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A 2014 Harvard study found that men who did twenty minutes of daily weight training had less of an increase in age-related abdominal fat compared with men who spent the same amount of time doing aerobic activities, and other studies have shown similar levels of success when guys hit the gym to cut down on fat. The implication: Guys can cut belly fat most efficiently with weight training.
Luckily, exercise can help spur things along when it comes to that pesky stomach fat. “Visceral fat responds well when… [you] start exercising and watching your calories and what you eat,” Harris-Pincus says. And while endless crunches aren’t your ticket to a flat stomach, it is still important to train your ab muscles. “Everything radiates from the center of your body – your balance, your posture, your functional movement,” says Joe Ardito, founder of Fit Crush NYC. “You can perform better when you have a strong core.”
After increasing water intake and replacing electrolytes, it should relieve most all symptoms of Keto Flu. For an average person that is starting a ketogenic diet, eating 20-30g of net carbs a day, the entire adaptation process will take about 4-5 days. My advice is to cut your carbs to fewer than 15g to ensure that you are well on your way into ketosis within one week. If you are experiencing any more keto flu symptoms, double check your electrolyte intake and adjust.
"Feeling stressed can wreak havoc on our bodies. It can cause our body to produce the steroid hormone cortisol, which can make you crave sugary foods that provide instant energy and pleasure. Short-term bursts of cortisol are necessary to help us cope with immediate danger, but our body will also release this hormone if we’re feeling stressed or anxious. When our cortisol levels are high for a long amount of time, it can increase the amount of fat you hold in your belly."
^ Brand-Miller, Janette Cecile; Thomas, M.; Swan, V.; Ahmad, Z.I.; Petocz, P.; Colagiuri, S. (2003). Written at Human Nutrition Unit, School of Molecular and Microbial Biosciences, University of Sydney, Sydney, NSW, Australia. "Physiological Validation of the Concept of Glycemic Load in Lean Young Adults" (PDF). The Journal of Nutrition. USA (published September 2003). 133 (9): 2728–32. doi:10.1093/jn/133.9.2728. PMID 12949357.
Clean eating is the best described as removing all processed, artificial foods from your diet and focusing on healthy, whole, unprocessed foods. Your body is from nature, bring it back to nature and reap the rewards of eating clean, like living a longer, healthier life, have great glowing skin and hair, fast weight loss and healthy weight maintenance.
There's not a lot of reliable information available about how the military diet plan was started — or, for that matter, who started it. MilitaryDiet.co and TheMilitaryDiet.com, the two main resource sites for the diet regimen, are both run by fans and proponents of the diet without any cited health professional credentials. According to them, though, the military diet plan is an intermittent fasting diet that combines three days of a strict, low-calorie meal plan with four days of eating whatever you want (as long as it still falls below the calorie intake).
Craving something sweet? Instead of fattening cookies or cake, reach for fresh figs. Thanks to their dense consistency and high amount of filling fiber, they can slow the release of sugar into your blood. Pair with ricotta cheese, melons, and prosciutto to make a satisfying fruit salad, or use as a topping on whole-wheat pizza with crumbled feta and walnuts.
The low glycaemic index treatment (LGIT)[48] is an attempt to achieve the stable blood glucose levels seen in children on the classic ketogenic diet while using a much less restrictive regimen. The hypothesis is that stable blood glucose may be one of the mechanisms of action involved in the ketogenic diet,[9] which occurs because the absorption of the limited carbohydrates is slowed by the high fat content.[5] Although it is also a high-fat diet (with approximately 60% calories from fat),[5] the LGIT allows more carbohydrate than either the classic ketogenic diet or the modified Atkins diet, approximately 40–60 g per day.[3] However, the types of carbohydrates consumed are restricted to those that have a glycaemic index lower than 50. Like the modified Atkins diet, the LGIT is initiated and maintained at outpatient clinics and does not require precise weighing of food or intensive dietitian support. Both are offered at most centres that run ketogenic diet programmes, and in some centres they are often the primary dietary therapy for adolescents.[9]
"There is promising research on effective weight loss from intermittent fasting, an eating strategy where you eat very few calories two days per week while eating higher calorie levels the remainder of the week. However, this form of eating involves careful planning to ensure every calorie consumed on ‘fasting’ days is nutritionally dense. I would encourage someone interested in the Military Diet to consider this weight loss strategy before following this diet plan. Fad diets don’t work — whatever you do to lose weight has to be something you can see yourself following for life. If it is too restrictive, you will just regain the weight."
Eggs are rich in high-quality protein, fats and essential nutrients, like vitamin D and choline. It's the protein, and the time of day we tend to eat them, that especially makes them a powerhouse for weight loss. Eating a high-protein breakfast promotes weight loss, because protein increases satiety while regulating hunger and appetite hormones, helping fend off your hunger until lunchtime. One study found that eating eggs for breakfast left people feeling more satisfied than those who had bagels—which helped them eat less throughout the day.
“Intermittent fasting can be really challenging if you have an ever-changing schedule,” adds Hultin. “If you're traveling and crossing time zones, it could be very difficult to follow. It might be best for people with more stability in their lives.” Intermittent fasting isn’t safe for people with type 2 diabetes, children, pregnant or lactating women, or anyone with a history of an eating disorder.
According to Katherine Zeratsky, dietician, and nutritionist, your kidneys “decide whether to hold on to water. If you’ve had too much salt the night before, then your kidneys will hold on to more water to dilute or correct that salty imbalance…then they flush it all out.” Your kidneys also able to restore your salt balance naturally on their own. According to Zeratsky any extra water stored in your tissues or blood vessels often shows up in your fingers, toes, or lower legs.
On the face of it, skipping meals seems like a path to losing weight — if you don’t eat as much, you’ll drop fat. But in practise, it doesn’t work out like that. A 2015 study from Ohio State University found that skipping meals messes up your metabolism and your hormones (specifically insulin), which results in an increased likelihood of abdominal weight gain. Researchers recommended eating several small meals throughout the day as opposed to one or two big ones.
1. High Intensity Interval Training (HIIT): This type of exercise is your key to melting belly fat fast.  HIIT is highly effective for all over weight loss, particularly removing stubborn belly fat. If you are not eating right, you have reached menopause or you are not losing weight you should do these exercises. Don’t let the name scare you as it is you who determines the intensity.  It is your perceived exertion that counts.
Just this week, a 25,000-person study presented at the European Society of Cardiology Congress in Munich suggested that people on the lowest-carb diets had the highest risk of dying from cancer, cardiovascular conditions, and all other causes. Another study, published this month in the Lancet, also found that people who followed diets that were low in carbs and high in animal proteins had a higher risk of early death compared to those who consumed carbs in moderation. (The opposite was true, however, for low-carb dieters who opted for plant-based proteins over meat and dairy.)

You’ll also notice that men seem to lose more weight than women. This is actually based on body composition. Sorry ladies, but men just naturally have a leg up on losing weight! Why? Because most men have more muscle tissue, so they are simply able to burn more calories than women. Muscle tissue burns more calories than fat, even when the body is at rest. If you’re a woman, you can gain the benefits of additional muscle that will help you burn more calories by focusing on strength training. That will help the body weight you do have burn more calories, essentially boosting your metabolism.
While some report that they look forward to doing the diet again — "I wasn't hungry... just lacking energy," one user wrote — others preferred to find a diet that kept them feeling more full. Mom of three @sweatherly816 also gave it a shot. "I wanted to see how much I could lose, and I wanted to get a jump start on a healthier me," she said. "I lost 7lbs 3oz in the three days, which I was pretty proud of." She found it difficult — "It is a hard challenge, you have to drink plenty of water to stay full" — but ultimately was pleased with her results.
3. Exercise Ball Crunch: This is one of the most effective ways to strengthen and flatten abs.  Studies show this exercise is 40% more effective than regular ab crunches as it targets smaller muscles for flat toned abs including the oblique’s for a small waist and the outermost muscles that your typical ab crunch may miss.  To begin, lie down on the ball positioning it under the lower back.  Place arms behind your head.  Tighten your abs as you lift your torso off the ball while keeping the ball stable.  Lower back down and repeat 15 times with 1-3 sets.
The ketogenic diet is a medical nutrition therapy that involves participants from various disciplines. Team members include a registered paediatric dietitian who coordinates the diet programme; a paediatric neurologist who is experienced in offering the ketogenic diet; and a registered nurse who is familiar with childhood epilepsy. Additional help may come from a medical social worker who works with the family and a pharmacist who can advise on the carbohydrate content of medicines. Lastly, the parents and other caregivers must be educated in many aspects of the diet for it to be safely implemented.[5]
Exercise is an essential element of any weight loss program. Through exercise, you give your weight loss a boost by burning additional calories. However, since you’re on the restrictive 3-day diet, you should only do light exercise. Be sure that you listen to your body and if you ever feel light-headed while exercising- be sure to stop and rest. Each person’s body reacts differently to the diet, and for some, the calorie restriction can result in feeling a bit faint or dizzy.
Are you finding it difficult to fit into your little black number? Is belly fat giving you sleepless nights? If your answer is yes, you need to make some lifestyle changes to get the figure of your dreams. No doubt, belly fat looks aesthetically displeasing. It can assume serious proportions and affect long term health, if not curbed at the right time.
Pinners, bloggers and YouTube vlogs are driving this trend forward with viral before-and-after pictures showcasing impressive (and often hard to believe) changes. Devotees of the diet consume 1,100 to 1,400 calories a day in the form of so-called “fat-burning” food combinations like hot dogs and bananas, and tuna and toast. (Yes, we said hot dogs.) It’s a one-size-fits-all plan, so athletic men and women are going to dine on the same grub as their more sedentary peers. But is this really a healthy way to lose weight? We got to the bottom of this much-talked-about plan.
Tasmin recently returned home from university 12 pounds heavier! Her experience is typical of the returning college student who’s gained their “freshman fifteen.” She decided to give the 3 Day Military Diet a try to see if it would help her lose some of the extra weight. Follow her journey through this video. In the vlog, you’ll see how she’s feeling, how she did with the meals and of course – her results! Tasmin was upbeat throughout the diet, saying she powered through it even though it was a bit tough at times. As you’ll see, she exercised while on the diet and also spread out some of the foods, using some parts of meals as snacks. She did well on the diet and lost a total of 6 pounds!

One of the most important things to take into consideration when either trying to lose or put on weight is output versus input. It is important to know the amount of energy your body is using every day, so that your intake fits the needs of one's personal weight goal. Someone wanting to lose weight would want a smaller energy intake than what they put out. There is increasing research-based evidence that low-fat vegetarian diets consistently lead to healthy weight loss and management, a decrease in diabetic symptoms[23] as well as improved cardiac health.[24]
If you want to lose weight you should start by avoiding sugar and starch (like bread, pasta and potatoes). This is an old idea: For 150 years or more there have been a huge number of weight-loss diets based on eating fewer carbs. What’s new is that dozens of modern scientific studies have proven that, yes, low carb is the most effective way to lose weight.
Add resistance training. A 2006 study published in the International Journal of Sport Nutrition and Exercise Metabolism suggests that combining cardiovascular (aerobic) exercise with resistance training is more effective than cardiovascular training alone in getting rid of abdominal fat.[11] You can do resistance training with free weights, exercise machines or resistance bands and it may also be useful to train from unstable positions due to increased muscle activity.
“Pistachios are a great addition to a diet aimed to help one lose weight because they're one of the lowest-fat and lowest-calorie snacks that offer the most nuts per serving (49 pistachios per 1-ounce serving) compared to cashews (18) and walnuts (14 halves),” says Shaw. Get in-shell pistachios because the leftover shells may provide a visual cue for portion control to curb intake.
Overall, the military diet is a pretty low-calorie plan, considering dieters are encouraged to consume approximately 1,400 calories on day one, 1,200 calories on day two, and roughly 1,100 calories on day three, explains JJ Virgin, a board-certified nutrition specialist. (Here's what you need really to know about counting calories.) The foods on the plan are supposedly  "chemically compatible," she says, and are said to work together in order to promote fast weight loss. When you are on the diet you are supposed to follow it for three days in one week, she adds.
If what you're attracted to is the idea of a quick, three day challenge, Palinski-Wade has other ideas. "Challenge yourself to eat a minimum of 30 grams of fiber per day and at least 5 servings of fruits and vegetables. This would still reduce calorie intake while providing your body with nutrients that promote health all while allowing you to develop eating habits that can actually lead to sustained weight loss." If it's the idea of inermittent fasting that you like, there are other ways to try that, too.

Conklin's fasting therapy was adopted by neurologists in mainstream practice. In 1916, a Dr McMurray wrote to the New York Medical Journal claiming to have successfully treated epilepsy patients with a fast, followed by a starch- and sugar-free diet, since 1912. In 1921, prominent endocrinologist Henry Rawle Geyelin reported his experiences to the American Medical Association convention. He had seen Conklin's success first-hand and had attempted to reproduce the results in 36 of his own patients. He achieved similar results despite only having studied the patients for a short time. Further studies in the 1920s indicated that seizures generally returned after the fast. Charles P. Howland, the parent of one of Conklin's successful patients and a wealthy New York corporate lawyer, gave his brother John Elias Howland a gift of $5,000 to study "the ketosis of starvation". As professor of paediatrics at Johns Hopkins Hospital, John E. Howland used the money to fund research undertaken by neurologist Stanley Cobb and his assistant William G. Lennox.[10]
Being in optimal ketosis for a prolonged period of time (say, a month) will ensure that you experience the maximal hormonal effect from eating a low-carb diet. If this doesn’t result in noticeable weight loss, you can be certain that too many carbs are NOT part of your weight issue and not the obstacle to your weight loss. There are, in fact, other causes of obesity and being overweight. The next three tips in this series might help you.
You’re transitioning. Your body is equipped to process a high intake of carbs and a lower intake of fat. Your body needs to create enzymes to be able to do this. In the transitional period, the brain may run low on energy which can lead to grogginess, nausea, and headaches. If you’re having a large problem with this, you can choose to reduce carb intake gradually.
I appreciate that you mentioned this wouldn’t be for everyone, nor is it necessarily an ideal way to approach weight loss for the long term. It’s important to think about things like this because when people go on a weight loss program, in order to succeed, they need to know what they’re getting into, why they are doing it and what will be expected of them (and for how long).
Make sure that the diet has been studied extensively for safety — and discuss any changes with your physician or registered dietitian before beginning a new diet. (If you don’t have a dietitian, find one in your area at the Academy of Nutrition and Dietetics website.) And do a self-check to ensure the diet fits with your own values and preferences.
Have Protein at Every Meal and Snack. Adding a source of lean or low-fat protein to each meal and snack will help keep you feeling full longer so you're less likely to overeat. Try low-fat yogurt, small portion of nuts, peanut butter, eggs, beans, or lean meats. Experts also recommend eating small, frequent meals and snacks (every 3-4 hours), to keep your blood sugar levels steady and to avoid overindulging.
Here are a few of the most common side effects that I come across when people first start keto. Frequently the issues relate to dehydration or lack of micronutrients (vitamins) in the body. Make sure that you’re drinking enough water (close to a gallon a day) and eating foods with good sources of micronutrients. To read more on micronutrients, click here >

I have tried all kinds of weight loss programs and exercise, and they just didn’t get me the results I was hoping for. So I tried the 3 Day Military Diet after hearing about it through a co-worker. You wouldn’t believe how easy it is! Since you only have to make it through 3 days, I can manage the restrictive diet. Now I’ve done 3 rounds of the diet, losing 6.5 pounds each time! I haven’t gained the wait back afterwards either. I do eat only 1400 calories for the 4 days after the 3 day diet portion.
First things first: your stomach is made up of good and bad bacteria, which scientists like to call microbiota or gut flora. And it's important that you keep it in check, as if you were keeping a seesaw level. "Microbiota is considered the body's garden, and it has a controlling influence over a lot of important bodily functions, including metabolism," says Gerry Mullin, M.D., author of The Gut Balance Revolution. Studies show that a diet full of fat and refined carbs (think white bread and potatoes) and low in fiber (fruit, vegetables, beans and oats) disrupt the balance, and the seesaw starts to tip in favor of weight retention and fat accumulation. 

Repeat after us: It’s time to start eating clean. She recommends a combination of veggies, fruit, whole grains, nuts, seeds, beans, low-fat dairy and lean protein like poultry, eggs and fish for a dose of omega-3 fatty acids. And drop the added sugar while you’re at it. “Studies show that when you have a diet rich in whole grains — and calorie-controlled — that you can reduce the belly fat,” she says. But remember to watch your portions, too. “A lot of people eat very healthy and don’t eat junk, but their portions are too large.”
Your body needs a certain amount of essential vitamins and minerals to function properly. What happens when you don’t get enough of them? What happens when you eat too little food, or when the food you eat isn’t sufficiently nutritious? Perhaps our bodies catch on and reply by increasing hunger levels. After all – if we eat more, we increase the chances of consuming enough of whatever nutrient we are lacking.
Wilder's colleague, paediatrician Mynie Gustav Peterman, later formulated the classic diet, with a ratio of one gram of protein per kilogram of body weight in children, 10–15 g of carbohydrate per day, and the remainder of calories from fat. Peterman's work in the 1920s established the techniques for induction and maintenance of the diet. Peterman documented positive effects (improved alertness, behaviour and sleep) and adverse effects (nausea and vomiting due to excess ketosis). The diet proved to be very successful in children: Peterman reported in 1925 that 95% of 37 young patients had improved seizure control on the diet and 60% became seizure-free. By 1930, the diet had also been studied in 100 teenagers and adults. Clifford Joseph Barborka, Sr., also from the Mayo Clinic, reported that 56% of those older patients improved on the diet and 12% became seizure-free. Although the adult results are similar to modern studies of children, they did not compare as well to contemporary studies. Barborka concluded that adults were least likely to benefit from the diet, and the use of the ketogenic diet in adults was not studied again until 1999.[10][14]

Routinely squeaking by on five hours or less per night increases visceral fat levels, according to a 2010 Wake Forest University study. What’s more, after analyzing 28 different studies, UK researchers found that people who slept 5.5 hours or less per night ate an extra 385 calories the day after compared to those who snoozed for at least 7 to 12 hours. On top of that, they preferred to munch on fatty foods full of empty calories, like chips.
I will continue to eat this way because I feel and look healthier. I also noticed a reduction in the inflammation from the osteoarthritis in my spine. I don't eat sugar or sweets of any kind, and keep my carbs below 20 or 25 grams a day. I don't drive myself crazy anymore tracking macros or compulsively counting calories. Between protein and fat, getting enough fat was more of a challenge for me. I eat lots of Kerry Gold butter, Coconut oil, heavy cream, olive oil and lots of avocados. I occasionally use MCT oil.
The fad military diet consists of low-calorie, odd food pairings such as bun-less hot dogs with banana, carrots, and broccoli. “Any diet like the military diet that severely limits the amount of calories you consume or eliminates one or more entire food groups puts any individual at risk for nutrient deficiencies,” says Kyle. “This can be more harmful than holding onto those 10 extra lb you’re trying to lose.” (32)
2. Decline Bench Sit Up Ceiling Touches: This great exercise works on your shoulder, abs and lower back. Sit on the bench with the weight on your lap. As you move backwards, lock your arms and raise the weight above your body. Touch your back to the bench and use your abs to sit up. As you sit up you should keep your arms and weight pointed to the ceiling.

Salmon is a rich source of high-quality protein and provides plenty of "good" fats: omega-3 fatty acids. A diet rich in omega-3 fatty acids helped people feel more satisfied when they were watching their calories, per a study in Appetite. Eating salmon can be a delicious and versatile way to get your recommended two weekly servings of heart-healthy fish.
Most people who want to lose weight have more than 12 pounds to lose. That’s why even the best weight loss drug in the world can only be an optional complement to other treatment. That’s why this piece of advice is number 18 out of 18. It may be a helpful addition for some people, but the advice higher on the list is what can make the biggest difference, by far.

Limiting your daily intake of fruits and vegetables, means you're likely not getting the amount of fiber, antioxidant vitamins A and C, potassium, and phytonutrients you need on a daily basis, she says. Since the diet also includes limited dairy, you'll likely be low on vitamin D, calcium, and potassium too—nutrients that most Americans are already lacking, says Amidor. Since the diet is super low-carb, you're not getting enough whole grains, either—which are a great source of B vitamins and fiber, she says. (See: Why Healthy Carbs Belong In Your Diet.)
Diarrhea can also be due to a lack of fiber in the diet, says Kizer, which can happen when someone cuts way back on carbs (like whole-grain bread and pasta) and doesn’t supplement with other fiber-rich foods, like vegetables. It can also be caused by an intolerance to dairy or artificial sweeteners—things you might be eating more of since switching to a high-fat, low-carb lifestyle.
Once you’ve completed the 3 Day Military Diet plan, it’s best if you limit yourself to 1500 calories a day for the next 4 days. Other dieters follow the military diet 4 days off rule, which means that after 4 days of following a 1500 calorie diet, they do the 3 Day Military Diet again. So, what does a 1500 calorie diet look like? Here are some ideas for how you can plan your meals for your 4 days off:
“A lot of people think the foundation of a paleo diet is high-fat meat, but I suggest that it’s vegetables,” says Hultin. The concept is to eat only foods — including meat, fish, poultry, eggs, fruits, and vegetables — that would have been available to our Paleolithic ancestors. This means grains, dairy, legumes, added sugar, and salt are all no-no’s.
This is quite a strange article because it basically says that the 3-day-military diet is not good, which I agree with. It seems that the cons of the diet far outweigh the pros. Nevertheless, the fact that it is 3 days only is a good thing since following it for any longer is undoubtedly bad for your health. The possible side effects also sound pretty terrible. The author’s overall conclusions are very sensible and should be followed.
However, it's safe to say that no one really knows the origin of the military diet, Yurechko said, as it is certainly not approved by the military. But if you are still a tad bit curious about taking this diet out for a spin, we spoke to some experts on the subject to make sure you have all the ins-and-outs. Here are some takeaways to keep in mind.
Other down sides: There’s an initial period where your body is adjusting to its new carb-free existence, and many people experience symptoms like fatigue, brain fog and nausea for a few weeks. You also end up deficient in important micronutrients, like folate, calcium and potassium, which is why most ketogenic devotees recommend taking multivitamins. Personally, I recommend my clients follow a diet that in its ideal state provides all of the nutrients you need through real, whole foods.
This diet has introduced structure into my eating and has helped me better plan what I am having. Day 1 was rough due to the lack of caffeine even though we can have 2 cups of coffee that day but I didn’t feel hungry at all. In fact, throughout my 3 days I haven’t felt hungry at all. It was more of my craving for the fatty unhealthy food I was so use to eating before. I am on the last stretch of my 3rd day, still have my ice cream to eat. Before starting this diet I was extremely skeptical. I was worried that the amount of food or lack there of was going to leave me feeling hungry, weak and tired. I have tried other diets in the past and got results but not enough to keep my motivation. I’m not going to lie to you and say these past 3 days have been easy. It definitely took every ounce of will power and I’m looking forward to eating my 1500 calories tomorrow. I have been able to sleep better and I still have energy to take on my day as a full time working mom.
On the ketogenic diet, carbohydrates are restricted and so cannot provide for all the metabolic needs of the body. Instead, fatty acids are used as the major source of fuel. These are used through fatty-acid oxidation in the cell's mitochondria (the energy-producing parts of the cell). Humans can convert some amino acids into glucose by a process called gluconeogenesis, but cannot do this by using fatty acids.[56] Since amino acids are needed to make proteins, which are essential for growth and repair of body tissues, these cannot be used only to produce glucose. This could pose a problem for the brain, since it is normally fuelled solely by glucose, and most fatty acids do not cross the blood–brain barrier. However, the liver can use long-chain fatty acids to synthesise the three ketone bodies β-hydroxybutyrate, acetoacetate and acetone. These ketone bodies enter the brain and partially substitute for blood glucose as a source of energy.[55]

Once you’ve completed the 3 Day Military Diet plan, it’s best if you limit yourself to 1500 calories a day for the next 4 days. Other dieters follow the military diet 4 days off rule, which means that after 4 days of following a 1500 calorie diet, they do the 3 Day Military Diet again. So, what does a 1500 calorie diet look like? Here are some ideas for how you can plan your meals for your 4 days off:
Make your own. It’s easy! From one 14-ounce can of no-salt-added cannelini beans, spoon out 2 tablespoons of beans. Puree the rest. In a medium nonstick pot, sauté 5 cloves of chopped garlic until translucent. Add 2 cups low-sodium chicken broth and 1 head of escarole, chopped, or a package of frozen chopped spinach. Simmer for about 15 minutes. Add pureed beans, red pepper flakes and black pepper, to taste, and cook 1 minute longer. Garnish with the beans you spooned out plus, if you desire, a little chopped red bell pepper. Refrigerate or freeze what you don’t eat for easy soup prep for a future lunch or dinner.
As chronic obstructive pulmonary disease (COPD) advances, about 35% of patients experience severe weight loss called pulmonary cachexia, including diminished muscle mass.[32] Around 25% experience moderate to severe weight loss, and most others have some weight loss.[32] Greater weight loss is associated with poorer prognosis.[32] Theories about contributing factors include appetite loss related to reduced activity, additional energy required for breathing, and the difficulty of eating with dyspnea (labored breathing).[32]
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