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Gently remind the patient that he or she is responsible for his or her own destiny, not a doctor, not the unfairness of life, not the pharmaceutical companies. We each have choices and free will. If we chose to eat well and live reasonably actively we will find a balance that is healthy. Choosing to find someone or thing to blame exacerbates the imbalance that has led us to this condition. There is no such thing as fault here, or blame or guilt, only the acceptance of responsibility.

Good Luck and Good Living to all.

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Q: How do you improve caloric intake in a patient with COPD?
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