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Living With HBP

 These have all been shown to significantly reduce blood pressure in people with hypertension.[69] Their potential effectiveness is similar to and at times exceeds a single medication.[56] If hypertension is high enough to justify immediate use of medications, lifestyle changes are still recommended in conjunction with medication.

Dietary change such as a low sodium diet is beneficial. A long term (more than 4 weeks) low sodium diet is effective in reducing blood pressure, both in people with hypertension and in people with normal blood pressure.[70] Also, the DASH diet, a diet rich in nuts, whole grains, fish, poultry, fruits and vegetables lowers blood pressure. A major feature of the plan is limiting intake of sodium, although the diet is also rich inpotassiummagnesiumcalcium, as well as protein.[71] Some programs aimed to reduce psychological stress such as biofeedback or transcendental meditation may be reasonable add-ons to other treatment to reduce hypertension. However several techniques such as yoga, relaxation and other forms of meditation do not appear to reduce blood pressure,[72] and, of the techniques with supportive evidence, there is limited information on whether the modest reduction in blood pressure results in prevention of cardiovascular disease.[72]

Several exercise regimes—including isometric resistance exerciseaerobic exerciseresistance exercise and device-guided breathing—may be useful in reducing blood pressure