Everything You Need to Know About High Blood Pressure (Hypertension)

https://www.healthline.com/health/high-blood-pressure-hypertension

Medically reviewed by Judith Marcin, M.D. — Written by Kimberly Holland — Updated on June 17, 2020

What is high blood pressure?

High blood pressure, or hypertension, occurs when your blood pressure increases to unhealthy levels. Your blood pressure measurement takes into account how much blood is passing through your blood vessels and the amount of resistance the blood meets while the heart is pumping.

Narrow arteries increase resistance. The narrower your arteries are, the higher your blood pressure will be. Over the long term, increased pressure can cause health issues, including heart disease.

Hypertension is quite common. In fact, since the guidelines have recently changed, it’s expected that nearly half of American adults will now be diagnosed with this condition.

Hypertension typically develops over the course of several years. Usually, you don’t notice any symptoms. But even without symptoms, high blood pressure can cause damage to your blood vessels and organs, especially the brain, heart, eyes, and kidneys.

Early detection is important. Regular blood pressure readings can help you and your doctor notice any changes. If your blood pressure is elevated, your doctor may have you check your blood pressure over a few weeks to see if the number stays elevated or falls back to normal levels.

Treatment for hypertension includes both prescription medication and healthy lifestyle changes. If the condition isn’t treated, it could lead to health issues, including heart attack and stroke.

What causes high blood pressure?

There are two types of hypertension. Each type has a different cause.

Primary hypertension

Primary hypertension is also called essential hypertension. This kind of hypertension develops over time with no identifiable cause. Most people have this type of high blood pressure.

Researchers are still unclear what mechanisms cause blood pressure to slowly increase. A combination of factors may play a role. These factors include:

  • Genes: Some people are genetically predisposed to hypertension. This may be from gene mutations or genetic abnormalities inherited from your parents.
  • Physical changes: If something in your body changes, you may begin experiencing issues throughout your body. High blood pressure may be one of those issues. For example, it’s thought that changes in your kidney function due to aging may upset the body’s natural balance of salts and fluid. This change may cause your body’s blood pressure to increase.
  • Environment: Over time, unhealthy lifestyle choices like lack of physical activity and poor diet can take their toll on your body. Lifestyle choices can lead to weight problems. Being overweight or obese can increase your risk for hypertension.

Secondary hypertension

Secondary hypertension often occurs quickly and can become more severe than primary hypertension. Several conditions that may cause secondary hypertension include:

What are the symptoms of hypertension?

Hypertension is generally a silent condition. Many people won’t experience any symptoms. It may take years or even decades for the condition to reach levels severe enough that symptoms become obvious. Even then, these symptoms may be attributed to other issues.

Symptoms of severe hypertension can include:

  • headaches
  • shortness of breath
  • nosebleeds
  • flushing
  • dizziness
  • chest pain
  • visual changes
  • blood in the urine

These symptoms require immediate medical attention. They don’t occur in everyone with hypertension, but waiting for a symptom of this condition to appear could be fatal.

The best way to know if you have hypertension is to get regular blood pressure readings. Most doctors’ offices take a blood pressure reading at every appointment.

If you only have a yearly physical, talk to your doctor about your risks for hypertension and other readings you may need to help you watch your blood pressure.

For example, if you have a family history of heart disease or have risk factors for developing the condition, your doctor may recommend that you have your blood pressure checked twice a year. This helps you and your doctor stay on top of any possible issues before they become problematic.

Diagnosing high blood pressure

Diagnosing hypertension is as simple as taking a blood pressure reading. Most doctors’ offices check blood pressure as part of a routine visit. If you don’t receive a blood pressure reading at your next appointment, request one.

If your blood pressure is elevated, your doctor may request you have more readings over the course of a few days or weeks. A hypertension diagnosis is rarely given after just one reading. Your doctor needs to see evidence of a sustained problem. That’s because your environment can contribute to increased blood pressure, such as the stress you may feel by being at the doctor’s office. Also, blood pressure levels change throughout the day.

If your blood pressure remains high, your doctor will likely conduct more tests to rule out underlying conditions. These tests can include:

These tests can help your doctor identify any secondary issues causing your elevated blood pressure. They can also look at the effects high blood pressure may have had on your organs.

During this time, your doctor may begin treating your hypertension. Early treatment may reduce your risk of lasting damage.

How to understand high blood pressure readings

Two numbers create a blood pressure reading:

  • Systolic pressure: This is the first, or top, number. It indicates the pressure in your arteries when your heart beats and pumps out blood.
  • Diastolic pressure: This is the second, or bottom, number. It’s the reading of the pressure in your arteries between beats of your heart.

Five categories define blood pressure readings for adults:

  • Healthy:A healthy blood pressure reading is less than 120/80 millimeters of mercury (mm Hg).
  • Elevated:The systolic number is between 120 and 129 mm Hg, and the diastolic number is less than 80 mm Hg. Doctors usually don’t treat elevated blood pressure with medication. Instead, your doctor may encourage lifestyle changes to help lower your numbers.
  • Stage 1 hypertension: The systolic number is between 130 and 139 mm Hg, or the diastolic number is between 80 and 89 mm Hg.
  • Stage 2 hypertension: The systolic number is 140 mm Hg or higher, or the diastolic number is 90 mm Hg or higher.
  • Hypertensive crisis: The systolic number is over 180 mm Hg, or the diastolic number is over 120 mm Hg. Blood pressure in this range requires urgent medical attention. If any symptoms such as chest pain, headache, shortness of breath, or visual changes occur when blood pressure is this high, medical care in the emergency room is needed.

A blood pressure reading is taken with a pressure cuff. For an accurate reading, it’s important you have a cuff that fits. An ill-fitting cuff may deliver inaccurate readings.

Blood pressure readings are different for children and teenagers. Ask your child’s doctor for the healthy ranges for your child if you’re asked to monitor their blood pressure.

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Treatment options for high blood pressure

A number of factors help your doctor determine the best treatment option for you. These factors include which type of hypertension you have and what causes have been identified.

Primary hypertension treatment options

If your doctor diagnoses you with primary hypertension, lifestyle changes may help reduce your high blood pressure. If lifestyle changes alone aren’t enough, or if they stop being effective, your doctor may prescribe medication.

Secondary hypertension treatment options

If your doctor discovers an underlying issue causing your hypertension, treatment will focus on that other condition. For example, if a medicine you’ve started taking is causing increased blood pressure, your doctor will try other medicines that don’t have this side effect.

Sometimes, hypertension is persistent despite treatment for the underlying cause. In this case, your doctor may work with you to develop lifestyle changes and prescribe medications to help reduce your blood pressure.

Treatment plans for hypertension often evolve. What worked at first may become less useful over time. Your doctor will continue to work with you to refine your treatment.

Medication for high blood pressure

Many people go through a trial-and-error phase with blood pressure medications. You may need to try different medicines until you find one or a combination of medications that work for you.

Some of the medications used to treat hypertension include:

  • Beta-blockersBeta-blockers make your heart beat slower and with less force. This reduces the amount of blood pumped through your arteries with each beat, which lowers blood pressure. It also blocks certain hormones in your body that can raise your blood pressure.
  • Diuretics: High sodium levels and excess fluid in your body can increase blood pressure. Diuretics, also called water pills, help your kidneys remove excess sodium from your body. As the sodium leaves, extra fluid in your bloodstream moves into your urine, which helps lower your blood pressure.
  • ACE inhibitors: Angiotensin is a chemical that causes blood vessels and artery walls to tighten and narrow. ACE (angiotensin converting enzyme) inhibitors prevent the body from producing as much of this chemical. This helps blood vessels relax and reduces blood pressure.
  • Angiotensin II receptor blockers (ARBs): While ACE inhibitors aim to stop the creation of angiotensin, ARBs block angiotensin from binding with receptors. Without the chemical, blood vessels won’t tighten. That helps relax vessels and lower blood pressure.
  • Calcium channel blockers: These medications block some of the calcium from entering the cardiac muscles of your heart. This leads to less forceful heartbeats and a lower blood pressure. These medicines also work in the blood vessels, causing them to relax and further lowering blood pressure.
  • Alpha-2 agonists: This type of medication changes the nerve impulses that cause blood vessels to tighten. This helps blood vessels to relax, which reduces blood pressure.

Home remedies for high blood pressure

Healthy lifestyle changes can help you control the factors that cause hypertension. Here are some of the most common home remedies.

Developing a healthy diet

A heart-healthy diet is vital for helping to reduce high blood pressure. It’s also important for managing hypertension that is under control and reducing the risk of complications. These complications include heart disease, stroke, and heart attack.

A heart-healthy diet emphasizes foods that include:

  • fruits
  • vegetables
  • whole grains
  • lean proteins like fish

Increasing physical activity

Reaching a healthy weight should include being more physically active. In addition to helping you shed pounds, exercise can help reduce stress, lower blood pressure naturally, and strengthen your cardiovascular system.

Aim to get 150 minutes of moderate physical activity each week. That’s about 30 minutes five times per week.

Reaching a healthy weight

If you are overweight or obese, losing weight through a heart-healthy diet and increased physical activity can help lower your blood pressure.

Managing stress

Exercise is a great way to manage stress. Other activities can also be helpful. These include:

  • meditation
  • deep breathing
  • massage
  • muscle relaxation
  • yoga or tai chi

These are all proven stress-reducing techniques. Getting adequate sleep can also help reduce stress levels.

Adopting a cleaner lifestyle

If you’re a smoker, try to quit. The chemicals in tobacco smoke damage the body’s tissues and harden blood vessel walls.

If you regularly consume too much alcohol or have an alcohol dependency, seek help to reduce the amount you drink or stop altogether. Alcohol can raise blood pressure.

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Dietary recommendations for people with high blood pressure

One of the easiest ways you can treat hypertension and prevent possible complications is through your diet. What you eat can go a long way toward easing or eliminating hypertension.

Here are some of the most common dietary recommendations for people with hypertension.

Eat less meat, more plants

A plant-based diet is an easy way to increase fiber and reduce the amount of sodium and unhealthy saturated and trans fat you take in from dairy foods and meat. Increase the number of fruits, vegetables, leafy greens, and whole grains you’re eating. Instead of red meat, opt for healthier lean proteins like fish, poultry, or tofu.

Reduce dietary sodium

People with hypertension and those with an increased risk for heart disease may need to keep their daily sodium intake between 1,500 milligrams and 2,300 milligrams per day. The best way to reduce sodium is to cook fresh foods more often. Avoid eating restaurant food or prepackaged foods, which are often very high in sodium.

Cut back on sweets

Sugary foods and beverages contain empty calories but don’t have nutritional content. If you want something sweet, try eating fresh fruit or small amounts of dark chocolate that haven’t been sweetened as much with sugar. StudiesTrusted Source suggest regularly eating dark chocolate may reduce blood pressure.

High blood pressure during pregnancy

Women with hypertension can deliver healthy babies despite having the condition. But it can be dangerous to both mother and baby if it’s not monitored closely and managed during the pregnancy.

Women with high blood pressure are more likely to develop complications. For example, pregnant women with hypertension may experience decreased kidney function. Babies born to mothers with hypertension may have a low birth weight or be born prematurely.

Some women may develop hypertension during their pregnancies. Several types of high blood pressure problems can develop. The condition often reverses itself once the baby is born. Developing hypertension during pregnancy may increase your risk for developing hypertension later in life.

Preeclampsia

In some cases, pregnant women with hypertension may develop preeclampsia during their pregnancy. This condition of increased blood pressure can cause kidney and other organ complications. This can result in high protein levels in the urine, problems with liver function, fluid in the lungs, or visual problems.

As this condition worsens, the risks increase for the mother and baby. Preeclampsia can lead to eclampsia, which causes seizures. High blood pressure problems in pregnancy remain an important cause of maternal death in the United States. Complications for the baby include low birth weight, early birth, and stillbirth.

There is no known way to prevent preeclampsia, and the only way to treat the condition is to deliver the baby. If you develop this condition during your pregnancy, your doctor will closely monitor you for complications.

What are the effects of high blood pressure on the body?

Because hypertension is often a silent condition, it can cause damage to your body for years before symptoms become obvious. If hypertension isn’t treated, you may face serious, even fatal, complications.

Complications of hypertension include the following.

Damaged arteries

Healthy arteries are flexible and strong. Blood flows freely and unobstructed through healthy arteries and vessels.

Hypertension makes arteries tougher, tighter, and less elastic. This damage makes it easier for dietary fats to deposit in your arteries and restrict blood flow. This damage can lead to increased blood pressure, blockages, and, eventually, heart attack and stroke.

Damaged heart

Hypertension makes your heart work too hard. The increased pressure in your blood vessels forces your heart’s muscles to pump more frequently and with more force than a healthy heart should have to.

This may cause an enlarged heart. An enlarged heart increases your risk for the following:

  • heart failure
  • arrhythmias
  • sudden cardiac death
  • heart attack

Damaged brain

Your brain relies on a healthy supply of oxygen-rich blood to work properly. High blood pressure can reduce your brain’s supply of blood:

  • Temporary blockages of blood flow to the brain are called transient ischemic attacks (TIAs).
  • Significant blockages of blood flow cause brain cells to die. This is known as a stroke.

Uncontrolled hypertension may also affect your memory and ability to learn, recall, speak, and reason. Treating hypertension often doesn’t erase or reverse the effects of uncontrolled hypertension. It does, however, lower the risks for future problems.

High blood pressure: Tips for prevention

If you have risk factors for hypertension, you can take steps now to lower your risk for the condition and its complications.

Add healthy foods to your diet

Slowly work your way up to eating more servings of heart-healthy plants. Aim to eat more than seven servings of fruits and vegetables each day. Then aim to add one more serving per day for two weeks. After those two weeks, aim to add one more serving. The goal is to have ten servings of fruits and vegetables per day.

Adjust how you think of the average dinner plate

Instead of having meat and three sides, create a dish that uses meat as a condiment. In other words, instead of eating a steak with a side salad, eat a bigger salad and top it with a smaller portion of steak.

Cut sugar

Try to incorporate fewer sugar-sweetened foods, including flavored yogurts, cereals, and sodas. Packaged foods hide unnecessary sugar, so be sure to read labels.

Set weight loss goals

Instead of an arbitrary goal to “lose weight,” talk with your doctor about a healthy weight for you. The Centers for Disease Control and Prevention (CDC)Trusted Source recommends a weight loss goal of one to two pounds a week. That means starting off eating 500 calories less per day than what you normally eat. Then decide on what physical activity you can start in order to reach that goal. If exercising five nights a week is too hard to work into your schedule, aim for one more night than what you’re doing right now. When that fits comfortably into your schedule, add another night.

Monitor your blood pressure regularly

The best way to prevent complications and avoid problems is to catch hypertension early. You can come into your doctor’s office for a blood pressure reading, or your doctor may ask you to purchase a blood pressure cuff and take readings at home.

Keep a log of your blood pressure readings and take it to your regular doctor appointments. This can help your doctor see any possible problems before the condition advances.

Eating with High Blood Pressure: Food and Drinks to Avoid

https://www.healthline.com/health/high-blood-pressure-hypertension/foods-to-avoid

Diet can have a big impact on your blood pressure. Salty and sugary foods, and foods high in saturated fats, can increase blood pressure. Avoiding them can help you get and maintain a healthy blood pressure.

If you have high blood pressure, the American Heart Association recommend eating plenty of fruits, vegetables, lean protein, and whole grains.

At the same time, they recommend avoiding red meat, salt (sodium), and foods and drinks that contain added sugars. These foods can keep your blood pressure elevated.

High blood pressure, or hypertension, affects about 45%Trusted Source of Americans. Hypertension can cause health problems over time, including heart disease and stroke.

This article looks at what foods to avoid or limit if you have high blood pressure, along with ideas for a heart-healthy eating pattern.

1. Salt or sodium

Salt, or specifically the sodium in salt, is a major contributorTrusted Source to high blood pressure and heart disease. This is because of how it affects fluid balance in the blood.

Table salt is around 40% sodium. The AHA recommend getting no more than 2,300 milligrams (mg) of sodium — the equivalent of 1 teaspoon of salt — each day.

Most of the sodium in the American diet comes from packaged, processed food rather than what you add at the table. Sodium may be hidden in unexpected places.

The following foods, known as the “salty six,” are major contributors to people’s daily salt intake:

  • breads and rolls
  • pizza
  • sandwiches
  • cold cuts and cured meats
  • soup
  • burritos and tacos

Read more about the benefits and risks of eating salt here.

2. Deli meat

Processed deli and lunch meats are often packed with sodium. That’s because manufacturers cure, season, and preserve these meats with salt.

According to the United States Department of Agriculture (USDA) database, just two slices of bologna contain 910 mgTrusted Source of sodium. One frankfurter, or hot dog, contains 567 mgTrusted Source.

Adding other high-salt foods, such as bread, cheese, various condiments, and pickles, mean that a sandwich can become loaded with sodium very easily.

Read more about how processed meat affects health here.

3. Frozen pizza

The combination of ingredients in frozen pizzas means they’re high in sugar, saturated fat, and sodium. Frozen pizza can have especially high levels of sodium.

Cheese is often high in sodium, with just two slices of American cheese containing 512 mgTrusted Source of sodium. This is generally in combination with a salty or sugary pizza dough and crust, cured meats, and tomato sauce.

To maintain flavor in the pizza once it’s been cooked, manufacturers often add a lot of salt.

One 12 inch pepperoni pizza, cooked from frozen, contains 3,140 mgTrusted Source of sodium, which is well above the daily limit of 2,300 mg.

As a substitute, try making a healthful pizza at home, using homemade dough, low-sodium cheese, and your favorite vegetables as toppings.

Get some tips for making a healthful pizza here.

4. Pickles

Preserving any food requires salt. It stops the food from decaying and keeps it edible for longer.

The longer vegetables sit in canning and preserving liquids, the more sodium they pick up.

One small pickled cucumber contains 447 mgTrusted Source of sodium.

That said, reduced-sodium options are available.

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5. Canned soups

Canned coups are simple and easy to prepare, especially when you’re crunched for time or not feeling well.

However, canned soups are high in sodium. Canned and packaged broths and stocks may contain similar amounts. This means they can elevate your blood pressure.

One can of tomato soup contains 1,110 mgTrusted Source of sodium, while a can of chicken and vegetable soup contains 2,140 mgTrusted Source.

Try choosing low- or reduced-sodium soups instead, or make your own soup at home from fresh ingredients.

6. Canned tomato products

Most canned tomato sauces, pasta sauces, and tomato juices are high in sodium. This means that they can cause raise your blood pressure, especially if you already have high blood pressure.

One serving (135 g) of marinara sauce contains 566 mgTrusted Source of sodium. One cup of tomato juice contains 615 mgTrusted Source.

You can find low- or reduced-sodium versions for most tomato products.

To lower your blood pressure, choose these alternatives or use fresh tomatoes, which are rich in an antioxidant called lycopene. Fresh vegetables have many benefits for heart health.

7. Sugar

Sugar can increase your blood pressure in several ways.

Research shows that sugar — and especially sugar-sweetened drinks — contributes to weight gain in adults and children. Overweight and obesity predisposeTrusted Source people to high blood pressure.

Added sugar may also have a direct effect on increasing blood pressure, according to a 2014 review.

One study in females with high blood pressure reported that decreasing sugar by 2.3 teaspoons could result in an 8.4 mmHg drop in systolic and a 3.7 mmHg drop in diastolic blood pressure.

The AHA recommends the following daily added sugar limits:

  • 6 teaspoons, or 25 grams, for females
  • 9 teaspoons, or 36 grams, for males
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8. Processed foods with trans or saturated fat

To keep the heart healthy, people should reduce saturated fats and avoid trans fats. This is especially true for people with high blood pressure.

Trans fats are artificial fats that increase packaged foods’ shelf life and stability.

However, they also raiseTrusted Source your bad (LDL) cholesterol levels and lower your good (HDL) cholesterol levels, which can increase the risk of hypertension.

Saturated fats also increaseTrusted Source the levels of LDL cholesterol in the blood.

Trans fats are especially poor for your health and are linked withTrusted Source poor heart health, including an increased risk of:

  • heart disease
  • stroke
  • type 2 diabetes

Packaged, pre-prepared foods often contain trans fats and saturated fats, alongside high amounts of sugar, sodium, and low-fiber carbohydrates.

Saturated fats are mostly found in animal products, including:

  • full-fat milk and cream
  • butter
  • red meat
  • chicken skin

The AHA recommends reducing intake of both saturated and trans fats to help keep the heart healthy.

One way to reduce your saturated fat intake is to replace some animal foods with healthful plant-based alternatives.

Many plant-based foods contain healthful monounsaturated and polyunsaturated fatty acids. Examples of plant-based foods include:

According to some researchTrusted Source, full-fat dairy doesn’t raise blood pressure.

9. Alcohol

Drinking too much alcohol can increaseTrusted Source your blood pressure.

If you have high blood pressure, your doctor might recommend that you reduce the amount of alcohol you drink.

In people who do not have hypertension, limiting alcohol intake can help reduce their risk of developing high blood pressure.

Alcohol can also preventTrusted Source any blood pressure medications that you may be taking from working effectively through drug interactions.

In addition, many alcoholic drinks are high in sugar and calories. Drinking alcohol can contributeTrusted Source to overweight and obesity, which can increase the risk of hypertension.

If you drink, the AHA recommends limiting your alcohol intake to two drinks per day for males and one drink per day for females.

If cutting back on alcohol is difficult, talk to your doctor for advice.

What are the best diets for high blood pressure?

Following a heart-heathy diet can actively reduce your blood pressure, both in the short term and long term.

Foods that contain potassium can quicklyTrusted Source reduce blood pressure, because potassium offsets the effects of sodium.

Foods that contain nitrates can reduceTrusted Source blood pressure, too, including beets and pomegranate juice. These foods also contain other health-healthy components, including antioxidants and fiber.

Read about the best foods for high blood pressure here.

The AHA recommends following the DASH diet to help manage blood pressure. DASH stands for dietary approaches to stop hypertension.

This diet involves eating plenty of fruits, vegetables, whole grains, low-fat dairy, and lean protein to help reduce blood pressure and maintain healthy levels.

When choosing canned or processed foods, opt for reduced-sodium, no-sodium, or trans fat-free options.

The bottom line

Diet can have a big impact on your blood pressure.

Foods high in salt, sugar, and saturated or trans fats can increase blood pressure and damage your heart health. By avoiding these foods, you can keep your blood pressure in check.

A diet full of fruits, vegetables, whole grains, and lean protein can help keep your heart healthy.

7 Drinks for Lowering Blood Pressure

https://www.healthline.com/health/drinks-to-lower-blood-pressure#bottom-line

When blood pressure goes unchecked, it can lead to complications such as heart disease and stroke.

One of your first lines of defense against high blood pressure (hypertension) is your diet. Adopting a blood pressure-friendly diet may help keep your blood pressure within a healthy range without the side effects caused by medications.

In addition to certain foods that may help lower your blood pressure, some types of drinks may also be helpful.

In this article, we’ll take a deeper dive into 7 different types of drinks that may help lower your blood pressure.

1. Tomato juice

Growing evidence suggests that drinking one glass of tomato juice per day may promote heart health.

In a 2019 studyTrusted Source, Japanese researchers evaluated the effects of drinking an average of one cup of tomato juice per day among participants with risk factors for heart disease.

They concluded that tomato juice improved both systolic and diastolic blood pressure, as well as LDL cholesterol. Other recent studies have reported similar results among people with stage 1 hypertension and pregnant women.

To avoid unnecessary sodium, which can have the opposite effect on blood pressure, make sure to buy unsalted tomato juice.

2. Beet juice

Not only do these colorful, low-calorie vegetables contain a host of health-promoting vitamins, minerals, and plant compounds, but they may also help lower blood pressure.

randomized pilot study from 2016Trusted Source found that the juice of both raw and cooked beets improved blood pressure. However, raw beet juice had a greater impact on blood pressure.

Beets are rich in dietary nitrates, a compound known to have blood pressure-lowering effects. In a 2017 reviewTrusted Source, researchers found that these benefits were greater than the effects of nitrates alone.

In other words, other heart-friendly compounds are likely at play as well.

Try this simple beetroot juice recipe to lower blood pressure.

3. Prune juice

Prune juice has long been known to help alleviate constipation. But one of prune juice’s lesser-known health benefits is that it also lowers blood pressure.

This effect was reported in a 2010 studyTrusted Source. Researchers compared three groups: one group ate three prunes per day, a second group ate six prunes per day, and a third group didn’t eat any prunes.

The researchers reported a significant reduction in blood pressure among people who ate a single dose of three prunes per day. People who ate six prunes per day experienced an additional reduction in systolic blood pressure.

Moreover, both three- and six-prune doses were found to also lower LDL cholesterol.

To take advantage of these effects, drink a glass of 100-percent prune juice or make your own by blending soaked prunes.ADVERTISING

4. Pomegranate juice

Not only are pomegranates rich in nutrients such as folate and vitamin C, they also boast potent anti-inflammatory effects. It may come as no surprise, then, that pomegranate juice can contribute to a heart-healthy diet.

2016 literature review of eight randomized, controlled trials found that consuming pomegranate juice may help lower both systolic and diastolic blood pressure.

The effects on systolic blood pressure were independent of how long participants consumed pomegranate juice for and how much. The researchers recommend a dose of at least 240 milliliters to reduce diastolic blood pressure.

If you decide to add pomegranate juice to your diet, make sure it’s 100-percent juice with no added sugar.HEALTHLINE NEWSLETTERSign up for our daily nutrition tips and tricks

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5. Berry juice

Like pomegranates, berries — especially blueberries — are known for their antioxidant properties. However, less is known about their heart benefits.

2020 review reported that drinking cranberry or cherry juice may improve blood pressure.

Another reviewTrusted Source published in Nature in 2016 found that consuming berries lowered both systolic blood pressure and LDL cholesterol.

In both cases, the researchers concluded that berries likely have cardiovascular benefits, but more research needs to be done to clarify their role in preventing and controlling heart disease.

If you opt for store-bought berry juice, make sure it doesn’t contain any added sugar.

6. Skim milk

Low-fat dairy products such as skim milk and yogurt are a key component of Dietary Strategies to Stop Hypertension, a science-based set of recommendations for preventing and treating high blood pressure.

In a 2011 literature review involving 45,000 adults, researchers examined the intake of low- and high-fat dairy products and how each affected blood pressure.

They concluded that the consumption of low-fat milk was associated with a lower risk of high blood pressure.

Try to get two to three servings of low-fat milk products per day. You can drink a glass with your meals, or add it to cereal or a smoothie. Steamed skim milk also makes a great addition to coffee.HEALTHLINE NEWSLETTERGet our weekly Heart Health email

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7. Tea

When it comes to blood pressure, not all teas are created equal. A 2014 literature reviewTrusted Source of randomized controlled trials compared the effects of black and green tea consumption on blood pressure.

The researchers reported that long-term intake of both types of tea lowered both systolic and diastolic blood pressure. However, the reduction in blood pressure was more significant for green tea.

What about coffee and alcohol?

Both coffee and alcohol can have varied effects on blood pressure.

Coffee

The effect of coffee on blood pressure has been a longstanding source of controversy in the scientific community.

Caffeine appears to create a temporary spike in blood pressure. But this effect may be less pronounced among regular coffee drinkers.

Some past research has suggested that long-term coffee consumption is associated with an increased risk of hypertension.

But according to a 2017 literature review of 34 studies, moderate coffee consumption is safe, and perhaps even beneficial for both healthy people and those with high blood pressure.

If you’ve been diagnosed with hypertension, you probably don’t need to cut out coffee. With that said, it might not be the best time to start drinking coffee if you don’t already.

Alcohol

As with coffee, alcohol’s effect on blood pressure is complicated.

Moderate alcohol consumption — that’s one drink per day for women and two per day for men — was once thought to lower blood pressure. But recent research suggests that even moderate drinking may poses risks to heart health.

In addition, blood pressure medications and alcohol don’t mix.

When it comes to alcohol consumption, the recommendation likely isn’t the same for everyone. If you have high blood pressure, talk to your doctor to find out what’s considered a safe level of alcohol consumption for you.

What else can help?

In addition to adding hypertension-lowering drinks to your diet, you can try the following to help lower your blood pressure:

  • Get moving. Incorporating physical activity into your daily routine may be as effective at lowering blood pressure as some medications. The American Heart Association recommends 150 minutes per week of moderate activity or 75 minutes per week of vigorous activity for health benefits.
  • Shed excess pounds. If you’re overweight or obese, your heart has to work harder to pump blood throughout your body. Even losing just a few pounds can help lower your blood pressure.
  • Check out the DASH diet. The DASH diet, which was specially designed to prevent and treat hypertension, emphasizes unprocessed foods like fruits and vegetables, whole grains, and lean proteins.
  • Quit smoking. Each cigarette you smoke triggers a short-term increase in your blood pressure. Over the long-term, tobacco use can harden your arteries which, in turn, can lead to high blood pressure.
  • Limit stress. Chronic stress can contribute to high blood pressure. Avoid stressors when you can, and try to find healthy ways to manage your stress. While not all sources of stress can be eliminated, setting aside time for relaxation may help calm your mind and lower your blood pressure.

The bottom line

In addition to following a heart-healthy diet, some types of drinks may also be helpful when it comes to lowering your blood pressure.

According to research, several types of fruit and vegetable juices, as well as skim milk and green tea, may help to control your blood pressure, without any side effects.

If you’re concerned about your blood pressure, be sure to talk to your doctor about the best way to manage your blood pressure and heart health.ADVERTISEMENThttps://googleads.g.doubleclick.net/pagead/ads?gdpr=0&us_privacy=1YNY&gdpr_consent=tcunavailable&tcfe=3&client=ca-pub-4771166113579725&output=html&h=262&slotname=7867748827&adk=2554401342&adf=88950148&pi=t.ma~as.7867748827&w=750&lmt=1624419841&rafmt=12&psa=1&format=750×262&url=https%3A%2F%2Fwww.healthline.com%2Fhealth%2Fdrinks-to-lower-blood-pressure%23tomato-juice&flash=0&wgl=1&uach=WyJXaW5kb3dzIiwiMTAuMCIsIng4NiIsIiIsIjkxLjAuNDQ3Mi4xMTQiLFtdLG51bGwsbnVsbCxudWxsXQ..&dt=1624419726885&bpp=48&bdt=141372&idt=1121&shv=r20210621&cbv=%2Fr20190131&ptt=9&saldr=aa&abxe=1&cookie=ID%3Db8b4077e460a5b3c-22aefbc4a5c9004b%3AT%3D1624419727%3ART%3D1624419727%3AS%3DALNI_Ma5OAYkQGCrCLLkCfshLUMByblw2Q&prev_fmts=0x0&nras=1&correlator=3800429224397&frm=20&pv=1&ga_vid=1258012999.1624080189&ga_sid=1624419600&ga_hid=2005646395&ga_fc=0&u_tz=600&u_his=4&u_java=0&u_h=618&u_w=1098&u_ah=578&u_aw=1098&u_cd=24&u_nplug=3&u_nmime=4&adx=37&ady=7463&biw=1082&bih=507&scr_x=0&scr_y=10891&eid=31060840%2C31061335&oid=3&pvsid=2591207523968255&pem=833&ref=https%3A%2F%2Fwww.google.com%2F&eae=0&fc=896&brdim=0%2C0%2C0%2C0%2C1098%2C0%2C1098%2C578%2C1098%2C507&vis=1&rsz=%7C%7CpEe%7C&abl=CS&pfx=0&fu=256&bc=31&ifi=16&uci=a!g&fsb=1&xpc=WUbCQmDkPo&p=https%3A//www.healthline.com&dtd=M

Last medically reviewed on September 17, 2020

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17 Effective Ways to Lower Your Blood Pressure

High blood pressure, or hypertension, is called the “silent killer” for good reason. It often has no symptoms, but is a major risk for heart disease and stroke. And these diseases are among the leading causes of death in the United States (1Trusted Source).

About one in three U.S. adults has high blood pressure (2Trusted Source).

Your blood pressure is measured in millimeters of mercury, which is abbreviated as mm Hg. There are two numbers involved in the measurement:

  • Systolic blood pressure. The top number represents the pressure in your blood vessels when your heart beats.
  • Diastolic blood pressure. The bottom number represents the pressure in your blood vessels between beats, when your heart is resting.

Your blood pressure depends on how much blood your heart is pumping, and how much resistance there is to blood flow in your arteries. The narrower your arteries, the higher your blood pressure.

Blood pressure lower than 120/80 mm Hg is considered normal. Blood pressure that’s 130/80 mm Hg or more is considered high. If your numbers are above normal but under 130/80 mm Hg, you fall into the category of elevated blood pressure. This means that you’re at risk for developing high blood pressure (3).

The good news about elevated blood pressure is that lifestyle changes can significantly reduce your numbers and lower your risk — without requiring medications.

Here are 17 effective ways to lower your blood pressure levels:

1. Increase activity and exercise more

In a 2013 study, sedentary older adults who participated in aerobic exercise training lowered their blood pressure by an average of 3.9 percent systolic and 4.5 percent diastolic (4). These results are as good as some blood pressure medications.

As you regularly increase your heart and breathing rates, over time your heart gets stronger and pumps with less effort. This puts less pressure on your arteries and lowers your blood pressure.

How much activity should you strive for? A 2013 report by the American College of Cardiology (ACC) and the American Heart Association (AHA) advises moderate- to vigorous-intensity physical activity for 40-minute sessions, three to four times per week (5).

If finding 40 minutes at a time is a challenge, there may still be benefits when the time is divided into three or four 10- to 15-minute segments throughout the day (6).

The American College of Sports Medicine (ACSM) makes similar recommendations (7).

But you don’t have to run marathons. Increasing your activity level can be as simple as:

  • using the stairs
  • walking instead of driving
  • doing household chores
  • gardening
  • going for a bike ride
  • playing a team sport

Just do it regularly and work up to at least half an hour per day of moderate activity.

One example of moderate activity that can have big results is tai chi. A 2017 review on the effects of tai chi and high blood pressure shows an overall average of a 15.6 mm Hg drop in systolic blood pressure and a 10.7 mm Hg drop in diastolic blood pressure, compared to people who didn’t exercise at all (8Trusted Source).

A 2014 review on exercise and lowering blood pressure found that there are many combinations of exercise that can lower blood pressure. Aerobic exerciseresistance traininghigh-intensity interval training, short bouts of exercise throughout the day, or walking 10,000 steps a day may all lower blood pressure (9Trusted Source).

Ongoing studies continue to suggest that there are still benefits to even light physical activity, especially in older adults (10).

2. Lose weight if you’re overweight

If you’re overweight, losing even 5 to 10 pounds can reduce your blood pressure. Plus, you’ll lower your risk for other medical problems.

A 2016 review of several studies reported that weight loss diets reduced blood pressure by an average of 3.2 mm Hg diastolic and 4.5 mm Hg systolic (11Trusted Source).

3. Cut back on sugar and refined carbohydrates

Many scientific studies show that restricting sugar and refined carbohydrates can help you lose weight and lower your blood pressure.

A 2010 study compared a low-carb diet to a low-fat diet. The low-fat diet included a diet drug. Both diets produced weight loss, but the low-carb diet was much more effective in lowering blood pressure.

The low-carb diet lowered blood pressure by 4.5 mm Hg diastolic and 5.9 mm Hg systolic. The diet of low-fat plus the diet drug lowered blood pressure by only 0.4 mm Hg diastolic and 1.5 mm Hg systolic (12Trusted Source).

A 2012 analysis of low-carb diets and heart disease risk found that these diets lowered blood pressure by an average of 3.10 mm Hg diastolic and 4.81 mm Hg systolic (13).

Another side effect of a low-carb, low-sugar diet is that you feel fuller longer, because you’re consuming more protein and fat.

4. Eat more potassium and less sodium

Increasing your potassium intake and cutting back on salt can also lower your blood pressure (14).

Potassium is a double winner: It lessens the effects of salt in your system, and also eases tension in your blood vessels. However, diets rich in potassium may be harmful to individuals with kidney disease, so talk to your doctor before increasing your potassium intake.

It’s easy to eat more potassium — so many foods are naturally high in potassium. Here are a few:

Note that individuals respond to salt differently. Some people are salt-sensitive, meaning that a higher salt intake increases their blood pressure. Others are salt-insensitive. They can have a high salt intake and excrete it in their urine without raising their blood pressure (15).

The National Institutes of Health (NIH) recommends reducing salt intake using the DASH (Dietary Approaches to Stop Hypertension) diet (16Trusted Source). The DASH diet emphasizes:

5. Eat less processed food

Most of the extra salt in your diet comes from processed foods and foods from restaurants, not your salt shaker at home (17Trusted Source). Popular high-salt items include deli meats, canned soup, pizza, chips, and other processed snacks.

Foods labeled “low-fat” are usually high in salt and sugar to compensate for the loss of fat. Fat is what gives food taste and makes you feel full.

Cutting down on — or even better, cutting out — processed food will help you eat less salt, less sugar, and fewer refined carbohydrates. All of this can result in lower blood pressure.

Make it a practice to check labels. According to the U.S. Food and Drug Administration (FDA), a sodium listing of 5 percent or less on a food label is considered low, while 20 percent or more is considered high (17Trusted Source).

6. Stop smoking

Stopping smoking is good for your all-around health. Smoking causes an immediate but temporary increase in your blood pressure and an increase in your heart rate (18).

In the long term, the chemicals in tobacco can increase your blood pressure by damaging your blood vessel walls, causing inflammation, and narrowing your arteries. The hardened arteries cause higher blood pressure.

The chemicals in tobacco can affect your blood vessels even if you’re around secondhand smoke. A study showed that children around secondhand smoke in the home had higher blood pressure than those from nonsmoking homes (19Trusted Source).

7. Reduce excess stress

We live in stressful times. Workplace and family demands, national and international politics — they all contribute to stress. Finding ways to reduce your own stress is important for your health and your blood pressure.

There are lots of different ways to successfully relieve stress, so find what works for you. Practice deep breathing, take a walk, read a book, or watch a comedy.

Listening to music daily has also been shown to reduce systolic blood pressure (20). A recent 20-year study showed that regular sauna use reduced death from heart-related events (21). And one small study has shown that acupuncture can lower both systolic and diastolic blood pressure (22).HEALTHLINE NEWSLETTERSign up for our daily nutrition tips and tricks

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8. Try meditation or yoga

Mindfulness and meditation, including transcendental meditation, have long been used — and studied — as methods to reduce stress. A 2012 study notes that one university program in Massachusetts has had more than 19,000 people participate in a meditation and mindfulness program to reduce stress (23).

Yoga, which commonly involves breathing control, posture, and meditation techniques, can also be effective in reducing stress and blood pressure.

A 2013 review on yoga and blood pressure found an average blood pressure decrease of 3.62 mm Hg diastolic and 4.17 mm Hg systolic when compared to those who didn’t exercise. Studies of yoga practices that included breath control, postures, and meditation were nearly twice as effective as yoga practices that didn’t include all three of these elements (24).

9. Eat some dark chocolate

Yes, chocolate lovers: Dark chocolate has been shown to lower blood pressure.

But the dark chocolate should be 60 to 70 percent cacao. A review of studies on dark chocolate has found that eating one to two squares of dark chocolate per day may help lower the risk of heart disease by lowering blood pressure and inflammation. The benefits are thought to come from the flavonoids present in chocolate with more cocoa solids. The flavonoids help dilate, or widen, your blood vessels (25).

A 2010 study of 14,310 people found that individuals without hypertension who ate more dark chocolate had lower blood pressure overall than those who ate less dark chocolate (26Trusted Source).

10. Try these medicinal herbs

Herbal medicines have long been used in many cultures to treat a variety of ailments.

Some herbs have even been shown to possibly lower blood pressure. Although, more research is needed to identify the doses and components in the herbs that are most useful (27).

Always check with your doctor or pharmacist before taking herbal supplements. They may interfere with your prescription medications.

Here’s a partial list of plants and herbs that are used by cultures throughout the world to lower blood pressure:

  • black bean (Castanospermum australe)
  • cat’s claw (Uncaria rhynchophylla)
  • celery juice (Apium graveolens)
  • Chinese hawthorn (Crataegus pinnatifida)
  • ginger root
  • giant dodder (Cuscuta reflexa)
  • Indian plantago (blond psyllium)
  • maritime pine bark (Pinus pinaster)
  • river lily (Crinum glaucum)
  • roselle (Hibiscus sabdariffa)
  • sesame oil (Sesamum indicum)
  • tomato extract (Lycopersicon esculentum)
  • tea (Camellia sinensis), especially green tea and oolong tea
  • umbrella tree bark (Musanga cecropioides)

11. Make sure to get good, restful sleep

Your blood pressure typically dips down when you’re sleeping. If you don’t sleep well, it can affect your blood pressure. People who experience sleep deprivation, especially those who are middle-aged, have an increased risk of high blood pressure (28Trusted Source).

For some people, getting a good night’s sleep isn’t easy. There are many ways to help you get restful sleep. Try setting a regular sleep schedule, spend time relaxing at night, exercise during the day, avoid daytime naps, and make your bedroom comfortable (29).

The national Sleep Heart Health Study found that regularly sleeping less than 7 hours a night and more than 9 hours a night was associated with an increased prevalence of hypertension. Regularly sleeping less than 5 hours a night was linked to a significant risk of hypertension long term (30).

12. Eat garlic or take garlic extract supplements

Fresh garlic or garlic extract are both widely used to lower blood pressure (27).

According to one clinical study, a time-release garlic extract preparation may have a greater effect on blood pressure than regular garlic powder tablets (31).

One 2012 review noted a study of 87 people with high blood pressure that found a diastolic reduction of 6 mm Hg and a systolic reduction of 12 mm Hg in those who consumed garlic, compared to people without any treatment (32Trusted Source).

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13. Eat healthy high-protein foods

A long-term study concluded in 2014 found that people who ate more protein had a lower risk of high blood pressure. For those who ate an average of 100 grams of protein per day, there was a 40 percent lower risk of having high blood pressure than those on a low-protein diet (33). Those who also added regular fiber into their diet saw up to a 60 percent reduction of risk.

However, a high-protein diet may not be for everyone. Those with kidney disease may need to use caution, so talk to your doctor.

It’s fairly easy to consume 100 grams of protein daily on most types of diets.

High-protein foods include:

A 3.5-ounce (oz.) serving of salmon can have as much as 22 grams (g) of protein, while a 3.5-oz. serving of chicken breast might contain 30 g of protein.

With regards to vegetarian options, a half-cup serving of most types of beans contains 7 to 10 g of protein. Two tablespoons of peanut butter would provide 8 g (34).

14. Take these BP-lowering supplements

These supplements are readily available and have demonstrated promise for lowering blood pressure:

Omega-3 polyunsaturated fatty acid

Adding omega-3 polyunsaturated fatty acids or fish oil to your diet can have many benefits.

A meta-analysis of fish oil and blood pressure found a mean blood pressure reduction in those with high blood pressure of 4.5 mm Hg systolic and 3.0 mm Hg diastolic (35).

Whey protein

This protein complex derived from milk may have several health benefits, in addition to possibly lowering blood pressure (36).

Magnesium

Magnesium deficiency is related to higher blood pressure. A meta-analysis found a small reduction in blood pressure with magnesium supplementation (37).

Coenzyme Q10

In a few small studies, the antioxidant CoQ10 lowered systolic blood pressure by 17 mm Hg and diastolic up to 10 mm Hg (38).

Citrulline

Oral L-citrulline is a precursor to L-arginine in the body, a building block of protein, which may lower blood pressure (39).

15. Drink less alcohol

Alcohol can raise your blood pressure, even if you’re healthy.

It’s important to drink in moderation. Alcohol can raise your blood pressure by 1 mm Hg for each 10 grams of alcohol consumed (40). A standard drink contains 14 grams of alcohol.

What constitutes a standard drink? One 12-ounce beer, 5 ounces of wine, or 1.5 ounces of distilled spirits (41).

Moderate drinking is up to one drink a day for women and up to two drinks per day for men (42).

16. Consider cutting back on caffeine

Caffeine raises your blood pressure, but the effect is temporary. It lasts 45 to 60 minutes and the reaction varies from individual to individual (43).

Some people may be more sensitive to caffeine than others. If you’re caffeine-sensitive, you may want to cut back on your coffee consumption, or try decaffeinated coffee.

Research on caffeine, including its health benefits, is in the news a lot. The choice of whether to cut back depends on many individual factors.

One older study indicated that caffeine’s effect on raising blood pressure is greater if your blood pressure is already high. This same study, however, called for more research on the subject (43).

17. Take prescription medication

If your blood pressure is very high or doesn’t decrease after making these lifestyle changes, your doctor may recommend prescription drugs. They work and will improve your long-term outcome, especially if you have other risk factors (44Trusted Source). However, it can take some time to find the right combination of medications.

Medically reviewed by Judith Marcin, M.D. — Written by Marjorie Hecht — Updated on January 31, 2020

The World Relies on One Chip Maker in Taiwan, Leaving Everyone Vulnerable

Analysts say it will be difficult for other manufacturers to catch up in an industry that requires hefty capital investments.

stuartbramhall's avatarThe Most Revolutionary Act

Silicon wafers made by Taiwan Semiconductor Manufacturing Co. Photo: Maurice Tsai/Bloomberg

By Yang Jie, Stephanie Yang and Asa Fitch

LBFROMLV

Taiwan Semiconductor Manufacturing Co.’s dominance poses risks to the global economy, amid geopolitical tensions and a major chip shortage

Taiwan Semiconductor Manufacturing Co. TSM -2.80% ’s chips are everywhere, though most consumers don’t know it.

The company makes almost all of the world’s most sophisticated chips, and many of the simpler ones, too. They’re in billions of products with built-in electronics, including iPhones, personal computers and cars—all without any obvious sign they came from TSMC, which does the manufacturing for better-known companies that design them, like Apple Inc. and Qualcomm Inc. QCOM -1.74%

TSMC has emerged over the past several years as the world’s most important semiconductor company, with enormous influence over the global economy. With a market cap of around $550 billion, it ranks as the world’s 11th most valuable company.

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Fauci’s Mask Flip-Flop, Explained (by Economics)

“After all, the winning assumption in economics is that ordinary folk operating in markets are motivated predominately by self interest. Why should we assume politicians and bureaucrats are motivated any differently than anyone else?”

donnyferguson's avatarDonnyFerguson.com

Last summer in an interview with CBS Evening News anchor Norah O’Donnell, Dr. Anthony Fauci said he had no regrets over advising Americans against wearing masks in public spaces early in the pandemic, even though his recommendations changed months later.

“I don’t regret anything I said then because in the context of the time in which I said it, it was correct,” said Fauci, the government’s top infectious disease advisor. “We were told in our task force meetings that we have a serious problem with the lack of PPEs and masks for the health providers who are putting themselves in harm’s way every day to take care of sick people.”

Fauci was referring to comments he made on 60 Minutes in March 2020. During that interview, Fauci said “there’s no reason to be walking around with a mask,” noting they should be used only for sick people as source control

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The Origin of Covid-19 — The Truth in 90 Quotes [QUOTE #6 : “Time to talk about lab safety.” — Dr Gregory D Koblentz & Dr Filippa Lentzos]

“Preventing the next pandemic should be a priority for all countries.”

L's avatarIntel Today

“Barring some new, revelatory information, the Biden administration’s review of intelligence is unlikely to answer whether the virus came from a lab.”

Washington Post (June 15 2021)

June 07 2021 — The COVID pandemic has already claimed the lives of 3.5 million people worldwide and there is no end in sight to this global tragedy. Yet, nearly a year and a half since the first cases were detected in the Chinese city of Wuhan, the origin of the virus remains a mystery. On May 26 2021, President Joe Biden announced that he had tasked the US Intelligence Community to prepare a report on their most up-to-date analysis of the origins of COVID-19, including whether it emerged from human contact with an infected animal or from a laboratory accident. To be sure, there is no direct evidence of a lab-leak so far. But the Open Source Intelligence [OSINT] already available provides…

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Ted and Edie dance the Rumba.

Some interesting memories about life in Australia.

freefall852's avatarfreef'all852

Related image

“I saw it happen an’ that’s how I knows it…and I know why it happened..an’ I’m sorry it didn’t happen a long time ago, back when they could’ve made something with it.” Swertzy took a drag on his cigarette again and settled into the chair outside the Sedan Post Office and reflected on times past..his portly frame shifted to ease the rheumatic pain in his hip.

Heinie Schwertzferger explained..

“Ted and I first learned proper dancing with old Mrs Harris, who used to give dance classes in her home back in the fifties..over there in Towitta..when Ted and I were young blades..She would move the lounge table to one side and crank up the old gramophone player and she and her hubby would teach a group of us locals how to dance real proper like…you know..the Fox-trot, Military Two Step…those old ballroom dances of the day..”

“ A few of…

View original post 1,599 more words

Landline 2021

https://www.abc.net.au/news/newschannel/

Online Saviour: Going online saves struggling beef business

Pip Courtney

The decision to take their business online saved a couple’s struggling beef operation and provided a new secure market for dozens of other farmers.

https://www.abc.net.au/landline/online-saviour:-going-online-saves-struggling-beef/13375930

Diversifying After Disaster: Innovation aids recovery for Batlow apple growers

Luke Wong

Growers are implementing measures to help future-proof against fire and labour shortages, and some have turned to making cider as a way to diversify their income.

https://www.abc.net.au/landline/diversifying-after-disaster:-innovation-aids/13375906