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April 9, 2014

Jonathan Tobin: Why Did Kerry Lie About Israeli Blame?

Samuel G. Freedman: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Jessica Ivins: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Kim Giles: Asking for help is not weakness

Kathy Kristof and Barbara Hoch Marcus: 7 Great Growth Israeli Stocks

Matthew Mientka: How Beans, Peas, And Chickpeas Cleanse Bad Cholesterol and Lowers Risk of Heart Disease

Sabrina Bachai: 5 At-Home Treatments For Headaches

The Kosher Gourmet by Daniel Neman Have yourself a matzo ball: The secrets bubby never told you and recipes she could have never imagined

April 8, 2014

Lori Nawyn: At Your Wit's End and Back: Finding Peace

Susan B. Garland and Rachel L. Sheedy: Strategies Married Couples Can Use to Boost Benefits

David Muhlbaum: Smart Tax Deductions Non-Itemizers Can Claim

Jill Weisenberger, M.S., R.D.N., C.D.E : Before You Lose Your Mental Edge

Dana Dovey: Coffee Drinkers Rejoice! Your Cup Of Joe Can Prevent Death From Liver Disease

Chris Weller: Electric 'Thinking Cap' Puts Your Brain Power Into High Gear

The Kosher Gourmet by Marlene Parrish A gift of hazelnuts keeps giving --- for a variety of nutty recipes: Entree, side, soup, dessert

April 4, 2014

Rabbi David Gutterman: The Word for Nothing Means Everything

Charles Krauthammer: Kerry's folly, Chapter 3

Amy Peterson: A life of love: How to build lasting relationships with your children

John Ericson: Older Women: Save Your Heart, Prevent Stroke Don't Drink Diet

John Ericson: Why 50 million Americans will still have spring allergies after taking meds

Cameron Huddleston: Best and Worst Buys of April 2014

Stacy Rapacon: Great Mutual Funds for Young Investors

Sarah Boesveld: Teacher keeps promise to mail thousands of former students letters written by their past selves

The Kosher Gourmet by Sharon Thompson Anyone can make a salad, you say. But can they make a great salad? (SECRETS, TESTED TECHNIQUES + 4 RECIPES, INCLUDING DRESSINGS)

April 2, 2014

Paul Greenberg: Death and joy in the spring

Dan Barry: Should South Carolina Jews be forced to maintain this chimney built by Germans serving the Nazis?

Mayra Bitsko: Save me! An alien took over my child's personality

Frank Clayton: Get happy: 20 scientifically proven happiness activities

Susan Scutti: It's Genetic! Obesity and the 'Carb Breakdown' Gene

Lecia Bushak: Why Hand Sanitizer May Actually Harm Your Health

Stacy Rapacon: Great Funds You Can Own for $500 or Less

Cameron Huddleston: 7 Ways to Save on Home Decor

The Kosher Gourmet by Steve Petusevsky Exploring ingredients as edible-stuffed containers (TWO RECIPES + TIPS & TECHINQUES)

Jewish World Review

Ask the Harvard Experts: Blood pressure highest in the morning?

By Howard LeWine, M.D.




Don't be alarmed. Here's why it happens


JewishWorldReview.com | Q: I have high blood pressure. I'm taking pills to reduce the pressure and they keep it pretty well under control during the day. However, I wake up in the morning with much higher pressure. Is this normal? Is there anything I can do to lower my early morning blood pressure?


A: Blood pressure normally comes down during sleep. It then returns to your usual level just before you wake up.


Many people with high blood pressure have this pattern of good control during the day, but high readings in the morning. Here are some reasons why this may happen:


1. Your pills might not be effective for a full 24 hours. You might need to split your pills in half. Take half of your dose in the morning. Take the other half at night. Of course, check with your doctor first.


2. For reasons that aren't entirely clear, some people will have better blood pressure control all day if they take their pills before bed rather than in the morning. So talk with your doctor about switching all of your pills to a nighttime dose.


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3. You might have high blood pressure in the morning for reasons beside your medicine. Overuse of alcohol can raise blood pressure. So if you do drink alcohol, keep it to no more than a couple of drinks per day. One drink means 12 ounces of beer, 8 ounces of wine, or one shot of hard liquor.


4. Sleep apnea is another cause of high blood pressure early in the morning. With sleep apnea, the airway becomes blocked or breathing muscles stop moving. Breathing temporarily stops or becomes shallower. This can happen hundreds of times each night. Sleep apnea puts stress on the body. This raises adrenaline levels and blood pressure goes up. The most common symptoms of sleep apnea are loud snoring, poor sleep quality and excessive sleepiness during the day. Some people have morning headaches.


Talk with your doctor about these potential reasons for high morning blood pressures. Most likely some adjustment in your medications will get your readings under control. Also, maintaining a healthy weight, eating more plant-based foods, and exercising regularly help lower blood pressure all times of the day.


(Howard LeWine, M.D., is a practicing internist at Brigham and Women's Hospital, Boston, Mass., and Chief Medical Editor of Internet Publishing at Harvard Health Publications, Harvard Medical School.)

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