Although doctors usually advise people to avoid excess weight and maintain and reduce their weight to the ideal level, this is not true for all patients with heart failure.. In other words, in these patients, because the heart and nervous and hormonal systems, etc., have to do their work by receiving more calories, these people need more calories and more food than healthy people.. and this is what we are talking about in this article. In general, we should know that obesity can increase the risk of heart failure, and for this reason, healthy people are advised to reduce their excess weight, but in heart failure, Losing too much weight is called heart failure (contrary to heart failure). Therefore, people with heart failure are advised to eat enough food and do not try to lose weight naturally and unnecessarily (except in special cases and to the extent allowed)... and under the supervision of a doctor. It is very important to note that weight loss in heart failure patients should be done under the supervision of a heart failure specialist... Regarding the symptoms, you can refer to the article Symptoms of heart failure part 4... As we said, weight loss in heart failure should be done with the opinion of an expert doctor and with reliable and effective guidance... In fact, weight loss in heart failure patients requires careful management, because both unwanted weight loss and obesity can affect the condition of the heart:.... ### Planned weight loss under physician supervision: The best heart failure subspecialist in Isfahan (Dr. Mahmoud Hadizadeh) emphasizes that weight loss should be gradual (1-0.5 kg per week) and rapid weight loss can be dangerous and cause muscle tissue destruction. Also, the target BMI is between 20-25 kg/m2 (unless the doctor advises other than salt intake per day). - Increasing consumption of fresh fruits and vegetables - Using healthy fats (such as olive oil, fish) - Divide meals into 5-6 small meals a day ### Sports and physical activity: - The exercise program must be under the supervision of a cardiologist - Mild aerobic exercises (walking, stationary bike) 3-5 times a week - Start with 5-10 minute sessions and gradually increase Avoid vigorous or isometric activities ### Continuous monitoring: Daily weighing in the morning as well as monitoring vital signs (blood pressure, pulse) and paying attention to warning signs (shortness of breath, extreme fatigue) can be very significant... - In case of cardiac cachexia (unwanted weight loss), nutritional supplements may be needed. - Adjusting medications based on weight changes (especially diuretics) - Regular consultation with nutritionist and cardiologist ### Warnings: You should be careful that unwanted weight loss of more than 5% of body weight in 6 months needs to be investigated, and also avoid strict or arbitrary diets and report any changes in urine or stool....Another important reminder is that weight loss in heart failure must be controlled to avoid wasting muscle tissue and worsening the failure.. >

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