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Being dehydrated sucks. Met with the nutritionist on Friday. It looks like my goals for further weight loss and blood chemistry management are viable. She's skeptical of my ability to maintain a 500 kCal deficit, but I've done it before. Evidently I need to eat more nuts though, because reasons. I have a group chat going with some long-time friends in the HCM community, and they continue to be my best coping resource. It's not a perfect solution, because all of them were diagnosed and developed disease as adults, but it does help.