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]
Before starting, ask yourself what is really realistic for you, Mattinson suggests. Then get your doctor’s okay. You may also work with a local registered dietitian nutritionist to limit potential nutrient deficiencies and talk about vitamin supplementation, as you won’t be eating whole grains, dairy, or fruit, and will eliminate many veggies. “A diet that eliminates entire food groups is a red flag to me. This isn’t something to take lightly or dive into headfirst with no medical supervision,” she says.
In many developing countries, the ketogenic diet is expensive because dairy fats and meat are more expensive than grain, fruit and vegetables. The modified Atkins diet has been proposed as a lower-cost alternative for those countries; the slightly more expensive food bill can be offset by a reduction in pharmaceutical costs if the diet is successful. The modified Atkins diet is less complex to explain and prepare and requires less support from a dietitian.[54]

Sometimes, meals must be prepared in the field with limited resources. This meal was prepared out of UGR's, or Unitized Group Rations, using only a vat of boiling water. UGR's are pre-prepared, processed and shelf-stable foods packaged in hermetically sealed steam table containers. Each of the three breakfast and 14 lunch/dinner menus contains all necessary food and disposable items to feed 50 people, according to the Defense Logistics Agency.


Science is just beginning to look at the value of a high-carb/low-protein diet. One 8-week study on mice found it may have the same longevity benefits as calorie restriction. While it’s too soon to make projections for people, the researchers point out that however many carbs you eat, they should be high-quality whole grains and vegetables, with moderate fruit intake to limit fructose.
The Military 3-Day Diet plan is one of the most regimented diets that I’ve ever reviewed for Cooking Light. It’s free to sign up, and participants can download the plan directly from militarydiet.com. The plan is a weekly cycle that includes a three-day meal plan, followed by 4 days off. You can repeat this cycle as many times as you need until your weight loss goal is met.
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