posture
    when taking your blood pressure is most important, and
    often ignored by physicians. You should *NOT* be sitting
    up on an examining table, with your legs dangling over
    the edge. You must be sitting in a chair, with feet flat
    on the floor, and arm on a desk or table at heart height.
    Sit there for five minutes before your bp is taken. Take
    BP twice, two minutes apart. Do not talk while it is
    being taken.

    As a follow up, I was watching Nova's Frontline with Alan
    Alda on PBS last night. It was about stress and heart and
    artery healt. Stress and high fat diets contributes a lot to
    such problems even in the animal studies they were doing on
    monkeys. What amazed me was the test they showed on people
    who they asked to remember angry memories while they
    monitored their BP. One man got his all the way up to 180
    while remembering a particular indident that made him angry.
    On others they tested while teaching relaxation techniques.
    The differences were quite dramatic. I am going to do some
    of my own experments with my monitor. Its actually quite an
    amusing toy for the whole family once you get one.

    Regards,

  8. smyrna45 said:
    Quoted message said:

    liaM <[email hidden]> wrote in message


    news:<[email hidden]>...

    Quoted message said:

    Perhaps your newer reading is incorrect? Proper posture
    when taking your blood pressure is most important, and
    often ignored by physicians. You should *NOT* be sitting
    up on an examining table, with your legs dangling over
    the edge. You must be sitting in a chair, with feet flat
    on the floor, and arm on a desk or table at heart
    height. Sit there for five minutes before your bp is
    taken. Take BP twice, two minutes apart. Do not talk
    while it is being taken.

    Good points liam. Until I got my own BP monitor and
    started testing 3-5 times a day and doing some experiments
    with different postures, arm positions, at rest, after
    exercise, etc., I would not have believed it but its true.
    My doctor's nurse took my BP once with me sitting with my
    legs dangling off the examining table, my arm hanging
    straight down, and immediately upon me entering the room.
    Then the doc proceded to give me samples of 20 mg/day and
    10 mg/dayof Accupril. I started out taking the 10's and
    measuring my own BP. Everything seemed normal (average
    below 120/80), so I cut my 10 mg/day in half (with a
    knife). That showed no increase in BP above normal, so I
    cut it to 1/4 with still no rise above normal in my
    average daily readings. After a week and half I cut it out
    altogether, and still no rise in the average above normal.
    My BP is generally just below
    130/80 when I first get up and walk out to the kitchen
    where I measure it. It will drop to 120/70 or below
    after sitting in my chair a few minutes.

    In the doctors defense, I had chest pains when I went in
    and high blood lipids. I think getting my BP down
    immediately was a wise move, even though a stress echo
    test later came out "excellent" in the caridologists
    words. What disturbed me a bit was after my stess echo
    proved "excellent" when I told the GP that I had only
    been taking 1/2 to 1/4 of the BP dose recommended, he
    proceeded to prescribe a 20 mg/day dose. Perhaps he
    figured that I would cut it back being the non obedient
    patient that I am lol.

    It probably didn't hurt any that I have lost 17 pounds and
    falling through diet and more exercise, thanks in part to
    Dr Chung's 2PD.

    Shhhhhh, you risk being called a sock puppet when you write
    that the 2PD approach works for you :-)

    Quoted message said:

    I started having knee pains after being on the Accupril
    for a few weeks, but it could be unrelated, since I was
    running more. I am now having to walk 5 miles each day,
    instead of running while the knee heals.

    Imho, brisk walking is better than running because of
    less injuries.

    Quoted message said:

    Since exercise is an integral part of my plan and
    something I enjoy, I am especially adverse to anything
    that makes my joints or muscles hurt. I am down to 168
    from 185 and am 5'8" tall.

    Good for you :-)

    Quoted message said:


    It's important in my opinion to use some common sense and
    to ask a lot questions when prescribing or taking
    powerful meds.

    The same applies to dieting :-)

    Servant to the humblest person in the universe,

    Andrew

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    heartmdphd.comheartmdphd.com

    **
    Who is the humblest person in the universe?
    makeashorterlink.commakeashorterlink.com

    What is all this about?
    makeashorterlink.commakeashorterlink.com

    Is this spam?
    makeashorterlink.commakeashorterlink.com

  9. liaM <[email hidden]> wrote:
    : Recently I have been surprised by a unexpected rise in my
    : blood pressure which had stayed more or less constant for
    : a year at 80/135-150. Now I am seeing figures in the 90s,
    : and the systolic range widened to 135-188

    I am in my 4th (and last) year of Nursing school in Canada.
    We are taught that the new guidelines for HTN have dropped
    from 140/90 to 130/80-ish.

    Key points from the new guidelines:

    If you have a blood pressure of 120 to 139 systolic (the
    upper number in a blood pressure measurement) over 80 to 89
    diastolic (lower number), you are considered
    prehypertensive. You need to begin lifestyle modifications
    to prevent stroke and heart disease. Lifestyle modifications
    include losing excess weight, exercising, limiting alcohol,
    following a heart-healthy diet, cutting back on salt, and
    quitting smoking.

    The increase in stroke and heart disease risk begins at
    blood pressures as low as 115/75 mmHg and doubles with each
    increase of 20 mmHg systolic blood pressure and 10 mmHg
    diastolic. For example, if your blood pressure were to
    increase from 115/75 mmHg to 135/85 mmHg, your risk of
    stroke and heart attack would double.

    The lifetime risk for high blood pressure is much greater
    than previously thought. Ninety percent of those who, at age
    55, do not have hypertension will eventually develop it.

    If you are older than 50, a systolic blood pressure over 140
    mmHg is a more important risk factor for stroke and heart
    disease than your diastolic blood pressure.

    Emma

    Reference:

    Joint National Committee on Prevention, Detection,
    Evaluation, and Treatment of High Blood Pressure (2003). The
    seventh report of the Joint National Committee on
    Prevention, Detection, Evaluation, and Treatment of High
    Blood Pressure. Bethesda, MD: U.S. Department of Health and
    Human Services.

  10. Quoted message said:

    If you are older than 50, a systolic blood pressure over
    140 mmHg is a more important risk factor for stroke and
    heart disease than your diastolic blood pressure.

    Emma

    Thank you for detailing the new guidelines and for this last
    piece of information which heartens me greatly (since my
    diastolic has greater creep than my systolic !)

    liaM

  11. Dear Zee..

    I did what you suggested and got more predictable figures
    tho' still high as to my averages from a year ago.

    Unfortunately I have put on weight which may have had some
    effect on my BP. I wish I could keep on sweeping my
    frailties under the rug.. how convenient that would be ! It
    looks like I will have to do a major house cleaning..

  12. liaM said:

    Dear Zee..

    I did what you suggested and got more predictable figures
    tho' still high as to my averages from a year ago.

    Unfortunately I have put on weight which may have had some
    effect on my BP.

    It would.

    Quoted message said:

    I wish I could keep on sweeping my frailties under the
    rug.. how convenient that would be ! It looks like I will
    have to do a major house cleaning..

    I believe you know what is required to lose weight.

    Servant to the humblest person in the universe,

    Andrew

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    heartmdphd.comheartmdphd.com

    **
    Who is the humblest person in the universe?
    makeashorterlink.commakeashorterlink.com

    What is all this about?
    makeashorterlink.commakeashorterlink.com

    Is this spam?
    makeashorterlink.commakeashorterlink.com

  13. "smyrna45" <[email hidden]> wrote in message news:<[email hidden]>...

    Quoted message said:
    Quoted message said:

    Perhaps your newer reading is incorrect? Proper posture
    when taking your blood pressure is most important, and
    often ignored by physicians. You should *NOT* be sitting
    up on an examining table, with your legs dangling over
    the edge. You must be sitting in a chair, with feet flat
    on the floor, and arm on a desk or table at heart
    height. Sit there for five minutes before your bp is
    taken. Take BP twice, two minutes apart. Do not talk
    while it is being taken.

    As a follow up, I was watching Nova's Frontline with Alan
    Alda on PBS last night. It was about stress and heart and
    artery healt. Stress and high fat diets contributes a lot
    to such problems even in the animal studies they were
    doing on monkeys. What amazed me was the test they showed
    on people who they asked to remember angry memories while
    they monitored their BP. One man got his all the way up to
    180 while remembering a particular indident that made him
    angry. On others they tested while teaching relaxation
    techniques. The differences were quite dramatic. I am
    going to do some of my own experments with my monitor. Its
    actually quite an amusing toy for the whole family once
    you get one.

    Regards,

    Hello Smyrna45

    My most memorable series of blood pressure readings, very
    worrisome to me *and* my physician, were 149/?? to
    155/something else high. This was last spring. Unusual for
    me with a normal of 112-63 to 120/68. Why was my blood
    pressure suddenly sky-rocketing? To make a long story short,
    I had subsituted black German licorice for my usual daily
    sweets. Low fat, right? After all with a cholesterol level
    of 400-500
    (9.7-13/14) I had to cut out fats. Licorice to the rescue.
    Sweet, but not fat. Very low calorie too.

    I was eating a *lot* of black licorice. Not the American
    kind, but the European kind which has real oil of
    licorice. While searching a nutrional site for something
    else, I came up on the information that black licorice in
    quantity could raise blood pressure. Anyway, I stopped
    this silly substitution (back to chocolate) and next
    readings were normal.

    However, just last week had a high reading taken with the
    wrong posture, feet dangling for over 20 minutes wait, a
    rushed doctor, a cuff not on properly. Went back twice
    since, including today, and the nurse did it according to
    the post I made, and it is again to my normal.

    Take home news: don't eat 100-200 grams black licorice
    several times a week. Ok every day.

    Get the nurse to do your BP reading.

    I do however respectfully disagree with Emma about the new
    blood pressure guidelines. So does Malcolm Kendrick MD at
    www.redflagsweekly.com, and Uffe Ravnskov MD, PhD at
    (google it). So apparently does my doctor, who was trained
    in South Africa.

    These guidelines make patients of us all. Shades of statins!

    Zee

  14. I am thinking I may have to cut back below 2 pounds, since
    my weight seems to have stabilized to some degree on 2
    pounds. I can't really walk more than the 4-5 miles I do a
    day now, but have started supplementing it with a bike ride
    in the mornings. I typically eat 4-6ounces of oatmeal, skim
    milk, and small amount of fruit for breakfast. Surprisingly
    its more than enough to satisfy me. For lunch I generally
    have a sandwich with some lettuce, tomato, some turkey or
    tuna, and no mayo. That usually weighs in at 6-8 ounces.
    That leaves more than a pound for dinner, but that is just
    too much for someone like me to eat. I eat the same
    balanced diet I was on before (I cook most of my own and my
    wife's food since I am semi-retired) but I am just eating
    less of it now.

    "Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote
    in message "]news:[email hidden]...

    Quoted message said:
    smyrna45 said:
    Quoted message said:

    liaM <[email hidden]> wrote in message


    news:<[email hidden]>...

    Quoted message said:

    Perhaps your newer reading is incorrect? Proper
    posture when taking your blood pressure is most
    important, and often ignored by physicians. You should
    *NOT* be sitting up on an examining table, with your
    legs dangling over the edge. You must be sitting in a
    chair, with feet flat on the floor, and arm on a desk
    or table at heart height. Sit there for five minutes
    before your bp is taken. Take BP twice, two minutes
    apart. Do not talk while it is being taken.

    Good points liam. Until I got my own BP monitor and
    started testing 3-5 times a day and doing some
    experiments with different postures, arm positions, at
    rest, after exercise, etc., I would not have believed it


    but

    Quoted message said:
    Quoted message said:

    its true. My doctor's nurse took my BP once with me
    sitting with my legs dangling off the examining table,
    my arm hanging straight down, and immediately upon me
    entering the room. Then the doc proceded to give me
    samples of 20 mg/day and 10 mg/dayof Accupril. I started
    out taking the


    10's

    Quoted message said:
    Quoted message said:

    and measuring my own BP. Everything seemed normal
    (average below


    120/80), so

    Quoted message said:
    Quoted message said:

    I cut my 10 mg/day in half (with a knife). That showed
    no increase in BP above normal, so I cut it to 1/4 with
    still no rise above normal in my average daily readings.
    After a week and half I cut it out altogether,


    and

    Quoted message said:
    Quoted message said:

    still no rise in the average above normal. My BP is
    generally just below
    130/80 when I first get up and walk out to the kitchen
    where I measure


    it.

    Quoted message said:
    Quoted message said:

    It will drop to 120/70 or below after sitting in my
    chair a few minutes.

    In the doctors defense, I had chest pains when I went in
    and high blood lipids. I think getting my BP down
    immediately was a wise move, even


    though

    Quoted message said:
    Quoted message said:

    a stress echo test later came out "excellent" in the
    caridologists


    words.

    Quoted message said:
    Quoted message said:

    What disturbed me a bit was after my stess echo proved
    "excellent" when


    I

    Quoted message said:
    Quoted message said:

    told the GP that I had only been taking 1/2 to 1/4 of
    the BP dose recommended, he proceeded to prescribe a 20
    mg/day dose. Perhaps he


    figured

    Quoted message said:
    Quoted message said:

    that I would cut it back being the non obedient patient
    that I am lol.

    It probably didn't hurt any that I have lost 17 pounds
    and falling


    through

    Quoted message said:
    Quoted message said:

    diet and more exercise, thanks in part to Dr
    Chung's 2PD.

    Shhhhhh, you risk being called a sock puppet when you
    write that the 2PD approach works for you :-)

    Quoted message said:

    I started having knee pains after being on the Accupril
    for a few weeks, but it could be unrelated, since I was
    running more. I am now having to walk 5 miles


    each

    Quoted message said:
    Quoted message said:

    day, instead of running while the knee heals.

    Imho, brisk walking is better than running because of less
    injuries.

    Quoted message said:

    Since exercise is an integral part of my plan and
    something I enjoy, I am especially adverse to


    anything

    Quoted message said:
    Quoted message said:

    that makes my joints or muscles hurt. I am down to 168
    from 185 and am


    5'8"

    Quoted message said:
    Quoted message said:

    tall.

    Good for you :-)

    Quoted message said:


    It's important in my opinion to use some common sense
    and to ask a lot questions when prescribing or taking
    powerful meds.

    The same applies to dieting :-)

    Servant to the humblest person in the universe,

    Andrew

    --
    Dr. Andrew B. Chung, MD/PhD Board-Certified Cardiologist
    heartmdphd.comheartmdphd.com

    ** Who is the humblest person in the universe?
    makeashorterlink.commakeashorterlink.com

    What is all this about?
    makeashorterlink.commakeashorterlink.com

    Is this spam? makeashorterlink.commakeashorterlink.com

  15. Emma Chase VanCott <[email hidden]> wrote in part:

    Quoted message said:

    Ninety percent of those who, at age 55, do not have
    hypertension will eventually develop it.

    This is true in the US perhaps but not in some other
    countries.
    --
    Jim Chinnis Warrenton, Virginia, USA

  16. [email hidden] (fresh~horses) wrote in part:

    Quoted message said:

    These guidelines make patients of us all.

    Only in parts of the world...
    --
    Jim Chinnis Warrenton, Virginia, USA

  17. fresh~horses said:


    "smyrna45" <[email hidden]> wrote in message
    news:<[email hidden]>...

    Quoted message said:
    Quoted message said:

    Perhaps your newer reading is incorrect? Proper
    posture when taking your blood pressure is most
    important, and often ignored by physicians. You should
    *NOT* be sitting up on an examining table, with your
    legs dangling over the edge. You must be sitting in a
    chair, with feet flat on the floor, and arm on a desk
    or table at heart height. Sit there for five minutes
    before your bp is taken. Take BP twice, two minutes
    apart. Do not talk while it is being taken.

    As a follow up, I was watching Nova's Frontline with
    Alan Alda on PBS last night. It was about stress and
    heart and artery healt. Stress and high fat diets
    contributes a lot to such problems even in the animal
    studies they were doing on monkeys. What amazed me was
    the test they showed on people who they asked to
    remember angry memories while they monitored their BP.
    One man got his all the way up to 180 while remembering
    a particular indident that made him angry. On others
    they tested while teaching relaxation techniques. The
    differences were quite dramatic. I am going to do some
    of my own experments with my monitor. Its actually quite
    an amusing toy for the whole family once you get one.

    Regards,

    Hello Smyrna45

    My most memorable series of blood pressure readings, very
    worrisome to me *and* my physician, were 149/?? to
    155/something else high. This was last spring. Unusual for
    me with a normal of 112-63 to 120/68. Why was my blood
    pressure suddenly sky-rocketing? To make a long story
    short, I had subsituted black German licorice for my usual
    daily sweets. Low fat, right? After all with a cholesterol
    level of 400-500
    (9.7-13/14) I had to cut out fats. Licorice to the rescue.
    Sweet, but not fat. Very low calorie too.

    I was eating a *lot* of black licorice. Not the American
    kind, but the European kind which has real oil of
    licorice. While searching a nutrional site for something
    else, I came up on the information that black licorice in
    quantity could raise blood pressure. Anyway, I stopped
    this silly substitution (back to chocolate) and next
    readings were normal.

    However, just last week had a high reading taken with the
    wrong posture, feet dangling for over 20 minutes wait, a
    rushed doctor, a cuff not on properly. Went back twice
    since, including today, and the nurse did it according to
    the post I made, and it is again to my normal.

    Take home news: don't eat 100-200 grams black licorice
    several times a week. Ok every day.

    Get the nurse to do your BP reading.

    I do however respectfully disagree with Emma about the new
    blood pressure guidelines. So does Malcolm Kendrick MD at
    www.redflagsweekly.com, and Uffe Ravnskov MD, PhD at
    (google it). So apparently does my doctor, who was trained
    in South Africa.

    These guidelines make patients of us all. Shades of
    statins!

    Zee

    Your licorice story is more interesting.

    Servant to the humblest person in the universe,

    Andrew

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    heartmdphd.comheartmdphd.com

    **
    Who is the humblest person in the universe?
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  18. smyrna45 said:


    I am thinking I may have to cut back below 2 pounds,
    since my weight seems to have stabilized to some degree
    on 2 pounds.

    With the 2PD approach, the goal is to limit your intake to
    *less* than 2 pounds per day.

    Quoted message said:

    I can't really walk more than the 4-5 miles I do a day
    now, but have started supplementing it with a bike ride in
    the mornings.

    Exercise is the most effective in weight loss when performed
    just before the biggest meal of the day.

    Quoted message said:

    I typically eat 4-6ounces of oatmeal, skim milk, and small
    amount of fruit for breakfast. Surprisingly its more than
    enough to satisfy me.

    If you eat a bit less than that, you might be a little
    bit hungrier.

    However, it is more than OK to be a little hungrier.

    Fact: Hunger has not ever killed anyone. People die from
    starvation and not hunger. Moreover, folks dying from
    starvation are *not* hungry.

    Quoted message said:

    For lunch I generally have a sandwich with some lettuce,
    tomato, some turkey or tuna, and no mayo. That usually
    weighs in at 6-8 ounces. That

    Don't forget to count what you are drinking too.

    Quoted message said:

    leaves more than a pound for dinner, but that is just too
    much for someone like me to eat.

    A pound is too much for me too (it didn't used to be :-).

    Quoted message said:

    I eat the same balanced diet I was on before (I cook most
    of my own and my wife's food since I am semi-retired) but
    I am just eating less of it now.

    Excellent :-)

    Servant to the humblest person in the universe,

    Andrew

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    heartmdphd.comheartmdphd.com

    **
    Who is the humblest person in the universe?
    makeashorterlink.commakeashorterlink.com

    What is all this about?
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  19. "Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message news:<[email hidden]>...

    Quoted message said:
    smyrna45 said:


    I am thinking I may have to cut back below 2 pounds,
    since my weight seems to have stabilized to some degree
    on 2 pounds.

    With the 2PD approach, the goal is to limit your intake to
    *less* than 2 pounds per day.

    Don't forget to count what you are drinking too.

    Quoted message said:


    Andrew

    Andrew

    Are you saying people on the 2 Lb Diet must include their
    WATER in the 2 Lb Diet calculation?

    I hope I have read incorrectly or misunderstood what you
    have said. Eight glasses of water which is suggested by
    health professionals as needed for healthy hydration (some
    include plain tea or coffee) will weigh 64 ounces, or
    *four* pounds.

    This is *very* important. As you know, I do not follow
    this diet, but think it important that you clarify for
    those who do.

    Please. Clarify. Does water count in the 2 LB total?

    Zee

  20. "Dr. Andrew B. Chung, MD/PhD" <[email hidden]> wrote in message news:<[email hidden]>...

    Quoted message said:
    smyrna45 said:


    I am thinking I may have to cut back below 2 pounds,
    since my weight seems to have stabilized to some degree
    on 2 pounds.

    With the 2PD approach, the goal is to limit your intake to
    *less* than 2 pounds per day.

    Don't forget to count what you are drinking too.

    Quoted message said:


    Andrew

    Andrew

    Are you saying people on the 2 Lb Diet must include their
    WATER in the 2 Lb Diet calculation?

    I hope I have read incorrectly or misunderstood what you
    have said. Eight glasses of water which is suggested by
    health professionals as needed for healthy hydration (some
    include plain tea or coffee) will weigh 64 ounces, or
    *four* pounds.

    This is *very* important. As you know, I do not follow
    this diet, but think it important that you clarify for
    those who do.

    Please. Clarify. Does water count in the 2 LB total?

    Zee

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