For the treatment of hypertension, there is insufficient evidence for or against offering weight loss medications for patients with obesity and hypertension. Neither for nor against Reviewed, New- added 17. For the treatment of hypertension, there is insufficient evidence to suggest for or against bariatric surgery for patients with obesity and hypertension. Neither for nor against Reviewed, New- added 18. We suggest offering individual or group-based exercise for the treatment of hypertension to reduce blood pressure. Strong for [111-119] Weak for Reviewed, Amended 19. We recommend a target for aerobic exercise of at least 120 minutes per week for reduction in blood pressure. Strong for [120,121] Strong for Not Reviewed, Amended 20. We recommend a dietitian-led Dietary Approaches to Stop Hypertension Diet for the treatment or prevention of hypertension for patients with hypertension or interested patients with other cardiovascular risk factors. Strong for [122-124] Strong for Not Reviewed, Amended 21. In patients with hypertension, we recommend that sodium intake be limited to no more than 2,300 mg/day (100 mmol/day), with referral to a dietitian or other support as appropriate. Strong for Additional References: Strong for Not Reviewed, Not Changed 22. In patients with additional cardiovascular risk factors, such as dyslipidemia, we suggest considering a dietitian- led Mediterranean Diet as an alternative to the Dietary Approaches to Stop Hypertension Diet. Weak for Additional References: Weak for Not Reviewed, Not Changed 23. We recommend offering a thiazide-type diuretic, calcium channel blocker, or either an angiotensin-converting enzyme inhibitor or an angiotensin II receptor blocker as primary pharmacologic therapy for hypertension for reduction in composite cardiovascular outcomes. Strong for, Strong for [135] Strong for Reviewed, New- replaced 24. In African American patients with hypertension, we recommend against using an angiotensin-converting enzyme inhibitor or angiotensin II receptor blocker as monotherapy. 