Nothing no long working for personal training client

[EdgarAllanPoe]

I've had a client drop about 70lbs from 270 to 200 over the course of a years time or so.

Over the past year and a half this client has put on an additional 20 to back up to 220. Client logs food religiously, eats out once or so a week. I trust that the client isn't lying about the food logging.

I sent her to a RD about a year ago who increased cal total from 1600 to 2200. That did not work. I've had her increase workload, decrease workload. We've done heavier, lighter, and cardio heavy training periods. Nothing has stood out as a good match after her initial loss.

We've dropped her calories to about 1500 or so and did a reverse diet up to about 1800 which worked well and she lost about 3lbs along the way BUT then had gall bladder surgery and a family member die which threw off the diet, increased stress, decreased workout efforts, etc...

Its been a slow gradual increase back up to 220.

Client has gotten bloodwork done, has been to the doctor about confusing weight gain with no answers.

Nothing is making much sense, have over 20 clients and most logical things work even if someone hits a plateau.

Nothing seems to be working for this one any longer. Was thinking of suggesting an elimination diet, does that make sense?

Sodium/fiber is in normal ranges. Says she is not on any new medications or anything. Cannot guess what is causing this increase in weight at this point.

I also once again DO believe the client is truthful about the logging and she has increased her workout days to 4-5 per week.

[Canadiantuxedo]

I'd say the simple answer is the most accurate. There is something she's eating that she's not really counting. An apple here, a handful of cereal there. I'd say have her get a food scale and measure every single thing she puts in her body.
It's simple physiology, somebody cannot gain weight without the fuel.

[rhadam]

I've had a client drop about 70lbs from 270 to 200 over the course of a years time or so.

Over the past year and a half this client has put on an additional 20 to back up to 220. Client logs food religiously, eats out once or so a week. I trust that the client isn't lying about the food logging.

I sent her to a RD about a year ago who increased cal total from 1600 to 2200. That did not work. I've had her increase workload, decrease workload. We've done heavier, lighter, and cardio heavy training periods. Nothing has stood out as a good match after her initial loss.

We've dropped her calories to about 1500 or so and did a reverse diet up to about 1800 which worked well and she lost about 3lbs along the way BUT then had gall bladder surgery and a family member die which threw off the diet, increased stress, decreased workout efforts, etc...

Its been a slow gradual increase back up to 220.

Client has gotten bloodwork done, has been to the doctor about confusing weight gain with no answers.

Nothing is making much sense, have over 20 clients and most logical things work even if someone hits a plateau.

Nothing seems to be working for this one any longer. Was thinking of suggesting an elimination diet, does that make sense?

Sodium/fiber is in normal ranges. Says she is not on any new medications or anything. Cannot guess what is causing this increase in weight at this point.

I also once again DO believe the client is truthful about the logging and she has increased her workout days to 4-5 per week.

This is something i've been trained in. What i typically do is go ultra high protein intake, roughly 300g and keep a slight deficit along with cardio as much as possible. I keep increasing protein if needed. You don't need an elimination diet, that's nonsense.

[Domicron]

This is something i've been trained in. What i typically do is go ultra high protein intake, roughly 300g and keep a slight deficit along with cardio as much as possible. I keep increasing protein if needed. You don't need an elimination diet, that's nonsense.

how does this sort of diet help to break through the weight loss plateau? is it something that you use until the weight starts to go down again?

[Gen1GT]

Nobody is immune from the physical laws of the universe. Just ensure you has carb refeeds to break up the longer deficit(s). If she's adapted to the lower intake with a lower metabolism, you need to further lower the intake.

[rhadam]

how does this sort of diet help to break through the weight loss plateau? is it something that you use until the weight starts to go down again?

It's the way the body handles protein intake and the natural anabolic nature of protein. Something i hate explaining as it has both solid science and some pseudoscience tied in to it. However anecdotally it's ridiculously proven.

[Domicron]

It's the way the body handles protein intake and the natural anabolic nature of protein. Something i hate explaining as it has both solid science and some pseudoscience tied in to it. However anecdotally it's ridiculously proven.

thanks, i doubt i'd understand the science anyway; just curious.

[digistp]

how does this sort of diet help to break through the weight loss plateau? is it something that you use until the weight starts to go down again?

https://www.t-nation.com/diet-fat-lo...t-make-you-fat

[Gen1GT]

https://www.t-nation.com/diet-fat-lo...t-make-you-fat

Great link, thanks for that.

[Domicron]

https://www.t-nation.com/diet-fat-lo...t-make-you-fat

thanks

[Mrpb]

The link is a bit misleading. It makes a couple of good points about overfeeding protein but make no mistake, if you're going on a large surplus from protein you'll still get fat, it just won't be the protein being stored as fat. It will be fat and carbs that get stored.

Not to say that Rhadams tip is not good because it is. IMO the main reason why it works is that protein is the most satiating nutrient. If she goes on a super high diet she'll be far less likely to eat more calories than planned.

[Gen1GT]

The link is a bit misleading. It makes a couple of good points about overfeeding protein but make no mistake, if you're going on a large surplus from protein you'll still get fat, it just won't be the protein being stored as fat. It will be fat and carbs that get stored.

Not to say that Rhadams tip is not good because it is. IMO the main reason why it works is that protein is the most satiating nutrient. If she goes on a super high diet she'll be far less likely to eat more calories than planned.

Are you sure?

http://www.jissn.com/content/11/1/19

Have you found a study where so much excess protein was consumed that subjects were able to gain fat?



PS. Are you on the low-carb sleep schedule too, and up at 4AM like me? LOL

[Mrpb]

Are you sure?

Pretty sure yeah.

http://www.jissn.com/content/11/1/19

Hopefully you understand that a free living study with self reported intake through Myfitnesspal can never serve as proof of your position.

PS. Are you on the low-carb sleep schedule too, and up at 4AM like me? LOL

Haha, no. After my massive carb feeding last night I slept for 9 hours. It's now 10:52 AM in The Netherlands.

That's one of the things I didn't not really enjoy about low carb, short sleep.

[Gen1GT]

Yes, I know the self-reported nature of the study is a flaw, but the data are not all over the map. If there was no accuracy to the reporting, the data would have been random garbage. Any time there are multiple studies showing similar results, I think it's worth noting.

Kind of like this study:

http://informahealthcare.com/doi/abs...65510902912754

Not all foods are equal in their bio-availability, and just because you can burn something in a calorimeter (like protein, fibre, nuts etc), it doesn't mean those calories are available to our bodies in the same proportions. I can't find my information on the amino-acid pathways, but it's very complex, and just the process of converting it to urea and excreting it is an energy waster (nothing you don't already know, of course).

If anyone could find it, I'd love to see a study that successfully correlated protein overfeeding with fat gain.

[Mrpb]

Yes, I know the self-reported nature of the study is a flaw, but the data are not all over the map.

Actually, IMO, they were.



Some people lost 2.0 kg of fat while some other(s) gained 2.4 kg. That's a massive difference in only 8 weeks.

And it's because there was such a large SD, none of it came out as statistically significant.

Also the fact that some people lost 0.2kg while they were supposed to be in a surplus should cast serious doubt on this study.

If anyone could find it, I'd love to see a study that successfully correlated protein overfeeding with fat gain.

The study in that article.

And, not evidence of course but Lyle explains it well.

http://www.bodyrecomposition.com/nut...orage-qa.html/
http://www.bodyrecomposition.com/fat...-get-fat.html/

But for the record, if you're going to overfeed, very high protein is imo the best choice. Don't be fooled into believing that you can't gain fat though because you will.

[Gls133]

I tend to go with what was said earlier (#2) High probability of over eating and under reporting.