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👇 Visit The Proof website for the full show notes and supporting studies. 👇 https://theproof.com/podcast/ High blood pressure affects more than a billion people worldwide and remains one of the leading drivers of heart, kidney and brain disease. In this episode, I sit down with Dr Raymond Townsend, Professor of Medicine and Director of the Hypertension Programme at the University of Pennsylvania, to uncover what truly causes blood pressure to rise, how it damages the body, and what steps can help reverse or prevent it. With more than four decades of clinical and research experience, Dr Townsend shares insights into the mechanisms of hypertension, the importance of early detection, and why empathy, consistency and accurate measurement matter as much as medication or diet. Together we explore how blood pressure control can protect vital organs, extend healthspan and reduce risk long before symptoms appear. What We Cover What blood pressure really measures and how it relates to blood flow and vascular health How elevated blood pressure damages the heart, kidneys and brain over time The roles of genetics, age, race and lifestyle in determining risk Why stiffness in the arteries increases with age and what influences it The link between weight, salt sensitivity, potassium and hypertension How lifestyle interventions compare with medication in blood pressure control The best ways to measure blood pressure accurately at home and in clinic Why adherence and patient–doctor trust are critical for treatment success Early warning signs, thresholds for treatment and when to act The importance of prevention over cure by tackling risk before symptoms appear Hypertension does not appear overnight. Small, consistent changes in diet, movement, sleep and awareness can make the difference between lifelong health and chronic disease. Subscribe and stay connected: Found this episode valuable? Subscribe to The Proof on YouTube and hit the notification bell to stay updated. Listening on Spotify or Apple Podcasts? Follow the show to ensure you never miss an episode. Support the show: The best way to support the show is to use the products and services offered by our sponsors. Visit http://theproof.com/friends for exclusive discounts. If you have any additional questions you would like answered in the future, let me know in the comments. Enjoy, friends. Simon This episode is brought to you by: 38TERA Consider 38TERA's DMN prebiotic supplement a daily multivitamin for your gut. Formulated by yours truly and gastroenterologist Dr Will Bulsiewicz. Head to https://38tera.com/?ref=SIMON and use code THEPROOF for a discount at checkout. Shopify Shopify, the world's leading e-commerce platform, helps you turn browsers into buyers with the internet’s best-converting check out–up to 36% better compared to other leading e-commerce platforms. To boost your conversion rate, and grow your business, sign up for a one-dollar-per-month trial period at http://shopify.com/proof. IM8 With 92 nutrients, including Vitamin B12, Iodine, Selenium and Vitamin D, in highly absorbable forms, IM8 Daily Essentials is the perfect all-in-one daily multi-vitamin to ensure you meet your daily micronutrient needs. IM8 is offering an exclusive 10% off your first order with a free welcome kit when you enter the promo code SIMON at checkout on http://im8health.com/ WHOOP Whoop, the most advanced fitness and health wearable available. Your personalised fitness and health coach to recover faster, sleep better, and train smarter. Claim your first month free on http://join.whoop.com/simon. Simon Hill, MSc, BSc (Hons) Creator of http://theproof.com/ Host of https://theproof.com/podcast/ Author of https://theproof.com/book/ Subscribe & Connect: YouTube: https://www.youtube.com/c/TheProofWit... Apple Podcasts: https://podcasts.apple.com/au/podcast... Spotify: https://open.spotify.com/show/7bAIJCV... Instagram: / theproof X: https://x.com/theproof Nourish your gut with my https://theproof.com/ferments/ and download my https://theproof.com/mealplan 00:00 Introduction 01:14 Key Takeaways from 40 Years in Hypertension 08:54 What does “hypertension” actually mean? 12:10 How Blood Pressure Works: Systolic vs diastolic explained simply 16:28 Why High BP Is Dangerous: Heart, brain & kidney damage mechanisms 30:00 What Are the Main Causes of Hypertension 37:21 The Aging Process and Blood Pressure 41:17 Can arteries stay flexible and young through exercise and recovery 43:31 Why even young adults should care about blood pressure control 44:46 Dementia and Blood Pressure: The Long-Term Connection 47:22 Awareness and Diagnosis of Hypertension 50:41 Measuring Blood Pressure Correctly 01:00:23 When to Intervene: Thresholds and Treatments 01:05:27 Primary vs. Secondary Prevention