Recommendations for Managing Heart Failure and High Blood Pressure - #48819

Hello Doctors I am a 64-year-old man with heart failure and high blood pressure. I am not taking any medication to lower my blood pressure. My average blood pressure is 138/86, and my pulse is 68 bpm. My current weight is 60 kg, down from 74 kg, and my height is 175 cm. Based on the analyses and tests mentioned below, what are your recommendations I am now on Gokshuradi Guggulu , Punarnavadi Mandur , Ashwagandha Cnurna and Shatavari churna Best Regards ALI Hematocrit % 0.44 Hemoglobin 157.0 g/dL MCH 30.4 pg MCHC 358.0 g/dL MCV 84.7 Fl Erythrocyte distribution width % 13.30 Erythrocytes 5.18 10*6/ Leukocytes 3.80 10*3/ Platelet mean volume 11.1 Platelets in blood by Automated count 122 10*3/ Urine Alb/Creat Ratio 73.02 Creatinine in serum 84.0 Fasting glucose 6.10 nmol/ Urea nitrogen 3.80 mmol/L Basophils %0.0 Basophils/100 leukocytes in blood by Automated count 1.2 Lymphocytes in blood by Automated count 0.9 Lymphocytes/100 leukocytes 47.7 Eosinophils %0.0 Eosinophils/100 leukocytes in blood 0.7 Monocytes 0.2 Monocytes/100 leukocytes in blood 8.7 Neutrophils 0.8 Neutrophils /100 leukocytes in blood by Automated count 41.7 Chloride 101.0 Cholesterol in HDL 2.38 Cholesterol in LDL 2.94 Hemoglobin A1c % 5.00 Alanine aminotransferase 22.0 U/L Alkaline phosphatase 85 U/L Aspartate aminotransferase 27.00U/L Albumin in serum or plasma 45.0 g/L Bilirubin. Direct 6.33 Gamma glutamyl transferase 36 U/L Bilirubin. indirect 13.49 Protein in serum or plasma 73 g/Dl Bilirubin. Total 19.82 Potassium 4.01 Sodium 138 mmol/ Cholesterol 6.24 mg/dL Abdominal Ultrasound Examination Revealed 12- MAR-25 LIVER: Normal size with homogeneous echo pattern and smooth surface. No venous congestion. No focal lesions GALL BLADDER: is contracted over multiple intra-luminal stones largest is measuring about 9mm …. chronic calcular cholecystitis CBD: is dilated measuring about 12 mm with minimal intra hepatic biliary radical dilatation the distal end of CBD is masked by gases SPLEEN: Normal size PANCREAS: is normal showing no gross lesion RIGHT KIDNEY: shows few renal gravels. Otherwise, normal site size and outline. Normal parenchymal tissue thickness and echogenicity. No backpressure. No masses or sizable stones LEFT KIDNEY: shows few renal gravels. Otherwise, normal site size and outline. Normal parenchymal tissue thickness and echogenicity. No backpressure. No masses or sizable stones URINARY BLADDER: Normal urine filling. No detectable wall thickening, masses, stones or diverticula PROSTATE: Normal size parenchymal concretion. No focal lesions Normal appearance of the seminal vesicle