hello You being an young hypertensive you ll first evaluation for cause of blood pressure. You should undergo test like renal artery Doppler, Sr cortisol and 24 hr Urinary metanephrines. Also get lipid profile and sugars tested. You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week and bp should not be persistently more than 140/90 mmhg. I think you should continue the same and I would like to add Tab Telmisartan chlorthalidone combination(40/12.5) once a day in the morning. Once bp is controlled LVH will gradually decrease and no need to worry about it. Regular exercises like brisk walking, jogging according your capacity atleast 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn t abdominal fat deposition or obesity. Hope this helps you and get back if you have any doubts.