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Carbohydrate is the macronutrient that increase of RQ, the which is a measure of the ratio of the volume of expired C02 to the volume of oxygen consumed. By decreasing carbohydrate in the diet, we are Effectively Decreasing the amount of CO2 produced, thereby decreasing the burden of expiration on the patient. This IS ALSO help to Decrease respiratory infection and acidosis associated with emphysema. Therefore, the prescribed diet is high in fat (as much as 55percent) and protein and low in carbohydrate
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