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Non-pharmacological approaches remain foundational for cardiac patients: Medically supervised dietary programs: Structured meal plans with registered dietitian support, emphasizing heart-healthy Mediterranean or DASH dietary patterns Cardiac rehabilitation programs: Supervised exercise training tailored to individual cardiac capacity and limitations Behavioral therapy: Cognitive-behavioral interventions addressing eating patterns, stress management, and lifestyle modification Bariatric surgery: For patients with BMI 35 kg/m with obesity-related comorbidities or BMI 40 kg/m (per NIH 1991 criteria