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]

Suzanne Hiscock is a PN1 Nutrition Coach, ACE-certified Health Coach, as well as an ACE-certified Fitness Nutrition Specialist. For over 16 years, she has been helping people lose weight and get fit through her website, FitWatch.com. Whether it's with one-on-one nutrition coaching, nutrition programs or courses, and tools or calculators, she can help you to eat better, move more and believe in yourself.
“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
Type of support: Every person has different needs when it comes to what motivates them to succeed. Think about how you have met other important goals, quit bad habits, or motivated yourself to change in the past. Would you be more likely to succeed using social media; in-person meetings with strangers or acquaintances; or expert counseling using text messaging, phone calls or email?
Realizing that eating unhealthy food is a bad habit, like smoking or biting your nails, will help you break the cycle. Going cold turkey on favorite snack foods isn't possible for everyone, and if you relapse and chow down on some chocolate, the first step is to forgive yourself for the lapse. Identify the times of day or the activities you engage in that tempt you to reach for the junk food. Being aware that it's going to happen will help you stave off the cravings and gives you the chance to substitute in a healthier option. Don't be afraid to let your friends and family know what you're doing so they can support and cheer you on, and so they can help you avoid cravings.
There are many approaches to weight loss and there is no set ideal method that works for all people, which is why so many different diets and exercise regimens exist. While some methods are more effective for each individual person, not all weight loss methods are equivalent, and studies suggest that some approaches are healthier than others. That being said, one of the most commonly effective weight loss methods is counting calories. In its most basic form, calories consumed minus calories expended will result in weight gain if the result is positive, or weight loss if the result is negative. However, this is far from a comprehensive picture, and many other factors play a role in affecting healthy, sustainable weight loss. For example, there exist conflicting studies addressing whether or not the type of calories or foods consumed, or how they are consumed, affects weight loss. Studies have shown that foods that require a person to chew more and are more difficult to digest result in the body burning more calories, sometimes referred to as the thermic effect of food. While the increase in burned calories may be marginal, foods that are more difficult to digest such as vegetables generally tend to be healthier and provide more nutrients for fewer calories than many processed foods.
We often think that if we can just discover the “right” combination of foods, we’ll magically lose weight or maintain what we’ve lost. There are low-fat diets, low-carb diets, low glycemic diets, Paleo diets, and a lot of iterations of all of these. Jensen points out that in fact there doesn’t seem to be any “right” diet, and there doesn’t seem to be any evidence that one particular diet will work better with an individual’s specific metabolism. “The big myth out there,” he says, “is that there’s a magical combination of foods – be it protein, vegetarian, and what have you – that’s going to be unique because of its unique interaction with your metabolism. We know pretty much that any diet will help you lose weight if you follow it. There’s no magic diet. The truth is that ALL Diets will work if you follow them.”

Women who ate low-fat dairy products, such as non-fat yogurt and low-fat cheese three to four times a day lost 70 percent more fat than low-dairy dieters, according to a study published in the journal Obesity Research. "Calcium serves as a switch that tells your body to burn excess fat faster," explains study author Michael Zemel, M.D., director of the Nutrition Institute at the University of Tennessee in Knoxville. Sorry, but you won't reap the same benefits from calcium-fortified O.J. Research shows that you get the best results from dairy products themselves, not fortified foods. Aim for 1,200 mg, which includes about three servings of dairy a day.


Re-think date night. “It’s really hard to find time to be together. People always say 'date night,' but it’s hard to get out once a week and leave the kids and do that," says Delaney. "So what we do is rather than date night we try to have one or two days a week where we train together in the gym. We spend time as a couple together being active and doing active things with the family. One of our favorite things to do is walk around the city, we don’t take cabs, we walk the whole city, window shop and have something to eat. When it comes to exercise, have fun and don’t make it feel like it’s a chore.”
Consider a diet's overall approach to food. What will you be eating every day? Is there much variety, or will you be eating the same foods frequently? If most (or even some) of the foods on a plan aren't enjoyable, within your budget, or readily available, you're going to find a particular plan hard to stick with. Ask yourself: realistically, could you eat the foods on this plan more or less for the rest of your life?
“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
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.
She recommends setting aside time on Sunday to plan out the week ahead. “Planning is so important from an organization perspective,” says Delaney. “When it comes to organizing you really need to think about what’s important to you. I always tell people, don’t over-schedule. You don’t have to say yes to every single invitation. Think about what your week is going to look like and how you’re going to find time for what’s important.”

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.


People who are overweight gain extra tissue in the back of their throat. When your body relaxes when you sleep, that tissue can drop down and block your airway. It makes you stop breathing over and over all night, which causes all kinds of health problems, especially for your heart. Slimming down a little can oten help with sleep apnea -- sometimes enough that you can stop using the bulky breathing devices that treat it.
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