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    <loc>https://www.donaldmahler.com/copd-news</loc>
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    <lastmod>2025-12-06</lastmod>
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  <url>
    <loc>https://www.donaldmahler.com/copd-news/vitamin-c-reduces-lung-inflammation-due-to-air-pollution</loc>
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    <priority>0.5</priority>
    <lastmod>2025-12-06</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/6a9d13d3-2bde-4452-ac7a-d01d6ba37109/human_hair_0.png</image:loc>
      <image:title>COPD News - Vitamin C Reduces Lung Inflammation Due To Air Pollution - Make it stand out</image:title>
      <image:caption>Comparison of PM2.5 compared with a human hair</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/f80d63bd-4423-4a91-a969-438fae2d9861/1-s2.0-S0160412025006804-ga1_lrg.jpg</image:loc>
      <image:title>COPD News - Vitamin C Reduces Lung Inflammation Due To Air Pollution - Make it stand out</image:title>
      <image:caption>Mouse model to study the effects of Vitamin C on lung inflammation used by Dr. Bai and colleagues. The study results were published in the December 2025 issue of Environmental International, volume 206, 109929. ROS = reactive oxygen species.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/f28c55a2-89b6-4cba-a05c-c8b482f41402/Green-Yellow-Red-Pepper-2009.jpg</image:loc>
      <image:title>COPD News - Vitamin C Reduces Lung Inflammation Due To Air Pollution - Make it stand out</image:title>
      <image:caption>Peppers are a great source of Vitamin C, especially red peppers.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.donaldmahler.com/copd-news/best-diet-for-copd-patients</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2025-12-01</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/b800d72c-b36e-4649-98d9-68e95aa1f963/Various+foods+as+part+of+Mediterranean+diet</image:loc>
      <image:title>COPD News - Best Foods for COPD Patients - Make it stand out</image:title>
      <image:caption>Various foods as part of a Mediterrean diet</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/e7020ad6-64f2-4270-b4c7-c94de898b6eb/Mediterranean-Sea-Country-Map-1000x559.jpg</image:loc>
      <image:title>COPD News - Best Foods for COPD Patients - Make it stand out</image:title>
      <image:caption>Map of countries that are adjacent to the Mediterrean Sea (located in the middle of the map).</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/55ae9b99-180f-4878-841b-b8f3ed1f3b7e/Arevalo_resized.jpg</image:loc>
      <image:title>COPD News - Best Foods for COPD Patients - Make it stand out</image:title>
      <image:caption>Sandra Arevalo, RDN, MPH, is director of community health and wellness at Montefiore Nyack Hospital.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.donaldmahler.com/copd-news/do-i-have-mucus-plugs-on-my-ct-scan</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2025-11-03</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/3fbcf4ba-3460-43fd-8b85-96213c67fbba/jci.insight.174124.ga.jpg</image:loc>
      <image:title>COPD News - Do I Have Mucus Plugs? - Make it stand out</image:title>
      <image:caption>Mucus plugs block airflow as shown on left and microscopic view on right.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/567518ae-83cd-431e-9292-c15b5f38ad09/1-s2.0-S0300289624002825-fx1_lrg.jpg</image:loc>
      <image:title>COPD News - Do I Have Mucus Plugs? - Make it stand out</image:title>
      <image:caption>Summary of findings from study by Jin and colleagues published March 2025 in the journal Archivos de Bronconeumologic (volume 61; pages 138-146).</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.donaldmahler.com/copd-news/fda-approves-mepolizumab-as-add-on-treatment-in-copd</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2025-05-31</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/298abb12-3aed-401e-b3a5-324863d98634/Picture1.png</image:loc>
      <image:title>COPD News - FDA Approves Mepolizumab As Add-on Treatment In COPD - Make it stand out</image:title>
      <image:caption>Microscopic view of normal airway on LEFT and airway in someone with COPD on RIGHT. The pink areas in the outer parts of the airway represent inflammation. Biologic medications work in asthma and COPD by reducing airway inflammation.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/f9d9bc05-e59f-43f0-8a56-f6d417e8d824/blood+eos.jfif</image:loc>
      <image:title>COPD News - FDA Approves Mepolizumab As Add-on Treatment In COPD - Make it stand out</image:title>
      <image:caption>Microscopic view of a blood smear with three eosinophils (largest cells with purple bilobe nucleus ad pink granules within the cell). The multiple small round images are red blood cells.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.donaldmahler.com/copd-news/women-and-copd</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2025-10-30</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/0ac7c52d-4465-4743-b1a6-b75174921c69/1-s2.0-S0012369216623164-gr1.jpg</image:loc>
      <image:title>COPD News - Features of COPD In Women - Make it stand out</image:title>
      <image:caption>Information about COPD in women. Taken from Chest March 2017.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/44792d59-b1ba-4332-924c-6986e0652b99/1-s2.0-S0012369216623164-gr4.jpg</image:loc>
      <image:title>COPD News - Features of COPD In Women - Make it stand out</image:title>
      <image:caption>Mean St George’s Respiratory Questionnaire Questionnaire (SGRQ) scores according to sex in a study that included 90 patients with COPD (60 male subjects and 30 female subjects; mean age: 64 ± 9 years) with a wide range of airway obstruction disorders (mean FEV1: 56% ± 19% of predicted). Lower scores are worse. Taken from the J Bras Pneumol. 2010;36(1): pages 37-43.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.donaldmahler.com/copd-news/tele-pulmonary-rehabilitation-is-as-effective-as-in-person</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-12-21</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/7ceb3ea9-694e-46d0-a151-14ce0ab31eda/telerehabilitation-for-people-with-chronic-lung-disease1.jfif</image:loc>
      <image:title>COPD News - Tele-Pulmonary Rehabilitation Is As Effective As In-person - Make it stand out</image:title>
      <image:caption>Patient exercising at home supervised by therapist via Zoom</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/dca36ce1-34c3-462c-b81c-d1ce464285f1/telerehabilitation-for-people-with-chronic-lung-disease2.jfif</image:loc>
      <image:title>COPD News - Tele-Pulmonary Rehabilitation Is As Effective As In-person - Make it stand out</image:title>
      <image:caption>Group exercise sessions at patient’s home monitored by Zoom</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.donaldmahler.com/copd-news/tite</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-11-12</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/6db1ab49-6c0c-46a8-8fed-2f0fe0f27388/nejmoa2303951_f1.jpg</image:loc>
      <image:title>COPD News - First Biologic Medicine - Dupixent - Approved for COPD - Make it stand out</image:title>
      <image:caption>Figure A (Top) shows reduced moderate and severe flare-ups with dupilumab compared with placebo. Figure B (Bottom) shows increase in FEV1 starting at 2 weeks and continuing for 52 weeks.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/bfb8fdcb-32be-42b7-bf4c-e5c2d4de4d67/Book-pictures-2015-650-768x458.jpg</image:loc>
      <image:title>COPD News - First Biologic Medicine - Dupixent - Approved for COPD - Make it stand out</image:title>
      <image:caption>Subcutaneous injection in arm</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.donaldmahler.com/copd-news/ensifentrine-new-nebulizer-medication-approved-for-treatment-of-copd</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2025-10-27</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/298abb12-3aed-401e-b3a5-324863d98634/Picture1.png</image:loc>
      <image:title>COPD News - New Nebulizer Medication -Ensifentrine - Approved for Treatment Of COPD - Make it stand out</image:title>
      <image:caption>On left, normal lung tissue with open airway (breathing tube) in the center; On right, damage to the lung as occurs in COPD: 1. green mucus blocks airflow; 2. disrupted attachments cause collapse of airways, and 3. inflammation and fibrosis (scarring) of the airway wall. All three processes contribute to narrowing of the airways.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/84581942-6979-47bd-8d39-f3179f6b0035/LINCARE-DAY-12382-flipped.jpg</image:loc>
      <image:title>COPD News - New Nebulizer Medication -Ensifentrine - Approved for Treatment Of COPD - Make it stand out</image:title>
      <image:caption>Woman using a nebulizer breathing normally in and out to inhale liquid medication</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/1711028514837-WROMRZ7LR5OLC2XI52WO/nebulizer-ex.jpg</image:loc>
      <image:title>COPD News - New Nebulizer Medication -Ensifentrine - Approved for Treatment Of COPD - Make it stand out</image:title>
      <image:caption>Nebulizer motuhpiece and cup</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/75b95fb0-ada5-4253-bf77-afb37744e16d/Picture1.png</image:loc>
      <image:title>COPD News - New Nebulizer Medication -Ensifentrine - Approved for Treatment Of COPD - Make it stand out</image:title>
      <image:caption>Red bar on left shows greater relief of shortness of breath with ensifentrine compared with placebo in blue-green bar on right. A change of +1 in the Transition Dyspnea Index (TDI) is considered the minimal important difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.donaldmahler.com/copd-news/faq-post-title-goes-here-xxxx-4t95c-8s3hs</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-09-26</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/729bf905-20e6-44d0-8c12-601b32e4f72d/pulmonologist-care.jpeg</image:loc>
      <image:title>COPD News - Care By Pulmonologist Leads To Improved Outcomes - Make it stand out</image:title>
      <image:caption>Care By Pulmonologist Leads To Improved Outcomes</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/b2f8b771-8f25-4e2e-8930-05a80edff7a1/nejmoa2401389_f2.jpg</image:loc>
      <image:title>COPD News - Care By Pulmonologist Leads To Improved Outcomes - Make it stand out</image:title>
      <image:caption>Analysis of the primary outcome - paticipant-initiated health care utilization for a respiratory illness - in ALL subjects (overall) and in those with either asthma or COPD. The results shown to the left of the vertical line indicate a better outcome in the INTERVENTION group.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/e4bfe748-7273-4c21-8e42-98b723a74786/pursed-lips.jpg</image:loc>
      <image:title>COPD News - Care By Pulmonologist Leads To Improved Outcomes - Make it stand out</image:title>
      <image:caption>The three steps of pursed-lip breathing that reduces shortness of breath by allowing better emptying of air out of the lungs.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.donaldmahler.com/copd-news/rsv-vaccines-in-copd</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2025-01-20</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/1710285356177-5Y6FS67S3B3S5PZYE7ZP/image-asset.jpeg</image:loc>
      <image:title>COPD News - RSV Vaccines in COPD: Should I Get The New Vaccine? - Make it stand out</image:title>
      <image:caption>Respiratory syncytial virus (RSV) in cross-section landing on the surface of a human cell lining the breathing tubes</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/1709671441143-TB8EW1WQT5QAO58PRH7U/RSV-vax.jpg</image:loc>
      <image:title>COPD News - RSV Vaccines in COPD: Should I Get The New Vaccine? - Make it stand out</image:title>
      <image:caption>Standard vaccination procedure</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.donaldmahler.com/copd-news/are-you-taking-the-right-inhaler</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-03-23</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/6f97573c-ee8f-460a-9477-61c557784cd2/8692tn.jpg</image:loc>
      <image:title>COPD News - Are You Taking the Right Inhaler? A Personalized Approach - Make it stand out</image:title>
      <image:caption>pressurized metered-dose inhaler (pMDI)</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/4618fccf-d836-4079-8232-3471991d1219/Spiolto_Respimat_olodaterol_tiotropium_COPD-20150804092554177.jpg</image:loc>
      <image:title>COPD News - Are You Taking the Right Inhaler? A Personalized Approach - Make it stand out</image:title>
      <image:caption>slow mist inhaler</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/233436db-1659-4e42-ab29-6d185382b455/Dry_powder_inhalers_PI.jpg</image:loc>
      <image:title>COPD News - Are You Taking the Right Inhaler? A Personalized Approach - Make it stand out</image:title>
      <image:caption>Different dry powder inhalers</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/2230e71b-77ac-4d64-b21c-521d74ffffff/pari-lc-plus-reusable-nebulizer-with-tube_500x500.jpg</image:loc>
      <image:title>COPD News - Are You Taking the Right Inhaler? A Personalized Approach - Make it stand out</image:title>
      <image:caption>Hand held nebulizer</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/b8942eee-bda8-4f6c-a43a-d99b2dd36739/Picture12.jpg</image:loc>
      <image:title>COPD News - Are You Taking the Right Inhaler? A Personalized Approach - Make it stand out</image:title>
      <image:caption>Diagram of how a dry powder inhaler works</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.donaldmahler.com/copd-news/what-causes-a-copd-flare-up</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-03-23</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/adc28ae9-dc88-46da-a899-3dd7f8268a1b/f877324721266c89c1201bb1e70743_big_gallery.jpg</image:loc>
      <image:title>COPD News - What Causes A COPD Flare-up? There Are Many Possible Causes - Make it stand out</image:title>
      <image:caption>Frontal chest xray shows enlarged heart and patchy shadows in the lungs due to heart failure</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.donaldmahler.com/copd-news/hiit-exercise-in-copd</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-03-13</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/fc5dc1cf-3e9e-44e9-8a88-4b069477a4d6/generasjon100_erlendlankesolbu-1100x551-1.jpg</image:loc>
      <image:title>COPD News - Benefits Of HIIT Exercise In COPD: Less Shortness of Breath and Better Fitness - Make it stand out</image:title>
      <image:caption>Seniors performing high intensity interval training (HIIT) walking outdoors</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.donaldmahler.com/copd-news/inhaler-choice-are-you-using-the-right-one</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-04-08</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/c157274d-c485-44e0-9745-a8188d929450/inhaler-choices.jpeg</image:loc>
      <image:title>COPD News - Inhaler Choice: Are You Using the Right One? - Make it stand out</image:title>
      <image:caption>From left to right: Ellipta dry powder inhaler, Respimat soft mist inhaler, Breezhaler dry powder inhaler (not available in US)</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/aae3717e-2a2d-4bd6-88e7-6824e831623a/COPD-17-2067-g0001.jpg</image:loc>
      <image:title>COPD News - Inhaler Choice: Are You Using the Right One? - Make it stand out</image:title>
      <image:caption>A. Flow diagram of study. B. Bullseye plot showing the number of patients choosing different inhalers on first visit (inner circle) and the decision of keeping or changing on the second visit (outer circle).</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.donaldmahler.com/copd-news/how-to-prevent-another-chest-infection</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-03-15</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/d1b5a56a-1377-4f39-9d3f-f1d5676d418c/Illu_conducting_passages.svg.png</image:loc>
      <image:title>COPD News - How To Prevent Another Chest Infection - Aspiration</image:title>
      <image:caption>Occurs when food, saliva, liquids, or vomit slips into the lungs instead of being swallowed into the esophagus and stomach. This can cause damage to the lining of the breathing tubes and lead to a chest infection.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/e4b75408-15b2-4dde-927c-33bd260d630c/images_238.jpg</image:loc>
      <image:title>COPD News - How To Prevent Another Chest Infection - Bronchiectasis</image:title>
      <image:caption>a chronic lung condition in which the walls of the large airways (breathing tubes) become damaged and widened. It is common for mucus to collect in these dilated airways that allow bacteria to grow and cause recurrernt chest infections. The best way to diagnose this condition is a CT scan of the chest.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/194cca60-e9c6-4480-8891-fb56966485a3/getty_rm_photo_of_vitamin_d_collage.jpg</image:loc>
      <image:title>COPD News - How To Prevent Another Chest Infection - Make it stand out</image:title>
      <image:caption>Sources of Vitamin D – a pill, salmon, and sunshine</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.donaldmahler.com/copd-news/air-cleaners-improve-copd-health</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-03-15</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/5f4d93f4-abca-4a79-8e7c-927b6e944f37/whthm-768x1024-1.jpg</image:loc>
      <image:title>COPD News - Air Cleaners Improve COPD Health - Example of a medical-grade HEPA Air Purifier</image:title>
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      <image:caption>Source: COPD: Answers to Your Most Pressing Questions about Chronic Obstructive Pulmonary Disease. Mahler DA. Johns Hopkins University Press. Baltimore: 2022; page 40</image:caption>
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      <image:caption>Changes in Lung Function. The top line labeled TR1 (Trajectory 1) shows the normal decline in FEV1 with aging in 71.5% of the study population. Patients with COPD may follow this trajectory as shown in TR4 (Trajectory 4) at bottom of graph.</image:caption>
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      <image:caption>Images of different cells in the body. On left – red blood cell; in middle – platelet; on right – T lymphocyte</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.donaldmahler.com/real-faqs/clearing-mucus-out-of-the-chest</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-03-18</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/309e792f-5af4-4872-8550-68d7e36ccbcc/bronchitis.png</image:loc>
      <image:title>Real FAQs - Clearing Mucus Out Of The Chest - Make it stand out</image:title>
      <image:caption>Mucus inside airways in someone with Chronic Bronchitis</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/49605755-79d4-42e8-bcc8-23e6374b8033/image_1.img_.620.high_.png</image:loc>
      <image:title>Real FAQs - Clearing Mucus Out Of The Chest - Make it stand out</image:title>
      <image:caption>Internal components of the Flutter with steel ball. The green marks represent vibration during exhalation.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.donaldmahler.com/real-faqs/how-to-use-different-inhalers-do-i-inhale-the-same</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-04-08</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/6f97573c-ee8f-460a-9477-61c557784cd2/8692tn.jpg</image:loc>
      <image:title>Real FAQs - How To Use My Inhaler? - A pressurized metered-dose inhaler (pMDI) Make it stand out</image:title>
      <image:caption>With a pMDI, the propellant inside the cannister provides pressure. Just after you start to breathe in, press down on the canister to release the aerosol (medication). Then, inhale “slow and steady” filling your lungs with air. This allows the medication to reach the lower part of the lungs. Then, hold your breath as long as possible.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/321011e2-4c0e-46af-a917-ba3ce0627a96/Picture20.png</image:loc>
      <image:title>Real FAQs - How To Use My Inhaler? - Slow mist inhaler (SMI)</image:title>
      <image:caption>With a SMI, turning the base tightens a spring inside the device to create pressure. Just after you start to breathe in, press down on the button to release the mist (medication). Then, inhale “slow and steady” filling your lungs with air. This allows the medication to reach the lower part of the lungs. Then, hold your breath as long as possible. This is identical to using a pMDI.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/233436db-1659-4e42-ab29-6d185382b455/Dry_powder_inhalers_PI.jpg</image:loc>
      <image:title>Real FAQs - How To Use My Inhaler? - Make it stand out</image:title>
      <image:caption>Different dry powder inhalers</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/07830f3c-beb4-4faa-bdf5-175e73c04a27/thoraxjnl-2009-November-64-11-939-F1.large_.jpg</image:loc>
      <image:title>Real FAQs - How To Use My Inhaler? - Make it stand out</image:title>
      <image:caption>Plot of survival if patients were either adherent or not adherent to study treatment</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.donaldmahler.com/real-faqs/my-copd-inhalers-are-expensive-what-can-i-do</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-04-08</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/fbd49185-dfa0-42f6-9fcf-0b74847e7abc/pl12625331-jet_nebulizer_nebulizer_machine_portable_nebulizera.jpg</image:loc>
      <image:title>Real FAQs - My COPD Inhalers Are Expensive: What Can I Do? - Nebulized medications</image:title>
      <image:caption>Another consideration is to ask your health care professional about nebulized medications. Both short-acting and long-acting bronchodilators and an inhaled corticosteroid suspension are available as solutions to be used in a jet nebulizer. More importantly, these nebulized medications used to treat COPD are typically covered under Medicare Part B insurance.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/6665d1a3-0572-44cb-ac28-a53c053cc8a1/Picture2-1.jpg</image:loc>
      <image:title>Real FAQs - My COPD Inhalers Are Expensive: What Can I Do? - Jet nebulizer</image:title>
      <image:caption>A jet nebulizer uses a compressor to generate an aerosol to be inhaled Nebulizer cup contains liquid medication. Compressed air or Compressed gas is forced through the cup to generate an aerosol.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.donaldmahler.com/real-faqs/more-short-of-breath-but-stable-pfts</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-03-18</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/a2d41004-959e-41ba-8f7c-c309e1dad82a/dean-ornish-07.jpg</image:loc>
      <image:title>Real FAQs - More Short of Breath But Stable PFTs - Make it stand out</image:title>
      <image:caption>Man participating in pulmonary rehabilitation program</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.donaldmahler.com/real-faqs/how-much-oxygen-should-i-use</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-04-08</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/b73a8980-8390-452f-be64-ef328a82af14/oxyhb.jpg</image:loc>
      <image:title>Real FAQs - How Much Oxygen Should I Use? - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.donaldmahler.com/real-faqs/why-am-i-coughing-so-much</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-03-20</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/7d286505-a769-41c5-a551-5b886877ee8e/Expiratory-phase-of-coughing.jpg</image:loc>
      <image:title>Real FAQs - Why Am I Coughing So Much? - Expiratory phase of coughing.</image:title>
      <image:caption>After a person inhales, the glottis opens and the increased pressure in the chest forces air out causing a cough.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.donaldmahler.com/real-faqs/sexual-activity-and-copd</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-03-18</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/1e7aab5b-eb71-4912-b7c8-fe5419e21677/1-s2.0-S2173511517300696-gr2.jpg</image:loc>
      <image:title>Real FAQs - Sexual Activity And COPD - Make it stand out</image:title>
      <image:caption>Breathing difficulties with sexual activity in COPD</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.donaldmahler.com/real-faqs/mild-background-emphysema-what-does-this-mean</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-04-08</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/d7dcdcee-fc3c-4d93-88ba-aac3de6fe3a7/copd-3-193f23.jpg</image:loc>
      <image:title>Real FAQs - Mild Background Emphysema - Make it stand out</image:title>
      <image:caption>CT scan shows emphysema in the left lung. Arrows show “dark” areas in periphery of the lung with no blood vessels due to emphysema.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/53334770-6ede-4470-a2c1-03ccbfd09380/untitled1366077666714.png</image:loc>
      <image:title>Real FAQs - Mild Background Emphysema - Make it stand out</image:title>
      <image:caption>Pathway whereby cigarette smoking causes neutrophils to release of an enzyme called elastase that can destroy lung tissue and lead to enlargement of air sacs (called alveoli).</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.donaldmahler.com/real-faqs/why-short-of-breath-while-my-oxygen-level-stays-the-same</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-03-21</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/bbe5f8c3-3be9-4cb5-a8f7-5bac24e67c53/12325_2019_1128_Fig3_HTML.png</image:loc>
      <image:title>Real FAQs - Why Short Of Breath While My Oxygen Level Stays The Same? - Make it stand out</image:title>
      <image:caption>Measures of ventilation during exercise. Top figure (a) is what happens normally. Bottom figure (b) is what happens in someone with COPD.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/e4bfe748-7273-4c21-8e42-98b723a74786/pursed-lips.jpg</image:loc>
      <image:title>Real FAQs - Why Short Of Breath While My Oxygen Level Stays The Same? - Make it stand out</image:title>
      <image:caption>Pursed-lips breathing</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.donaldmahler.com/real-faqs/what-causes-copd-progression-if-i-stopped-smoking</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-04-08</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/00d99506-061c-4beb-bdbd-c899c580ed75/fev1.gif</image:loc>
      <image:title>Real FAQs - What Causes COPD Progression If I Stopped Smoking?&amp;nbsp; - FEV1</image:title>
      <image:caption>FEV1 is the amount of air exhaled in one second. It is used to assess progression of COPD</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.donaldmahler.com/real-faqs/will-my-copd-progress-what-can-i-expect-over-the-next-few-years</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-04-08</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/2cd023cc-970a-4e18-b17c-e81c63c0d864/Picture13.jpg</image:loc>
      <image:title>Real FAQs - Will My COPD Progress? What Can I Expect Over The Next Few Years? - Make it stand out</image:title>
      <image:caption>Pie charts on progression of COPD based on changes in FEV1 over time. Each pie chart represents a different study with the name of the first author below the chart. The red areas reflect the percentage of rapid decliners. The range is 18% – 36% for “rapid decliners.” From Celli. Chest 2018; volume 154; page 1404.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.donaldmahler.com/real-faqs/platelet-rich-plasma-for-copd</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-03-13</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/20611120-ef2e-483b-922b-28e9249ae718/22865-plasma.jpg</image:loc>
      <image:title>Real FAQs - Platelet Rich Plasma For COPD: Does It Work? - Blood is drawn from an arm vein and placed in a test tube that spins in a centrifuge machine (centrifugation) to separate the blood sample into several layers.</image:title>
      <image:caption>The yellow, top layer is plasma, the middle layer is white and contains white blood cells and platelets, and the bottom layer contains red blood cells</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/9f8964be-603f-4df0-97ce-41f0290cb327/JCAS-7-189-g002.jpg</image:loc>
      <image:title>Real FAQs - Platelet Rich Plasma For COPD: Does It Work? - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/fbd49185-dfa0-42f6-9fcf-0b74847e7abc/pl12625331-jet_nebulizer_nebulizer_machine_portable_nebulizera.jpg</image:loc>
      <image:title>Real FAQs - Platelet Rich Plasma For COPD: Does It Work? - What Is The Purpose of Inhaling Platelet Rich Plasma?</image:title>
      <image:caption>Platelets contain more than 30 bioactive proteins, many of which have a fundamental role in tissue healing. Ideally, platelet rich plasma would repair damage in breathing tubes (airways) and/or air sacs in the lungs (alveoli).</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.donaldmahler.com/real-faqs/cbd-oil-and-breathing</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-03-20</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/f5f13c88-6f9f-438c-8df6-b16120a7d338/330px-La_Roche_Jagu_chanvre_1.jpg</image:loc>
      <image:title>Real FAQs - CBD Oil and Breathing - Hemp plant: the source of CBD oil</image:title>
      <image:caption>A hemp field in Côtes-d’Armor, Brittany, France. It is Europe’s largest hemp producer.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/0b73e4f9-f0a1-4202-b59c-552a0b5c7b58/cbd-2.jpg</image:loc>
      <image:title>Real FAQs - CBD Oil and Breathing - Make it stand out</image:title>
      <image:caption>CBD oil</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.donaldmahler.com/real-faqs/should-i-use-a-spacer-with-my-inhaler</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-03-20</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/2db98a52-a4bd-4363-8348-de4f555998b1/spacer.jpg</image:loc>
      <image:title>Real FAQs - Should I Use A Spacer With My Inhaler? - PMDI inhaler with spacer</image:title>
      <image:caption>Valved holding chamber to use with pressurized metered-dose inhaler</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/cef402c3-30c5-44da-8101-95155038d9ef/spacer-use.jpg</image:loc>
      <image:title>Real FAQs - Should I Use A Spacer With My Inhaler? - Make it stand out</image:title>
      <image:caption>Patient using valved holding chamber (spacer) with pMDI</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.donaldmahler.com/real-faqs/safe-inhalers-for-glaucoma</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-03-20</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/796012ae-2c31-40ee-80d9-f4fd6519f406/ACOS.gif</image:loc>
      <image:title>Real FAQs - Safe Inhalers for Glaucoma to Treat My Asthma/Emphysema - Make it stand out</image:title>
      <image:caption>Diagram shows overlap between asthma and COPD (chronic bronchitis and emphysema)</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/548c1206-a0ee-4964-8785-caefb49dc827/Drainage-angle-outflow-healthy-eye-300px.jpg</image:loc>
      <image:title>Real FAQs - Safe Inhalers for Glaucoma to Treat My Asthma/Emphysema - Healthy eye</image:title>
      <image:caption>In a healthy eye, excess fluid leaves the eye through the drainage angle, keeping pressure stable.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.donaldmahler.com/real-faqs/how-to-clean-inhalers</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-03-21</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/6f97573c-ee8f-460a-9477-61c557784cd2/8692tn.jpg</image:loc>
      <image:title>Real FAQs - How To Clean Inhalers - pMDI</image:title>
      <image:caption>Diagram of metered-dose inhaler</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/233436db-1659-4e42-ab29-6d185382b455/Dry_powder_inhalers_PI.jpg</image:loc>
      <image:title>Real FAQs - How To Clean Inhalers - Make it stand out</image:title>
      <image:caption>Dry-powder inhalers</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/c4635668-918b-4046-9601-1671014ad6ee/striverdi-resp-400.jpg</image:loc>
      <image:title>Real FAQs - How To Clean Inhalers - Make it stand out</image:title>
      <image:caption>Slow mist inhaler</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/2230e71b-77ac-4d64-b21c-521d74ffffff/pari-lc-plus-reusable-nebulizer-with-tube_500x500.jpg</image:loc>
      <image:title>Real FAQs - How To Clean Inhalers - Make it stand out</image:title>
      <image:caption>Hand held nebulizer</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.donaldmahler.com/real-faqs/harmonicas-for-copd</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-03-21</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/b86f5005-14a5-44f9-b411-fc9fb2035d8e/COPD-Blues.jpg</image:loc>
      <image:title>Real FAQs - Harmonicas for COPD: Provides Better Breathing - Make it stand out</image:title>
      <image:caption>Woman with COPD playing a harmonica while breathing oxygen</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.donaldmahler.com/real-faqs/nebulizer-therapy-for-copd</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-04-08</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/2230e71b-77ac-4d64-b21c-521d74ffffff/pari-lc-plus-reusable-nebulizer-with-tube_500x500.jpg</image:loc>
      <image:title>Real FAQs - Nebulizer Therapy For COPD – Can It Help Me Breathe Easier? - Make it stand out</image:title>
      <image:caption>Hand held nebulizer</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.donaldmahler.com/real-faqs/oral-thrush-with-certain-inhalers</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-03-21</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/ee79d019-3ad6-41f0-9a07-fff0b430febe/Oral-Thrush.png</image:loc>
      <image:title>Real FAQs - Oral Thrush with Certain Inhalers - Make it stand out</image:title>
      <image:caption>Oral thrush with white plaques on the tongue</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/5eec3b36-1a8f-4cc6-bf8b-b89b9cf816ad/178864-doctor-checking-throat.jpg</image:loc>
      <image:title>Real FAQs - Oral Thrush with Certain Inhalers - Make it stand out</image:title>
      <image:caption>Oral thrush is diagnosed by an examination of the tongue and mouth</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.donaldmahler.com/real-faqs/copd-getting-worse-even-though-i-quit-smoking</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-04-08</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/65d945c0879b6223a00add64/a2d966e7-6736-4354-b0ef-e7a9ca106f0f/Lobes0.png</image:loc>
      <image:title>Real FAQs - Why is my COPD getting worse even though I quit smoking? - Make it stand out</image:title>
      <image:caption>Diagram of respiratory system</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://www.donaldmahler.com/real-faqs/atrial-fibrillation-and-copd</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
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      <image:caption>The curved arrows in the right and left atrium (upper chambers) in atrial fibrillation indicate chaotic electrical activity.</image:caption>
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      <image:title>Real FAQs - Atrial Fibrillation and COPD - Make it stand out</image:title>
      <image:caption>Atrial fibrillation on left, and rormal electrical activity on right</image:caption>
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