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“You don't need blood pressure medication. Just change your lifestyle.”

High blood pressure: why it happens, what a pill buys you, and why “just change your lifestyle” isn’t a plan for everyone

Half of American adults have high blood pressure. Here's what it is, why it happens, why “treat the root cause, not the symptom” falls apart for blood pressure, what the 2025 guideline tells doctors to do, how many years a pill can buy, who dies of it first, and why telling everyone to skip the pills and fix it with lifestyle is advice only some people can afford to take.