I would guess that "hardening of the arteries" is one factor. Hence, higher blood pressure is needed to service all parts of the body. I wonder if arteries become less flexible too as we age.I still hold to the point of view that multiple meds controls bp while minimizing the worst side effects.If side effects are a concern, the real experts are nephrologists who specialize in hypertension. Ask for a referral especially if your creatinine begins to rise (even a little). That indicates reduced kidney function caused by damage from high blood pressure. It's serious and another factor that reduces your life expectancy if untreated.
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