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]
When you have the option to choose between dried fruit and fresh fruit, always opt for the fresh variety. “Dried fruits have a lot of calories and added sugar for very little volume,” says Summer Yule, MS, RDN. “For instance, one cup of raisins (not packed) contains 434 calories and 86 grams of added sugar. By comparison, a cup of grapes contains only 62 calories and 15 grams of sugar. This means that you could eat 7 cups of grapes for the same amount of calories as 1 cup of unpacked raisins.”

Some diet plans, such as the MIND diet and the DASH diet, are meant to focus on certain areas of health — and weight loss may be a bonus. Others are created with weight loss as a primary goal. “It is important to remember that we are all very unique individuals,” says Kyle. “We all have different states of health and different lifestyles, which could affect what diet plan is best for us. That means that you should not be considering what is working for your friends or family members — and instead should pay attention to what works for you individually.”


Of course, diet and exercise are natural ways to lose weight, so those techniques should remain top priorities. But there are also lifestyle changes and adjustments that can be made that will help you get rid of that belly fat naturally. Here are the experts' recommendations for how to tackle the aforementioned multipronged approach to losing belly fat.
I just bought your book The Wild Diet: Get Back to Your Roots, Burn Fat, and Drop Up to 20 Pounds in 40 Days and am so excited to get started reading it! I also see your offer for The 30 Day Fat Loss System at $20 off. Is this the same information that is included in your book that I purchased? Or is it something completely different? Thank you so much!
In a nutshell: the plan uses 6 days of ketosis – when your body burns fats for energy – followed by 1 day of carbohydrate loading along with constant toxin binding supplements to help your body get rid of the released toxins.  This protocol isn’t low-calorie, and you don’t run the same risk of causing metabolic problems that you do when you follow a low-calorie diet.
Meal prepping takes a few hours a week, but it's worth it: By getting your meals ready ahead of time, you won't be so tempted to order your go-to Chinese takeout when you're tired and hungry after work. "When you plan an entire week of dinner in advance, you're way less likely to go off course and indulge in foods that aren't good for you," says Pamela Salzman, a certified holistic health expert and cooking instructor. And since you planned things out, you'll actually get the protein, fruit, and veggies your body needs — and you'll lose weight in the process.
Noam Tamir, C.S.C.S, founder of TS Fitness, also says that metabolic resistance training and high-intensity interval training is a solid way to reduce fat all over, including belly fat. “These [types of exercise] help to burn calories during the workout, and they also give you that after-burn effect,” he says. “Plus, they help to change your body composition by increasing your muscle mass.”
We have been reviewing online dieting services since 2006. In our most recent testing, we assigned a volunteer to each of the dieting services and tracked their experiences to see how effective and motivating each plan was. The best online weight loss programs help you maintain healthy habits over a long period, so we considered systems that don’t force you to make changes so drastic that they lead to dramatic weight loss and subsequent weight gain to match it. When you need to lose weight, a good diet plan can help you achieve your goals for improved health. The best online weight loss programs offer various diet and fitness options as well as a multitude of trackers, which is why we looked for programs that provide a variety of tools and tracking abilities. 
Those trans fats on your menu are hiding out in plain sight and sabotaging your lean belly plans every time you eat them. If a food product says it contains partially hydrogenated oils, you’re eating trans fat, which can increase your risk of heart disease, high cholesterol, and obesity with every bite. In fact, research conducted at Wake Forest University reveals that monkeys whose diets contained eight percent trans fat upped their body fat by 7.2 percent over a six-year study, while those who ate monounsaturated fat gained just a fraction of that amount. Instead of letting harmful trans fat take up space on your menu, fill up with the 20 Healthy Fats to Make You Thin.
Fiber—both soluble and insoluble kinds—tends to fill you up so you don’t eat as much, and is prevalent in lower-calorie foods like fruits and vegetables. Though not all of them, Crandall cautions. “Lettuce does not have a ton of fiber” so you can’t get by on salad alone. She recommends adding one cup of fruit or vegetables to every meal or snack to meet your quota. Or try these fiber-filled recipes.
Yasmine Farazian, a professor at an art and design college, can thank Rania Batayneh, M.P.H., author of The One One One Diet, for the easy rule of thumb that helped her shed 50 pounds: At each meal, she made sure to eat one carbohydrate, one protein, and one fat. Finally, Yasmine had the template for making a healthy, well-balanced meal that she needed. "I would have the bun, beef patty, and avocado," she says. "And if I wanted fries, I'd ask for lettuce instead of the bread."
Skimp on fluids, and your body will release an antidiuretic hormone that leads to water retention that could affect the scale, Dr. Setlzer says. While this sneaky effect is one reason why the scale is a poor measure of body mass loss, you can outsmart it by drinking more—particularly if you fill your glass with water or non-calorie alternatives like unsweetened coffee and tea.
Some people pay close attention to their food intake, but not enough to what they drink making it harder to lose weight, according to Malina Linkas Malkani, MS, RDN, CDN, Media Spokesperson for the Academy of Nutrition and Dietetics. “People who drink more sugar-sweetened beverages tend to have higher body weights, and alcoholic beverages don’t satisfy hunger and can actually stimulate the appetite further,” she says. “If weight loss is a goal, it’s helpful to limit them both.” Here are 17 weight loss “tricks” that don’t actually work—and what to do instead. 
According to Healthline.com, "Researchers have found different types of bacteria play a role in weight regulation, and having the right balance can help with weight loss, including loss of belly fat. Those shown to reduce belly fat include members of the Lactobacillus family. These include Lactobacillus fermentum, Lactobacillus amylovorus and especially Lactobacillus gasseri.” If a slimmer belly is your goal, make sure your probiotic contains one or more of these bacterial strains.
Try adding apple cider vinegar to your daily diet. “Foods that help keep blood sugar stable aid fat loss,” says Lauren Slayton, MS RD founder of Foodtrainer in NYC. “When blood sugar rises, insulin is secreted. The more insulin secreted, the more fat we store.” Slayton recommends mixing 1 tablespoon ACV in water and topping it with a little cinnamon, while Bonnie Micheli and Tracy Roemer, Co-Founders of Shred415, like to mix hot water with 1 tablespoon of apple cider vinegar, ½ tablespoon of lemon juice and 1 teaspoon of honey. “It suppresses your appetite and reduces water retention,” they explain.
Remember that in order to keep the pounds off and maintain your happy weight, you need to develop a healthy lifestyle. That means forming a routine and keeping up the habits so you can hang on to them for life. "I forced myself out of bed at 5:30 a.m. four to five times a week to run," says Erin Bowman who has kept off 69 pounds. "My first few were horrible. But I stuck with it, eventually trading my run-walk intervals for steady 45-minute jogs," she says.

Many diet plans rely on meal-replacement shakes, bars or other snack type foods, while others rely on frozen entrees as a major part of your diet, like Medifast and Nutrisystem. Ask yourself if you want the bulk of your diet relying on prepackaged snacks, shakes or frozen meals, or if you prefer the flexibility of cooking your own meals or eating out frequently.

Popularized by the documentary Forks Over Knives, the Ornish diet is a low-fat, plant-based diet plan based on whole grains, vegetables, fruits, and legumes. It's based on a lacto-ovo style of vegetarianism, allowing only egg whites and nonfat dairy products. It's packed with vitamins, fiber, and lots of filling plants to keep you satiated. Some studies have shown it can reverse heart disease and have beneficial effects on other chronic health conditions. (BTW, there is a difference between a vegan diet and a plant-based diet.)


While you can get tests to evaluate the cortisol level in your blood, only you can determine your own innate level of stress. Take some time to evaluate if you are living in a constant (or close to constant) state of stress. You might also notice increased anxiety levels, mood swings, trouble sleeping, fatigue (including feeling tired but unable to wind down) and high blood pressure.

Every expert ever will tell you that crash diets don’t work, are unhealthy, and offer at best a temporary fix since you may end up gaining back more than you initially lost once you fall off the wagon. But that doesn’t mean losing weight has to be a slow, torturous process either. Yes, you’ll still have to eat few calories than you burn, but nutrition and exercise researchers have uncovered some scientifically tested ways to make that easier and faster than ever.
Make sure that the diet has been studied extensively for safety — and discuss any changes with your physician or registered dietitian before beginning a new diet. (If you don’t have a dietitian, find one in your area at the Academy of Nutrition and Dietetics website.) And do a self-check to ensure the diet fits with your own values and preferences.
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!
Forget old low-carb diet plans that focused on processed protein bars and shakes. This year, the keto diet got high marks for low carb. Keto, short for "ketogenic," is all about training the body to burn fat for fuel. How? By eating fat—and lots of it. Most keto diets recommend getting at least 70 percent of your daily calories from fat and the rest from protein. The goal is to eat as few carbohydrates as possible. Proponents say it helps them drop weight fast with little or no hunger in addition to perks like more energy and mental clarity. (Interested? Here's everything you need to know about the keto diet.)

To start off, aim to do ab work 3 or 4 times a week on non-consecutive days with at least 24 hours of rest in between sessions, says Gagliardi. During those sessions, you can start with simpler moves like crunches, bicycle crunches, and planks. Even though you may only be directly targeting your abs 3 or 4 times a week, you should still be activating your core (aka, tightening your ab muscles) in every workout you do, says Gagliardi.


Weight training is the ultimate way to burn calories fast. "A pound of muscle burns up to nine times the calories of a pound of fat," explains Richard Cotton, M.A., chief exercise physiologist for myexerciseplan.com. Weight training increases your resting metabolic rate, which is the number of calories you burn while sitting on your butt. What's more, it gives your metabolism an added boost after you exercise, staying in overdrive for up to two hours after the last bench press, according to a study published in Medicine & Science in Sports & Exercise. Strapped for time? Try these quick moves: squats, bench step-ups, lunges, push-ups, pull-ups and planks. In a pinch, just do single sets of 10 for each exercise — you'll get optimal results for the time invested.
It is possible to do more in less time — at least when it comes to your workouts. By incorporating interval training — that means bursts of high-intensity moves — you’ll give your metabolism a huge boost, says Glenn Gaesser, Ph.D., director of the Kinesiology Program at the University of Virginia and author of The Spark. If you usually jog at a consistent pace, try adding a 30-second to one-minute sprint every five minutes, or, if you’re on a treadmill, change up the incline for one-minute intervals.
Lifestyle fit: Figure out whether a plan is compatible with your lifestyle before committing. Some meal plans are very simple; others require more work. Think about how much time and planning goes into each weight loss program. Some people find that meal planning and preparation takes up too much time, while others enjoy planning meals and spending time in the kitchen. 
This formula will help you lose weight faster, says Kristin Kirkpatrick, R.D., manager of wellness nutrition services at the Cleveland Clinic Wellness Institute. A 2016 study published in the American Journal of Clinical Nutrition suggests that increasing your protein intake while decreasing the amount of calories you consume ensures that you lose fat instead of muscle. This 35-35-30 breakdown doesn't mean you can eat any old carb or fat though, she says. Aim to get most of your healthy fat from nuts and fish, your carbs from beans and whole grains, and protein from lean sources like eggs, chicken, and fish, she says.
With this eating style, you’re looking at a lot of menu planning and preparation. A review published in August 2017 in Nutrients suggests the diet could lead to weight loss, but the Academy of Nutrition and Dietetics warns the plan could also cause certain nutrient deficiencies, such as in calcium and vitamin D. (3,4) And, therefore, according to an article published in the January–February 2016 issue of the Royal Australian College of General Practitioners, anyone at risk for osteoporosis should avoid it. (5)
Part of slimming down involves a simple, sensible exercise and an easy-to-follow nutrition plan. This full week of meals will take the guesswork out of grocery shopping and prepping with nutritionist-approved breakfast, lunch, and dinner ideas. If you have a higher activity level, check out these 1,300-, 1,400-, 1,500-, and 1,800-calorie meal plans as well.
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.
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."
If you’ve been eating fast food for years, get real about your approach: You’re probably not going to stick to an organic, gluten-free, paleo overhaul for very long. "You want to change as little as possible to create calorie deficit," says Dr. Seltzer, who insists the best way to support sustainable weight loss is to incorporate small changes into existing habits. So instead of giving up your daily BLT bagels in favor of an egg-white wrap, try ordering your sandwich on a lighter English muffin. Or say you eat a snack bar every afternoon: Swap your 300-calorie bar for a 150-calorie alternative. "Your brain will feel the same way about it, so you won’t feel deprived," he says.
Fathi, Y., Faghih, S., Zibaeenezhad, M. J., & Tabatabaei, S. H. (2016, February). Kefir drink leads to a similar weight loss, compared with milk, in a dairy-rich non-energy-restricted diet in overweight or obese premenopausal women: A randomized controlled trial. European Journal of Nutrition, 55(1), 295–304. Retrieved from https://link.springer.com/article/10.1007/s00394-015-0846-9

This popular diet program is fairly restrictive — and for the first 30 days, dieters must cut out grains, legumes, most dairy, added sugar, and alcohol without any slip-ups, according to the Whole30 website. (29) The aim is to “reset” your body and to adopt dietary habits resulting in weight loss. Cutting out added sugar and alcohol has merit, but all the restrictions prove challenging and could lead to nutrient deficiencies and disordered eating.
You’re only losing one or two pounds a week. Sustainable weight loss is slow and steady. “It depends on where you start — if you have quite a bit of weight to lose, you tend to lose the initial weight faster,” noted Dr. Steinbaum, “but losing more than a pound a week is quite a bit. A gradual decrease in weight loss implies that your dietary changes are sustainable. If you lose weight very quickly, it means that there has been a calorie restriction or an increase in activity that is really significant, and it is really hard to sustain that.” That’s why so many yo-yo dieters gain the weight back. But aiming for smaller targets can add up to big changes -- and reaps more health benefits than the numbers on the scale suggest. “Even when you lose only 3% of your body weight (six pounds for a 200-pound person), your blood sugar improves; your insulin sensitivity is improved; inflammation goes down; your cholesterol goes down,” said Dr. Arad. “You don’t have to cut down half of your weight; even losing 3% to 5% is an excellent goal.”
That’s why cardio isn’t the answer. Or, at least, it’s not the primary solution. Cardio will burn calories, and weight training is more likely to burn fat. If you’re going to do cardio, make it secondary to weight training. That means either doing cardio on separate days (if you have the time) or after a weight training workout. The best thing about lifting weights is that your body adapts to the new muscle mass you'll build, which means your metabolism will be higher, you'll burn more calories, and you'll change your hormones (like insulin) to be able to handle the foods you love.

At the heart of its flexible system: SmartPoints. SmartPoints derive primarily from number of calories; sugar and saturated fat drive the number up, protein brings it down. Getting a feel for the number of points that different foods typically “cost” in order to stay on your daily “budget” is a great way to cultivate healthy decision-making: A fried chicken wing is 7 points, while 3 oz. of chicken breast without the skin is 2 points. A sugar-laden Coca-Cola is 9 points, but so is a dinner-sized serving of Moroccan chicken rice and potatoes. Some foods are zero points: fruits and vegetables, skinless chicken and turkey breast, seafood, eggs, nonfat yogurt. Being encouraged to eat certain items in this way helps to restructure your mindset around food.
Whether you're headed to the beach, prepping for a special occasion or just want to jump-start a healthier lifestyle, you can set the foundation for belly fat loss in a week. And while you likely won't reach your final weight loss goals in a week -- unless you're only looking to lose a pound or two -- you might be able to see minor differences and burn some initial belly fat. However, the results from diet and exercise modifications can keep you motivated to stick to longer term goals, and they'll set you on a road to success -- without the high risk of weight regain associated with fad crash diets.
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