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Lifestyle changes are always beneficial: stop smoking, maintain a healthy weight, lower sodium intake, exercise, etc. Medication may be considered if there are other risk factors involved for Heart disease. Also may be considered if lifestyle changes have not worked, or there are other serious health problems to consider. The length and severity of the condition also factors into the equasion. The patient's feelings about medication and willingness to comply with a regime also have to be considered. Unfortunately, we know that prehypertention puts us at risk for serious health consequences, and although lifestyle changes will always be a benefit, medication is something that should be considered only after weighing the risk/benefit ratio with a doctor.

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