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Key physiological impacts include: Increased work of breathing due to chest wall mass Reduced lung compliance and diaphragmatic excursion Decreased functional residual capacity and expiratory reserve volume Higher metabolic demands requiring increased respiratory effort Obesity is also strongly associated with obstructive sleep apnoea (OSA), a condition where breathing repeatedly stops during sleep, further compromising respiratory function and contributing to daytime breathlessness

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Type I These tumors lie entirely within the dura