High blood pressure is surprisingly common, affecting 46% of American adults – that’s over 100 million people. It’s a serious threat as it increases the risk for heart attack, heart failure, stroke, kidney failure, and several other life-threatening health problems. High blood pressure causes about 1,000 deaths in the U.S. per day, and most of these deaths are preventable. High blood pressure is almost always treatable with lifestyle changes and inexpensive medication, yet less than half of people with high blood pressure have it under control. Experts suggest that 50%-90% of high blood pressure could be successfully lowered with lifestyle changes. If a patient’s blood pressure is mildly elevated and there are no high risk factors (such as diabetes, smoking, or history of heart disease), a 3-month trial of lifestyle change is recommended as an initial treatment. Many lifestyle changes can be as effective as any single blood pressure medication. Patients often find the potential to avoid lifelong medication a strong motivator. Specific areas to focus on include diet, exercise, weight management, and stress reduction. Avoid regular use of anti-inflammatory medications like ibuprofen and naproxen, and treat sleep apnea if present. Lowering or eliminating blood pressure medications through healthier lifestyle choices is a gratifying outcome. If you have high blood pressure, don’t miss out on this powerful therapy.