What causes excessive weight loss?
Noted your husband's history.
What is his height and weight?
Unfortunately he doesn't seems to be looking after himself well (after having an open heart surgery). I presume his heart's pumping function is low and that is the reason why he is on a defibrillator. None of his medicines which you mentioned increase appetite. In fact , Pramipexole suppress appetite. Why is he on pramipexole? Is he depressed? Depression does make people to eat more.
He is consuming large quantities of calories which is definitely not good for him.
He need to sit with a dietician and he also need a proper diet counseling ( may be multiple times). If he is depressed, we need to treat that as well properly.
This need a team approach.
150 pounds or 150 kilos ?
If he is 150 pounds, then his weight is okay for his height. But if he is 150 kilos, that is surely high.
You could use your Iphone or Android phone to download an application called carbs and cals and can calculate his total calories. Once you calculate the total calories, he may get convinced about his high calorie and fat intake. MAintan a food diary and write down each item what he eats or drinks over one week period. Retrospective checking of it in his presence may motivate him. He shoud be counselled about the bad effects of consuming high calorie diet.
You could try giving him salads with low fat dressing as snacks. Cucumber is really nice for salad which is low calorie and rich in fiber. Try to repace his jelly beans with a fruit . Avoid mayonnaise or use low fat version for sandwitches. Avoid egg yolks and use egg whites instead. Replace ice creams with low fat fruit yogurt. These will surely help him to lose weight.
I realize that all these changes are difficult. Please introduce these changes one by one.
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