Controlled diet and regular exercise are very healthy lifestyles that are beneficial for lipid reduction and blood pressure control, but for many people, lifestyle improvements alone still do not bring blood pressure up to standard and lipids to normal, and they still need help with medications. This is because the causes of hypertension and hyperlipidemia are complex, and genetic factors play a large role in some patients, such as abnormal lipid metabolism and a family genetic background for hypertension, which may well be inherited in the offspring. The combination of acquired lifestyle and genetic background finally presents clinical manifestations. Therefore, for patients who have undergone better lifestyle management and still have high blood pressure and lipids, it is still important to seek medical help to keep the condition under control, reduce the occurrence of coronary heart attacks, cerebral thrombosis, and renal failure brought about by abnormal blood lipids and blood pressure, and live a good and long life.