Thank you and very pleased to answer you. your body mass index or BMI is 36.126 kg/m2 Normal weight BMI IS under 25 Class II Obesity BMI is equal or more than 35 and under 40. you are a Class II Obesity and you suffer from hypertension and depression. Obesity is a risk factor in high blood pressure, especially android obesity (i.e. an excess of abdominal adipose tissue). Weight gain in adulthood, particularly in the abdomen, is the consequence of several factors: age, hyperactivity of the sympathetic system, a change in energy yields, a bad reaction to stress, relative hyperphagia that can be caused by drug medicine or other circumstances, hyperinsulinemia, Insulin resistance, these factors being favorable to the increase in blood pressure. The obese have a higher blood mass whereas the renal flow remains stable, the ratio of renal flow / cardiac output is therefore lowered which leads to chronic renal ischemia (hypertension). It would appear from recent studies that abdominal fat develops intense metabolic activity, that is to say that it is the seat of a permanent turnover, which leads to an increased release of free fatty acids in the portal circulation, causing hyperinsulinemia and insulin resistance. Moreover, it seems that during its metabolism this abdominal fat produces pathogenic substances, especially angiotensin II, especially at the time of digestion (angiotensin II: very important factor of arterial hypertension). Therefore, the obese hypertensive must imperatively lose about 10 to 15% of the starting weight, this gradually. It should be noted that every kilo eliminated causes a drop of 1.6 mm of mercury for the systolic and 1.3 mm of mercury for the diastolic. The adjuvant treatment consists of taking anti-angiotensin drugs, in particular the LOSARTAN which is an exclusive antagonist of angiotensin II receptors, and which also treats hypertension. Of course, angiotensin I inhibitors that inhibit the transformation of angiotensin I into angiotensin II, (example LISINOPRIL) which is responsible for arterial hypertension, retain their full value. Then I would change you Lisinopril to Losartan 50 once daily and I would like you to consult a dietician. For your depression treatment, some study incriminates paroxetine as a cause of obesity, but you can consult your pshychiatrist about possibility of changing it. Best wishes