Please Scroll Down to See Forums Below I have a client that I have been seeing for two months. Diet--definitely low carb; high protein (could be higher in my opinion); 4 meals a day. Stats: female, age 50, start weight 245#, currently 233#. She does aerobics 4-5 times per week for 30-40 minutes. I see her three times per week. Workout: I have her doing a full-body workout, training to failure with three negatives at the end. Although, she is not losing any weight, she is slimming. She does have elevated cholesterol and low thyroid levels (from previous blood tests). I asked her doc to retest these and add Test/estradiol/IGF-1. I am surprised that she isn't peeling the fat right off her body. All comments welcome. PS--she is not on any "supplementation."
Another Enigma
- Thread starter DrJMW
- Start date
Seperate her workouts into 2 bodyparts per session, up her protein. I would concentrate on really adding muscle to raise her BMR, also make sure during her workouts she is at her target heart rate. Also bump her to 5 meals per day, take her calories to around 1200-1500(again bumping protein). She may not be recovering before breaking down muscle again. Also make sure her last meat is around 6:30-7pm, and has NO carbs!!!!
PS- I suspect she may be cheating with sweets(have found alot of my former clients at that weight/body comp are comfort eaters and justifiers!!)
ALSO- Give her Sunday off her diet( a cheat day, albeit mild cheating) to aleviate some of the pressure to be good(alot of times stress from trying to eat well will trigger comfort binges) but remind her that it is possible to undo all her hard work for the week in a single day!
PS- I suspect she may be cheating with sweets(have found alot of my former clients at that weight/body comp are comfort eaters and justifiers!!)
ALSO- Give her Sunday off her diet( a cheat day, albeit mild cheating) to aleviate some of the pressure to be good(alot of times stress from trying to eat well will trigger comfort binges) but remind her that it is possible to undo all her hard work for the week in a single day!
I think thats good advice needle. I for one am pretty strict during the week, but cheat on weekends.
Also Doc, it could just be that her body is so used to its current state that its taking longer for her body to adapt.
By the way, do you know what the standard range for IGF-1 levels are?
Also Doc, it could just be that her body is so used to its current state that its taking longer for her body to adapt.
By the way, do you know what the standard range for IGF-1 levels are?
Remember that I lot of clients will lie to you doc. When I worked as a PT, I put a good friend of mine on 500 more calories a day in extra lean ground beef and tuna. After 1.5 weeks he didn't gain an ounce. So I added another 250 cals to his diet. A week later nothing. 2.5 weeks and he hadn't gained anything so we added another 250 cals.
After a total of 3 weeks he hadn't gained anything. He should have at least gained some fat. The only conclusion: he wasn't following the diet and he was too ashamed to admit it to me.
If she is not lying than I would seriously cut back on the aerobics. 4-5 times a week of high-intensity aerobics is way to much. Aerobics also makes you hungry. I would suggest doing cardio on a treadmill 3 times a week at low intensity 1 hour at a time and 3-4 times a week of weight lifting very high volume, supersets and low rest between sets.
After a total of 3 weeks he hadn't gained anything. He should have at least gained some fat. The only conclusion: he wasn't following the diet and he was too ashamed to admit it to me.
If she is not lying than I would seriously cut back on the aerobics. 4-5 times a week of high-intensity aerobics is way to much. Aerobics also makes you hungry. I would suggest doing cardio on a treadmill 3 times a week at low intensity 1 hour at a time and 3-4 times a week of weight lifting very high volume, supersets and low rest between sets.
