I'll back RBig on this one. I see doctor once a year. Never fails he wants to prescribe a BP med (mine hovers around 128, he wants below 120) and a statin for LDL (mine hovers 100-110). Not once EVER has he said if I lost 20 lbs BP would be fine. I know it would be, I'm just too lazy to lose the 20. Before knee replacement last year was obliged to see a cardiologist to OK my knee surgery. You guessed it....he cleared me for surgery but recommended Losartan for blood pressure and a statin for LDL and not one peep about changing diet and losing some weight. I looked up Losartan side effects and decided lowering my BP a few ticks was not worth possible: Dizziness, Fatigue, Upper respiratory tract infections, Cough, Stuffy nose, Back pain, Joint pain, Nausea, Vomiting, Diarrhea, Headache, Potassium levels, Kidney damage, Angioedema (swelling of the face, neck, and mouth), and Allergic reactions. But then - if I developed some of those problems I'm sure they have meds to counteract them (and each one of those meds has its own list of side effects), which in turn can be countered by additional meds.