How do I turn dialogue choice options in Yarn to affect Player Health

I’m creating a platformer game where the player interacts with multiple npcs, and there are tricky choices that reduce player health if that option is chosen.
I’m currently facing the issue of triggering those specific choices from Yarn to affect the player’s health, something which should stay consistent across all scenes.

However, even after adding command in nodes to link the dangerous choices, the health hearts stay the same as before and the dialogues mix up without showing the choices at all.
Any ideas to fix this or if there’s an alternative way?
Thanks in advance!