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Hello I'm Dr Chip
How old is your dad and does he take blood pressure medication?
The 158/125 is very worrisome--way too high
The 191/65 is less worrisome since it's only systolic hypertension but I still wouldn't be comfortable with it
He needs an adjustment in his medication--either the addition of something like Lisinopril or a higer dosage of the metolprolol xr
Please let me know if you need any more information
Actually I think it would be a good idea to do that
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