The Value of Metabolic Testing

You may be wondering why you should consider metabolic testing. Maybe you don’t even know what it is… many people don’t. A metabolic test can be done at rest or during exercise and it will tell you how many calories you are burning from fat and carbohydrate. You may think that this type of testing is for only athletes but it can also provide information about your body’s metabolic health. If you are struggling with fatigue or the inability to lose weight, this test can help to shed some light on reasons why. From there we can make nutrition and exercise changes, specific to your test results, that can spark change in your body.

We can use the test to calculate your resting metabolic rate but most clients I see are doing some type of exercise so I like to do the test during a typical workout session. You may find that your body is burning through carbohydrates and does not even tap into your stored fat when you are working out. If this is the case, you are not able to burn fat so it’s difficult to lose weight. Even worse yet, if you are an athlete, you will bonk or hit the wall much sooner than expected because you burn through your stored carbohydrates too quickly. In addition, wouldn’t you want to know how many calories you are burning? If you struggle to understand how many calories you should eat before, during and after exercise, the metabolic test will help you to determine your exact calorie needs. Test... don't guess! 

This type of test is different than a VO2max test. A VO2max test tells you the maximum amount of oxygen your body can consume during exercise. That may give you bragging rights with you buddies but it doesn't really mean much in terms of performance. The type of metabolic test we perform looks at the oxygen you inhale and the carbon dioxide you exhale. From there we can calculate the respiratory quotient, which tells us how much fat and carbohydrate you are burning. This also makes the calorie data more accurate

Once we have your test data, I can tell you how efficient you are at burning fat, how many calories you burn and how many carbohydrate calories you need to replace in a longer training session or race. We will also use the data for nutrition changes to become more efficient at burning fat. Contrary to what most believe, training has approximately 25% impact on the ability to burn fat and nutrition impacts this by 75%. I have seen multiple Ironman triathletes that burn more carbohydrates than fat at rest. This is because they are fueling themselves on carbohydrates on a daily basis. 

Here are some of the ways we can use this data.

Weight loss: This client was unable to lose weight by following standard nutrition recommendations and going to the gym 6 days a week. 

As you can see from the chart, she was not burning much fat at rest. We used this information to change her daily diet and exercise program. 

As you can see from the chart, she was not burning much fat at rest. We used this information to change her daily diet and exercise program. 

She came back for a follow up test 16 weeks later and this was her result.

She is now burning significantly more fat until she reaches a higher intensity on the bike. This metabolic change helped her to lose fat and improve her body composition.

She is now burning significantly more fat until she reaches a higher intensity on the bike. This metabolic change helped her to lose fat and improve her body composition.

Race day nutrition/Minimize GI distress: This was an Ironman triathlete that suffered from GI distress in prior races. She followed standard sports nutrition guidelines to take in 50 grams of carbohydrates (200 calories) per hour. 

She typically raced at a heart rate of 135 so we did a metabolic test that started at a low intensity and gradually increased the intensity to higher than her typical race intensity. From the data we were able to determine how many carbohydrate calories she needed to replace.

The test showed that the maximum amount of carbohydrate calories she can consume and safely absorb at her racing heart rate is about 100 calories.

The test showed that the maximum amount of carbohydrate calories she can consume and safely absorb at her racing heart rate is about 100 calories.

She was taking in twice the amount of calories she needed, which was why her body was rejecting the food and she ended up with GI distress. She used this test data for her next Ironman race, took in about 75 calories per hour and beat her best time by more than one hour. 

If you are suffering from fatigue, moodiness/hanger between meals, GI distress, confusion over how much to eat during and outside of training, this test can help you. Contact us to learn more. 

Probiotics - Yogurt is not enough

This is the time of year when we are exposed to more germs that can bring on illness if our immune system is not functioning at its best. One thing you can do is use a good probiotic to boost healthy bacteria to help combat the nasty little bugs that come your way. 

Most of you have heard that probiotics are a beneficial supplement and can improve digestion but did you realize that probiotics can also help to improve your mood, body composition, nutrient levels, skin, teeth, vaginal health, blood sugar regulation and more?

When I ask new clients if they are taking a probiotic, they often answer that they are eating yogurt. That's not enough, particularly if it's a highly processed yogurt, filled with sugar. Sugar feeds the bad bacteria and there are no live cultures after high heat processing. Here are some things you can do to help build a healthy level of bacteria in your GI tract.
•    Choose a good kefir, kombucha, Kim chi, sauerkraut or other fermented food.
•    Add in a professional-grade probiotic with live bacteria strains and change it up to ensure you are getting a variety of strains. Studies show more health benefits from a variety of probiotic strains in the GI tract. 
•    Eat prebiotic foods that feed the gut bacteria so that the good bacteria can thrive in your GI tract. There's no point in spending money on a probiotic if you don't give it what it needs to survive. Some good prebiotic foods: raw jicama, raw or cooked onions, raw asparagus, raw Jerusalem artichoke, raw leeks, raw garlic, green bananas, 
•    Minimize refined sugar intake and increase fiber intake in the form of vegetables. Any undigested fiber also works as a prebiotic. 
•    Get dirty! We are more sterile than our ancestors and they believe this has had a negative impact on our gut bacteria levels. 
•    Minimize antibiotic and NSAID use (ibuprofen, tylenol, etc.).

Lastly, more is not always better. I have had clients come to me taking multiple doses of probiotics each day only to feel gassy and bloated. If you are getting gassy and bloated from a probiotic supplement, that's an indication that something else is going on in the GI tract. We need to investigate further and address those issues first. Also, you don't need to take a probiotic every day if your GI tract is healthy and functioning well. That said, the following can negatively affect the gut microbiome: alcohol intake, stress, sleep deprivation, refined sugar and excessive exercise so be mindful if you are exposed to these things on a regular basis.

Remember you are only as strong as the good bugs inside you!

Health, Weight and Beauty

This is the time of year when there is so much discussion around weight, losing weight, getting rid of unwanted fat, toning up, whatever you want to call it, but it can definitely be too much. I think it's important to reflect on health with the new year but is losing those last 5 or 10 pounds really about health? Many people are driven by the reducing the number on the scale or the size of their clothes but perhaps that is where the body is healthiest.

Unfortunately, the media constantly shows us photos of the perfect male or female body with ripped, lean muscles. It's not realistic for us to compare ourselves to them because the photos are typically not real. They are photo-shopped or the model has become dehydrated to look more lean. In this blog post, runner Lauren Fleshman shows how she normally looks compared to her runway photo. I recently started posting short videos online and most of the time I don't have makeup on. Honestly, I'm just too lazy to put it on only to take it off later. I was a little uncomfortable at first but I've decided to just be who I am. It may be a day where I'm dressed up with make up on or where I'm in my workout clothes with bare skin. It's who I am. 

Isn't it more important to be strong and healthy instead of thin and frail? Isn't it more important to be a beautiful person inside than to be a beautiful person outside? Our society sometimes loses sight of this and too much emphasis is put on looking lean and youthful. 

It's especially common for women to be judged on how we look. It can strongly affect a person's self esteem but self esteem starts with self acceptance. We need to all love ourselves for who we are today. If the body is not in a healthy status, make changes to correct that. Eat more vegetables, sleep more and use meditation to cope with stress. All of these things improve health and help the body to reach it's optimal weight. Recognize what your optimal weight is, it may be where you are right now and not 5 or 10 pounds less. If you lost that weight you may find yourself cold all the time, with less energy and not actually looking better. If you are an athlete, you may find that you have less power and that will not make you any faster. 

Put health first, performance will follow and let you beauty shine from within. 

Meal Plans - Why I Typically Don't Provide Them

When I have a call with prospective client, I often get asked if I provide meal plans. My answer is typically no. Some are disappointed, at first, but once I explain why, it starts to make sense.

For starters, most people cannot follow a meal plan exactly as it is written. Life gets in the way. We are all busy and don't have time to prepare every meal from a recipe or measure every serving of food we eat. And, that is not sustainable. I want clients to be able put together a balanced meal or snack that will serve their body well. 

Also, a client may not enjoy all the foods included in the meal plan. During the intake process I try to get a good idea of what foods clients enjoy and dislike, but it's impossible to know everything. For instance, the photos show the same meal but with one person that likes red meat and the other person only likes fish. We also learn through the intake process that certain foods may not agree with each client's body and this is different for everyone and can change over time. 

Lastly, meal plans are not sustainable and they should not be. A meal plan is meant only for a particular period of time. Even if a client were to finish the meal plan exactly, then what does he do? He didn't really learn much in the process regarding food choice. 

My number one goal is to establish an eating style that is sustainable and enjoyable for each client, which will look different for each client. It needs to fit with her lifestyle and provide satisfaction. It's important to me that I meet every client where he or she is right now. We start with a 3 day food log. I can see daily patterns, nutrition deficiencies and macronutrient imbalances that are keeping the client from achieving her goals. During the first meeting, we discuss how the client wants to approach dietary changes and I recommend changes to breakfast, lunch, dinner and snacks.  I also provide recipes that factor in the client's desire and time for meal prep. As we continue our relationship, clients typically get more adventurous.  We are able to add more variety and possibly even a little more food prep, but we start easy. 

There are special cases where a meal plan is needed, such as dealing with GI issues or an elimination diet, but in most cases a meal plan only ends in frustration. I want to work with my clients to establish a lifelong love of food and how it affects their bodies.