PorkChopExpress 821 Posted October 13, 2016 A good trainer will help you immeasurably and push you just enough, a bad one will just discourage you and make you want to quit. Not all of them know where the line is with each client, it's a skill they have to develop. In terms of nutrition, the good ones know that it isn't "one size fits all." Particularly for bariatric patients! To insinuate that all we needed to do was control our portions and we didn't need surgery for that...this is usually coming from guys who have never been more than 20 pounds overweight in their lives, and don't understand the metabolic adaptations that obese people have developed that fight against weight loss, screw up our hunger and fullness signals, etc...etc... Nor do they, a lot of times, have any awareness that certain things we are simply too heavy to even DO, without risking injury. It sounds like ultimately, you found a good one. So that's awesome, because it'll help keep you on the right track. The nutrition part, your nutritionist has handled and you aren't going to need to do a lot to it until you start to creep up on your goal. That's when you'll have to start tweaking macros and see what works to get that last stubborn fat off. Bodybuilders are actually pretty good at that, they're very familiar with the bulking/cutting cycle and how to tweak your intake so you are cutting as much fat as possible, while sacrificing as little muscle as possible. I'm also a big advocate of weight training, because the more muscle mass you have, the more calories you'll burn all day, whether exercising or at rest. But nobody should be recommending weight training at six weeks post-surgery, it's too early. Three months maybe, and not aggressively. Just to try to maintain the muscle mass you do have, to keep that burn going every day. Because with extreme calorie deficits, you will lose muscle as well as fat, and that hurts your calorie burning over time. So there's some truth in what the meatheads were saying, but they just don't have the whole picture. If someone's never been obese, I don't want to hear them tell me "All you need to do is..." Because they've never been there. Share this post Link to post Share on other sites
theantichick 2,204 Posted October 13, 2016 Thank you! And yes. Your VP guy sounds like a real piece of work. Bummed about my PB I was thinking that was now going to be a good snack. Protein, very soft and filling. Dang. Sorry, that was sarcasm. You can absolutely count PB. Trainers get stuffy about it because it's high in fat. Share this post Link to post Share on other sites
theantichick 2,204 Posted October 13, 2016 A good trainer will help you immeasurably and push you just enough, a bad one will just discourage you and make you want to quit. Not all of them know where the line is with each client, it's a skill they have to develop. In terms of nutrition, the good ones know that it isn't "one size fits all." Particularly for bariatric patients! To insinuate that all we needed to do was control our portions and we didn't need surgery for that...this is usually coming from guys who have never been more than 20 pounds overweight in their lives, and don't understand the metabolic adaptations that obese people have developed that fight against weight loss, screw up our hunger and fullness signals, etc...etc... Nor do they, a lot of times, have any awareness that certain things we are simply too heavy to even DO, without risking injury. It sounds like ultimately, you found a good one. So that's awesome, because it'll help keep you on the right track. The nutrition part, your nutritionist has handled and you aren't going to need to do a lot to it until you start to creep up on your goal. That's when you'll have to start tweaking macros and see what works to get that last stubborn fat off. Bodybuilders are actually pretty good at that, they're very familiar with the bulking/cutting cycle and how to tweak your intake so you are cutting as much fat as possible, while sacrificing as little muscle as possible. I'm also a big advocate of weight training, because the more muscle mass you have, the more calories you'll burn all day, whether exercising or at rest. But nobody should be recommending weight training at six weeks post-surgery, it's too early. Three months maybe, and not aggressively. Just to try to maintain the muscle mass you do have, to keep that burn going every day. Because with extreme calorie deficits, you will lose muscle as well as fat, and that hurts your calorie burning over time. So there's some truth in what the meatheads were saying, but they just don't have the whole picture. If someone's never been obese, I don't want to hear them tell me "All you need to do is..." Because they've never been there. We're not doing any serious weight training at this stage. Just starting some light weights/machines to encourage keeping muscle. I wasn't going to start doing any strength training right off the bat because I'm in such bad shape and really need to work on cardio, but the head trainer made a good argument for not JUST doing cardio because we need to keep muscle mass. So they're having me do modified planks, some upper body machines (lat pull downs) and very light free weights (I think the rows were with 3lb weights). In addition to cardio workouts where I'm starting off very easy and working up slow. My auto-immune complicates the whole show because I have to push a little or I won't make progress, but if I push to far I get a flare that keeps me from exercising for days. My regular trainer hasn't worked with anyone with auto-immune before, but he's curious and open minded about it, and since I'm a nurse, I love educating people. He and I are going to work together to find that fine line we have to hit for me to make slow but steady progress. Share this post Link to post Share on other sites
Travelher 915 Posted October 13, 2016 fantastic that you are now working with a trainer. I would love to but don't have the money for that. I find with all occupations you have good and bad ones. I had a fantastic one about a decade ago when I lived on the west coast. What made him really great was that he was a great listener. He listened to what my needs (weight loss), desires(someone to push and keep me accountable and will keep it interesting and fun) and limitations (ACL reconstruction)were and developed a program that fit those. there was no cookie cutter approach, everything was customized and he switched things up (equipment, exercises and even location and made things fun so it never got boring. He even created a program for me to do while traveling that I needed was a deck of cards...Bottom line is for anyone looking for a trainer, if it isn't working with the one you have, keep looking until you find one you like. Share this post Link to post Share on other sites
Daisy Day 91 Posted October 16, 2016 My insurance covers an extra 24 physical therapy appointment for after surgery, up to twice a week for 12 weeks, physical therapy would be safer for the first couple months and they have to go to college and get an actual degree. My surgeon and primary have both said no gym trainer but instead use the physical therapist. Sent from my iPhone using the BariatricPal App Share this post Link to post Share on other sites