This is great information! I am in early months of getting a treatment plan fine tuned. Next echo in 3 months. I have been symptomatic. I also have ankle fusion and multiple pieces of metal in feet, and both hip replacement. Mild walking, I have a bike on a trainer that I like to use and swimming in summer. After those multiple surgeries and restrictions I gained 15 pounds more than I want, so being extra mindful of calorie intake and staying active.