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If not diagnosed early, the clinical presentation may include LV dysfunction (with or without symptoms), acute myocardial infarction, heart block, arrhythmias, syncope, or sudden cardiac death

I spoke with her multiple times, and each time she was patient and answered every question I had

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Obesity is recognized by major medical organizations as a chronic, relapsing disease, which means care decisions should be individualized and approached with a long term mindset rather than treated as a short term fix