When she started, her first concern was CHF. Her heart efficiency numbers were trending downwards, and in the teens when we started working together. Over the course of a year, with continued attention to lifestyle shifts and supplements, her CHF greatly improved. She now enjoys heart efficiency 4 times better than where she started, as measured by the LVEF (Left Ventricular Ejection Fraction), at over 60%. This is a welcome change from where she started at 15% LVEF. Next, she put focus on her blood sugar issues, and made rapid progress, going from 6.6 to 5.5 in 6 months. Her biggest ah-hah was about portion control. Once she committed to plan her food, in advance, and stick to it, everything else felt easier to her.