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In addition to optimizing a three drug regimen (thiazide, CCB, ACE-I/ARB) what other workup or management do you recommend for a young patient with obesity and a new diagnosis of hypertension well outside goal range?

In addition to optimizing a three drug regimen (thiazide, CCB, ACE-I/ARB) what other workup or management do you recommend for a young patient with obesity and a new diagnosis of hypertension well outside goal range? | Mednet