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For your own peace of mind, take your home blood pressure monitor with you to the doctor’s office.

It will be a shock that you will very much enjoy when you see numbers on your device that you have never seen before that high. That will be what absolutely confirms to you that your device is correct, it is matching what they have there and their device at the clinic, and when you’re at home you don’t see those numbers.

And that means you don’t need pills.

I bought a brand called oxyline. Cost me $100. It has been tested and ranked at 99% accuracy 99% of the time. Comes with a lifetime guarantee. That’s good enough for me

That pretty much describes my experiences at the doctor's office. I wanted to know if my wrist BP monitor was accurately measuring both systolic & diastolic. On the first visit, the PA measured something like 175/90. Immediately after that my monitor read 176/89. So it was tracking pretty well.

That was after I handed her a spreadsheet printout for 30 days at home that showed twice a day I was averaging 122/78.

Knowing that, on a follow-up visit I was more relaxed and confident that I didn't have a problem. So my BP was lower then at 142/88, but still elevated.

White-coat syndrome is a real thing, but it is a misnomer. It is anxiety that is self-inflicted. I liken it to going into a final exam for which 50% of your grade is dependent on. In the doctor's office you know that there will be a "grade" that determines your doctors recommendation for a more aggressive drug treatment that you probably don't want or might not need.