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When I was in my mid-20s my doctor wanted me to take blood pressure medication because when I went to her office in the morning I had blood pressure of 150/110.

by 300bps 5y ago

When I was in my mid-20s my doctor wanted me to take blood pressure medication because when I went to her office in the morning I had blood pressure of 150/110. I told her I wanted to see what I could do on my own first. I cut out salt and caffeine, increased potassium and exercised every day. I went back in two months and my blood pressure was 120/80. She took it four times because she didn't believe it. I think the primary thing was the caffeine - it just gives me a temporary but strong spike in blood pressure. Years later, a doctor prescribed me Lexapro. I actually picked up the prescription. But I never took it. I started exercising every day, started mindful meditation, removed sugar from my diet, read the book Learned Optimism and did the CBT-like work in there. Ended up never taking the SSRI but haven't had anxiety in 7 years. (btw Learned Optimism was recommended to me on HN). Some people definitely need medication - I worked with a guy in his early 20s that had cholesterol of 400+. I saw him eat oatmeal every day for breakfast and lunch and then saw his cholesterol go up to 420. I'm sure there are people that need SSRIs. But it does seem like doctors at least prescribed it to me when I didn't need it.

speeder 5y ago
Probably eating the oatmeal that made his cholesterol get higher. There are now tons of research coming out about how cereals (wheat and corn specially) are basically the culprit of a lot of diseases that in the past were blamed on "fat", and also that this past blame was partially due to corruption (for example coca-cola literally gave six digits money to Harvard scientists so they would lie and say sugar was safe and the culprit for people problems was meat).
- shlant 5y ago
  > Probably eating the oatmeal that made his cholesterol get higher. I... don't think so https://www.health.harvard.edu/heart-health/research-were-watching-whole-grain-oats-best-bet-for-lowering-cholesterol https://www.health.harvard.edu/heart-health/research-were-wa... https://www.sciencedaily.com/releases/2016/10/161007085247.htm https://www.sciencedaily.com/releases/2016/10/161007085247.h... https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5885279/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5885279/ https://www.sciencedaily.com/releases/2008/01/080108102225.htm https://www.sciencedaily.com/releases/2008/01/080108102225.h... https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5394769/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5394769/ > There are now tons of research coming out about how cereals (wheat and corn specially) are basically the culprit of a lot of diseases Care to share more on what you are referring to?
  - aserdf 5y ago
    (not op) for reference, 39g of oats contains 28g of carbohydrates. https://www.hsph.harvard.edu/nutritionsource/what-should-you-eat/fats-and-cholesterol/cholesterol/ https://www.hsph.harvard.edu/nutritionsource/what-should-you... - The biggest influence on blood cholesterol level is the mix of fats and carbohydrates in your diet—not the amount of cholesterol you eat from food. - Although it remains important to limit the amount of cholesterol you eat, especially if you have diabetes, for most people dietary cholesterol is not as problematic as once believed.
    - sizzle 5y ago
      What’s up with the conflicting info on carbohydrates? Should I skip the bowl of oatmeal every morning?
      - bruce343434 5y ago
        This seems to be a thing for pretty much every food/nutritional category. I've decided for myself to just "ignore" the science since the definition of "healthy" seems to change so often. Instead I try to use common sense for picking my meals.
      - bongoman37 5y ago
        Food science is highly politicised because of the massive amounts of lobbying involved. If you have the time and expertise, you should look at the actual paper, correlate it with things like sample size, age of participants, funders biases and then come up with your own conclusions. Also, research on oneself is great, vary something, measure whether it makes a positive difference, if yes, do more of it, if not, try something else. Lots of 'scientific' nutrition advice is outright wrong and harmful.
      - shlant 5y ago
        any nutrition advice that makes sweeping statements about entire macronutrients (protein/fat/carbohydrates) should be ignored and is mostly used to sell fad diets. "Carbohydrates" could be HFCS or leafy greens. "Fats" could be shortening or avocado. The nutrition of the individual food is much more important than the macronutrients.
- voldacar 5y ago
  dietary cholesterol has a negligible effect on blood cholesterol levels. Almost all cholesterol in the body is endogenously created
  - rhinoceraptor 5y ago
    There's a U-shaped curve for all cause mortality with cholesterol levels, just like anything else. Cholesterol is not bad, it's literally the building block of steroid hormones, vitamin D, etc. Similarly, there's a good argument to be made that most people actually eat too little salt. If you compare most sodium guidelines to data of sodium intake versus all cause mortality, you're more at risk of death following the guidelines.
matheusmoreira 5y ago
Lifestyle changes are the best treatment there is. Shame they can't make a pill out of it. Statistically most people fail to maintain lifestyle changes over the long term. Especially dietary changes. Pharmacological treatments allow doctors to help those people.
- silexia 5y ago
  I have never had a doctor recommend lifestyle treatments to me. They don't make any money on those. I have osteoarthritis in my hip and multiple doctors recommended an immediate hip replacement. I did a ton of research and ended up on the anti-inflammatory index diet in combination with changing exercises from running and golf that put high impacts on my hip to cycling which does not. All of my pain was gone in three months and has stayed gone for the last two years.
cwkoss 5y ago
Have you heard of white coat syndrome? https://www.healthline.com/health/white-coat-syndrome https://www.healthline.com/health/white-coat-syndrome Recently learned about it, and based on my own measurements, seems I have it to some extent.
wara23arish 5y ago
I got back from the doctor last week due to some chest pains. He was more worried about my high blood pressure 130/90. Every time i measure it at home its 110s/70.

by 300bps 5y ago

speeder 5y ago

Probably eating the oatmeal that made his cholesterol get higher. There are now tons of research coming out about how cereals (wheat and corn specially) are basically the culprit of a lot of diseases that in the past were blamed on "fat", and also that this past blame was partially due to corruption (for example coca-cola literally gave six digits money to Harvard scientists so they would lie and say sugar was safe and the culprit for people problems was meat).

shlant 5y ago
> Probably eating the oatmeal that made his cholesterol get higher. I... don't think so https://www.health.harvard.edu/heart-health/research-were-watching-whole-grain-oats-best-bet-for-lowering-cholesterol https://www.health.harvard.edu/heart-health/research-were-wa... https://www.sciencedaily.com/releases/2016/10/161007085247.htm https://www.sciencedaily.com/releases/2016/10/161007085247.h... https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5885279/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5885279/ https://www.sciencedaily.com/releases/2008/01/080108102225.htm https://www.sciencedaily.com/releases/2008/01/080108102225.h... https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5394769/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5394769/ > There are now tons of research coming out about how cereals (wheat and corn specially) are basically the culprit of a lot of diseases Care to share more on what you are referring to?
- aserdf 5y ago
  (not op) for reference, 39g of oats contains 28g of carbohydrates. https://www.hsph.harvard.edu/nutritionsource/what-should-you-eat/fats-and-cholesterol/cholesterol/ https://www.hsph.harvard.edu/nutritionsource/what-should-you... - The biggest influence on blood cholesterol level is the mix of fats and carbohydrates in your diet—not the amount of cholesterol you eat from food. - Although it remains important to limit the amount of cholesterol you eat, especially if you have diabetes, for most people dietary cholesterol is not as problematic as once believed.
  - sizzle 5y ago
    What’s up with the conflicting info on carbohydrates? Should I skip the bowl of oatmeal every morning?
    - bruce343434 5y ago
      This seems to be a thing for pretty much every food/nutritional category. I've decided for myself to just "ignore" the science since the definition of "healthy" seems to change so often. Instead I try to use common sense for picking my meals.
    - bongoman37 5y ago
      Food science is highly politicised because of the massive amounts of lobbying involved. If you have the time and expertise, you should look at the actual paper, correlate it with things like sample size, age of participants, funders biases and then come up with your own conclusions. Also, research on oneself is great, vary something, measure whether it makes a positive difference, if yes, do more of it, if not, try something else. Lots of 'scientific' nutrition advice is outright wrong and harmful.
    - shlant 5y ago
      any nutrition advice that makes sweeping statements about entire macronutrients (protein/fat/carbohydrates) should be ignored and is mostly used to sell fad diets. "Carbohydrates" could be HFCS or leafy greens. "Fats" could be shortening or avocado. The nutrition of the individual food is much more important than the macronutrients.
voldacar 5y ago
dietary cholesterol has a negligible effect on blood cholesterol levels. Almost all cholesterol in the body is endogenously created
- rhinoceraptor 5y ago
  There's a U-shaped curve for all cause mortality with cholesterol levels, just like anything else. Cholesterol is not bad, it's literally the building block of steroid hormones, vitamin D, etc. Similarly, there's a good argument to be made that most people actually eat too little salt. If you compare most sodium guidelines to data of sodium intake versus all cause mortality, you're more at risk of death following the guidelines.

matheusmoreira 5y ago

Lifestyle changes are the best treatment there is. Shame they can't make a pill out of it. Statistically most people fail to maintain lifestyle changes over the long term. Especially dietary changes. Pharmacological treatments allow doctors to help those people.

silexia 5y ago
I have never had a doctor recommend lifestyle treatments to me. They don't make any money on those. I have osteoarthritis in my hip and multiple doctors recommended an immediate hip replacement. I did a ton of research and ended up on the anti-inflammatory index diet in combination with changing exercises from running and golf that put high impacts on my hip to cycling which does not. All of my pain was gone in three months and has stayed gone for the last two years.

cwkoss 5y ago

Have you heard of white coat syndrome? https://www.healthline.com/health/white-coat-syndrome https://www.healthline.com/health/white-coat-syndrome Recently learned about it, and based on my own measurements, seems I have it to some extent.

wara23arish 5y ago

I got back from the doctor last week due to some chest pains. He was more worried about my high blood pressure 130/90. Every time i measure it at home its 110s/70.