"As a nephrologist, hypertension is a major part of my expertise. I agree with my colleague. Hypertension is a symptom, and highly overdiagnosed. Office measurement of blood pressure is skewed by the "white coat" phenomenon. Anyone diagnosed this way should get a home monitor and check their pressure at least twice daily. The external pressure required to compress the brachial artery increases as arteries stiffen with age. The recommendation to treat elderly patients to a blood pressure <120/80 is both scientifically absurd, and extremely harmful.

The goalposts are constantly being lowered by industry funded panels of "experts" who view blood pressure as a "continuum of risk," meaning that lower is always better. Things like syncope get in the way of this approach.

"Essential" hypertension is a pharma scam designed to keep a large proportion of the population on their medications for life.

The underlying cause of hypertension in most patients today is the metabolic syndrome and is present in almost all patients with type 2 diabetes, the other major manifestation of the metabolic syndrome. Both hypertension and diabetes can be reversed in these patients by following a no sugar, carb restricted, time restricted, no seed oils diet. Restricting salt intake is an error, unless there's significant kidney, heart, or liver damage."

Both doctors are worth a follow
https://substack.com/@richardamerlingmd437332
https://www.remnantmd.com/