Participants: Don McKintosh (Host), Tim Lawton
Series Code: HFAL
Program Code: HFAL000163
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00:01 The following program presents principles
00:03 designed to promote good health and is not 00:05 intended to take the place of personalized 00:07 professional care. The opinions and ideas 00:10 expressed are those of the speaker. 00:13 Viewers are encouraged to draw their own 00:14 conclusions about the information presented. 00:50 Hello and welcome to Health for a Lifetime. 00:52 We are glad that you have joined us today 00:54 I'm your host Don Mackintosh and today 00:57 we're gonna be talking about a very important 00:59 subject in fact we gonna be talking about the 01:01 number one killer in western countries and 01:04 this is cardiovascular disease not just heart 01:08 attacks which we normally think of, 01:10 but also strokes everything that has to do 01:13 with the cardiovascular system. 01:16 And joining us to talk about this important 01:19 topic is Dr. Timothy Lawton, he's a Physician 01:21 from Wichita, Kansas and he practices what's 01:25 called Lifestyle Medicine this is the best of 01:28 two world's, medicine and also looking at 01:31 lifestyle that is what you can do in the style 01:35 of life that you lead. Thanks so much for 01:37 joining us Dr. Lawton, thanks Don. 01:39 Now, you have actual center tell us a little 01:41 about what you do day to day? 01:44 When we see a patient who's got something 01:47 like heart disease we will look at all the 01:49 different factors that are lifestyle related. 01:52 We look at lifestyle factors that impact their 01:56 blood pressure, that impact your cholesterol 01:59 if they smoke we work with them to help 02:01 them stop smoking and we setup specific 02:04 achievable goals. So, they can work on at 02:06 home day by day. And the name of your 02:10 lifestyle is Vitae which means life and then 02:13 you call Vitae Lifestyle Medical Center. 02:18 So, it's bringing those two together you follow 02:20 that medically, work with their physician. 02:21 Medical plus lifestyle, alright all together. 02:25 I think this is certainly the wave of the future, 02:28 it should have been the wave of the past. 02:30 That's right, well, let's talk then now about 02:32 cardiovascular disease you were careful to say 02:35 to me before we began that, its number one it's 02:39 considered still number one if you add heart 02:42 disease and stroke together. Right, for years 02:46 simply heart disease has been the number 02:48 one killer but within the last year cancer has 02:50 overtaken heart disease as the number one 02:53 cause of death but still if you combine heart 02:56 attack and stroke that accounts for almost a 02:58 million deaths in the U.S. per year and it counts 03:01 for a quarter of all of our health care 03:04 expenditures which we know is up in the 03:07 trillions of dollars. So 350 billion or something 03:11 dollars on cardiovascular, just on, just on 03:13 diseases of the heart and the brain. 03:17 Now, another thing you mentioned to me was 03:19 that many times when we talk about 03:20 cardiovascular disease we often hear about 03:24 cholesterol and we're not gonna really talk about 03:26 that too much today, you wanna talk about 03:28 something else well, we will talk about the three 03:31 main risk factors that they will focus mostly on 03:35 blood pressure because it is such an important 03:38 risk factor. Then, I would say the number one 03:43 risk factor is really smoking, you got to quit 03:46 smoking best tip here is not start you know you 03:50 can't get addicted to something you never have 03:51 tried. Right, and with the cholesterol its becoming 03:55 more and more complicated issue the more 03:58 we learn about it, it's not just high cholesterol but 04:01 what kind of cholesterol do you have? 04:03 And homocysteine and all those other, 04:06 a lot of other things but blood pressure is 04:10 pretty clear if it's high its gonna be problem 04:13 in fact Don I think this is really astounding, 04:16 your risk for heart attack or stroke doubles with 04:19 every 20 points your blood pressure goes up. 04:23 Starting at 115 and every, every point above 04:30 that or every 20 points you double your risk. 04:32 So, you have a definition of high blood 04:34 pressure what it says here? Well, normal blood 04:36 pressure is less then 120/80 we have those 04:40 two numbers, the top number is called the 04:43 systolic pressure that's the squeezing pressure 04:45 and the other number is called diastolic blood 04:48 pressure that's your relaxing pressure when 04:50 the heart is refilling to squeeze the next beat. 04:53 So then we got the normal which is less than 04:54 120/80 we've got this new zone called or newly 04:58 defines zone called pre- hypertension it's at the 05:01 top number its 120 to 139 and the bottom number 05:03 is 80 to 89 and then high blood pressure starts 05:07 when either number, either top number gets to 05:10 140 or the bottom number gets to 90. 05:13 So, the pre-hypertension is a wake-up call it says 05:17 you got to do something before your blood 05:18 pressure gets any higher or you're gonna be in 05:20 trouble and I imagine you see a lot of patients 05:23 with this. You know, huge numbers, 05:27 huge numbers the numbers naturally show by the 05:31 time your 50, 44 percent of us have high blood 05:36 pressure by the time you're in your 60s its 54 05:40 percent and by the time your 70 and above its 05:42 about two thirds of all Americans have high blood 05:45 pressure. Significant problems. Huge problem, 05:49 and in your practice you've seen patients what 05:52 do you say to them? Well we, we have a long 05:58 list of things they can do to start improving 06:01 their blood pressure and I think that the first 06:07 thing that we will talk about is weight loss, okay. 06:10 Because losing even 10 or 15 pounds can be 06:14 the difference between having high blood 06:15 pressure and having normal blood pressure 06:18 and its really exciting people again and again 06:20 we have seen them lose not a hundred pounds 06:22 but just a moderate amount of weight it can 06:25 either help them get off medications or be better 06:27 control. Someone told me that for every pound of 06:31 extra weight you carry that's like 200 miles of 06:33 blood vessels you have to have. Is that true 06:35 or false? Well, I think its may be more like six 06:37 miles of blood vessels but yeah there is a lot, 06:40 lot more work that heart has to do. 06:42 So, when you lose weight do you lose those 06:43 blood vessels I always wondered that I mean, 06:45 I mean put you in this thought but, I was just 06:47 a way of describing what happens with the 06:51 extra weight? As far as, as far as losing extra 06:55 weight, there is something called visceral 06:58 adipose tissue, visceral fat means the fat that's 07:01 inside your belly not the stuff containing off 07:03 the arms and on the hips. That stuff isn't as 07:06 dangerous for the heart, it's the fat that sits 07:08 around your organs inside when that fat when 07:11 you lose those 10, 15, 20 pounds that's some of 07:14 the first fat which starts to come off, you 07:16 might not notice a whole lot of difference 07:19 except maybe in your waist size and that's the 07:23 fat it's most dangerous for the heart it is the 07:24 fat around the middle. And why is that so 07:27 dangerous that stuff around your organs? 07:30 Well, it affects the blood pressure but it also 07:32 affects the cholesterol and it affects our 07:34 body's to handle blood sugar so it puts 07:37 a higher risk for diabetes as well. So, is there 07:39 is a special lifestyle or I hate to say diet 07:43 because you want it to be a lifestyle that 07:46 people go on. Is there something you, you 07:48 tell people to help them start losing weight 07:52 in terms of their diet? Well, the most studied 07:55 diet for blood pressure has been something 07:56 called the dash diet D A S H and that stands 08:00 for dietary approach to stop hypertension 08:04 and this study, this has been look that for over 08:07 10 years but some of the main components are 08:11 whole grains as oppose to refine grains and 08:16 just to spend a second on the whole grains 08:18 people who eat three or more serving of 08:21 whole grains a day as opposed to less than 08:23 one reduce their risk of heart attack by almost 08:26 half just by that one change alone. 08:29 So, white rice, no brown rice yes. 08:34 Hundred percent whole grain bread it's gonna 08:36 say hundred percent or its not completely 08:38 whole grains, whole grains, okay. 08:40 I will talk about those other things and I will 08:44 get back to some more details but fruits and 08:46 vegetables at least five serving a day are 08:48 recommended, low fat or non-fat dairy keep 08:51 it less than two serve, two or less servings. 08:56 Nuts, seeds and beans, most days of the week 08:59 are recommended if not all days, limiting 09:03 consumption of animal products like meat, 09:05 fish and poultry to no more than two serving 09:07 per day and also limiting saturated fat. 09:11 This is the Dash diet, this is the dash diet, 09:13 the diet to avoid, dietary approach to stop 09:17 hypertension. Dietary approach to stop 09:20 hypertension, what they have shown is people 09:22 who are on this diet on average lower their 09:26 systolic blood pressure by a 11 points that is a 09:29 stronger factor than exercising but that's 09:34 important you lose you can lower a couple of 09:36 points but this is the most important factor. 09:38 A 11 points and lower you go under, 09:41 so 150 down to a 139 for example alright 09:46 so and, and that's you said that for every 09:49 what was it every 20 points the blood pressure 09:53 goes up that doubles the risk of heart attack 09:56 or heart disease or cardiovascular disease. 09:58 Alright, so when you go from a 115 to 135 10:02 that's doubling the risk by the time you go to 10:04 155 its up 4 fold by the time you go to 175 10:09 you've increased your risk by 8 fold for 10:11 someone with normal blood pressure. 10:13 Now, you know when I first meet or many 10:16 times when people first meet a physician or 10:18 something they have what this white coat 10:20 phenomena where their blood pressure goes up. 10:23 How do you get around that in your clinic, 10:25 do you wear a different color coat or what 10:26 you do? How do you make the diagnosis? 10:30 You know, you know I don't think it matters 10:31 what color coat I wear? Just, just the fact 10:35 you know people are often a little apprehensive 10:38 going to doctor's office, people get anxious 10:41 sometimes even when without having blood 10:42 pressure check, so we do something called 10:44 ambulatory blood pressure monitoring, 10:46 ambulatory means at home. People can get 10:50 their blood pressure when there are, 10:52 automatically use to check the blood pressure 10:54 at home, right these numbers down and then 10:56 compare to what we find in the office. 10:58 Okay, so that gets around that fact that you 11:01 could, right, right, scare them. Anything else 11:05 that you wanna tell us about in terms of 11:07 blood pressure? Well, the dash diet was 11:10 formulated based on what foods are rich in 11:14 certain vitamins and minerals and they are good 11:16 for the blood pressure and one of the things 11:19 is very has been known for 30, 40 years has 11:23 been the importance of cutting back on the 11:25 salt in the diet. We want people to low sodium 11:29 diet and we have a graphic on that but we 11:32 also want them to eat a diet that is high 11:33 potassium and the foods are in the Dash diet 11:37 are high potassium foods, but low in sodium, 11:40 and low in sodium. So, the graphic on sodium 11:42 we gonna look at that and it help us through 11:45 this means what you say? Limiting sodium 11:50 originally it was hope the people could limit 11:52 their sodium to 2400 mg a day this is salt, 11:56 but it was found if you can limit your sodium to 11:59 1500 mgs a day that is as effective as taking 12:05 one prescription drug for your, for your 12:07 blood pressure. Now, I will tell my patients if 12:10 you really want to do you got a, you got to 12:12 consider the sodium as a bank account, 12:14 you got a, you got a 1500 sodium bugs to 12:17 spend each day use them wisely to get that 12:20 chicken noodle soap it might be 900 mgs of 12:24 sodium you're blowing a lot of bucks on that. 12:27 The second thing on the graphic was the 12:29 importance of potassium even if you cut 12:31 down on the salt or sodium. If you don't eat 12:34 foods that are rich in potassium you are not 12:37 gonna have as beneficial effect on your 12:40 blood pressure so it's really the combination of 12:43 lowering sodium and increasing potassium. 12:45 Now, here some people are more salt sensitive 12:47 then others? It's thought that certain people 12:50 are more salt sensitive but really it comes down 12:53 to how much potassium you are getting. 12:56 Potassium alone can decrease the blood 12:58 pressure, do they have like salt shakers with 13:00 potassium in them. You can do that but the 13:03 best way really to do that is through the foods 13:07 and people usually think about bananas but 13:11 bananas are actually the number 20 on my list 13:13 as far as high potassium foods what's number 13:16 one? Sunflower seeds, okay that's good from 13:19 cans. I just can hear from the top? 13:21 Alright, almonds, raisins, parsley, nuts, 13:26 spinach, broccoli and these are all excellent 13:30 high potassium foods keeping the bananas, 13:33 and tomatoes. Absolutely, yeah, all good. 13:36 So, high potassium low sodium and then the other 13:42 thing is to lose weight that's alright so far. 13:45 We're talking with Dr. Timothy Lawton we are 13:47 talking about cardiovascular disease and 13:49 we've notice that one of the most important 13:52 things to consider is blood pressure and how to 13:56 make that come down a normal level. 13:59 We gonna talk more about what to do with 14:00 cardiovascular, cardiovascular 14:03 disease when we come back. 14:07 Have you found yourself wishing that you could 14:08 shed a few pounds have you been on a diet for 14:11 most of your life but not found anything that 14:13 will really keep your weight off, if you've 14:16 answered yes to any of these questions then 14:18 we have a solution for you that works. 14:21 Dr. Hans Diehl and Aileen Ludington have 14:24 written a marvelous booklet called Reversing 14:26 Obesity Naturally have you like to send it to 14:29 you free of charge here's a medically sound 14:32 approach successfully used by thousands 14:34 who are able to eat more and lose weight 14:37 permanently without feeling guilty or hungry 14:39 through lifestyle medicine. Dr. Diehl and 14:42 Dr. Ludington have been featured on 3ABN and 14:45 in this booklet it presented a sensible 14:47 approach to eating nutrition and lifestyle 14:49 changes they can help you to prevent heart 14:51 diseases diabetes and even cancer. 14:54 Call us right today for your free copy of 14:56 Reversing Obesity Natural and you could be 14:58 on your way to a healthier happier youth. 15:01 It's absolutely free of charge, 15:03 so call us right today. 15:07 Welcome back, we are talking with 15:08 Dr. Timothy Lawton, we are talking about 15:10 cardiovascular diseases and Dr. Lawton has 15:15 told us that cardiovascular disease is 15:17 still number one in western countries 15:20 especially America. When you look at heart 15:22 diseases and stroke and add those together 15:25 many times we talk about cholesterol and 15:29 smoking and the these things are important 15:31 to avoid but Dr. Lawton is really focusing our 15:35 attention today on hypertension and 15:37 Dr. Lawton you see a lot of this in your 15:41 lifestyle medicine center there Wichita, Kansas 15:44 lot of people coming with this problem and 15:46 you have seen that really what was that you 15:48 said that really hypertension is very 15:51 important to look at? It is one of the most 15:54 significant risk factors when we look at 15:57 preventing heart diseases and stroke, 15:59 to be tell us we need to lose weight you have 16:01 given us some ideas on how to do that and you 16:03 have told us that our diet if we follow what 16:06 you called the Dash diet, it can actually decrease 16:10 our blood pressure by 11 percent is that what 16:13 you said? 11 points, 11 points on average, 16:16 11 points. You know, the exciting thing about 16:19 the Dash diet let's say you have actually gone 16:21 above and beyond the dash diet incorporate 16:25 some new additional recommendations and 16:28 the originally dash diet contains a limited 16:31 amount of diary and meat and new version 16:35 actually just released within the last couple of 16:37 weeks shows that if you substitute animal 16:41 protein for plant protein you have an 16:43 additional reduction in your blood pressure. 16:46 With how many points? A couple more points, 16:48 so in addition to the 11 and what they did I 16:51 tell you was they cut half of the animal 16:54 protein and brought broad in plant proteins 16:56 such as beans vegetables and nuts. 17:00 Okay, and than is, the third thing you mentioned 17:02 was limiting the sodium but not just limiting 17:05 sodium putting potassium in its place. 17:08 Potassium is the antidote, the anti salt sort to 17:12 speak. Salt makes the pressure go up and 17:15 potassium makes the pressure go down and 17:18 these are all the foods that you know plant 17:20 based foods but neither of them are very high 17:22 in potassium you think of bananas otherwise 17:24 sunflower seeds. Seeds, nuts, beans green 17:28 leafy vegetables all these things squash, 17:31 yams very high in the potassium. Now, you've 17:35 mentioned magnesium to me, like these you 17:39 mentioned another important factor there 17:44 are something to keep in mind certain 17:46 minerals balance each other in the body, 17:49 salt or sodium is balanced with potassium 17:53 that's why one works against the other, 17:55 calcium and magnesium work in tending, 17:59 just work opposite each other as far as 18:01 blood pressure. Calcium and magnesium 18:04 required for the squeezing of the muscle 18:06 cells in our body, one is required for the 18:09 squeezing and one is required for the 18:10 relaxation so far for someone to have an 18:14 abnormal level of either calcium or magnesium 18:16 it will affect the heart but also keep in mind 18:19 each of the blood vessels is surrounded by 18:22 a structural muscles that help us you know 18:25 let's say we would color it off and lose a 18:27 significant amount of blood where our blood 18:29 vessels would squeeze down to conserve 18:32 and increase the pressure in what we have 18:33 left. So, these muscles are very important in 18:35 each of our blood vessels. People who have 18:38 high blood pressure are sometimes prescribed 18:41 a calcium channel blocker something to blood 18:44 the calcium well, I just said calcium and 18:47 magnesium work opposite each other so 18:49 instead of blocking the calcium you can 18:51 increase the magnesium in your diet 18:55 or through supplements preferably through 18:57 diet and that, that can make a difference 19:01 with bringing down the blood pressure. 19:03 So, what are some foods that are high in 19:05 magnesium I mean what are the things that I 19:08 should go out and buy? Well, number one on 19:11 the list is wheat germ, wheat germ, wheat 19:13 germ is, my mom used to always put on top 19:15 of my cereal well there you go. 19:17 Its good for a lot of different things but when 19:20 we eat the white bread the refined white flour 19:23 which makes up the major of the wheat we 19:25 consume its got that the germ taken away so 19:29 we lose that magnesium which was in there. 19:32 Other sources? Nuts like almonds and cashews 19:35 are especially high in magnesium, 19:38 buckwheat, Brazil nuts, peanuts, walnuts and 19:43 rye are also good sources. So, really what 19:46 your saying you know when we're thinking 19:48 about hypertension instead of having to 19:50 remember all these list which are great list 19:52 would be just to eat foods as grown and 19:55 liberal fine adulterated unprocessed type 20:00 quantities, that makes a big difference. 20:04 Okay, what's next on our list? Well, it's the 20:09 next thing on the list is to quit smoking, okay, 20:13 because that's a very important factor and 20:16 after that consuming healthy fats, 20:19 I think a brief talk about the kinds of fats 20:23 is very important, there is a certain family 20:26 of fats that are called Omega-3 fats, 20:29 these are found in things like flake soil or 20:32 flake seeds, canola oil, walnuts as well as 20:36 fish and fish oil. Okay, these actually help to 20:39 bring down blood pressure that also helps 20:42 to fine the blood and reduce their risk of 20:43 blood clots. So, it has the healthy fats and 20:47 then on a graphic it self avoid trans fats, 20:50 what are trans fats? If you see the word 20:53 partially hydrogenated on the label that's 20:55 another word of trans fat. Partially, 20:59 partial hydrogenation is a process of taking 21:01 a liquid fat and making it a solid at room 21:04 temperature its like margarine, margarine, 21:09 French rice all this different thing and 21:12 shortening and food most of the commercial 21:14 baked goods, the pies the crackers the 21:17 cookies this are made with trans fat or 21:20 hydrogenated fat. So, trans fats how do 21:24 they increase the blood pressure they impact 21:28 well, they impact the cell membranes this 21:34 fats actually that the membranes of every 21:38 cell in our body is made up of fats and this 21:40 actually get into our cell membranes or 21:43 unnatural kind of fat that's got incorporated 21:45 into our bodies. So, they impact how like I 21:50 said that the calcium and magnesium and 21:51 these minerals interact with the cells. 21:55 I understand they stay in the body a long 21:56 time this trans fats. There well they are 21:59 incorporated into every cell in our body until 22:01 the cells die and it turn over are there. 22:04 And I you know what I see that the they are 22:07 trying to the respond to the research that 22:09 your presenting in the store, I see a lot of 22:11 things now that say no trans fats and those 22:14 are the things to look at is that what you are 22:16 suggesting. You know that's an interesting 22:18 fat that they The Institute of Medicine 22:21 says there is no safe level of trans fat they 22:24 would recommend zero. They say well lets be 22:28 practical now may be you should keep it 22:29 under 2 gms a day. Well, the trans fat 22:35 there is a little bit of labeling confusion 22:37 that's going on, right now you might pick up 22:40 a box of crackers that might say zero gms of 22:43 trans fat but you look under the ingredients 22:45 it will say bleached wheat flour, partially 22:49 hydrogenated soybean oil or some kind of oil. 22:52 Well, how can they claim zero grams if it's 22:54 got something partially hydrogenated the 22:57 labeling rule says it has to be under 0.5 gms 23:03 and they can write zero. So, if its 0.49 gms 23:06 you can still write zero on the label it is 23:07 interesting so you got to look very close to 23:09 you see you got to read the ingredients what 23:11 about exercise that, that can make quite a 23:14 few points improvement in ones blood 23:17 pressure the amount of exercise that has 23:20 been shown is a moderate amount of 23:22 activity like a brisk walk 30 to 45 minutes 23:26 at least three or four days out of the week. 23:29 If you can do more better but this is a 23:32 minimum that's needed to, that's brings 23:34 down another couple of points. 23:36 Another couple of points. So, all these 23:37 things a 11 here ive there you know a 23:39 couple of here will make the difference. 23:41 Okay, alcohol? Alcohol is not recommended 23:46 for blood pressure its seems I will tell you a 23:49 story about that I had a patient who is only 23:52 on his 20s and he had high blood pressure he 23:55 was already taking I think two medications 23:59 for this blood pressure so I was just asking 24:01 him about his habits he was overweight 24:03 but he drink five drinks or so a night just a 24:06 kind of settle down that was his habit in the 24:09 evening. In a couple of weeks we're able to 24:13 cut out the alcohol and you know alcohol 24:15 is basically an empty calorie source, 24:18 so like cutting out the alcohol he lost about 24:20 10 pounds almost immediately his blood 24:23 pressure went from 160 down to 140 in a 24:26 matter of weeks despite cutting out the 24:28 alcohol and losing a couple of pounds I 24:31 think the alcohol directly raises the blood 24:33 pressure, so cutting that out can make a 24:35 big difference. Stress management what 24:37 did you do for this guy he usually used to 24:39 reduce his stress through drinking alcohol. 24:42 Well, what did you recommend to him? 24:45 What do you recommend or is there any 24:46 association between stress and blood 24:50 pressure? Huge, huge research going on 24:53 right there kind call that the mind-body 24:57 factor, there's a study out of Harvard with 25:00 man with hypertension and they found that 25:04 using stress reduction techniques things 25:08 like prayer mediation people are able to 80 25:14 percent are able to reduce the need for 25:15 medication. Is that right? Simply on any 25:18 stress management, 80 percent that's very 25:20 high. That's, yeah, yeah very impressive and 25:24 so finding something with you know within 25:27 your religious tradition looking to Godly things, 25:31 sometimes people in the religious tradition 25:33 that increases stress for them but finally what 25:36 reduces it for you. And I would like to talk 25:38 about with patients not just the concept of 25:40 relaxation but this concept of enjoyment, 25:43 even a smile or a laugh can boast the immune 25:49 system and help to reduce blood pressure. 25:50 You wanted to say something when we talked 25:52 about healthy versus non-healthy fats about 25:56 nuts. We had said earlier at the beginning 25:59 of the program that people who consume three 26:02 serving a week of whole grains cut their risk 26:05 of heart attack by almost half of the same is 26:08 true for people who consume five serving a 26:11 week of nuts they cut the risk of heart attack 26:14 almost by half, add that to your brisk walk 30 26:19 minutes, 3 times a week you cut your risk 26:22 of heart attack almost in half, so just doing 26:25 those three things nuts whole grains and a 26:29 little bit more physical activity, how does that, 26:32 how do nuts do that? How do they decrease 26:34 your risk? Well, we just look there very high 26:36 in magnesium and very high in potassium 26:39 and they are high I believe some of them are 26:42 in good fats. In fact there are two kinds of 26:45 good fats as we mentioned the omega 3 26:46 but there is another family called 26:48 monounsaturated fats and nuts are very high 26:51 in this as this olive oil, so lets just review 26:55 what we say lose weight if you need to, 26:59 go on the dash diet, right. Dash minus the 27:03 meat minus the other things its even better, 27:05 even better if you substitute plant protein, 27:07 lemon, sodium, but replace it with potassium 27:13 adequate magnesium, moderate exercise 27:18 which means 30 to 45 minutes at least three 27:21 four days a week, yes. Limit alcohol, right, 27:24 or cut it out, stress management relax 27:30 quit smoking and then have the healthy fats 27:35 avoid trans fat. Thank you so much for join us 27:39 and taking time from your, your busy 27:40 schedule there in Wichita at Vitae. 27:43 Thank you Don and thank you for joining us 27:49 today in Health for life time we hope that 27:50 today's program helps you avoid 27:51 hypertension and all the problems that go with 27:53 it and that as a result you have 27:55 health that lasts for a lifetime. |
Revised 2014-12-17