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re: Career change ideas. Late 30’s

Posted by FitDoc on 1/8/24 at 10:19 pm to
Did you ever get it figured out?
As DeafJam said, rice and potatoes in and of themselves aren’t evil, but the amount you consume is important. I would eliminate alcohol completely though. They are empty calories.
What’s your body fat percentage and waist measurement? You need to check these... water test or bodpod are the more accurate tests.

re: Shin Splints

Posted by FitDoc on 8/10/18 at 4:33 am to
Back off high impact activities, but still train to elevate your heart rate. The easiest and most simple way shin splints is that it is a breakdown of the bone faster than it is being repaired. You can think of it as the stage before a stress fracture. Give this program a try if you desire:

Basic rehabilitation program for low risk tibial stress fracture
Phase 1: Cross training: Typical duration 2 weeks
Wear long air splint continuously while standing and during cross training, but not needed for sleep
Apply ice to fracture site 2-3 times daily for 10 to 20 minutes; may repeat if swelling increases and after training sessions
Calcium 1500 mg and vitamin D 800 IU supplementation daily throughout rehabilitation
45 minutes stationary cycle daily
Heel raises, toe raises, and squats with weight every other day: 25 to 30 percent of body weight is used for three sets of 15 repetitions for each exercise
Advance to Phase 2 when patient can jog 50 steps with no pain in a long air splint
Phase 2: Initiation of weight bearing exercise: Typical duration 2 weeks
Perform all weight bearing activity in long air splint
Every other day, run 400 m/walk 400 m for eight laps (lap = 400 m) on a soft track; perform three sessions
Next, run 500 m/walk 300 m for eight laps; perform three sessions, one session every other day
Continue progression, performing three sessions at each level, as follows: run 600 m/walk 200 m; run 700 m/walk 100 m; total of eight laps for each session, one session every other day
45 minutes stationary cycle on alternate (non-running) days
Apply ice after activity as above
Perform weight exercises as described in Phase 1 on non-running days
Advance to Phase 3 when patient can complete 8 laps of 700M run/100 M walk without limp or pain
Phase 3: Initiation of protected training: Typical duration 2 weeks
Perform all weight bearing activity in long air splint
45 minutes stationary cycle on alternate days
Run 2 miles (3.2 km) every other day for three sessions
Run 2.5 miles (4 km) every other day for four sessions
Continue strength exercises as described in Phase 1 on non-running days
Apply ice after activity as above
Advance to Phase 4 if running for Phase 3 is completed without limp or pain; fracture site is non-tender; and, patient is able to hop 10 times and to jog without limp with air splint off
Phase 4: Weaning from long air splint: Typical duration 2 to 3 weeks
Begin running 2.5 miles (4 km) every other day
Run without splint on first day and with splint on second day; thereafter, alternate splint use every other day
Continue strength exercises as described in Phase 1
Advance to Phase 5 when pain free on all run days without splint
Phase 5: Progressive training: Typical duration 4 weeks
Increase run duration by five minutes after two workouts at each level; no air splint
Five runs per week during weeks 9 and 10
Six runs per week during weeks 11 and 12
When tolerating 40 continuous minutes of running without significant pain, resume normal training
Protocol guidelines
If patient has problems at any stage of rehabilitation, move back one level for an additional week and then try to advance
Continue all training for the first 12 weeks on a soft, level surface, the softer the better
Evaluate patient in the office every two weeks for evidence of healing and signs of injury until they reach phase 5
Courtesy of Karl B. Fields, MD.
Graphic 101610 Version 2.0

© 2018 UpToDate, Inc. All rights reserved.
To break it down: sugar (any carb really) Is broken down into blood sugar by the body. When blood sugar is elevated, the pancreas releases a hormone called insulin. Insulin shuttles blood sugar to the tissues. It is responsible for insulin shuttles blood sugar to the tissues. It can trigger both fat and muscle gain. The timing of sugar intake is important. After a long hard work out, Consuming sugars will not promote as much fat gain and be more anabolic in terms of recovery and building muscle. When consumed before bedtime however, it will promote more fat gain. For someone who is trying to get lean, it is better to avoid processed sugars altogether. The sugars you do get it should come from sources lik for someone who is trying to get lean, it is better to avoid processed sugars altogether. The sugars you do get should come from fruits and complex carbs. In addition, newer studies are showing refined sugars promote inflammation and can lead to cardiovascular disease. See article below.
LINK
Forgot to add... Perform cardio 3 to 5 days per week. One of those days it would be good to do a recovery Carly work o perform cardio 3 to 5 days per week. One of those days it would be good to do a recovery Cardio workout where you do 20-30 minutes of steady cardio at a relatively easy pace (heart rate 120-130, intensity 5/10)
So in order to improve your endurance and burn fat without sacrificing too much muscle, you want to do interval type of training and maybe cardio intervals called Fartlek. Example of standard intervals would be something like 10 sets of 400 meter runs with 2 minutes of rest between sets. Examples of Fartlek posted in link below. Intervals and fartleks don’t have to be just running. They can really be any type of cardio that gets your heart rate up to150-160 or so (assuming your are relatively young and healthy). For Standard intervals, a good exercise to rest ratio would be Standard intervals, a good exercise to rest ratio would be 1:1-2. So 2 minutes of hard activity would be followed by 2-4 minutes of rest between sets.
As far as diet, eliminate sugars... no soda, juice, milk juice. Only water.

LINK

re: Career change ideas. Late 30’s

Posted by FitDoc on 8/8/18 at 8:34 am to
Go find a clinic where they let you shadow and then you can see what it’s like. You have to really have a passion for it or making it through school will be extremely tough.

re: Career change ideas. Late 30’s

Posted by FitDoc on 8/8/18 at 8:22 am to
You likely need an MHA or be a physician to work in healthcare administration. You also normally start at the bottom.

And no, female physicians prefer muscular Harley biker types with lots of tatts. So no chance for you there guy. ??

re: Career change ideas. Late 30’s

Posted by FitDoc on 8/8/18 at 7:57 am to
It really depends on what kind of salary you’re looking for and how many years of school you’re willing to go to.
Of course, top paying on average, but requiring the most effort over an extended period are physicians. Most are paid $200k plus and surgeons double that.

Physician assistant is a versatile career where you can practice in different specialties without having to go to a separate residency. There is a wide variance among schools in regards to admission requirements. Some require prior work in the medical field, while others just require some volunteer hours. Salary ranges from about 80-180k.

There are numerous other medical professions that require less schooling and effort, but they don’t pay as well. Examples of these Include physical therapy assistance, respiratory therapist, radiologist technician’s, ET se include physical therapy assistant, respiratory therapist, radiologist technicians, etc.
Another job that might be well-suited to you however with a business degree is medical device sales. When I was a student, I remember meeting some med device salesmen that made more than the surgeons. You don’t start out making a lot though. It takes quite a bit of effort to build up your business.
What is your primary goal? To look lean and ripped mainly for looks, or are you trying to be fit for a sport or some sort of athletic event? If I have more details on your specific goals, I can provide better advice.
In order to really get fit, you must focus on your diet and workout regimen. If you only have time for a three day per week workout plan, in order to really get fit, you must focus on your diet and workout regimen. If you only have time for a three day per week workout plan, it would look something like this:
Mon, Wed, Fri:
Warm up 5-10 min
30 minutes of lifting focusing on compound lifts (chest press, squats, military press, etc).
Rep range 8-15
Keep the heart rate up to enhance endurance. This means either circuit training or taking short 30 sec to 1 minute break between sets.
Immediately after strength training, do 30 minutes of cardio. Can vary pace/intensity as desired/tolerated.
5-10 minute cooldown/stretching after workout.
Diet:
5-6 small to medium size meals.
Moderate carb intake. Avoid sugars. Lean proteins. Lots of veggies and some fruits.
Eat more on training days and less on off days.
Track caloric intake. This can be easier with one of the fitness apps available.
If you’re interested in a specific regimen, just let me know.
The best way for her to get more lean if she is alread tiny is to build muscle. Focus on compound lifts (dB/ B.B. chest presses, leg presses/squats, shoulder presses, etc) with a few supplemental lifts at the end of the workout. Do this type of workout 3 days per week (I.E. Mon, Wed, Fri). The other 3 days (Tues, Thur, Sat) do cardio (30 minutes should suffice). Make sure to warm up well dynamically before the work out and stretch after the workouts. Diet should be 5 to 6 small to medium size meals per day with adequate protein intake. Plenty of fruits and vegetables are important as well.
I wouldn’t waste my money on them. Adequate sleep, good nutrition, staying lean, avoiding alcohol, and intense workouts are the best “natural” boosters. If you’re concerned about low levels, go see a doctor and get labs drawn.
Do you have any interest in healthcare? I knew of a guy who worked on Wall Street and got burned out with it. He went back and became a physical therapist in his 50s. Physician assistant could also be a good potential career. It’s generally a 2 year Master’s degree. Most schools require the GRE and have a few science prereqs. Starting pay can vary from $80 to $110K per year. If you want more info on medical careers, PM me.