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Blood pressure: People with hypertension commonly can use DMPA (U.S. MEC two), aside from patients with serious hypertension (systolic strain of ≥one hundred sixty mmHg or diastolic strain of ≥one hundred mm Hg) or vascular disorder who frequently must not use DMPA (U.S. MEC three).[1] Screening for hypertension ahead of initiation of DMPA will