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In a 65-year-old man with hypertension, type 2 diabetes, cardiovascular disease, on losartan 100 mg daily, metoprolol 100 mg daily, rosuvastatin 20 mg daily, ezetimibe 10 mg daily, semaglutide (Ozempic) 1 mg weekly, tamsulosin 0.4 mg twice daily, and aspirin 81 mg daily, with blood pressure 130140/84 mmHg, should an additional antihypertensive such as an aldosterone antagonist be added, and what is the next step to achieve target blood pressure?