Donny: the b.p. medicine may seem to be a pain in the a$$, but the added pressure on the blood vessels (scarring) in your kidneys can put you into a dicey situation years from now. Dialysis is lots worse than b.p. medicine, and the anti-rejection meds and other considerations after a kidney transplant is far more of a PITA than b.p. meds ever could be.
I am NOT at the point of serious kidney problems yet, but I have to take a diuretic daily, (lack of which was the start of my 2004 hospitalization) and am quite concerned about the future. I saw lots of dialysis patients during my hospitalization.
I wish someone had said these words, in this way, to me twenty years ago, instead of just including the words kidney in a long improbable sounding list.
My best friend's stepdaughter required (she got one of her mom's) a kidney transplant, that too was an eye opener.
As for the weight, when I lost 200 lbs the first time, I just ate less overall with less calories and smaller portions, and excercised a lot more; walking 4 miles a day, every day, very briskly, NO MATTER WHAT.
Took 2 1/2 years... kept it off for a while, until I made the mistake of cutting down, then stopping, the walking.