Many theories of weight loss are based on the notion of creating calorie deficit into your diet and exercise routine. If you burn the same number of calories as you consume, you can assume your weight will remain relatively constant. In order to lose weight, you should attempt to consume less calories than you burn. It is widely believed that consuming 3500 Calories less than you burn over a period of time will result in approximately 1lb of fat loss.
Don't become overwhelmed with the initial hype. Really consider whether you can maintain a plan and if it provides the tools and strategies you require for long-term success. Can you realistically eat this way for the rest of your life? Does the plan include other strategies – exercise, sleep, stress control, etc. – that complement long-term success? Once you've found the right plan, commit to it. What you put into it, you'll get back. Very best wishes as you begin your fat-loss journey. 
What may come as some consolation is that even the fittest among us know the struggle is real: “Many know me from social media as the jump rope queen and fitness trainer who is always smiling while coming up with difficult and creative workouts. What they may not know is that like everyone else, I too struggle with finding ways to keep my motivation up when it comes to diet and exercise,” says Janine Delaney, psychologist and fitness expert whose social media platform has amassed almost 2 million followers. “As a full-time psychologist, wellness influencer and mom of two teenage girls I have an awful lot going on. Sometimes it would be easier to head for the couch with a bag of chips than plan a healthy meal and fit in a workout. Still, I make it happen.”
You may say you want to lose weight to feel good about yourself. “Why?” Noom asks again. “It’s like peeling back the layers of an onion,” Noom explains, “And yes, tears might be involved too!” By the time our tester answered the third “Why?” she had indeed gone deep — even in the guise of a 40-year-old mom. The ultimate Why she came up with: “To enjoy life and bring joy to others.”
The main sources of calories in a typical person's diet are carbohydrates, proteins, and fat, with alcohol also being a significant portion of calorie intake for many people (though ideally this should be limited since alcohol contains many empty calories). Some studies have shown that the calories displayed on nutrition labels and the calories actually consumed and retained can vary significantly. This hints at the complex nature of calories and nutrition and is why many conflicting points of view on the "best" methodology for losing weight exist. For example, how a person chews their food has been shown to affect weight loss to some degree; generally speaking, chewing food more increases the number of calories that the body burns during digestion. People that chew more also tend to eat less, since the longer period of time necessary to chew their food allows more time to reach a state of satiety, which results in eating less. However, the effects of how food is chewed and digestion of different foods are not completely understood and it is possible that other factors exist, and thus this information should be taken with a grain of salt (in moderation if weight loss is the goal).
Eating right and watching your weight are key to a healthy future. What's missing? Exercise, of course. A regular routine, if right for you, will help you burn more calories, feel more energized and build lean muscle mass. Check with your physician before beginning and exercise routine. For tips on making exercise part of your life, check out the President's Challenge, an interactive website that helps you get fit no matter your age. www.presidentschallenge.org
Track your progress over time and make changes to better achieve your goals if necessary. Remember that weight loss alone is not the sole determinant of health and fitness, and you should take other factors such as fat vs. muscle loss/gain into account as well. Also, it is recommended that measurements be taken over longer periods of time such as a week (rather than daily) as significant variations in weight can occur simply based on water intake or time of day. It is also ideal to take measurements under consistent conditions, such as weighing yourself as soon as you wake up and before breakfast, rather than at different times throughout the day.
Eating sugary foods might be satisfying in the moment, but they can increase your cravings for more sugary foods in the future — and that only leads to trouble. "Many foods high in added sugar are also higher in calories and fill you up less than lower-calorie, still-sweet alternatives like fruit," says Amy Gorin, MS, RDN, owner of Amy Gorin Nutrition in Jersey City, NJ. But there are still ways to satisfy your sweet tooth without ODing on sugar. "When you're baking, cut out some of the sugar in recipes by adding in vanilla extract or cinnamon, blend unsweetened cocoa powder into a smoothie instead of honey, top your French toast with unsweetened frozen fruit instead of syrup, and nosh on a slab of watermelon instead of cookies."
Altering your habits and changing your lifestyle isn't easy, but the improvements you make will last you for far longer than any fad diet or quick weight-loss fix will. If you're serious about losing in a healthy way and staying at your goal once you reach it, then focus on your lifestyle. Think of it as long-term improvement. You may not drop dozens of pounds in a week like some fad diets claim, but your body will be healthier and your lower body mass will be much easier to maintain. 
HCG (Human Chorionic Gonadotropin) is an all-natural hormone which, when taken with a low-calorie diet, helps the body convert stored fat to energy while maintaining muscle mass. What makes us different is we only offer medical-grade HCG. This program is great for helping people who have struggled with a slowing metabolism, hormone imbalance, or menopause to lose up to 15 pounds more per month.
“A study published in Nutrition Journal found that participants who ate foods high in monounsaturated fats for lunch (in this case, half an avocado) reported a 40 percent decreased desire to eat for hours afterward. Monounsaturated fats from sources like olive oil, nuts and avocados can reduce cholesterol, promote weight loss, even boost memory.” — David Zinczenko, author of the  Zero Belly Cookbook
Do not use the OPTAVIA Program if you are pregnant. If you have a serious acute or chronic illness (e.g., heart attack, diabetes, cancer, liver disease, kidney disease, anorexia, bulimia, etc.) do not use the OPTAVIA Program until your healthcare provider says you have recovered or that your condition is stabilized. The Optimal Weight 5 & 1 Plan™ is NOT appropriate for teens (13 to 18 years of age), sedentary older adults (65 years and older), nursing mothers, people with gout, some people with diabetes, and those who exercise more than 45 minutes per day. For special medical or dietary needs, refer to our program guides online.
Our signature and most popular program, RM3®, is an exclusive 3-Step comprehensive program designed to help people lose weight fast – up to 20 pounds or more per month. It’s safe and effective for men and women, and helps to sustain weight loss over time. The 3-Steps feature a patented medication, individualized diet plan, weekly Weight Loss Shots, and medical-grade vitamins & supplements known to achieve successful weight loss.
In such cases, the first step is to turn inward and ask some questions. “‘What am I really hungry for?’ Perhaps you need a hug or a word of encouragement from a friend instead of that piece of leftover chocolate pie in the refrigerator,” she says. Perhaps you need to bust out of a stressful job, destructive relationship, or self-abusive attitude to make your health and well-being a priority.
… that lists sugar, fructose, or corn syrup among the first four ingredients on the label. You should be able to find a lower-sugar version of the same type of food. If you can’t, grab a piece of fruit instead, especially if you show signs you’re eating too much sugar. Look for sugar-free varieties of foods such as ketchup, mayonnaise, and salad dressing. Also, avoid partially hydrogenated foods, and look for more than two grams of fiber per 100 calories in all grain products. Finally, a short ingredient list means fewer flavor enhancers and empty calories. Sounds impossible, but you can actually learn how to give up sugar without missing it.
Our most popular weight loss program is also our most comprehensive—featuring four entirely different weeks of workshops, classes, experiences and exercise sessions. It gives you more insights on living a healthier life; more time with medical, nutrition, behavioral and fitness experts; time to become comfortable with lifestyle changes you’ll continue at home; and actually allows you to start seeing the health benefits before the end of your stay.
Gabel, K., Hoddy, K. K., Haggerty, N., Song, J., Kroeger, C. M., Trepanowski, J. F., … Varady, K. A. (2018, June 15). Effects of 8-hour time restricted feeding on body weight and metabolic disease risk factors in obese adults: A pilot study. Nutrition and Healthy Aging, 4(4), 345–353. Retrieved from https://content.iospress.com/articles/nutrition-and-healthy-aging/nha170036
If you are looking to kick start a new weight loss routine or conquer a diet plateau, try Dr. Oz's new two-week rapid weight-loss plan. By loading up on healthy food, like low-glycemic vegetables and small portions of protein, you can help curb your cravings and give your body a healthy start to the year. Plus, all of the meals can be automated and prepped, so you can drop pounds without spending a ton of time in the kitchen doing prep work. Read on to find out all the details!
One breakfast staple you should probably avoid is orange juice. Most store brands contain a considerable amount of sugar. The same goes for all juices, so if juice is your drink of choice in the morning, have water instead. If you're dead-set on juice, your best bet is to squeeze it yourself, but even that doesn't have the same health benefits as eating whole fruit. When craving the taste of oranges, go for the real thing: peel one and eat the segments whole.
In the end however, what's important is picking a strategy that works for you. Calorie counting is only one method used to achieve weight loss amongst many, and even within this method, there are many possible approaches a person can take. Finding an approach that fits within your lifestyle that you think you would be able to adhere to is likely going to provide the most sustainable option and desirable result.
Though exercise can help correct a metabolism that’s been out of whack for a long time, the grisly reality is that it may not ever go back to what it was before you gained weight. So if you’ve been overweight or obese and you lose weight, maintaining that loss means you’re probably going to have to work harder than other people, maybe for good. “The sad thing,” says Hill, “is that once you’ve been obese or not moving for some time, it takes a little more exercise to maintain. It doesn’t come back to normal.” It’s not a pretty reality to face, but coming to grips with it is important, he says, so that you won’t get frustrated when you discover that you have to do more work over the long term than your friend who was never overweight.
“I tell all of my celebrity and professional-athlete clients to get between 6 and 8 hours of sleep per night. Everyone is overly focused on food, water and exercise, all of which are extremely imperative to weight loss and optimal health. However, without proper sleep, all of these the other factors are null and void. When you don’t get enough sleep, levels of the hormone leptin drop, which increases appetite. This surge in appetite makes comfort food more appealing, which can derail weight loss efforts.” — Jay Cardiello, celebrity fitness and nutrition expert

“When clients come to me, many of them have been through the diet wringer. They’ve tried every fad and gimmick and, of course, they’ve failed to maintain long-term success. The key to weight loss is to never feel like you’re on a diet, because diets don’t work. If you feel deprived, you will never make it past a few weeks. The only way to achieve long-term weight loss is to learn to appreciate food as fuel and slowly replaced processed food that cannot properly energize the body with real food that can. After a while this will become second nature and won’t feel like a daily struggle.” — Laura Burak, MS, RD, CDN
As funny as it sounds, sleep deprivation may make you fat — and not just because you're susceptible to cases of the late-night munchies (although there's that too). There's tons of research that demonstrates getting less than the desired amount — about 7 hours — of sleep per night can slow down your metabolism. Plus, when you're awake for longer, you're naturally more likely to nosh. So don't skimp on your ZZZs, and you'll be rewarded with an extra edge when it comes to shedding pounds quickly.
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To splurge or not to splurge? That is the perennial weight-loss question. Should you allow for occasional indulgences in your healthy-eating program, or say a firm “no” out of fear they will sabotage your results? Once you start a new regimen, it can be scary to stray from it. So how can you navigate the path of progress without veering into perfectionism? Here’s some professional counsel. 
Studies have found that overweight people who ate a moderate-fat diet containing almonds lost more weight than a control group that didn’t eat nuts. Snacking once or twice a day is one of the ways to lose weight that helps stave off hunger and keeps your metabolism stoked. You can also pack up baby carrots or your own trail mix with the healthiest nuts you can eat, plus raisins, seeds, and dried fruit. Here are 30 healthy snacks that can help you lose weight.

Build muscle. Muscle burns more calories than fat. So adding strength training to your exercise routine can help you reach your weight loss goals as well as give you a toned bod. And weights are not the only way to go: Try resistance bands, pilates, or push-ups to get strong. A good, well-balanced fitness routine includes aerobic workouts, strength training, and flexibility exercises.
Determine your weight loss goals. Recall that 1 pound (~0.45 kg) equates to approximately 3500 calories, and reducing daily caloric intake relative to estimated BMR by 500 calories per day will theoretically result in a loss of 1 pound a week. It is generally not advisable to lose more than 2 pounds per week as it can have negative health effects, i.e. try to target a maximum daily calorie reduction of approximately 1000 calories per day. Consulting your doctor and/or a registered dietician nutritionist (RDN) is recommended in cases where you plan to lose more than 2 pounds per week.
Weight Watchers is a household name for the majority of Americans. Why? Because it works. In fact, the U.S News and World Report named this the best weight-loss diet for 2016 in their annual rankings — and with good reason. The balanced program lets you eat what you want, track your choices via a points system, and build a weight loss support network with fellow Weight Watchers' members.
As funny as it sounds, sleep deprivation may make you fat — and not just because you're susceptible to cases of the late-night munchies (although there's that too). There's tons of research that demonstrates getting less than the desired amount — about 7 hours — of sleep per night can slow down your metabolism. Plus, when you're awake for longer, you're naturally more likely to nosh. So don't skimp on your ZZZs, and you'll be rewarded with an extra edge when it comes to shedding pounds quickly.
Every studio I build, I get the opportunity to improve. There are so many things I love about this new studio. I meet with every single member personally for a deep dive into the history of their physical self, and where they would like to go. I love meeting all of the people that will come and move and improve with us every day—they are all part of the solution. Two highlights: We combined infrared heat and humidity to create a temperature system that is the most anti-aging, glorious workout sweat ever. (I feel like I can say that after all of the places I have sweat—ha!) The TA cafe, with all organic produce and proteins, is special to me because it provides members and people stopping by for a class with a place where they can know they are eating in a way that is aligned with how they moved.
We have a couple of other fun additions to the Hamptons: My favorite fitness stylist Karen Shapiro is curating really fun pop-up fitness shops for our Hamptons locations this summer, in East Hampton and Watermill. We are also doing a partnership with The Golden Pear to carry my favorite protein-powder smoothies with all organic produce at their four Hamptons cafés. I also have two books coming out this year, which I’m really excited about: Total Teen and Total Woman.
“Anytime you’re stressed, you probably go for food,” Dr. Seltzer says. (Have we met?!) That’s because cortisol, the stress hormone, stokes your appetite for sugary, fatty foods. No wonder it’s associated with higher body weight, according to a 2007 Obesity study that quantified chronic stress exposure by looking at cortisol concentrations in more than 2,000 adults’ hair.
Break out the lemon wedges: Regular fish eaters tend to have lower levels of the hormone leptin — good because high levels of leptin have been linked to low metabolism and obesity, says Louis Aronne, M.D., an obesity specialist at the New York Presbyterian Weill Cornell Medical Center. Try to consume three to four servings of a fatty fish, such as salmon, tuna or mackerel, each week.
Measure it: If you want to improve something, measure it. While a pedometer can seem utterly arbitrary, wearing one and holding yourself to a daily goal can lead to forming powerful habits. Fitbit devices also allow you to create an online account where you can track yourself against friends and co-workers, so you can push each other to exercise. The nice thing about measuring exercise rather than weight is one can become a habit that leads to the desired goal, whereas the other is a lagging and fluctuating indicator. Each day you do your daily exercise you will be aware of what you did and how it made you feel. And those who exercise may have slightly elevated serotonin levels which lead to improved satiety, diminishing hunger.
Measure it: If you want to improve something, measure it. While a pedometer can seem utterly arbitrary, wearing one and holding yourself to a daily goal can lead to forming powerful habits. Fitbit devices also allow you to create an online account where you can track yourself against friends and co-workers, so you can push each other to exercise. The nice thing about measuring exercise rather than weight is one can become a habit that leads to the desired goal, whereas the other is a lagging and fluctuating indicator. Each day you do your daily exercise you will be aware of what you did and how it made you feel. And those who exercise may have slightly elevated serotonin levels which lead to improved satiety, diminishing hunger.

“Before you begin to change your diet, spend a week recording everything you eat—and I mean everything. Before I made any changes to my diet, I journaled everything I ate each day for a week, including little things like gum or breath mints. If you have a piece of candy from your coworker’s desk, snag a few spoonfuls of your boyfriend’s ice cream, or finish the few bits of grilled cheese your kid left on her plate, write it down! It all adds up, and you just don’t realize how much you’re eating until you actually see it all on paper in front of you. I, for one, was stunned.” — Maria Menounos, author of  The Everygirl’s Guide to Diet and Fitness, on how she lost 40 pounds

Trim Portions. If you did nothing else but reduce your portions by 10%-20%, you would lose weight. Most of the portions served both in restaurants and at home are bigger than you need. Pull out the measuring cups to get a handle on your usual portion sizes, and work on paring them down. Get instant portion control by using small bowls, plates, and cups, says Brian Wansink, PhD, author of Mindless Eating. You won't feel deprived because the food will look plentiful on dainty dishware.

We know, you've probably heard these a thousand times. But if you can make these small swaps day-to-day, you'll spare enough calories for the treat foods you really want or to go into a calorie deficit (a.k.a. the key to weight loss). (And this is just the tip of the iceberg. We have 50 more easy ways to cut calories.) Making these simple swaps is the way to health-ify your eating style and lose weight without actually dieting. 
Jillian Michaels is now a well known name in the US, providing expert workout videos and diet tips to help you to shape up. The website provides recipes, diet plans, workouts, tracking and measuring tools, as well as a supportive community to help keep you motivated. First off, it’s worth mentioning that the Jillian Michaels system is probably more exercise-intensive than other diet and...
Teaming up with other people who are also looking to lose weight may make individuals more likely to reach their weight loss goals. People can find weight loss support from friends, family, and online communities dedicated to healthful lifestyles. Studies have shown that simply receiving text message support can promote healthful behavior that can lead to lasting weight loss.

“When you’re anxious, your body feels like it’s under a tremendous amount of stress all the time. This is why anxiety is a powerful trigger for weight gain. Two of the most proven cures for anxiety are exercise and spending time in nature. Combine both with an outdoor run or bike ride and race away from the anxiousness. Making this habit part of your lifestyle can help you stay lean for life.” — David Zinczenko, author of the  Zero Belly Cookbook
Caloric intake: While it is true that less calories usually means more weight loss, some diet plans are strict and can leave you feeling hungry most of the time. Additionally, some people need more calories because of metabolic issues or high activity levels, and low-calorie plans might be insufficient. Think about whether a diet plan will keep you full.
Caloric intake: While it is true that less calories usually means more weight loss, some diet plans are strict and can leave you feeling hungry most of the time. Additionally, some people need more calories because of metabolic issues or high activity levels, and low-calorie plans might be insufficient. Think about whether a diet plan will keep you full.
Weigh yourself on the same scale every morning so you can know how much weight you are losing. If you are on a four-week plan, you’re likely to drop a bit of weight, hold that weight for a while, and then drop again—that’s normal. Regardless: You should make the choices that you need based on what your body is telling you. If you need a day off, or to eat something else, do.
Now you know that your dinnertime TV show and dishware affect how much you eat—but did you know that your environment has an even greater impact on your noshing habits? The typical American buys and eats more than 80 percent of their food within five miles of their homes—a.k.a. your food radius—according to Brian Wansink, Ph.D., director of Cornell University's Food and Brand Lab. In his book, Slim By Design: Mindless Eating Solutions, Wansink talks about various studies he's done over the course of his research career that show how your food environment dictates your eating habits.

A calorie deficit is simply an energy shortfall. When you create a calorie deficit, you deprive your body of the fuel it needs to function. So, your body burns stored fat (excess weight) for fuel instead. A calorie deficit occurs when you cut calories by eating less than your body needs or burn extra calories with physical activity. You can also combine diet and exercise to create a calorie deficit.
“Stepping on the scale frequently makes you aware of small changes and helps you quickly react to those changes. The National Weight Control Registry, a large group of people who have successfully lost at least 30 pounds and kept it off for 5 years, found that successful ‘losers’ weigh themselves often and make adjustments accordingly. When you begin to understand that sodium, carb intake, hormones and alcohol intake can impact weight and that it isn’t possible to gain 2 pounds of fat overnight, you will begin to better understand your body. The key is to pay attention to overall trends; don’t obsess over day-to-day numbers! — Jennifer McDaniel, MS, RDN, CSSD, LD, food and nutrition expert
The trick here is not only to avoid all obvious sources of carbohydrate (sweets, bread, spaghetti, rice, potatoes), but also to be careful with your protein intake. If you eat large amounts of meat, eggs and the like, the excess protein will be converted into glucose in your body. Large amounts of protein can also raise your insulin levels somewhat. This compromises optimal ketosis.
This Calorie Calculator is based on the Mifflin-St Jeor Equation which calculates basal metabolic rate (BMR), and its results are based on an estimated average. The basal metabolic rate is the amount of energy expended per day at rest. There exist other equations including the Harris-Benedict Equation which was used until 1990 before the introduction of the Mifflin-St Jeor Equation and the Katch-McArdle Formula which calculates resting daily energy expenditure (RDEE) by taking lean body mass into account. The Mifflin-St Jeor Equation is considered the most accurate equation for calculating BMR, with the exception that the Katch-McArdle Formula can be more accurate for people who are leaner that know their body fat percentage. The Mifflin-St Jeor Equation is as follows:

“There are many foods that aid weight loss, but one that I often recommend to my clients and eat myself is grapefruit. Researchers at Scripps Clinic in San Diego found that when obese people ate half a grapefruit before each meal, they dropped an average of 3.5 pounds over 12 weeks. Apparently, the tangy fruit can lower insulin, a fat-storage hormone, and that can lead to weight loss. Plus, since it’s at least 90% water, it can fill you up so you eat less. However, if you are on certain medications you should not have grapefruit or grapefruit juice, so check the label on all your prescriptions, or ask your pharmacist or doctor. — Patricia Bannan, MS, RDN, author of  Eat Right When Time is Tight.

LoseIt.com is a high tech solution to weight loss. Whilst it doesn’t provide a great deal of advice on healthy eating and recipes, or on particular workouts to try, its various tools and apps help you to accurately track your eating and exercise activities to determine methods to improve. This service is available in three forms: Basic, Premium or Premium plus Bluetooth scales. The...
For those with sluggish metabolisms, whose emotional taste buds were brought up on packaged cookies, candy bars, muffins, and chips—the “journey to balance” can be a real mountain that just doesn’t even look possible to climb. One of the most effective ways to get off of addictive processed foods that do not serve you is to always be prepared with a healthy option.
Commercial weight-loss programs such as Weight Watchers, Jenny Craig, NutriSystem and Diet Center, usually offer a 1,000 to 1,500 calorie diet and individual or group counseling. Though many individuals find long-term success with these programs, some participants still struggle with healthy weight-maintenance. In the past, the Federal Trade Commission (FTC) has brought action against some of these companies, challenging their weight loss and maintenance claims.
There is some scientific legitimacy to today’s lower-carb diets: Large amounts of simple carbohydrates from white flour and added sugar can wreak havoc on your blood sugar and lead to weight gain. While avoiding sugar, white rice, and white flour, however, you should eat plenty of whole-grain breads and brown rice. One Harvard study of 74,000 women found that those who ate more than two daily servings of whole grains were 49 percent less likely to be overweight than those who ate the white stuff. Eating whole grains is not only one of many great ways to lose weight; it can also make you smarter.
Thinking about your clothes might seem more like a post-weight loss celebration than a weight loss strategy, but research and experts actually suggest otherwise. "Ample room and elastic waistbands are not your friends, because they let you get away with ignoring your body, along with the warning signs that you may be eating too much," says weight loss and fitness expert Jenna Wolfe in her book Thinner In 30. "Instead, stick with non-stretch jeans and clothes with enough room to spare but snug enough to remind you of your goals."

We know, you've probably heard these a thousand times. But if you can make these small swaps day-to-day, you'll spare enough calories for the treat foods you really want or to go into a calorie deficit (a.k.a. the key to weight loss). (And this is just the tip of the iceberg. We have 50 more easy ways to cut calories.) Making these simple swaps is the way to health-ify your eating style and lose weight without actually dieting. 


Be choosy about carbs. You can decide which ones you eat, and how much. Look for those that are low on the glycemic index (for instance, asparagus is lower on the glycemic index than a potato) or lower in carbs per serving than others. Whole grains are better choices than processed items, because processing removes key nutrients such as fiber, iron, and B vitamins. They may be added back, such as in “enriched” bread.

Schedule "cheat meals" and gym breaks into your routine. “It’s hard to be consistently motivated and always be on your game. Give yourself a little bit of a reprieve," says Delaney. "Mentally, it’s not normal to constantly be on all the time, we need to unwind and relax. By doing something that’s not perfect, were allowing ourselves to revel in the moment and celebrate our success; it gives us a renewed energy to move on.” To do this, Delaney says to schedule one cheat meal a week, and to pick 1-2 days where you let your body rest. "Go out and have a slice of pizza and a glass of red wine. Your body needs that, not just physically, but mentally. Same with the gym. You don’t need to work out every day. Give your body that recoup time; physically and mentally it needs it. Give yourself a break so you can sustain that motivation. It’s an allowance instead of creating the ‘I messed up syndrome’ which causes you to get off track.”
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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