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- Your Blood Pressure Target Is a Marketing Scam
Your Blood Pressure Target Is a Marketing Scam
How pharmaceutical companies convinced doctors to put half of America on dangerous medications
In 2017, the American Heart Association changed the "healthy" blood pressure threshold… again.
Overnight, 46% of U.S. adults had "hypertension."
Before the change? Only 32%.
Nothing about your health changed. Just the definition.
This isn't medicine.
It's marketing.
We Have It Backward
Medicine teaches that “high blood pressure damages arteries.” But the truth is reversed.
High blood pressure is a symptom of arterial damage, not the cause.
Think about it like this…
When arteries get stiff and can't stretch, pressure builds inside them. Blood gets stuck. Your heart pumps harder to force blood through.
Then pressure rises because your body is trying to deliver blood to tissues that need it.
Lowering the pressure artificially doesn't fix the damaged arteries. It just cuts blood flow to organs that can't function without it.
The Data Doesn't Support Treatment
Here's what the research actually shows:
Adults aged 75+ with blood pressure above 160 are less likely to die than adults with lower blood pressure levels.

Abd here's the kicker:
When blood pressure is treated aggressively to below 130, mortality increases by 50-66% in elderly patients.
Aggressively lowering blood pressure kills people.
And yet, doctors prescribe these medications to 60 million Americans.
Why this keeps happening?
Guidelines are written by "experts"
These experts are paid by pharmaceutical companies.
The lower the threshold, the more people need medications.
The more medications sold, the more money made.
Research funding flows to areas that benefit drug manufacturers.
Doctors follow the guidelines without questioning them.
And patients suffer.
What Low Blood Pressure Actually Does
When blood pressure drops too low, organs starve.
The brain needs blood to function—drop the pressure too much, and people pass out.
The research supports this. Blood pressure medications increase fall risk by 28%.
In elderly patients with calcified arteries, these falls can be fatal.
The kidneys need blood pressure to filter waste.
Drop it too low, and kidney function declines.
BP medications increase acute kidney injury risk by 18%.
In end-stage renal disease patients, low blood pressure increases death risk by 39%.
The medications meant to "help" are creating the problems they're supposed to prevent.
Tomorrow, I'll break down the four types of blood pressure medications and their specific dangers.
See you tomorrow,
Kashif Khan
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