The first question Wexler recommends asking is if it’s reasonable for you to try lifestyle changes before resorting to medications to manage your blood pressure.  “There’s a difference between it being 146 over 80 and it being 170 over 80.” If it’s only a little elevated (around 146, for example) it’s recommended to try lifestyle changes for six months to see if you can get it under control without medications. If your blood pressure is very high, such as 170 over 80, you might need to start with medication, then add lifestyle changes and see if you can eventually come off the medications. You should also consider asking them to retake your arterial pressure at the end of your appointment.  “I will always recheck the blood pressure, usually at the end of my visit with the patient, after they’ve been sitting in the chair for 10 or 15 minutes.” It might be lower then. Lastly, ask if you should start taking your blood pressure at home.  “About 25% or so of individuals, you’re going to have white coat hypertension,” says Wexler, which is when your blood pressure is elevated in the provider’s office, but is normal when you take it yourself at home.