so she's pre-diabetic?
what sort of macros is her diet? LC/Keto?
how long has she been eating at "deficit"?
has any sort of body re-composition occurred during this time that may render weight as a poor metric of progress?
does she have any data on her thyroid function? any chance she may be hypothyroid or hashimotos or something?
Not neccessarily, we all metabolise food differently especially where insulin is concerned.I would say if she puts on weight it's not a defecit
Not neccessarily, we all metabolise food differently especially where insulin is concerned.
maybe suggest that she asks her doc to include t3 and t4 (thyroid function) tests at the same time. even if it doesn't show anything useful now, it can go into her file and may help later on down the track.
ignoring all of her other issues in play, long periods of HIIT, boot camp style training combined with a heavy calorie deficit is very likely to slow her metabolism somewhat.
really interested to hear about her special diets...
Insulin is a form of growth hormone and will put on weight. If her blood glucose levels aren't right, she takes more insulin and will put on weight, no matter what her diet/exercise routine is like. My wife is type1 diabetic. Took her years to sort that shit out.
Im not sure where medical conditions are concerned, but if ure in a defecit u won't get fat, if u do then u have miscalculated your TDEE
Yes diet is incredible important so it's going to be hard for anyone to give advice without that starting point. But at this stage I'm sort of assuming you are correct in your assumption she started bootcamp and some crazy 1000 Cal plan, which is not the way she should be going.
Now I admit I am not a doctor or anything close but this is from reading I have done.
Sounds like her hormones are completely fucked up. Diabetes, PCOS and endo are all caused or can be made worse by crappiness in hormone levels and production.
Dropping the weigh she has will make everything better in the long term so that should be her ultimate goal. But doing it in sudden and drastic ways that are advertised everywhere and often targeted at women such as meal replacement shakes and sudden high intensity crappy exercise programs that are seen in things such as bootcamps can just make everything worse by messing up hormone levels further.
So she needs to be on diet and exercise that is sustainable while getting her to a managable weight. Limited carb diet would be the first thing to start off with. Keto would probably be good if you can get her to make the transition and stick with at least low carb.
The other thing is to get her to ditch the shit cardio like bootcamps and get her into a muscle gym to work with the weight and iron. Resistance training has been shown to improve insulin sensitivity so this is really the way to go. Plus it's awesome.
When doing my own research into eating styles I read quite a bit on marksdailyapple and other paleo/primal sites and forums. While I don't agree with everything on that site the basic premise is to eat clean foods with relatively low carbs and weight train. And this is what you friend should really be looking to do. Anyway on those forums there are heaps of women saying how eating like this has helped with PCOS and endo symptoms enormously.
She really wants to get off metformin as soon as she can so her body doesn't start to rely on it.
Regardless if you have a medical condition or not, we all metabolize the food we eat differently
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