I see your weight is right around 200 - I don't know how tall you are but if you have "bigger" arms, you need to make sure they use the "big" cuff not a regular size cuff because the regular size cuff on a too big arm can artifically inflate your BP reading (I'm also a RN). When I was pregnant, I almost was put in the hospital for high BP when it was the cuff the dumb medical assistant was using. I made them FIND the big cuff and gave them a good "edumacation" that big people are entilted to have accurate BP readings too.
PS I was 280 ish and 5'8" and have pretty beefy upper arms.
I would think a weight loss clinic would KNOW this, but who the heck knows witih some dimwits that are hired.