The above studies suggest that with the use of tailored advice based on a patient's dietary preferences, symptoms, support network and lifestyle, it may be possible to achieve compliance for longer periods, even in the absence of long-term direct diereti intervention and monitoring For example, Weekes et al (2008) demonstrated that in stable COPD outpatients, dietary advice plus a six-month supply of whole milk powder had beneficial effects,including -Significant improvements in nutritional intake, body weight functional status and quality of life -Effects lasting for six months beyond the intervention period Leaflets Weekes et al (2008) also examined the use of dietary advice leaflets versus nutritional counselling (with or without oral nutrition