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Nutrition Guidance: We recommend a balanced diet rich in whole foods, including fruits, vegetables, lean proteins, healthy fats, and complex carbohydrates
Body odor, flatulence, increased appetite or rash may occur
This monitoring is important given the potential gallbladder and pancreatic concerns associated with GLP-1 medications
The complex interplay between HF, obesity, and transplant outcomes prompted the International Society for Heart and Lung Transplantation (ISHLT) 2016 heart transplantation guidance to recommend a BMI of greater or equal to 35 kg/m2 as a relative contraindication to heart transplantation, further emphasizing the importance of LVAD consideration as a bridge-therapy [67], although the language regarding obesity in the 2022 ISHLT guidelines for the care of heart transplant recipients has softened and recognizes the limitations of BMI as a metric [68]
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