Thanks for the input everyone. She was on metoprolol in the past but was switched to labetalol because the metoprolol wasn't controlling her BP well enough. With her BP under control I don't see why the doc wouldn't let her go back on metoprolol and taking a whole pill to try and help her heart rate. I know she has anemia, and she just recently did labs and they didn't mention any concerns about the hemoglobin levels. Her biggest thing is the phosphorus (she has a thing for cheese
) Finally got her good with that again though. I don't blame her for being stubborn sometimes and "forgetting" to take the binders (she takes Fosrenol chew able tablets). I tried a half..and although bearable, don't think I would enjoy chewing one every time I ate something.