The Weight of Cardiovascular Disease

Inclusion Criteria: * BMI ≥30 kg/m2 * At least one of the following CVD: atrial fibrillation (AF), coronary artery disease (CAD), HFpEF (heart failure with preserved ejection fraction), HFrEF (heart failure with reduced ejection fraction), ACHD (adult congenital heart disease), or valvular heart disease * Patients evaluated in the Cardiometabolic clinic * Willingness to complete questionnaires/surveys * Ability to complete monthly self-assessments at home Exclusion Criteria: * BMI \<30 kg/m2 * Pregnancy or lactating women * Hemodynamically unstable CVD * Active malignancy * Autoimmune or systemic inflammatory diseases * Severe renal or hepatic failure * Being considered unsafe to participate as determined by the study physician * Taking medications affecting weight or energy intake/energy expenditure in the last 6 months, including weight loss medications, antipsychotic medications, or other medications as determined by the study NP or physician * Patients with active psychosis, mania, or substance use disorders