Case four · Blood pressure
Jorge
, 61
Retired surgeon on two blood pressure drugs for nine years. He wanted to know whether he still needed both.
Marker
Systolic blood pressure, mmHg
Baseline to month 12
124 → 123
Twelve months of blood pressure
Blood pressure · Jorge · 12 months
123
mmHg systolic at month 12, from 124 at baseline
ApoB
Kerno target
Systolic pressure in mmHg, clinic average at each review. One medication was stopped at month six.
Starting point
Retired surgeon on two blood pressure medications for nine years. Wanted to know if he still needed both.
Month 0
Two blood pressure drugs for nine years. Systolic 124.
What we found
Systolic 124 on both drugs. Visceral fat 1.9 kg at DEXA. Sodium intake high by his own food log. Kidney function normal.
Baseline morning
DEXA: visceral fat 1.9 kg. Kidney function normal.
What we changed
Sodium halved, 8,000 steps a day, visceral fat brought down to 1.2 kg. At month six, with his cardiologist, one of the two medications was stopped.
Month 6
One medication stopped, agreed with his cardiologist.
At 12 months
Systolic 123 on one drug instead of two. The number stayed flat, which was the goal. Visceral fat 1.2 kg.
Month 12
Systolic 123 on one drug. Visceral fat 1.2 kg.
Three markers, before and after
Blood pressure · Jorge · month 12
Bar shows lab range, band shows Kerno target
Systolic BP
Baseline 124
123
mmHg
In range
Visceral fat
Baseline 1.9
1.2
kg
In range
Medications
Baseline 2
1
count
In range
Values at month 12, baseline under each name. All three now sit inside the Kerno target.
Other cases
ApoB
Marta,
52
Borderline LDL on a standard panel. Her particle count said act now.
132
→
78
mg/dL
↓ Down
Deep sleep
Daniel,
47
Nothing in his blood explained the fatigue. The overnight data did.
61
→
84
min per night
↑ Up
VO2 max
Carmen,
58
She did not need to train more. She needed to train differently.
29
→
34
ml/kg/min
↑ Up
