In the Swedish Obese Subject Study, hypertension decreased with negative energy balance but did not remain low even if weight increased, suggesting potential damage to endothelial elasticity.

“although diabetes really came down and stayed down very well even if weight came back up a little which it did on average hypertension came down very well but did not stay down very well it would come back up and why that is is it damage to the endothelial elasticity that's not really repairable”