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Patti, Thanks for your question. If a BP cuff is too small for a given individual, the readings tend to be higher because the cuff actually stretches when inflated. A larger cuff will give a more accurate reading, because the cuff is inflated without strectching the ballon inside. It's OK to use a large cuff on a normal sized arm, but not OK to use normal cuff on a large (or very muscular) arm. Bring this to his doctor's attention on his next visit for his opinion. Best wishes. Martin Cane, M.D.

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