High blood pressure often builds quietly — but early detection and the right support can change everything.
At Fishtown Medicine, we don’t just monitor your BP. We help you understand what’s driving it and what you can do to shift it — through personalized, data-informed care.
🩺 How we diagnose it:
Multiple readings over time (home logs or wearables)
Labs for kidney, thyroid, metabolic, and hormonal contributors
Full context: sleep, stress, movement, medications, hydration
🔬 What labs we often include:
Renal function (BUN, Cr, eGFR)
Electrolytes (sodium, potassium, magnesium)
TSH and Free T4 (thyroid function)
Fasting insulin and HOMA-IR (metabolic risk)
Lipids, hs-CRP, uric acid (vascular inflammation)
Renin/aldosterone (if resistant or erratic)
⚙️ How we manage and prevent:
We build your plan around six personalized pillars:
🥗 Nutrition
Sodium-aware, potassium-rich foods
Glycemic control to reduce insulin-driven hypertension
Real-life adaptations of the DASH or Mediterranean patterns
🏃 Movement
Post-meal walks
Resistance training
Zone 2 aerobic exercise for vascular flexibility
😴 Sleep
Screening for sleep apnea
Evening cortisol and melatonin rhythm support
Restorative strategies for better blood pressure variability overnight
❤️🩹 Emotional Resilience
Stress triggers affect blood pressure more than most people realize
We help you build self-awareness, recovery time, and regulation skills
This may include journaling, therapy coordination, movement-based stress relief, or trauma-informed support
Our goal isn’t “relax more” — it’s heal smarter
💊 Supplements (when appropriate)
Magnesium glycinate or citrate
Potassium (dietary or supplemental)
CoQ10, L-theanine, omega-3s
Beetroot, garlic extract, or adaptogens (based on labs and symptoms)
💊 Medications
Lowest effective dose, reassessed regularly
Always integrated into a broader care plan — not prescribed in isolation
Tapering is considered when blood pressure improves and root causes are addressed
Want to monitor blood pressure at home?
We recommend these options from Wirecutter:
👉 The Best Blood Pressure Monitors – Wirecutter
Let us know when you’re ready to understand your blood pressure more deeply — and build a plan that works with your biology, your life, and your values.