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My blood Pressure was 122 over 98 today when I went to the doctor. how do i lower it?

My doctor was shocked to see this and said it went way up. It usually is 120 over 78-80.

could stress cause it to go up? if not stress what could cause it to go up?

I’m an active person and work out so I don’t think it’s do to being unhealthy but maybe?