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Protein and resistance training
Management of concurrent conditions is equally important: Continuous positive airway pressure (CPAP) therapy for moderate to severe obstructive sleep apnoea, as recommended by NICE Non-invasive ventilation (NIV, typically bilevel positive airway pressure) for obesity hypoventilation syndrome when clinically indicated Bronchodilators and inhaled corticosteroids if asthma coexists Diuretics and other cardiac medications for heart failure For people with obesity-related breathlessness who do not have chronic respiratory disease, supervised exercise programmes and physiotherapy delivered within weight management services can improve exercise tolerance and teach breathing techniques
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Not every patient needs this, but for patients with significant muscle mass concerns older adults, perimenopausal women, patients losing weight quickly at high doses it is worth considering
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