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]
As you get older, your body changes how it gains and loses weight. Both men and women experience a declining metabolic rate, or the number of calories the body needs to function normally. On top of that, women have to deal with menopause. "If women gain weight after menopause, it's more likely to be in their bellies," says Michael Jensen, MD, professor of medicine in the Mayo Clinic's endocrinology division. In menopause, production of the hormones estrogen and progesterone slows down. Meanwhile, testosterone levels also start to drop, but at a slower rate. This shift in hormones causes women to hold onto weight in their bellies. The good news: you can fight this process. Read on.
When you’re cutting calories, it can be tough to make sure you’re still getting enough of all the good stuff your body runs on. “Nutrient deficiencies can stall or halt weight loss,” says Crandall. She sees lots of patients with low levels of vitamin D, for example, a nutrient that is critical to parathyroid hormone function—it helps with weight regulation. If you’re not eating a well-balanced diet, a multivitamin can be a good way to bridge those nutritional gaps and make sure you’re not missing anything that could impede weight loss or muscle building, such as calcium or iron.

Moving isn’t just for the gym. Americans tend to sit too much in general. You can combat that, finds research, by engaging in “spontaneous physical activity”—fidgeting, tapping, and getting up from your desk or the couch frequently. Make moving a habit by standing when you take calls, for instance, using the stairs when possible, or bouncing your legs when you’re seated. Every calorie burned helps.
Close the Kitchen at Night. Establish a time when you will stop eating so you won't give in to the late-night munchies or mindless snacking while watching television. "Have a cup of tea, suck on a piece of hard candy or enjoy a small bowl of light ice cream or frozen yogurt if you want something sweet after dinner, but then brush your teeth so you will be less likely to eat or drink anything else," suggests Elaine Magee, MPH, RD, WebMD's "Recipe Doctor" and the author of Comfort Food Makeovers.
Suspect you have a sluggish metabolism? You might have hypothyroidism, or an underactive thyroid gland, which afflicts about 25 percent of American women — many of whom don't know they have the condition, according to the American Association of Clinical Endocrinologists. "The thyroid gland controls your body's metabolism, so one of the first signs that it may be off is an inability to lose weight," explains Pamela Peeke, M.D., professor of medicine at the University of Maryland and author of Fight Fat After Forty. Your doctor can determine if you're suffering from hypothyroidism by running a blood test. If you do have an underactive thyroid, you'll be treated with a synthetic thyroid supplement, which you will need to take for the rest of your life (it will return your metabolism to normal, so it should be easier to drop unwanted pounds).
Stress may contribute to abdominal fat, according to several studies, including a recent one at the University of California, San Francisco. "When you're stressed, hormones like cortisol stimulate your appetite, slow your metabolism down and encourage fat storage inside your abdomen," explains Shawn Talbott, Ph.D., director of the Nutrition Clinic at the University of Utah. So what's a frazzled girl to do? "Find an activity that reduces stress for you, whether it's listening to soothing music or taking yoga, and do it daily," advises Talbott.
Make sure to program your cardio exercise in with your weight training the right way, though — a 2017 study found that performing cardio and weight training workouts on alternate days was far more effective for burning belly fat than stacking the workouts on top of each other in the same session. Put the two together, and watch that unhealthy midsection shrink.
Most people who want to lose weight have more than 12 pounds to lose. That’s why even the best weight loss drug in the world can only be an optional complement to other treatment. That’s why this piece of advice is number 18 out of 18. It may be a helpful addition for some people, but the advice higher on the list is what can make the biggest difference, by far.

There are those that claim HIIT is less effective than low intensity longer duration cardio. Their reasoning is that most of the calories burned during HIIT come from stored muscle glycogen (carbs) rather than coming from stored adipose tissue. This is true but this is not a bad thing. Research has absolutely proven that it does not make any difference whether stored carbohydrates or stored fats are used as the fuel source. The only thing that matters is how many total calories are burned and more total calories are expended through HIIT as opposed to low intensity low duration cardio.

Ultimately, you need to pick a healthy eating plan you can stick to, Stewart says. The benefit of a low-carb approach is that it simply involves learning better food choices—no calorie-counting is necessary. In general, a low-carb way of eating shifts your intake away from problem foods—those high in carbs and sugar and without much fiber, like bread, bagels and sodas—and toward high-fiber or high-protein choices, like vegetables, beans and healthy meats.
So how many carbs should you eat on your high carb day? This is highly dependent on individual metabolism. The increase should be 55%-115% of what you consume on your typical diet. I realize that this is a pretty wide range but it can be narrowed down through body type. If you have a fast metabolism (ectomorphs) then you should stay closer to the higher end of the carb range. If you have a slow metabolism (endomorphs)  then you will want to stick closer towards the low end of the carbohydrate range. Lastly, mesomorphs should stay within the mid range on their high carb days.
A sedentary lifestyle is one of the major causes of occurrence of belly fat. If you don’t indulge in any physical activity, and spend most of the time sitting, watching T.V., reading, etc., it is known as a sedentary lifestyle. Lack of regular exercise, or not exercising at all can lead to fat storage around the belly area. In other words, being a couch potato will make you fat.
The weeks leading up to my finally deciding to try this out, I was falling asleep in the middle of the day. Sometimes I would literally have to pinch myself so I would not fall asleep on a client! If the kids were home, I was too tired to play, too tired to get dinner started, too tired to get baths going. It was hard. Hard on them, hard on my husband and hard on me.
Visceral fat, commonly known as belly fat, is the layer of fat below the muscles of your abdomen. Due to its crucial location surrounding many of your vital organs, belly fat supplies a constant source of energy but also exposes the body to harmful toxins and hormones. When you have too many fat cells or your fat cells get too large, they can overproduce toxins that increase your risk for chronic inflammation, diabetes, heart disease and cancer. This is why belly fat can be more dangerous than subcutaneous fat—or the outer layer of fat that you can pinch with your fingers. That said, the reason you're having trouble buttoning your pants may not be visceral fat: what we're calling "belly fat" these days could be bloating or water retention rather than a fat buildup. Read on for steps you can take to beat the bulge.

To banish stubborn belly fat, you have to ramp up your workouts. In a study published in the journal Medicine and Science in Sports and Exercise, people who completed a high-intensity workout regimen lost more belly fat than those who followed a low-intensity plan. (In fact, the low-intensity exercises experienced no significant changes at all.) "You need to exercise at full intensity because the end goal is to burn more calories, and high intensity exercise does just that," says Natalie Jill, a San Diego, Calif.-based certified personal trainer. High intensity workouts mean you're going all out for as long as you can. If this sounds intimidating, think of it this way: you'll burn more calories in less time.


Belly fat is, in fact, the colloquial term for abdominal fat. According to medical experts, belly fat can be potentially dangerous. Excess of it can lead to a number of health problems including heart diseases, high blood pressure, type 2 diabetes, a decrease in the level of HDL or good cholesterol, and can even lead to strokes or sleep apnea. You need to combat this problem before it gets too late.
There's no way around the fact that, when it comes to burning more fat, you have to work at it. There is no magic exercise, workout, or pill that will do the job for you. The good news is that it doesn't take much activity to push the body into that fat burning mode. Try incorporating some type of activity every day, even if it's just a quick walk, and build on that over time as it becomes more of a routine. Do that and you're on the way to burning more fat.
Of course, it's not always easy to find—or afford—organic produce. But in general, conventionally grown items that you peel—avocado, grapefruit, bananas—are fine. But choose organic when buying celery, peaches, strawberries, apples, blueberries, nectarines, sweet bell peppers, spinach, kale and collard greens, cherries, potatoes, and imported grapes; they tend to have the highest levels of pesticides.
Before you even get started on a fat loss plan the first thing you want to do is to set goals for yourself. This goal could be to lose 30 lbs. or it could be to see your abs. Whether your goal is to lose a certain number of pounds or to just achieve a certain look you will need to set a reasonable time frame to achieve this. If you do not set a time frame there will be no sense of urgency when trying to make progress.
An effective reward is something that is desirable, timely, and dependent on meeting your goal. The rewards you choose may be material (e.g., a movie or music CD, or a payment toward buying a more costly item) or an act of self-kindness (e.g., an afternoon off from work or just an hour of quiet time away from family). Frequent small rewards, earned for meeting smaller goals, are more effective than bigger rewards that require a long, difficult effort.
1. Bicycle Crunches are a great ab exercise and work the abs from every angle. It’s a combination of the regular crunch, a side-to-side motion that hits the oblique muscles and a reverse crunch that targets the lower abs. You can change the difficulty level by increasing or decreasing the range of motion used and the speed of movement as well as the intensity of the crunch by holding and squeezing.

Watching that extra junk around your trunk turn your body into a full-blown Buddha belly puts you at an increased risk for heart disease, diabetes, and early death. Luckily, losing the weight doesn’t have to take forever; with these 22 belly fat-fighting tips, you can shave two inches off your waistline in as little as two weeks. Think your age will stand in the way of your weight loss? The 20 Ways to Lose Your Belly When You’re Older will help folks of any age get on track to their best body ever.

Some antidepressant medications can cause weight gain, especially the older tricyclic antidepressants (TCAs) such as Tryptizol, Saroten, and Clomipramine; as well as newer drugs such as Remeron (Mirtazapine). Lithium (for manic-depressive disorder) often causes weight gain. The most common antidepressants known as SSRI’s (for example Citalopram and Sertraline) usually don’t impact weight significantly. More on depression
1. High Intensity Interval Training (HIIT): This type of exercise is your key to melting belly fat fast.  HIIT is highly effective for all over weight loss, particularly removing stubborn belly fat. If you are not eating right, you have reached menopause or you are not losing weight you should do these exercises. Don’t let the name scare you as it is you who determines the intensity.  It is your perceived exertion that counts.
I would like to work out a meal plan based on your guidance in this article. I wanted to know whether to ignore the nutritional guidance on food labels (e.g. cottage cheese, greek yogurt) for the protein, fat and carbs and just follow your guidance of 4 calories to every gram of protein and carbs, 9 calories to every gram of fat, as they do not measure up to the guidance on the labels and I don't want to trust the label and get the portion wrong.
Not in an extreme, Atkins sort of way, but having a little protein at every meal fires up your metabolism. "Your digestive system uses more energy to break it down, so you burn more calories," explains Lisa Dorfman, R.D. However, keep protein levels to between 20 and 35 percent of your diet; eating too much of it can cause kidney strain and may cause your body to store too much fat.

What about the calories? When they avoided eating between the hours of 7 p.m. to 6 a.m., participants reduced their daily calorie intake by an average of 238 calories. Which helps to explain the weight loss of almost half a pound a week. Interestingly, their intake of fat decreased significantly while protein and carbohydrate decreased at a more conservative rate. This leads one to believe that the subjects were not eating grilled chicken and broccoli late at night. No, their usual late-night snacks were much higher in fat.
Yes, athletes are constantly optimizing their training plans and race-day strategies, but you don’t need to go crazy if you’re just starting out. “When it comes to weight loss, moving and burning calories are what matters,” O’Connor says. “If you like sprints, which have a higher rate of calories burned per minute, then have at it; but if you prefer walking or slower jogging, you’ll just need to spend more time to burn those calories.”
If you want to shrink your gut, get enough protein in your diet. In this case, about 25 percent of calories. Why? For starters, protein makes you feel full and helps you build muscle (which increases metabolism, thereby making it easier to lose weight). Just as important, high-protein diets have been shown to be the best way of attacking belly fat. In one study, published in the International Journal of Obesity, Danish researchers put 65 people on either a 12 percent protein diet or a 25 percent protein diet. The low-protein dieters lost an average of 11 pounds, which isn't bad. But the high-protein subjects lost an average of 20 pounds--including twice as much abdominal fat as the low-protein group.

Açai berry powder is high in anthrocyanin- a natural pigment providing powerful antioxidants. Açai provides an array of minerals that help to keep your body healthy and gives you high levels of sustainable energy. This extra energy will enable you to get out and exercise more, therefore extra calories will be burned and eventually the fat will come off your tummy!
“Speed is key—move, walk, or run a little faster and you’ll burn more total calories,” says Kravitz. In fact, changing up your walking pace quickly and frequently can help you melt up to 20% more calories, compared with maintaining a constant speed, according to a 2015 study from The Ohio State University. Try speeding up for 30 seconds, then walking at a comfy pace for three minutes.

• “Must Haves”: ‘Must haves’ are things that you absolutely must have in your diet or it’s a no-go. Now, don’t get me wrong, chances are that there will be some things you’ll have to remove if they’re going to impede your progress (like trigger foods); but generally, these will only amount to a small number of things, whereas the must haves will be the overarching things, like certain foods, macros, etc.
This is one of the most important keys to weight loss and fat burning. You’ve heard it so many times before but the reality is – most people still don’t drink as much as the human body craves to function optimally! Drink water throughout the day and make your daily goal 64-80 ounces, during summer months you will lose more water through sweat so to hydrate during summer you may need to consumer more. The little tip you may not be aware of is that it is ideal to limit water intake while you’re eating meals – drink most of it between! If you drink too much while you’re eating, you’re making it harder for your body to digest and absorb the food which will make you much more hungry later. Your digestion works optimally when you are seated, and most of us tend not to be seated long enough. So do everything you can to help your digestion work optimally so you get the full absorption of what you are eating.
Cortisone as an oral drug is another common culprit (e.g. Prednisolone). Cortisone often causes weight gain in the long run, especially at higher doses (e.g. more than 5 mg Prednisolone per day). Unfortunately, cortisone is often an essential medication for those who are prescribed it, but the dose should be adjusted frequently so you don’t take more than you need. Asthma inhalers and other local cortisone treatments, like creams or nose sprays, hardly affect weight.
Whether or not you’re specifically aiming to cut carbs, most of us consume unhealthy amounts of sugar and refined carbohydrates such as white bread, pizza dough, pasta, pastries, white flour, white rice, and sweetened breakfast cereals. Replacing refined carbs with their whole-grain counterparts and eliminating candy and desserts is only part of the solution, though. Sugar is hidden in foods as diverse as canned soups and vegetables, pasta sauce, margarine, and many reduced fat foods. Since your body gets all it needs from sugar naturally occurring in food, all this added sugar amounts to nothing but a lot of empty calories and unhealthy spikes in your blood glucose.
The 3 branched chain amino acids are leucine, isoleucine, and valine. It has long been known that these three amino acids are great for preventing muscle tissue breakdown and building new muscle tissue. What most people do not know is that BCAA supplementation can increase fatty acid utilization for energy by decreasing protein breakdown for energy use.

2. Eat smaller meals more frequently: “Insulin is probably the single most important factor that contributes to fat storage,” Seedman explains. This hormone is activated when you eat and responsible for shuttling nutrients into cells, either fat or muscle. A quick biology lesson: Every time you eat a meal, your blood glucose spikes, and when this goes up, so do your insulin levels. More calories at once means a larger spike in both. When these levels are sky high, it signals to your body to put nutrients into fat cells instead of muscle, causing an accumulation of fat, Seedman explains. The same thing happens when your insulin stays elevated for a prolonged period of time, which is why it’s important to let yourself become hungry before eating again, he adds. Aim for five to six meals throughout the day.
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