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Lower Blood Pressure Is Better for the Heart...Even in CKD
Andrew Kowalski, MD, FASN Why This Question Matters The world of medicine and medical care is changing at a rapid pace. Recommendations and "hard rules," when I was in training, are no longer considered "standard of care." This is great in many ways, especially when it comes to offering the patient the best advice, guidance and care that we can offer. The struggle is keeping up with the newest research, findings and suggestions. At one time, "Guidelines" from major societies
Andrew Kowalski
4 days ago12 min read


Unveiling the Hidden Influences on Your Blood Pressure
Andrew Kowalski, MD, FASN If you're living with kidney disease, you most likely have been told, and likely know that blood pressure control is not just important. .. it 's essential . High blood pressure is both a cause and consequence of kidney damage , creating a vicious cycle that can accelerate disease progression. But what if I told you that some of the most important factors affecting your blood pressure have nothing to do with the usual suspects like salt intake or st
Andrew Kowalski
Jan 287 min read


"Salt Beyond Sodium: Does Micronutrient Diversity Induce Salt Sensitivity?"
Andrew Kowalski, MD, FASN Hypertension, one of the most common manifestation in CKD, and as described in previous blogs, CKD impacts how efficiently the kidneys function, making it more difficult for the body to control fluids, electrolytes, toxins and salts. This is why many people with CKD develop high blood pressure, and then run the risk of potentially serious health problems including heart disease or stroke. In these patients high blood pressure can exacerbate their kid
Andrew Kowalski
Jan 107 min read


New 2025 Blood Pressure GuidelinesWhat You Need to Know to Protect Your Heart, Kidneys, and Brain
Andrew Kowalski, MD, FASN Introduction The 2025 American Heart Association (AHA) and American College of Cardiology (ACC) hypertension...
Andrew Kowalski
Oct 5, 20254 min read
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