I’ve had a few doctor visits lately — two for an injured arm (side effect of working out without a brain) and a regular-for-me eye specialist trip — and in each of the three, my blood pressure has come back a bit high. Just a bit. Could be nothing — I’d gained a few pounds lately (from eating garbage and the arm not letting me exercise properly), I was in pain, I was stressed out, all that stuff. I’ll get it checked again sometime soon under no stress at my mom’s house or a Walgreen’s or something, and it might be right back to normal, right where it should be and has (until about a month ago) always been.
But I decided to treat it like it’s something, mostly because I’d like to avoid medication and much more sweeping and permanent changes going forward. The only real recommendation for someone like me — mildly high BP, relatively young, not overweight, no family history — is to cut back on the sodium intake a bit. So I’ve been trying. And in this age, in this country, it’s a freakin’ hard thing to do. There’s no escaping salt. Sodium — a lot more of it than you’d likely ever imagine — is everywhere.
Here are some things I’ve learned about sodium, and the avoidance thereof:
- People eat a ton of it. Duh, right? But it’s more than you think. The US recommended daily allowance for sodium is 2,400 mg; the Centers for Disease Control, which has been a bit nuts about this in recent years, says 2,300. People at risk (like me, now, in theory) are urged to keep it under 1,500 or 2,000, depending on who you talk to. The average American consumes nearly 3,500 mg a day. If you’ve eaten at a restaurant today — any restaurant, fast food, greasy spoon, fine dining, whatever — there’s a pretty decent chance you passed 2,000 in that meal alone.
- But that’s probably okay, for most people. They’d have preferred not to admit it, but CDC’s most recent study found no solid evidence that the average person would benefit at all from reducing her sodium intake from around the average down to below 2,300 mg. No doubt we all (or almost all) get a lot more of it than we need, and a high-sodium diet isn’t good for anybody, per se, but if your blood pressure’s normal and things are otherwise good, there’s not a lot of reason to be concerned about it.
- Sodium is sneaky. Easy enough to stay away from soy sauce or anything soaked in brine (a pickle or a cup of olives alone will both get you to around 1,200), and maybe you’d assume that most frozen or fast food meals are packed with the stuff (you’d be right), but that’s about as far as intuition will get you. Most chips and crackers that taste salty aren’t that bad, sodium-wise, if you stick around the serving size; pretzels, generally lower in calories and fat, tend to have more than double the sodium per ounce. (These have quickly become my favorite snack.) There’s loads of sodium in packaged flour tortillas; not so much in whole grain bread; approximately a metric ton and a half in whole grain bagels or hamburger buns. White rice generally has almost no sodium, but Chipotle’s white rice has a robust 200 mg.
There’s no system, and it can’t really be learned; it’s just the sort of thing, I’m finding, where you have to check, every time.
- Prepared “healthy” foods are the devil. The thing is that salt has no calories and is cheap and readily available. So, I’m convinced, people who make low-calorie foods for restaurants or grocery shelves view it as the all-purpose replacement flavor for all the flavors they have to take out of the food because they, those flavors being supplanted, carry too many calories. No Lean Cuisine I’ve ever seen has had enough calories to count as a meal, yet they all seem to have 500 mg or more of sodium. Kraft’s ranch dressing has 300 mg per serving, while its watered-down fat-free variety has 330. An “All-American Flame-Grilled” meatless Boca Burger patty has 380 mg, more than four times what an original ground-beef Bubba Burger has (of course, the Boca is going to be better for you in almost every other way).
If low sodium is going to be a part of your healthy lifestyle, fresh vegetables, fruit, unsalted nuts and meat you cook yourself is pretty much the only way to go. As someone who still has a bit of a panic when he has to fire up the burner to scramble a couple eggs for his kids every morning, this is going to be the hardest thing to accept. I’m not there yet, and may never be there.
- You can get more than 2,000 mg of sodium — my doctor’s recommendation for me for a whole day – from the following harmless-enough-sounding restaurant orders:
- Lasagna Primavera with grilled chicken from The Olive Garden (on their “Lighter Italian Fare” menu at 530 calories)
– A Chipotle burrito bowl with chicken, brown rice, black beans, cheese, the tomato and corn salsas, guacamole and romaine lettuce (I tried to be as “good” as I could, for fast food Mexican. No Tortilla! Brown rice, black beans and so forth!)
– A Potbelly’s turkey breast sandwich on multigrain wheat bread with swiss cheese and hot peppers, plus Baked Lay’s (a reasonable-for-fast-food 610 calories; 2023 migs of salty stuff).
– Almost literally any full entree or appetizer at Applebee’s, including at least four of the salads. Hell, several entrees have more than 5,000 mg, and two of the desserts at Applebee’s have more than 900.
So there’s a moral here, and I think that moral is: don’t develop high blood pressure. Or: don’t ever go out to eat, ever. Or: if you have to do one or both of those things, don’t live in the United States.
Gonna be fun!