ok, i'm on the schedule for physical therapy

[mopinko]

probably will be 2x a week for 4 to 6 weeks. that will get me off to a good start, i am sure. it is through my insurance, doctor's order, but it is at an athletic club.
so, are there other people here whose program is medically driven?

[politicat]

1. Somewhat....

I'm halfway through having both knees rebuilt (one done, one later this year). I've done 6 months of rehab on the first one, and we're pre-strengthening the second one before surgery. I did six months of supervised PT both in the office and at the rec center and at home, but now I can just continue my routine as long as I actually continue it.

I'm also dealing with a weird metabolic issue, so I'm doing a lot of exercise and eating very carefully to track exactly how my body processes calories. We're (doc, endo and me) trying to figure out why I can exercise 2 hours a day, be very active, eat 1400 calories a day, and STILL gain weight... and have perfect thyroid numbers.

[crispini]

2. Get out, that's very strange.

1400 cal/ day? That's below almost anybody's basal metabolic rate.

Have you tried mixing up your calorie levels to try and bounce your metabolism?

[politicat]

3. Not yet - this is the proof of concept.

Doc was convinced that anyone could lose weight by dieting and exercise. (Not only have I not lost weight, I've gained a bit.) According to the calculations, with my exercise level, my basal metabolic rate should be...

wait for it....

3200 calories a day. And I'm gaining weight on 1400. Yeah, something's not right.

I know that doesn't work for me - I'm just apparently superefficient. So now that we've done this for 90 days, the next step is to get the endocrinologist to accept that something is not right.

[crispini]

4. That's fascinating. I suppose in the old days

of food scarcity that would be a wonderful adaptation to have. Nowadays, not so much. Good luck, let us know what you find out! :hi:

[politicat]

5. That's what I'm thinking....

It's kind of comforting, if the planet goes to hell (it is well documented that people who are heavy or have these adaptations think better in times of deprivation because we have the reserves and the ability to work on less) I'll be okay.

But today, since I don't have a farming job, a construction job, or a bike messenger job, it's rather maladaptative.