Is High Blood Pressure a Chronic Disease?

Introduction: Why Hypertension Needs a Root-Cause Approach

High blood pressure—also known as hypertension—is one of the most common chronic diseases in the U.S., affecting nearly half of all adults. Yet, many people don’t realize they have it until complications arise.

At Patients Medical in New York City, we take an integrative and functional medicine approach to hypertension. Rather than just prescribing lifelong medication, we look for the root causes of your high blood pressure—and offer natural, sustainable strategies to reduce or even reverse it.

What Is High Blood Pressure?

High blood pressure means the force of blood against your artery walls is consistently too high, causing your heart to work harder and your blood vessels to stiffen or narrow. Left unchecked, it increases your risk for:

  • Heart attack and stroke
  • Kidney disease
  • Cognitive decline
  • Aneurysms and vision loss

Hypertension is typically a chronic disease, meaning it develops gradually and requires long-term care and lifestyle changes.

Types of High Blood Pressure
  • Primary (Essential) Hypertension: The most common type, with no identifiable single cause—often linked to genetics, diet, and lifestyle.
  • Secondary Hypertension: Caused by other health issues like kidney disease, thyroid imbalance, or adrenal disorders.
  • White Coat Hypertension: Elevated readings in clinical settings due to anxiety.
  • Resistant Hypertension: Doesn’t respond to standard treatment and often involves deeper metabolic dysfunction.

 

Common Symptoms of Hypertension (or Lack Thereof)

Most people with high blood pressure have no noticeable symptoms, which is why it’s often called the “silent killer.” However, in some cases, people may experience:

Root Causes: Why Do You Have High Blood Pressure?

In functional medicine, we ask a different question: What’s causing your blood pressure to rise? Common root factors include:

  • Excess sodium or sugar in the diet
  • Chronic stress and cortisol dysregulation
  • Nutrient deficiencies (magnesium, potassium, CoQ10)
  • Insulin resistance and metabolic syndrome
  • Leaky gut and systemic inflammation
  • Hormone imbalance (thyroid, estrogen, aldosterone)
  • Sleep apnea or poor-quality sleep
  • Toxin exposure (heavy metals, plastics, pesticides)
  • Sedentary lifestyle or adrenal fatigue

Advanced Diagnostic Testing We Use

At Patients Medical, we go deeper than a blood pressure cuff:

24-hour ambulatory blood pressure monitoring

Inflammatory markers (CRP, fibrinogen, homocysteine)

Kidney function panels

Cortisol and adrenal hormone testing

Thyroid function and sex hormone panels

Heavy metal testing

Micronutrient and mitochondrial function analysis

Genetic SNPs like MTHFR and COMT

Integrative Treatments for Chronic Disease

Nutritional Therapy

Tailored anti-inflammatory meal plans to support vascular and metabolic health:

  • Mediterranean or DASH-inspired diets
  • Low-sodium, potassium-rich foods
  • Elimination diets to uncover hidden sensitivities
  • Blood sugar balancing strategies

IV Nutrient Therapy

Intravenous support to replenish key nutrients that regulate vascular tone:

  • Magnesium, B-complex, Vitamin C
  • CoQ10 and taurine for heart health
  • Glutathione to reduce oxidative stress

Herbal & Nutraceutical Support

Customized supplementation plans may include:

  • Hawthorn berry and garlic extract
  • Magnesium glycinate
  • Omega-3 fatty acids
  • Adaptogenic herbs for stress modulation
  • CoQ10 for heart energy

Beetroot extract for nitric oxide production

Stress & Lifestyle Management

  • Breathwork, meditation, and acupuncture
  • Emotional health counseling
  • Heart rate variability training

Hormone & Thyroid Balancing

We identify and address hormone issues that can raise blood pressure, including:

  • Adrenal fatigue
  • Estrogen dominance

Hypothyroidism

Weight & Metabolic Management

We offer physician-guided programs for weight loss and metabolic reset—addressing:

  • Insulin resistance
  • Fatty liver
  • Visceral fat accumulation

Case Study: John’s Blood Pressure Turnaround

John, age 58, came to us with blood pressure averaging 155/95 despite being on two medications. He complained of fatigue, poor sleep, and brain fog.

We discovered:

  • Elevated cortisol and insulin
  • Magnesium and potassium deficiency
  • Mild hypothyroidism
  • Early signs of leaky gut and inflammation

Our personalized 12-week plan included:

  • Anti-inflammatory, low-carb meal plan
  • Adrenal support and magnesium IVs
  • Gut healing protocol
  • Low-dose thyroid support

Results: By week 12, his blood pressure was consistently at 125/80, and we began tapering his medications (with cardiology oversight).

Testimonials

Frequently Asked Questions

 Yes. It typically develops gradually and persists long-term if not addressed holistically.

 Yes—in many cases. With the right nutrition, stress reduction, supplementation, and detox, blood pressure can often be brought into a healthy range without long-term meds.

 Not necessarily. Some patients successfully taper off under medical supervision once the root causes are resolved.

 We customize plans, but most patients benefit from a low-sodium, anti-inflammatory, potassium-rich diet.

 Absolutely. Chronic stress activates the sympathetic nervous system, which elevates heart rate and vascular tone.

 Gut imbalances can drive systemic inflammation, a major contributor to vascular dysfunction.

 Magnesium, CoQ10, garlic extract, potassium (if safe), and omega-3s are all supported by research.

 Absolutely. Chronic stress suppresses the immune system and promotes inflammation.

 We specialize in complex cases and will evaluate your hormones, toxins, mitochondria, and even genetic factors.

We are an out-of-network provider but offer superbills for potential reimbursement. Lab work may be partially covered.

Begin Your Journey with Patients Medical

Patients Medical specializes in gently helping the patient identify the root cause of their medical issues and then assist them to recover from their problems to help them move forward to good health.

Request your consultation today!

To schedule an in person on Tele-medicine appointment, please call our office at (212) 794-8800 or email us at info@PatientsMedical.com We look forward to hearing from you

Our medical center in New York City.

Patients Medical PC
1148 Fifth Avenue, Suite 1B New York, NY 10128

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