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My spouse has had high blood pressure for quite a while now and I'm afraid she'll soon take the doctor's word for it and start taking pills. Latest was like 200/100 or so. Her pulse, however is around 65 so that's pretty good.

Any advice or ideas on what we could try instead?

We've both been eating low carb/ keto/ carnivore for years. She, oddly enough has not lost any weight where as I dropped quite a bit almost immediately after quitting carbs. There's no way she could be eating sweets etc. without my knowledge since we live in the middle of the woods, have no shops around and we go to the grocery store together.

She's been under a lot stress due to pressure at work which lead to a bad burnout. And then there's the highly troubled relationship with her mom.

We are quite active and get tons of fresh air.

My spouse has had high blood pressure for quite a while now and I'm afraid she'll soon take the doctor's word for it and start taking pills. Latest was like 200/100 or so. Her pulse, however is around 65 so that's pretty good. Any advice or ideas on what we could try instead? We've both been eating low carb/ keto/ carnivore for years. She, oddly enough has not lost any weight where as I dropped quite a bit almost immediately after quitting carbs. There's no way she could be eating sweets etc. without my knowledge since we live in the middle of the woods, have no shops around and we go to the grocery store together. She's been under a lot stress due to pressure at work which lead to a bad burnout. And then there's the highly troubled relationship with her mom. We are quite active and get tons of fresh air.

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Hope you found something better.

I did! I essentially retired at 45. I created a passive RE business and made far more $$$ than while busting my ass in engineering for 24 years. No regrets on the decision but really missed the challenges of bleeding edge tech and working with the brilliant people involved in it. "Retiring" young allowed me the freedom to be there to help my widowed mom in her last 8 years of life. I'm so very thankful for that.

If your wife's BP doesn't improve, the BP meds will be necessary. My ex-gf's son (think HS years to early 30's and 6' 260lbs of muscle, shaped like a linebacker) had very high BP, she put him on BP meds early. You could tell when he hadn't taken his pills, he would get quick tempered and irritable after a couple of days.