your blood pressure needs to be better controlled. If you are overweight, smoking or eating much salt; then losing weight, excercising, stoping smoking and decreasing your salt intake will be important things to do. Of course, medications can be added and more tests can be done; but I would advise starting with these simple measures.
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It is recommended that all individuals see a Family Doctor for a full medical examination annually. Adults should get their blood pressure checked (US Preventive Task Force), a flu vaccine (CDC) and more each year.