Posts Tagged sports nutrition

Checking Benefits for Nutrition Counseling–How, Why?

Unfortunately, it isn’t obvious on many health plans that you can see a licensed dietitian, the healthcare professional trained in working with people to reverse many of the leading causes of disease and death in the US, such as cardiovascular disease and diabetes.

Many plans did not cover this service until recent years or after the Affordable Care Act’s mandates for coverage for obesity and those at risk for diet-related disease.

Now, many plans do cover, but it hasn’t made it to common knowledge or insurance benefits packets.  It isn’t in the automated phone message system either.  You have to speak to a customer service representative by calling the number on the back of your insurance ID card.

Perhaps if everyone knew about it, there would be too much business?  I’m not sure why it isn’t advertised with your insurance.  It is cheaper to see a dietitian a few times a year outside of the hospital than to have bypass surgery in a few years with associated hospital fees.

How to check nutrition counseling benefits:

  1. Turn over your insurance ID card and call the number.
  2. Choose Medical.  Not dental or behavioral health
  3. Supply your insurance ID and date of birth.  If given these ahead of your visit, we can sometimes help verify benefits if not busy.  You should check yourself so you can hear it for yourself.
  4. Eligibility and Benefits.  Sometimes you have to select “office visit” or “outpatient service” or “specialist.”
  5. State “nutrition counseling” into the voice system–you probably won’t hear it in a list of automated services
  6. Ask about CPT codes 97802, 97803, 97804 (individual initial, individual follow-up, group, respectively).
  7. Ask if you need a referral or preauthorization for the service.  Only some plans require this.
    1. Referrals can take a few days to a week to get from your physician’s office and may or may not require you visit your Primary Care Physician (PCP) first for a visit.  If you schedule a visit and cancel in less than 24 hours because you “just find out” you need a referral, you will still be charged a missed visit fee for reserving business hours. It is the patient’s responsibility to be aware of his or her plan’s rules and only reserve professional time when ready to have the service rendered after plan requirements are met.  We accept and bill your insurance as a courtesy and are aware of many plans that require referrals from experience, but not ALL plans in existance!  Sometimes plan rules change year to year.  Remember, it is YOUR plan, so know the rules for it!
    2. Preauthorization can take a day or two.
      1. If you don’t have a referral or preauthorization prior to your visit and your plan requires it, the service will be denied, and you will be responsible for payment.  We will aid in preauthorization requests, but will only confirm referrals if notified your plan requires them.  Referrals must be on file with the insurance company if your insurance company requires a referral.  Informal physician referrals are not required to be on file with the insurance company if your insurance doesn’t require a referral for the service.
  8. Ask if there are any excluded ICD-10 diagnosis codes (some plans only cover diabetes or kidney disease, others cover dietary counseling and surveillance, e.g. Z71.3 code, others cover obesity and overweight codes).
  9. Get a confirmation reference number for the call and restate your understood coverage back to the representative.  If preauthorization or referral is required, get the additional preauthorization and referral number.

We do our best to check benefits for patients with plans we are not familiar with as well, but this needs to be a joint effort to limit surprise fees that we do not like issuing nor you like paying, including late cancel fees or self-pay fees for services that would be denied due to no referral or preauthorization.

Self-pay is going to be more expensive than insurance coverage, and you should always be prepared to self-pay even if 90% (yes!) of our patients receive coverage when they properly check their benefits and follow the rules on coverage.

If you cannot make your appointment, you can reschedule at no penalty if done >24 hours of your visit by emailing or calling and leaving a message.

FacebooktwitterlinkedinyoutubeFacebooktwitterlinkedinyoutube


Share on FacebooktwitterredditpinterestlinkedintumblrmailFacebooktwitterredditpinterestlinkedintumblrmail

Tags: , , , , , , , , , , ,

Low Calorie is Not Synonymous with Healthy

This is something I see over and over again, so excuse the rant post.

Everyone thinks they are an expert on nutrition these days.  You can find nutrition information all over the Internet telling you how to lose weight and exercise.  Everyone believes it is really simple science of calories in = calories out.

We run into special sorts of…first world problems in my profession.

Example:

Suzie read a journalist’s article on a website promoting beauty and fitness (nothing illegal in this realm on advice giving) with ads promising “pound shedding” and “fat blasting” and “washboard abs” (keyword rich content).

It may have even been one of those websites that requires you click to get to the next sentence 20 times in a slide show format because it optimizes the number of ads that can be shown per user who is dying to learn the secret to a ripped physique on this credible website (I’m not serious about the credible part).

In the article, vegetables are promoted as healthy for everyone in large quantities because they are low in calories and high in vitamins, minerals, and fiber.  MyPlate does something similar for the general population–making half your plate fruits and vegetables.

While this seems innocuous and may be an article promoting a much needed message when 2/3 of the population is overweight, sometimes the type of person reading this article can take things too far.

Suzie works out 6 days a week for 1-2 hours a day and is an active student walking to classes.  She sometimes eats breakfast, has a salad for lunch because salads are healthy, and she watches her portions using the standard portion sizes recommended on the side of packages for serving sizes.

She also runs when she feels tired and has a recent history of a stress fracture and tight muscles.

Suzie might be eating 1300-1600 Calories on a good day and isn’t even meeting her RDA for protein (the lowest recommendation for protein), and of course, she wants to lose weight and tone up.  This is a common goal for many women.  She has these insane cravings for sweets and feels guilty when she eats them because they are “not healthy.”

Suzie underestimates her workouts and overestimates her portion sizes while tracking her calories to the calorie.  She’s not losing weight and she is frustrated.

Is encouraging another salad for lunch for this individual healthy?  No.

Furthermore, the thought of going up on calories from 1600 to 2000 Calories seems like a dumb idea to her since, yea she might gain some muscle, which would solve the firming and toning issue.

Anyhow.  Nutrition is about matching nutrient needs to the individual.  Population messages are important but need to be taken in context.

It is important to match macronutrient needs (total calories, protein, fat, carbs) to the individual’s activity.  A message telling the population to choose low calorie foods and skimp on portion sizes is not an appropriate message for people like Suzie who is an “overachiever” with her goals and doing nothing wrong but reading nutrition messages on the Internet that are not tailored to her.

If you like this post please comment and share with your friends.  If you resonate with Suzie and would like to schedule a consultation, please send me an email.

FacebooktwitterlinkedinyoutubeFacebooktwitterlinkedinyoutube


Share on FacebooktwitterredditpinterestlinkedintumblrmailFacebooktwitterredditpinterestlinkedintumblrmail

Tags: , , , , , , , ,

Vitamin and Supplement Tips from Experts–Media Quote

In a well-written article by Dave Gordon, supplements and vitamins are weighed in terms of overall usefulness, precautions to take, and most common ones taken.  Experts from various health disciplines weigh in on the usefulness.  Joey Gochnour quoted.

FacebooktwitterlinkedinyoutubeFacebooktwitterlinkedinyoutube


Share on FacebooktwitterredditpinterestlinkedintumblrmailFacebooktwitterredditpinterestlinkedintumblrmail

Tags: , ,

Men’s Fitness Quote on Protein and Hydration

Here’s a tip list through Men’s Fitness about things people should consider after their workout, including nutrition and hygiene.

FacebooktwitterlinkedinyoutubeFacebooktwitterlinkedinyoutube


Share on FacebooktwitterredditpinterestlinkedintumblrmailFacebooktwitterredditpinterestlinkedintumblrmail

Tags: , , , ,

BCAAs–Waste of Money Supplement Scam

Branched chain amino acids, or BCAAs, are synonymous with the amino acids leucine, isoleucine, and valine.  These are essential amino acids, of which there are 9.  Essential amino acids are found in pretty much any source of protein or protein complement.  This includes eggs, soy, animal flesh, dairy protein (casein and whey), beans, nuts, seeds, and grains (which tend to be low on lysine, they still have BCAAs).  Essential means you must eat them every day for good nutrition.

I’m tired of seeing this scam promoted.  If you eat protein, your blood has plenty of BCAAs.  If you are worried about your BCAA level going down during exercise, eat dietary sources of protein sometime within 2-3 hours of your workout or a faster absorbing protein 30 min to 1 hour before your workout (whey) if you didn’t plan your day well enough to have dietary sources.  That is a good time period to ensure BCAAs, or protein in general, will be in your blood.

If you supplement with BCAAs or protein and your body doesn’t need it, your liver deaminates (removes the nitrogen group) or transaminates (moves the nitrogen to a different keto acid, making a different amino acid) the amino acid to maintain homeostasis.  The nitrogen group forms urea, which is filtered by the kidneys into your urine.

The carbon backbone of the amino acid is then integrated into either glucogenic pathways (pathways that synthesize glucose) or ketogenic pathways (pathways that synthesize fatty acids and ketones).

In other words, BCAAs become carbohydrate or fat calories, just like dietary carbohydrate and dietary fat do, and an insignificant amount of calories at that.  Except you bought BCAAs, and your body isn’t using them like that.  Consider the cost difference.  Let me break it down for you:

If you bought a container of BCAAs with 40 servings of 10 calories each, you might get 400 Calories from that whole container, according to the label.  That said, they apparently don’t count the protein from amino acids into the total calories on the label.  This particular item actually has 12 Calories from carbohydrate (rounded down to 10, so that is legit), but 5 g of protein from amino acids leucine, isoleucine, and valine.

Add 20 calories to that serving size from the 5g of protein, so there are about 30 calories per serving total.  So, 30 calories times 40 servings means the bottle has 1200 calories total, 3 times as much as reported on the label.

If that’s not enough to make you distrust this supplement, this bottle costs $26.39 at the time this post is written.  For $26.39, you could have bought about 10 bags of rice and 10 bags of beans or lentils, or you could buy 5 bottles of olive oil or 2-3 large containers of nuts if you prefer to get your calories from fat.  All of these are much more cost effective per calorie than buying a bottle of BCAAs.

People who tell you to buy BCAAs may be salesmen trying to make a living in the supplement industry or personal trainers who don’t have any human physiology or biochemistry education who work for gyms that tell you to push supplements or lose your job.  These are not people you should take nutrition advice from.

Please comment, share, and subscribe to my newsletter for updates!

FacebooktwitterlinkedinyoutubeFacebooktwitterlinkedinyoutube


Share on FacebooktwitterredditpinterestlinkedintumblrmailFacebooktwitterredditpinterestlinkedintumblrmail

Tags: , , , , , , , , , , ,

My Recent Weight Loss Experience: Part 1

In an effort to become a better personal trainer and registered dietitian, I decided to embark upon a weight loss journey on November 1, 2014 that ended December 15, 2014.  Granted, I didn’t need to lose weight for any health reasons, but I tend to go on some sort of a reduced calorie modified version of what I currently eat about every year and a half to reset to where I like to be.  Otherwise, I’d just keep gaining weight the way I like to eat and sometimes exercise! 🙂

Because this post got longer than I expected, you can jump to the how I felt when I did it part after the Preface heading, which gives background on my thoughts on weight and rationale for changing my weight.

Preface

Not everyone loses weight because they need to.  It is often a want to sort of thing.  For me, I enjoy being at different weights for different reasons.  Sometimes I like to emphasize the big heavy lifts, and more mass makes me better at that.  After a while, I tend to find it exhausting maintaining that weight, eating all that food, and keeping up my cardio to keep my body fat percentage down.

Add training and nutrition consulting with local Austin clients, working with private client hours on top of that who are not local via telehealth, and developing this website, it can get fatiguing after a while.

I also don’t like to be too lightweight.  In our society, a muscular male physique is valued more than a ripped, agile, and fast male physique.  I also just feel weaker than I can be and don’t emphasize endurance activities in my routine.  Rather, I do them for general health and maintenance.

The perks of being light include: I save money on my grocery bills, I have boundless amounts of energy, I can workout “forever” without getting fatigued, and my strength:mass ratio is probably the best due to these previous qualities.  Strength:mass ratio, ie maximizing your strength for a given body weight, is the way to go if you lift weights, in my opinion, as it takes less time to maintain the results and yields the most functional body type.

If you think about it, for a small framed individual to have tons of weight, be it muscle or fat, it makes the body less efficient at doing anything.  Your organs don’t grow enough to keep up with the body size changes.  Your heart prefers a certain size, your liver a certain size, your kidneys a certain size, and your lungs a certain size.  They just don’t grow like your muscles can, so when you pick a body size to be, understand the pros and cons.

Bigger people are stronger, but lighter people (to an extent…as there is too light) can be more athletic for anything that requires moving the body through space and time.  I prefer the ideal body weight equation over BMI when assessing weight ranges for people, but I look at both models and consider fitness status as well for the big picture.

My belief in the healthiest human body is one that is good at many aspects fitness but also absent of disease or disease risk propensity.  Aspects of fitness include skill based and precision work, muscular strength, muscular endurance, agility, balance, cardiovascular fitness, and body composition.

The heavier I get, the more strength and muscle I have, but also the more likely I will have high blood pressure, as it runs in my family.  Moreover, the less likely I will be good at running for any extended period of time over a couple miles.  Think of fueling a Prius vs a Hummer.

I have had either prehypertension or high blood pressure at a few points in my life of high stress, and it is more likely to come on as my weight creeps up.  Being able to squat and bench heavy at that point becomes moot to me.  I’m already a small- to medium-framed individual anyway so won’t set any big records there.

I’m a 5’10” male who likes to weigh between 165-175.  When I was a competitive swimmer, however, I weighed 150 and got my best times at 145 (age 17) when I had diarrhea during a meet that I was shaved, tapered, and wearing a fastskin for.  That experience taught me that losing 10 lbs of water weight (I actually lost from 155 during that meet) gave me collegiate division 1-worthy times for swimming.

I didn’t understand that at the time though, and obviously it is not a healthy thing to do due to the electrolyte abnormalities and possible heart risks with that fast of weight loss while competing at a high level.  But I digress!  Back to weight loss!

There are a few reasons I decided to lose the weight.  I knew the holidays were coming up, and I wouldn’t be able to work out as much or the way I wanted with family.  I also needed a break from working out, in general, to let my body fully repair and heal.  I decided it was a good time to do so.

My weight was creeping up to 182 at a peak but averaged around 177-178.  I carry a lot of water weight that fluctuates depending on the time of day, hydration, how much fiber and sodium I have had, stress levels, and exercise amounts.

I also knew I started lifting really heavy and found it easy, a sign I gained some muscle (and fat), which when working out as many years as I have, I know I don’t make many muscle gain or strength improvements anymore without a significant technique or routine change.

I also was becoming exhausted with less cardio than I used to.  Any extra muscle on my frame size at this point inevitably carries more and more fat.  You can’t continue to gain muscle with a low body fat percentage on a given frame size forever.

How I Lost the Weight–Diet Only this Year*

In the past, I have lost weight by the book.  I did both diet and exercise in the past.  This time, I just did diet only.  The asterisk means that I was still biking to my personal training employed job and still training clients (some who require more physical effort on my part than others, which is what goes with the profession), but I was doing no formal exercise as I usually do to push my own limits.

Usually, I hit all muscle groups heavy a little less than once a week, do high intensity cardio (run or swim), moderate and relaxing cardio (run or swim), bike to/from work, agility and balance and gymnastics skill work using bodyweight at playgrounds with parallel bars and monkey bars, or I’ll count a physical outing like hiking or kayaking as a workout for the day.  These make great date ideas that do NOT involve food…I’ll have to post on that topic another day!

In the past, I did it by cutting my food portions of non-protein calories like carbohydrates and fats down very mildly, as I still wanted to be able to fuel my workouts.  I have a food scale and use measuring cups and live alone, so it is much easier to track.  I believed in sports nutrition by the book in that it was supposed to have that magic 30-min to 2-hr window after a workout when you have to eat, or you lose all your gains!  More on that in another post.

I also still lost about 5-10% of my strength with weight loss, which is inevitable.  I couldn’t do as many reps or sets in the gym, and my high intensity work wasn’t as intense.

In the past, I also would get muscle cramps, tight muscles, and nights where I had to “refeed” the calories I cut that day in order to fall asleep because my body was trying to repair muscles that I wasn’t feeding.  I wasn’t even severely cutting my calories, but to be able to workout at the intensities I usually do, my body needed more calories and wouldn’t relax until it got them.

This time, I went into my weight loss journey knowing I would lose strength and endurance no matter what I do.  Why go through the psychological trauma of seeing your lifts decrease in weight and repetitions when you could just start over at the end?

As a trainer, I see unfit people get fit very quickly.  Losing your gains is not hard to get back.  My clients teach me this when they are gone for an extended period of time and then come back.  It is exhilarating to see, from my perspective, and made me less strict with my own regimens.

When cutting calories, my body doesn’t want to work out intensely.  It is just counter intuitive to push yourself harder while eating less as an already lean individual (for someone who is new or intermediate to exercise, this sentence may not apply due to relativity of ratings of perceived exertion during exercise).

This time, I got NO cramps, I didn’t have to wake up in the middle of the night to refeed myself food I had cut out earlier in the day due to working out raising my calorie needs.  I had no tight muscles.  Muscles shrink during weight loss anyway.  Why try to make them bigger during this phase of your life?  I took my own advice and experience and did it on myself this year.  The weight loss experience was much more pleasant.

I usually eat about 3000 Calories a day at my 175 weight, consisting of 4 meals and a snack.  Normally, I work out 5 days a week doing different activities at various intensities.  When I cut my calories, I started out having 3 meals and a snack.

The first week, I was hungry.  After the first week, I wasn’t hungry and didn’t get hungry for the rest of the experience.  I was able to cut down to 2 meals and a snack after I noticed I was losing weight slower and the fact I was starting to be satisfied on smaller amounts of food.

I probably ended up having about 1500-1700 Calories with those 2.5 meals when I finished my weight loss journey at about 160.  I could probably be more specific since I have my diet in a spreadsheet and could figure out the specific numbers, but that is beyond the scope of this post.

From a sociological standpoint, people were concerned rather than encouraging.  There is a stigma any time you cut weight and are already relatively lean, whether male or female, especially for those not familiar with athletic populations who do this often.

There is a lot of overlap with anorexia nervosa behaviors and effective weight loss behaviors.  I think the difference is whether it becomes a clinical problem of becoming underweight, malnourished, and having a distorted, unrealistic body image.  Another difference is knowing when to stop these behaviors.  There is a difference in knowing which thoughts are rational and which are irrational.

I think a lot of the concern is also self-reflective on those who are concerned about their own thoughts about body image.  Perhaps they want to lose weight, fear the process of doing it, and hesitate to do it.  It is a temporary lifestyle change, after all.  If you associate too much of your daily joy and life-meaning with the act of eating food, then that will be something to think about.

The bottom line of this? I cut calories more intuitively this time.  I didn’t have exercise and all its variability in energy expenditure making things complicated.  I used the intuitive eating technique for knowing when I wasn’t eating enough.

I only looked at my calories afterwards because I’m a registered dietitian and feel compelled to know this sort of information for the sake of my career and to better help clients, the few who actually understand and think in calories.  I have a different idea for ways the general population should better understand food calories in another post.

I overshot my weight goal of 165 to 160 on purpose (on average, as it dipped to 158 depending on the day) because I knew the moment I started eating more and exercising again, I would gain my weight back to 165 very quickly thanks to fluid shifts and storing more carbohydrates again.  Rather than having to restart adapting to fewer carbohydrates as energy again, which can take a while, I just decided to overshoot my weight goal a bit.

Interestingly, whether it is the adaptation to eating fewer carbohydates (due to lower calorie intake), or the fact I wasn’t always having blood diverted to my digestive system, I was much more mentally clear during the process.  Who knows?  The research isn’t out on that yet.  I do like to keep up on ketogenic diets though just for sheer interest in the unknown.  This is not to be confused with ketoacidosis.

Notice mental clarity is the same thing people on that religion of bulletproof coffee report.  I think it is more due to the weight loss and blood to gut diversion being reduced, not the “grassfed pure butter that is good for your brain.”  I would like to see some references for that statement.  Oh right, there aren’t any!

So, that is the end of my weight loss journey (and the midpoint to getting back to fitness).  Once I got to the point of finishing up, I was mildly irrationally afraid of starting to eat more food again and having to get back into shape.  What a pain, I thought.  I could see how people can get stuck on eating less and less food when you have been successful with weight loss.  It is an anorexic thought.

That’s why everyone should have fitness goals.  It’s not optional these days.  You HAVE to exercise to be healthy.  It lets you eat more food and feel great.  Who wouldn’t want that?

Now that it is a week or two back into my old routine, I’m back on 3.5-4 meals a day and am exercising again.  I feel great, lighter (weight didn’t come back instantly or anything), and healthier.  I lost a fair amount of fitness in that I’m not pushing myself to my weights I was pre-weight loss because I didn’t feel that would be safe.

That said, I probably only lost about 10% of my strength.  I expect to gain about 5% of it back in the next month, depending on soreness and when I can fit workouts in my schedule.  I’ll write Part 2 when that happens.

The whole point of the diet and no exercise thing this year was to better understand what clients feel physically when losing weight, and to prove a point that you don’t need to work out while losing weight because it can take twice as long and be accompanied by all sorts of musculoskeletal annoyances like tight muscles and overtrained muscles.

I also wanted to see if the weight loss process was faster this year (and it was).  That said, Part 2 of the post is to see how long it takes me to get back to full fitness, so I haven’t proved it is faster in terms of maintaining fitness yet.  The first week back I will tell you that I was SORE AS EVER.  I am not sure if the caps emphasize that enough, but I was a bit zealous in starting myself back to about where I should be mathematically speaking in terms of strength losses and cardio.  I also got winded in a half mile of intense cardio.  It will come back in a month.  I’m not worried.

This isn’t the first time in my life I’ve just let a high level of fitness go.  When I quit swimming competitively at age 19, I played 6 months of addicted World of Warcraft gaming.  I lost 17 lbs of muscle then (160 to 143).  No, it wasn’t healthy, but I wasn’t depriving myself of food.  I just wasn’t exercising then nor was I hungry.  So, fitness can come and go.  Your gains are easily reattainable.  Why try to choose two competing goals at the same time?

My opinion is that unless you are brand new to exercise and have to learn a lot of techniques and get into the healthy habit of exercising in order to build your self-efficacy to do exercise competently, then you may achieve physical goals faster and with more satisfaction by focusing on one at a time.  If it is weight loss and you are a very fit individual already, try to diet first.  Seriously, don’t try to increase the amount of exercise at the same time.  You will learn! 🙂

In the future when I lose weight again (after it creeps on again, as it will because the body is a master at caloric efficiency, which I do NOT view as a diet failure as media/science makes it sound…more on that in another post), I plan to do LESS exercise rather than NONE.  I may lose the weight faster with no exercise, but I lost more fitness this time than I would like.

I’ll keep readers updated for my next post (Part 2) in a month or so whenever I’m back at peak condition, hopefully at my 165 or 170 weight.  I really am not too concerned about whichever one it will end up as.  Life happens, so be as fit as you can be for it, and maximize your functional capacity!

Please comment and share!

FacebooktwitterlinkedinyoutubeFacebooktwitterlinkedinyoutube


Share on FacebooktwitterredditpinterestlinkedintumblrmailFacebooktwitterredditpinterestlinkedintumblrmail

Tags: , , , , , , , , , , ,

3 Ways Exercise Can Slow Weight and Fat Loss

Many people will amp up exercise in an attempt to lose weight because they know the law of thermodynamics that states that calories in must be fewer than calories out.  Knowing this, they will drastically reduce dietary caloric intake by adapting strange diets they won’t be able to stay on for the rest of their life.

At the same time, they start increasing the amount and intensity of exercise they do in an equally unsustainable manner.  Logically, this makes sense, unfortunately, it isn’t as simple as that.

In this article, we’ll discuss three ways exercise can get in the way of your weight loss.

1. Intense exercise and increasing the duration of exercise from what you did before will burn more carbohydrate calories as a primary fuel source, especially during the adaptation phase. Carbohydrates are the energy of intense movement.

All exercise, light to intense, will burn carbohydrates; however a greater percentage of fat is burned in the light to moderate aerobic exercise zone due to a state of metabolic efficiency being reached in carbohydrate burn state where carbohydrate metabolites aren’t overly produced and the slower fat oxidation systems have time to use the products of carbohydrate metabolism.

However, you’re still limited by carbohydrate capacity and aerobic training status (more aerobic enzymes burn carbs more efficiently).  Light to moderate exercise also causes less breakdown of muscle tissue, which is a good thing when thinking about weight loss and brings us to the next point.

 2. Relatively lean and fit people will already be able to push themselves intensely during exercise, requiring more calories on those exercise days than normal to replace glycogen stores (how glucose is stored in muscle) and rebuild lean tissue that was damaged from eccentric muscle activity and acidic denaturation of muscle proteins such as during high intensity exercise (resistance or aerobic-glycolytic).

This means they have higher calorie needs like anyone who has tissue repair needs, yet they’re consuming fewer calories for weight loss.  This leads to overuse injuries and overtraining syndrome, where stress hormones like cortisol increase to raise blood glucose to repair places of inflammation.  Stress, whether physical, physiological, emotional, or mental, and inflammation don’t go well with weight loss, which should be a relaxing, low-stress, anti-inflammatory state.

3. Intense exercise stimulates the body for lean mass gains. This means you GAIN mass, which requires more calories.  You don’t lose weight.  The number will not go down on the scale.  It won’t be a time when your body has calories to spare off your frame.

Some people will argue that the number on the scale doesn’t matter, it’s how fit you are.  This is true to an extent and is in agreement with the current research, as there isn’t much information on what happens to extremely massive people long term who are fit (not a huge segment of the population).

However, if you are extremely massive on a relatively small frame, it would theoretically require a lot more of your heart to pump blood through the extra space in your body, the lungs and kidneys to rid you of the waste products, and possibly increase blood pressure due to increased vascular resistance of blood vessels the heart must pump through.  Whether this is healthy and fit or taxing on organs is yet to be determined.

So in my opinion, excess weight is not good, whether fat or muscle.  You will not be as fast, agile, or aerobically efficient as your leaner counterparts, and your strength to mass ratio will decrease the more massive you get.  People might think you look good though, but that’s a sociological/contemporary phenomenon.

There are many parameters of fitness, including speed, agility, strength, muscular endurance, cardiovascular fitness, flexibility, balance, skill work and precision, as well as body composition.  It’s not always about body composition being the hallmark of fitness as popular culture may have you believe.

Knowing this, I stand by my comment in my interview with Megan Ware that exercise is often a detriment to weight loss if you do too much or too intense of exercise and are already pretty lean, ie near your ideal body weight.

If you are a beginner, you may get more leeway because you are not able to produce as much breakdown relative to the calories you are already taking in.  You also may not be able to push yourself to the intensity that breakdown occurs in your body, which spikes your calorie needs.  If you are spiking your calorie needs, you aren’t able to reduce them much from where you started, so the weight will not come off.

In fact, weight will increase if caloric needs are higher than what you are consuming, at least at first, due to the stress response and water retention.  Weight loss itself requires a consistent DIETARY calorie deficit in an unstressed state, so if you are telling your body to build muscle in your workouts, it will slow you down until it does.

How do I recommend going about fat loss?  It depends how much fear you have about getting out of shape during the weight loss process.

As a trainer, I know how relatively easy it is to get people into shape.  If you fear getting out of shape during the process of weight loss, then you probably are a candidate for a slower, “healthier (as currently recommended)” weight loss.  This will mean spreading workouts out as far apart as possible to limit losses in fitness yet still creating that dietary caloric deficit.

For example, strength training frequency may have to decrease so that you can lower your caloric needs enough to be able to cut the calories.  As your mass comes down, strength will also decrease, so you may have to lower the weight.

High intensity cardio frequency also will have to decrease.  Every time you workout, that increases caloric needs to repair yourself, so you will never truly achieve high caloric deficits necessary for faster weight loss.

If you are not already working out and very fit aka beginner or intermediate exerciser, it is unlikely that the amount of working out that you do will interfere with weight loss, even if strength training.  It is important for beginners to learn to adapt to the behaviors necessary for weight maintenance (ie exercising intensely and regularly) so that when they finish a low calorie diet, they will not regain as much fat weight back when resuming normal eating.

Most people reading this article will be beginners, so I do encourage exercise and diet at the same time for learning and psychological purposes and not because it makes weight loss faster—on the contrary.  For competitive athletes and highly active fitness enthusiasts who weight stall, things are a bit different.

Eating more on exercise days and less on non-exercise days is a great way to maintain your weight once you have lost it. This teaches a sustainable habit of balancing caloric intake with exercise expenditure while still eating a balanced, varied diet with all the food groups. You just modify the quantity of dietary intake while minimizing stress on the body, the essence of weight loss.  Weight maintenance is a different strategy than weight loss, however.

Unfortunately, exercise alone is pretty ineffective at resulting in weight loss.  I’ve seen it on the personal training side in both obese and lean individuals while also getting weight loss success in non-exercising clients who only seek nutrition counseling.  If an obese person does not modify caloric intake consistently below needs, they won’t lose weight.  If a lean individual over exercises and cuts calories, they will not lose weight but will just deplete glycogen stores and risk injury.

Weight loss is a complex process of creating a consistent dietary caloric deficit and maintaining light to moderate activity for the purpose of general health and circulation in an unstressed physiological state.  It is important to consider the calories relative to the exercise, as too few calories coupled with exercise doesn’t get you there faster.  Counter intuitively, it gets you there slower.

It is also not a linear process.  As you lose weight, your calorie needs decrease even more, so you may have to cut calories more to lose even more weight at the same rate or decide to be happy at the current weight while increasing lean mass body percentage with intense exercise (so you can eat more for a while before resuming the weight loss journey).  However, you will lose some lean mass with any weight loss, especially if already very fit.  The body has to stay proportional.  Super hero action figures are plastic toys, after all.

Please comment and share!

FacebooktwitterlinkedinyoutubeFacebooktwitterlinkedinyoutube


Share on FacebooktwitterredditpinterestlinkedintumblrmailFacebooktwitterredditpinterestlinkedintumblrmail

Tags: , , , , , , , ,

Save Your Money on Amino Acid Supplements for Weight Lifting

I see weight lifters, bodybuilders, and personal trainers promoting individual amino acid supplements, such as glutamine, leucine, or BCAAs.  BCAAs are branched-chain amino acids, specifically leucine, isoleucine, and valine.

What I would like to know is if there is research that differentiates between having dietary protein and having specific amino acids.  Because, frankly, it baffles me why people would buy individual amino acids when consuming high protein foods such as various animal flesh (chicken, beef, turkey, salmon, tuna), dairy, eggs, soy, or other higher protein foods like beans and seeds.  Supplement companies obviously want you to buy more product and will tell you anything.

In my frank opinion, if you are consuming adequate amounts of protein for your physical activity, i.e. active people need 1.2-1.7 grams protein/kilogram (1 kg = 2.2. lbs) body weight, and you are spreading your meals out throughout the day to maintain the pool of amino acids in your blood, then you should have more than enough amino acids available for anything your body is doing.  This is more than the RDA for protein for the general population that is not exercising, which is 0.8 grams protein/kilogram body weight.

Additionally, bodybuilding supplements could be contaminated with substances that improve your workouts that aren’t even amino acids, since as previous posts have mentioned, the supplement industry is not tightly regulated for quality, purity, and unadulterated ingredient listed on labels.

This post does not hold true for those who may be in the hospital or have a specific medical condition for which there is clear research on the efficacy of providing individual amino acids.  These cases often involve situations where dietary protein intake is limited for various reasons.  Often, your physician will order a specific amino acid in cases like these.

However, for working out?  Save your money, and go buy someone a present or donate to a charity you believe in.

FacebooktwitterlinkedinyoutubeFacebooktwitterlinkedinyoutube


Share on FacebooktwitterredditpinterestlinkedintumblrmailFacebooktwitterredditpinterestlinkedintumblrmail

Tags: , , ,