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+1 to the not adding credit card debt.

IMHO in cases like these the personal psychology and morale is at least an equal factor in succeeeding.

Kill the medical and tuiton first.
Then add any monthly payments you were able to make on those to the HELOC payments.
When the HELOC is put to bed, put that extra monthly onto your 1st (assuming you also have some safety savings established).



Success breeds success.
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