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Blood pressure level: Sufferers with hypertension normally can use DMPA (U.S. MEC 2), with the exception of clients with extreme hypertension (systolic tension of ≥one hundred sixty mmHg or diastolic tension of ≥100 mm Hg) or vascular disorder who usually mustn't use DMPA (U.S. MEC three).[one] Screening for hypertension just before initiation