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Most people worry about high blood pressure, and with good reason as it portends numerous health risks. However, low blood pressure brings a different set of problems, such as reduced brain function and increased mortality risk. If the upper or lower number deviates by more than 10 from 120/80, it pays to be aware low blood pressure may be affecting your health.

Blood pressure pushes blood through about 100,000 miles of veins, arteries, and capillaries in the body, carrying oxygen, nutrients, immune cells, hormones, neurotransmitters, and other vital compounds.

High blood pressure strains blood vessels. However, low blood pressure means not enough blood is getting to capillaries and tissues, particularly in your hands, feet, and brain. This deprives those tissues of sufficient oxygen and nutrients. You may have chronic nail fungal infections and cold hands and feet if so.

Adrenal fatigue as a cause of low blood pressure

The most common cause of low blood pressure in a functional medicine model is poor adrenal function.

The adrenals are two walnut-sized glands that sit atop the kidneys. They produce stress hormones and help regulate blood pressure. Many people today suffer from adrenal fatigue due to chronic stress. Other causes of adrenal fatigue are poor diets, low blood sugar, chronic infections, gut problems, inflammation, and unmanaged autoimmunity — all stressors.

Adrenal fatigue symptoms include chronic tiredness, low blood sugar, losing function between meals, getting sick all the time, and low blood pressure.

Orthostatic hypotension when you stand up

Orthostatic hypotension is a common type of low blood pressure that causes lightheadedness when you go from sitting to standing. This happens because the blood pools in the legs upon standing, slowing blood flow back to the heart and thus the brain. You will be diagnosed with orthostatic hypotension when the top number of your blood pressure falls by 20 and the bottom number by 10 upon standing.

Although orthostatic hypotension is a red flag you need to address your low blood pressure, it becomes more dangerous when it makes you faint or fall. Orthostatic hypotension is commonly found in those with low blood pressure and low blood sugar but people with high blood pressure can have it too.

Functional medicine tips for low blood pressure

If you have signs and symptoms of low blood pressure and adrenal fatigue, consider an adrenal saliva test. This test measures levels of the adrenal hormone cortisol throughout the day. This gives you a more precise therapy target and follow-up testing will let you know if your protocols are on the right track.

Everyone knows a person with high blood pressure should avoid salt, but adding some good quality sea salt to your diet may help boost low blood pressure. In fact, you may be one of those people who craves salt.

A nutritional compound that can help raise low blood pressure is licorice root extract, or glycyrrhiza, which can extend the life of cortisol in the body and improve blood volume and electrolyte balance.

Of course, it’s important to address what is causing adrenal fatigue. Adrenal fatigue is always secondary to something else. One of the most common causes is eating a diet that causes low blood sugar. Eating a good breakfast, skipping sweets and sweet drinks, minimizing starchy foods, and eating regularly enough to sustain blood sugar are helpful strategies.

For more advice on supporting healthy adrenal function and blood pressure, contact my office.