I have the basic run of the mill HBP, my wife has some genetic HBP that took a while to figure out and it was a nurse practitioner that did. She now goes to a cardiologist that handles the scripts that seem to be ever changing every few years. My wife teaches spinning and body pump classes 10 or so times a week, she's pretty much a health nut, eating chicken and fish but mostly salads and very few carbs.