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Hypertension (with or without overweight- excessive waist girth) is today the commonest presenting, simply detectable, monitorable and controllable chronic lifestyle degenerative disease; ii. the bedrock prevention and therapy of essential hypertension is public- patient education 8211; exercise, stopping smoking, and minimizing salt (since 1904)sugar, alcohol and cooked fat intake so as to reduce overweight; iii. genetics and the above risk factors aside, three of the primary 8220;endogenous8221; and easily correctable causes of essential hypertension are water deficiency; marine omega3 (EPA eicosapentanoic and DHA docosahexanoic acid) deficiency; and insulin resistance if not frank adiposityoverweight and diabetes. So adequate water intake, and fish oil, and metformingalega to tolerance, (in appropriate adiposeoverweight cases) are cornerstones of antihypertensive therapy along with diet and lifestyle changes before any antihypertensive drugs are added.

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