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Title: There are much better products out there
Review: This item (Omron HEM-650) is difficult to use. It has to be lined up just right in a certain location near the heart and the elbow held in place with your other hand, to avoid movement. In that odd position it's no wonder you have to hold on. In my view this device is definitely not designed with people in mind, especially older folks. This is not a simple strap on and start device, as most others are. For that reason alone I would not rate it with any stars at all, if given that option.
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