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I'm very overweight and need a new knee joint. I also have a heart condition that's getting worse. The doctor doesn't want to do the knee surgery because of the heart problem. I'm willing to do anything to get better. Is there any hope for me?

It may be very possible to make some changes that will help improve your health. If you smoke or use tobacco in any form: stop. Get help from your medical doctor to do this.

Ask your doctor for a referral to a nutritionist for help in choosing the right foods for you. There are several "heart healthy" food plans available. Which one is best for you depends on your age, blood pressure, and specific heart issues.

Find out if there is a cardiac fitness program in your community. Begin an exercise program that is supervised by your doctor. Let your family and friends know what you are doing. Studies show that patients involved with a support group are more likely to stick with the program. You'll be more likely to succeed in weight loss and achieve better results.

Finally, be patient with the patient (you!). Take it a day at a time and set your goals in short increments. Give yourself time (for example: one month, six months, one year) to make small gains. Making the decision to change your lifestyle is the first important step. You can do this!

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