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What deficiency causes high blood pressure?

Vitamin D deficiency may be linked to heart disease and an increased risk of high blood pressure (hypertension).

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Can vitamin D deficiency cause high blood pressure? Answer From Fouad Chebib. M.D. It's long been known that getting too little of vitamin D weakens bones. But when it comes to heart health, the role vitamin D may play is less clear. Vitamin D deficiency may be linked to heart disease and an increased risk of high blood pressure (hypertension). However, recent research casts doubt on whether taking a vitamin D supplement reduces the risk of heart attack or stroke. Still, vitamin D remains an important nutrient for overall good health. The National Academies of Sciences, Engineering, and Medicine recommends 600 international units (IU) of vitamin D a day for adults ages 19 to 70. For adults age 71 and older, the recommendation increases to 800 IU a day. Some doctors question whether these levels are adequate and think that getting more vitamin D would benefit many people. But the National Academies of Sciences, Engineering, and Medicine recommends that adults avoid taking more than 4,000 IU a day. If you're concerned that you're getting too little — or too much — vitamin D, contact your doctor. He or she may recommend a blood test to check the level of vitamin D in your blood. Screening for vitamin D deficiency is important in African Americans and others with dark skin. Darker skin has higher levels of melanin, the pigment that gives skin its color. The more melanin you have, the harder it is for your skin to make vitamin D from the sun.

Others who may benefit from screening for vitamin D deficiency include:

People who don't spend a lot of time in the sun

Older adults

People with certain health conditions that make it difficult to absorb vitamin D

With Fouad Chebib. M.D.

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Can I skip a day of blood pressure medication?

You might face serious complications. If you don't take your blood pressure pills for your heart as prescribed, it could raise your chances of a heart attack, a stroke, kidney failure, or other complications. Even OTC drugs can be dangerous to skip.

Missing a dose or two of your medications may not seem like a big deal. Americans fail to follow their doctor or pharmacist’s instructions about half the time. Sometimes the skipped doses cause no obvious problems. But many medications won’t work right if you don’t take them when and the way you’re supposed to. Problems It Can Cause Forgetting or skipping your meds can affect you in ways you might not expect. That’s especially true if you skip multiple doses. You may miss the best window of time. Some pain medicines for arthritis work best if you treat your symptoms before they start. Otherwise, your pain flare-ups may be harder to tamp down. If you have asthma, using your inhaler too late means you may not prevent irritated airways and the symptoms that follow. Your treatment might fail. If you don’t finish your antibiotics, your infection might last longer or even come back. Then you may need a longer drug course or more powerful antibiotics. Incomplete treatments also may make you resistant to antibiotics, so take all your prescribed pills even if you feel better.

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