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well good afternoon dr. Montgomery we may have met before and some of the other talks either here or previous and this afternoon Im gonna speak on the use of integrating plant-based diet in the cardiology practice but Im going to emphasize the focus on heart failure now I dont know if you hurt my talk last night it was a little bit more extensive and we went through the nuts and bolts of how we integrate nutrition into the clinical practice what I want to do today is focus on the pathophysiology of heart failure now my I attempted to make my talk a little bit on the shorter side so Im hoping to leave some room toward the end for questions and answers Im gonna present some of our clinical data some of our published data and then give you a case presentations Im a cardiac electrophysiology I practice in the Medical Center in Houston Ive been in practice for over 20 years Im a director of Montgomery Heart and wellness and Jam Institute so I have a dual purpose in the daytime I do