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Why Your Blood Pressure is Not Coming Down Even with Meds

Dr. Eric Berg DCJune 21, 202611m
In a Nutshell

Thiazide diuretics, taken by over 40 million Americans, deplete magnesium and potassium—the very minerals needed to relax blood vessels and lower blood pressure—making the medication less effective or counterproductive. Low potassium intake (far below the recommended 4,700 mg/day) and magnesium deficiency, often undetected by standard blood tests, are major overlooked drivers of hypertension, worsened by insulin resistance from high-carb diets. The solution involves testing RBC magnesium, increasing dietary or supplemental potassium and magnesium glycinate, and adopting a low-carb diet with intermittent fasting to address the root metabolic causes rather than just symptoms.

AI-Generated Notes

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The medication that you're taking now might actively be depleting the very thing that is supposed to be lowering your blood pressure. You're taking medication that's depleting something that should be lowering your blood pressure. But now that it's not there, it can't do that.

Thiazide diuretics are the number one prescribed blood pressure drug in America taken by over 40 million people.

They flush out excess sodium through the kidneys, lowering the volume of fluid, bringing the pressure down. What they don't tell you is it also flushes out magnesium. Magnesium is a key mineral that helps keep the smooth muscles in the vascular system relaxed. 30% of the people who take this end up having low magnesium on a blood test.

If you have low magnesium on a blood test, you are severely deficient. It's very difficult for a magnesium deficiency to show up in the blood because normally you only have 1% of all the magnesium in your body in that blood. Most of it's in the bone and muscle. When you're deficient, the body's going to rob from the bone and the muscle pushing the blood before it shows up low. The fact that 30% show deficiency of magnesium in the blood is significant. This medication definitely depletes magnesium in a big way.

Without magnesium, the arteries become more constricted because calcium cannot be pumped out of the cells. If there's too much calcium, you get high blood pressure. This is why they have a calcium channel blocker as a medication for hypertension. Magnesium is a natural calcium channel blocker. Magnesium is also a natural beta-blocker, which is another medication that people take. A beta-blocker is something to lower adrenaline or the sympathetic nervous system. Magnesium naturally does that. It lowers the sympathetic nervous system.

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