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If you have a BMI of 38 and HFpEF, you qualify under both Tier 1 (BMI alone) and Tier 2 (BMI 30+ with HFpEF)

Many patients choose structured lifestyle-based programs without medication

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The healthcare provider can provide personalized guidance on the expected effects on weight and overall health based on the individuals medical history and needs

Treat caffeine like a 10-hour loan to your nervous system: Avoid coffee Caffeinated soda Even dark chocolate in the late afternoon and evening Nicotine and some herbal supplements can have stimulant effects too, so scan everything you consume after 3 p.m