I need some help...........
My girlfriend is 28 years old and clinically obese, she is 5'2" and 66kg.
Between the ages of 18 and 21 she suffered from anorexia.
I know of no other person who puts as much time, effort, energy and research into their training and diet yet the results her lifestyle 'should' lead to, appear to be unachievable for her.
My girlfriend eats healthily and sensibly, trains like an athlete, gets enough rest and sleep but is unable to shift the fat from around her waist. Her belly is completely out of proportion with her arms and legs.
She has visited GPs on a number of occasions but they have been unable to diagnose a problem or provide a solution. All of her blood tests suggest she is the epitome of health and the doctors cannot explain her inability to lose weight.
5 years ago, whilst living in South Africa, she was prescribed an ephedrine based drug which resulted in rapid weight loss and a loss of appetite but these drugs are obviously not safe or readily available anymore.
Earlier this year she was prescribed 'Orlistat', which is some kind of fat blocker, but 3 months of taking it again proved to be ineffective (presumably because she doesn't have a high fat diet).
She has been tested for Polycystic ovaries, under active thyroid and insulin production but all tests have come back clear.
She has researched and tested a number of theories including metabolic syndrome; weight loss set-points; insulin sensitivity; FODMAP; gluten/wheat free; paleo; Atkins but all were unsuccessful.
She has experimented with various diets and ways of eating:
Low carb - high protein
5:2 intermittent fasting (gained excessive weight)
Bodybuilder diet - 6 small meals per day (typically chicken and broccoli based)
She has continually played with her protein, fat, carb ratios but with no success.
She has also experimented with her training:
HITT training - cardio and weight based
Heavy weight, low reps
Lighter weight, high reps
Body part splits
Full body training
Steady state cardio
Combinations of all the above
She currently trains 6 times per week for a minimum of 60 mins high intensity weight training- 8-12 reps, supersetting body parts with some additional treadmill hill sprints at the end of every other session. She works HARD, very hard.
She visited a Charles Poloquin trainer who took her '13 point fat measurements' and gave advice on training, nutrition and supplementation, none of which proved to be successful.
3 years ago she undertook the Jamie Eason "Live Fit" programme which enabled her to lose weight but it's simply not a sustainable lifestyle, even for someone as committed to training and nutrition as she is and as soon as she â??normalisedâ?? her diet and training (still careful and intense) the weight returned.
She has reached a point where she is afraid of food, she trains ridiculously hard but she sees no results. Her body consumes 95% of her thoughts and itâ??s gradually becoming more and more socially crippling.
Her training and calorie intake sometimes becomes so obsessive that she suffers from Amenorrhoea and her hair thins, we're both acutely aware of the health concerns surrounding over training and under eating but even at that level of commitment (obsessiveness) she sees no positive results.
My girlfriend trained as a fitness instructor in her spare time in the hope that she would learn how to deal with her issue but this has also been unsuccessful. Using her knowledge of fitness and nutrition she has been able to transform other people's physiques with great success but the same eating and training methods simply don't work on her own body. I myself am a serving police officer but Iâ??m also a qualified PT with a degree in Sport & Exercise Science and I too am at a loss.
I'm hoping that Mike Robertson may be able to offer some advice but any help would be very much appreciated.