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To stay balanced: Focus on whole foods: Load up on colorful veggies, fruits, low-fat dairy, or fortified soy alternatives

Referral to cardiology is appropriate for patients with: Uncontrolled hypertension (160/100 mmHg) despite multiple medications Recent cardiovascular events (within 6 months) Symptomatic heart failure Complex arrhythmias Significant valvular disease Shared decision-making should incorporate discussion of expected weight loss magnitude, potential cardiovascular benefits including blood pressure reduction, common adverse effects (nausea, diarrhea, constipation), cost considerations, and the need for long-term treatment to maintain benefits

Liver enzymes (ALT, AST) get repeated to catch any signs of stress on the liver

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Does L-Carnitine provide weight loss benefits