From a trainers perspective, what impact would liposuction have on my training program? I've got a 30 year-old female client, that recently had liposuction off of her glutes and thighs (8 months before we started training). The fat has come back. She mentioned to me that she is now thinking of getting some more "sucked off" at chirstmas in 8 weeks (we've only worked together a few times), since it has come back unevenly. In addition, I'm working to convince her to invest the money in PT and improve her overall quality of life, rather than pay a doctor $5K and still be unhappy. Thanks

RESPONSE:

This is a common situation that some practitioners, including myself run into on a regular basis. There are many reason why females accumulate fat in those areas, why human accumulate fat in general, why after liposuction the fat comes back, and why most people and MD’s overlook the mental/emotional aspects that are attached to the accumulation of fat in specific areas. I am going to do my best to keep it short and sweet, but that is not in my nature..

Why do humans accumulate fat in general? This is quite simple and most of the time overlooked by all. If you look at the diet and lifestyle of many Americans, you will see some common threads that lead to fat accumulation:
1. Overabundance of trans fats
2. Overabundance of refined/processed foods
3. Overabundance of alcohol
4. Overabundance of pasteurized milk
5. Over exposure to the many faces of stress (physical, mental, emotional, spiritual, chemical, EMF, environment, etc.)
6. This all equates to an overabundance of toxins that Americans are ingesting and being exposed to on a daily basis.

When it comes down to it, fat stores toxins. So, the poorer her nutrition and lifestyle habits are, the more fat she is going to accumulate.

There is an easy two easy explanations/example that you can use to get the point across to you client. The first point is to educate her about the Law of Cause and Effect. I could truly get Metaphysical with this but there is no need to, it is simple. For everything that she does in her life, there will be a cause or result. It is not by chance things happen to us, it is by choice! So with the liposuction, she is only treating the result or in this case the symptom of a major issue being smoke screened by the liposuction. Americans today are extremely lazy and unhealthy, not wanting to take responsibility for themselves. This is a prime example. The other example you can use is how they feed and breed cows before they slaughter them. The biggest (fattest) cow wins and the breeder gets the most money. So what do conventional farmer do, they feed cows everything and anything (feces, dead animals, saw dust, cement dust, blood, plastic, etc). Why do they do this, because fat stores toxins!

There are many other factors involved in gaining weight/fat, when consistently working out. As a CHEK Practitioner, I use many physical, neurological, nutritional, physiological and lifestyle assessments to get to the root of clients dysfunctions. Unfortunately I don’t have the space to keep on righting about these issues, but here are some areas you should look into yourself or refer her out to in order to keep this dreaded fat away.
1. Hormonal imbalances (any drop or increase in estrogen/progesterone will cause a spike in cortisol=fat storing hormone)
2. Gut dysfunction (permeability, parasites, H. Pylori, hypochlorhydria to name a few). This leads to increased internal stress, increased cortisol levels, altered gland function and so on. The end result is weight gain.
3. Endocrine gland dysfunction (adrenals and thyroid, which correlate with one another). The adrenal glands are used under any time of sympathetic stress. If a person is always stress (most of the time internally), cortisol will continually be released. Once again, cortisol is a fat storing hormone.
4. Visceral dysfunction (uterus, ovaries, kidney/bladder, liver/GB, etc inflammation or inhibition)
5. To take it even to a deeper level, fat in this area correlates with the Root (1st) Chakra or the adrenal glands (stress hormone glands that produce cortisol). This pertains to getting your physical needs met, being safe and secure, grounded, and establishing your “I”dentity between the ages 0-7 year old. The real issue could be that she is a child running around in an adult suit, afraid to come out secondary to never getting her needs met. AS well, why is she getting all this cosmetic surgery? Is it to please her inner being, NO! It is to please the EGO, as well as societies belief’s of what a women her age should look like. The mental, emotional and spiritual bodies are manifested in the physical body. So if you think along those lines, she needs more than just nutrition and exercise.

What to do at this point?
1. I would find a skilled CHEK Practitioner in your area to team up with in order to educate her. As well, have her purchase Paul’s book How to Eat, Move and Be Healthy. This includes a lot of the information I talked about as well as what you need to talk with her about.
2. You can work with Dr. Kalish at www.naturalpath.com to do some hormonal and gut testing through Bio Health. This could give you a lot and most of your answers on why she continues to attract unwanted fat. Dysfunctions within the hormonal and endocrine systems are a great deal of the time why people can’t either loose weight or continue to gain no matter what they do.
3. Do some research on www.mercola.com and look into holistic ways of eating and living.
4. Use Paul’s book, a CHEK Practitioner or Intermediate Metabolic Typing Advisor to find out her Metabolic Type. This will figure out exactly what types of foods and the ratios of foods her body needs to use for energy, and not store as fat.
5. Teach her or refer her to a Qi Gong or CHEK Practitioner so she can learn ways to detoxify and relieve certain internal stressors that are going on. This is common, but because humans can’t feel it, they think they are healthy. Stress and increased cortisol levels that never come down cause weight gain.
6. References to look into:
a. How to Eat, Move and Be Healthy (Paul Chek)
b. www.mercola.com
c. www.naturalpath.com
d. The Book of Chakra Healing (Liz Simpson)
e. Digestive Wellness (Elizabeth Lipski)
f. Adrenal Fatigue: 21st Century (Wilson)
g. Hormones, Health and Happiness (Steven F., M.D. Hotze)
h. This is to name a few, but I think it will get you and your client on the right path towards increased vitality.

Good luck and feel free to contact or email me with further questions.

Joshua Rubin