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and im going to go through two cases here uh this is a 43 year old female with a body mass index of 55 kilograms per meter squared so shes weighing over 300 pounds she came to the hospital for acute systolic heart failure meaning a sudden onset of heart failure with shortness of breath and and liquid building up in the lungs called pulmonary edema she had an implantable defibrillator place this is kind of a common thing that happens now um and uh there are medications being used for this um and she was being treated discharged from the hospital with improvement but still you know was overweight and had uh the symptoms of heart failure so she learned that her father was doing a keto diet and i have to just say that the word of mouth spread of this is common and extremely important so she did some internet research and started using a keto app and tested her urine ketones and was using a keto diet on her own and she lost 15 pounds over 12 weeks which is fantastic so she initially lost
