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]


Also, my perspective of what a meal was evolved. I grew up thinking every meal needed to be a plate with a meat, veggies or fruit, carbs, grains, and dessert; and that just isn't accurate at all. I learned that it is totally acceptable to make meals like a bowl with veggies and protein. Or breakfast could include a big bowl of oatmeal with almond butter, greek yogurt, granola, and fruit. I incorporated a ton of fresh produce and didn't let myself buy junk food from the store. It's not always about eating less of everything either, it's less of some foods but more of others. 
This is what's known as insulin resistance. Basically, when your body doesn't respond well to insulin, it actually makes more of the stuff, according to the National Institute of Diabetes and Digestive and Kidney Diseases. And that can lead to fat storage, especially around the middle of your body. That's where protein comes into play: A diet high in protein may protect you against insulin resistance, says Aronne.
Eat Breakfast Every Day. One habit that's common to many people who have lost weight and kept it off is eating breakfast every day. "Many people think skipping breakfast is a great way to cut calories, but they usually end up eating more throughout the day, says Elizabeth Ward, MS, RD, author of The Pocket Idiot's Guide to the New Food Pyramids. "Studies show people who eat breakfast have lower BMIs than breakfast-skippers and perform better, whether at school or in the boardroom." Try a bowl of whole-grain cereal topped with fruit and low-fat dairy for a quick and nutritious start to your day.
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