### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Good day I recently moved from one city to another I am 57 5ft 3 weight unknown my idea if my clothes fit all is good Have never been told i had high blood pressure but low My doctor for many years never told me that my pressure was a problem Always to doctor for yearly check ups and did acupuncture instead of pills i have a new doctor And a new problem my blood pressure is a concern for her she told me to take my blood pressure for a 2 week period now it ranges from 119 to 157 what is going on.Does the time of day i take it matter as i seem to take it a few hours after i get up and i seem to be doing alot of rushing around to get over and get it done . I was told i need to cut down on my portion sizes of food which i dont eat alot or go for seconds little to none food is fried dont drink or smoke or use extra salt was told to walk as gardening or housework is not excersise Im at loss as to how and why all of a sudden And does magnesium tablets help or hinder sleep having trouble sleeping too at night go to bed really tired and within mins i am tossing and turning forever Will that affect blood pressure thanks

### output:

Good evening. There are many aspects which can cause fluctuations in blood pressure values. The main causes of alterations in blood pressure that I see in patients are most often caused by caffeine, changes in activity, and or stress. If you are finding yourself living a lifestyle where there is less consistency, and or stability, it would also show itself in your blood pressure results, and any hormonal imbalances and or previous cardiac conditions and or medical regimens can alter this chemistry as well. I will be honest in saying that 157 is concerning, whereas 119 falls in the range of completely normal. My suggestions to stabilize your blood pressure are as follows... 1. HY Chat Doctor.  2 Less Sodium (Salt) and or Caffeine. 3. Stress Relief 4. Maintain a steady medication schedule (if you take any medications - make sure to take them at the same time per day as instructed). I hope this advice helps!