As chronic obstructive pulmonary disease (COPD) advances, about 35% of patients experience severe weight loss called pulmonary cachexia, including diminished muscle mass. Around 25% experience moderate to severe weight loss, and most others have some weight loss. Greater weight loss is associated with poorer prognosis. 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).
Real talk: It could take weeks or months to see the metabolic effects of exercise on the scale, and even then, building muscle, which is denser than body fat, could lead to weight gain. “Do what you like because it’s good for you,” Dr. Seltzer says, noting the way exercise is awesome for your heart, mental health, and more—and that not all measure of progress can be seen on the scale.
Soy milk is both the source of protein in this fruity shake and the first ingredient, followed closely by banana puree. The complex carbs from the fruit give you sustained energy, plenty of potassium and a deliciously creamy bottled shake. The dessert-like flavor gets high praises from fans of this brand, but it’s in a dead heat with other drool-worthy flavors like Spiced Chai and Cappuccino.
Women have, throughout history, made contributions to science, literature and art. One area where women have been permitted most access historically was that of obstetrics and gynecology (prior to the 18th century, caring for pregnant women in Europe was undertaken by women; from the mid 18th century onwards medical monitoring of pregnant women started to require rigorous formal education, to which women did not generally have access, therefore the practice was largely transferred to men).