Friday, 27 October 2017

Comeback; running with no labrum


Yip, it’s been a while; honestly didn’t think I’d ever write another post but here goes….

I’m currently in training for the Highland Fling Race 2018 so before I go on I want to thank the race organiser John Duncan, and his team for this opportunity.

In this post, I’ll touch on why I had to stop running and what I’ve done in the time since. I’ll also discuss the value of that 5-year reflective period and my motivation for attempting a comeback. Finally, by documenting my experience in returning to running (without labrum to my right hip) I hope it will provide reassurance to others seeking answers.

HAVING TO STOP
This has been well documented so I’ll keep it brief. Essentially, almost 5 years ago, to the day, I fell awkwardly descending a muddy hill and instantly felt (and heard) a crack coming from within my hip area. A period of 14 months of frustration followed. No-one believed I had a problem but eventually a ‘small tear’ to my right hip labrum was diagnosed.

The operation to repair it was almost a waste of time because by the time I went under the knife, the labrum had (in the words of the surgeon), ‘completely disintegrated’ i.e. there was nothing left to repair!


For those that don’t know, the labrum is integral to the anatomy of the hip. In layman’s terms, it acts like a rubber gasket sucking the head of the femur into the hip socket and also forms a fluid seal which cushions the hip joint. If you don’t have labrum, you lack cushioning and are highly susceptible to instability within the joint. 


I said the operation was ‘almost’ a waste of time; subsequently, I found out that in addition to the torn labrum, I had Femoroacetabular Impingement (FAI). This is basically abnormal bone growth to the head of the femur (see below) which, I was informed, was highly likely to have caused the tear to the labrum. I was also told that I had the onset of osteoarthritis in my hip and that the head of my right femur was ‘scruffy’.

the location of FAI (an internet picture)
In other words, my hip was in a much worse state than anyone had previously given me credit for – why? The fall-back response was that I must have a high pain threshold and was therefore not as responsive as others would be, to the checks that were carried out.

Post-op, the surgeon did his best to placate me but was non-committal in response to my running aspirations, telling me that I could expect to resume ‘normal’ activities after the period of rehabilitation.

‘Normal?’ I asked. ‘Well, there will always be a degree of discomfort associated with your hip now, so non-weight bearing recreational activities are advised. It’s up to you what you do but you will need a hip replacement in the years to come. The longer you take care of yourself, the longer it’ll be before you need that.’ And that was it. I barely took the news in.


The next few months went by in a haze. Just after the operation I started a new job which provided some distraction. In the mean-time, I did everything I could to get back to running. Nothing worked; circuits and weight training were ok but running was a red zone, it just felt like it was never going to happen. Every single time I set off (praying that I was finally through the worst) I’d have to abort at about the half mile point.

Eventually, after a period of nearly 2 years’ post injury, I finally accepted it wasn’t going to happen. The turning point was when my wife suggested I take our son for a game of golf. At the time, I had zero motivation for it. However, it was good to be outdoors again and to be spending time with the wee man. 

The months preceding that were brutal for me. So, following a chat with Karen, I decided to relinquish my running aspirations and to take up golf, which I had dabbled with in my younger years.


Honestly, as soon as I accepted it, it was pure relief. I literally gave everything (running related) away. I didn’t want anything in return, all I asked was that someone got the same joy from it as I did; probably close to £3500 worth of stuff. Everything gone, the lot of it and anything I couldn’t get rid of went in the bin. That was 3 years ago, and into golf I immersed.

It soon became clear that whilst my sport had changed, I hadn’t. My starting handicap was 14 and from that I decided I was going to do everything possible to get down to scratch (0). For the golfers among you, you may have just raised an eyebrow or possibly burst out laughing? For the non-golfers, if you have a handicap of 6 or below, you are recognised as being in the top 0.5% of all amateur golfers, worldwide.

I’m now down to 4 (4.1 to be exact) and I ought to be quite chuffed, but I’m not. At the end of last season, I set myself the realistic target of getting down to between 3.4 and 4.2 (from 5.5) and put in place a pretty detailed plan for making that happen. Trouble is, in Britain, especially in Scotland, we must contend with a variable with which we have no control; the weather.

My strategy (which had sensible contingencies inbuilt) involved playing competitively until mid-October, thereby qualifying for potential continual cuts to my handicap. However, my local golf course has been water-logged since the middle of August; my last competitive game was at the end of that month.

We’re officially at the end of the golfing season now. Looking back over the last three years, I can say that golf provided a platform from which I could continue to be me i.e. to be driven in the pursuit of perfection, and I’m not talking about winning.

If that was important, I’d do everything in my power to avoid having my handicap cut. Yes, it’s nice to be rewarded with the odd win but for me the tangible results will always be in seeing the handicap coming down, in much the same way a runner would be over the moon to witness seconds being shaved off their 10K splits.


I’ve benefited a lot from golf in the last 3 years and met some really good people. However, amateur golf in the UK is clouded by the handicap system which is widely manipulated in a way running can never be. As a runner, you are totally exposed for who you are; in golf, some individuals hide behind false handicaps.

RUNNING AGAIN (AND THE ASSOCIATED HIP PAIN)

Another part of the golfing strategy mentioned earlier, involved me going for one run per week, in the region of about 4 or 5 miles, to improve my stamina and therefore my concentration in 36 hole competitions.

So quite by accident I fell into running again, albeit tentatively. When I first proposed the idea to my wife, I think I did a pretty good job of convincing the pair of us that it was just for the golf. Furthermore, the justification that I would be able to jog 4 or 5 miles based on being able to walk it, on the course, seemed to stack up. And oddly enough, it did.

In terms of the hip pain and how it progressed through the golf, I found I was unable to carry my clubs for a round. Instead I opted for the use of an electric golf cart which certainly helped mitigate the pain. Stiffness in the morning after a round of golf was something I was familiar with, especially in my pelvic floor and to the left side of my lower back.

All in, the hip (and now, knee) pain is always there but probably manifests as a glowing type of pain as opposed anything acute, which is what it was pre-op. I would say most days I have a 2 or 3 out of 10 type of pain. In the early days, post-op, mobility and range of movement were restricted but with each passing year that has improved.

My very first run was a 4 miler, in February of this year. I stuck to the principal of not going above 70% MHR and completed it in 9.50 minute miles. It wasn’t until June that I had felt confident enough to take it up to 2 x 4 milers per week. And then August before I was doing 1 x 4 miler and 1 x 6.5 miler.

At the time of writing (end Oct 2017), I’ve extended the running upwards 40 miles per week within which tends to be a longish one and an interval session or two. I’ve been doing this now for about 5 weeks.

In terms of pain associated with running, for low mileage, slow runs there is nothing apart from the usual stiffness felt the following day. However, for intervals and long mileage runs it’s a bit of a different story which may be due to the increased impact on the joints.

There’s not much immediate pain for the interval sessions but for the longer ones it tends to be towards the end where I sometimes have acute pain inside the hip joint, though this tends to be linked to the effort I put in. So, if I’ve plodded the whole way, there’s very little pain but if I’ve pushed it a bit, the pain builds up and seems to coincide quite conveniently with fatigue i.e. the legs being shot – a feeling many of us will be familiar with. The day after both sessions the pain can register from anywhere between 4 to 8 out of 10 but as I said it’s a glowing type pain which means I can just get on with things.

I don’t take painkillers or anti-inflammatories, not because I’m against pharmaceuticals but because they interfere with my digestive system. As someone who needs to take two doses of prescription laxatives per day (due to an operation a few years ago, which went wrong), slowing my digestion down is an added stress I can live without. 

THE MOTIVATION FOR MAKING A COMEBACK

I suppose it was inevitable that my mind would start to wander whilst running in the early days. Soon, golf was becoming less appealing. I started thinking what my limits would be. After all, I was told I wouldn’t be able to run again, yet here I was, bloody running! I was told many things by a lot of people and quite a few of them couldn’t have been more wrong.

It seems there’s a trend here; I haven’t found a single article online where a runner with this injury has resumed running activities. Why? Because they were told they couldn’t run again. Well try this for size; never accept the advice of a non-runner (Lore of Running, Law 8), even if they are medical specialists!

‘OK that’s it’, I thought. ‘I’m going to push myself as far as I can go. I’m going to go back to where I was before I got injured and reset my goals’. This time 5 years ago, I had started training for what I hoped would be my assault on a 2013 triple crown; the Highland Fling Race, the West Highland Way Race and the Devil ‘o’ the Highlands Race, all in the same calendar year.

Well, if only life was that simple. You see I have one major obstacle to contend with (as I always have) and I’m not referring to the decrepit hip. I just cannot shake off the perfectionist in me;

ü  High expectations of self and others,
ü  Self-imposed rules and structure,
ü  High moral and ethical code for self and others,
ü  Low tolerance of mistakes,
ü  Heightened anxiety,
ü  There is always much more to do, to achieve more,
ü  Nothing is ever good enough.

Don’t get me wrong, being me has its good points. I’m a highly productive bloke, a man of integrity, one who gets things done, no excuses. As I’ve said before; I walk my talk. As a recent example, I told a few people that I was going to lose 9lbs of body fat in 9 weeks.

On the flip side, though, I wouldn’t want my worst enemy inside my head (actually, it wouldn’t hurt to have one or two in there, might sort them out). Thinking too much is exhausting and can be utter torture at times. Just ask my long-suffering wife and the very few real friends I have.

I just find some people so disappointing; I especially can’t stand inherently bad people. Off the back of that confession, it might be easy to think I’m divisive and confrontational but that would be laughable if it wasn’t so Ironic; when I’m approached for help, we cut through the flannel in half the time and actually get shit done.

Anyway, back to the point, it might come as no surprise that dabbling with the idea of running long distances has been a rich source of personal anxiety. It’s maybe somewhat fortunate therefore, that I read this little snippet recently - in the Lore of Running (which highlights the experience of an injured runner once they have come through what was thought to be the final stage of their injury associated grief; acceptance);

renewed neurotic disequilibrium = tension between what is necessary to stay injury free and the need to perfect training to achieve even greater running ambitions’.

You see, I’m also quite a pragmatic soul at heart. I suppose I have to be; it helps to rationalise things. Reading that was the wake-up call I needed. I don’t want to be a statistic, that sad no hoper. I know I’m a determined bugger but launching full bore into running whilst turning a blind eye to the status quo would be idiotic, no-one needs to tell me that. So, I’ve implemented the following steps;

ü  Step 1; confide in a medical specialist, preferably one who knows you very well.
ü  Step 2; set a realistic challenge.
ü  Step 3; decide how you will achieve that and put the things in place to make it so.

The Physio; I’ve been periodically visiting the same one since my hip operation. She knows me well and more importantly knows what my body is capable of. When I proposed a couple of running related scenarios to her a few months ago, she gave them her blessing. She is confident that I am in the right place mentally and was good enough to tell me that she doesn’t know anyone else who could give this challenge as much focus as I will.

The challenge; A few years ago, a friend and I became only the 4th and 5th people in history to run the West Highland Way, in winter. That will always be one of my most treasured memories. However, during the last two hours of that venture, the bones of my right leg from my hip to my toes felt like they were fractured; unbearable pain with every right step I took, the likes of which I’ve never experienced before.

Since then, in addition to the issues with my hip, I’ve also found out that the cartilage in my right knee has completely worn away in sections. So, coupling that winter West Highland Way experience with the condition of my body 6 years later, I believe it would be foolish to think I could complete another event in the region of 100miles.

About 6 weeks ago, I set myself a mini challenge and decided if I got through it unscathed, I would commit to what I had been discussing with Karen and my physio. That mini challenge was an 18miler on trails with a meaty off-road section – the very same run on which I injured my hip 5 years ago. It was way harder than I ever recall it being. I was totally washed out for the rest of the day and could barely walk for the next two.

But it was great to be free again. And so, with that I started thinking of how to make my plan a reality. The rational was, if I could run 18miles off-road, with virtually no training, then surely with a well thought out plan, I could manage the fling.

With John Kynaston’s influence, I have set my targets (realistically) as thus;
·       Bronze; complete the distance,
·       Silver; beat my previous time (10:24),
·       Gold; sub 10hrs.

The only way I won’t complete it is if I am badly injured; my time of 10.24 was whilst recovering from an Achilles bursitis injury and with no specific trail training; so, whilst my VO2 max will have declined 7 years (from 2011 to 2018), I feel ‘Gold’ is realistically achievable.

THE PLAN TO MAKE IT HAPPEN

Although I’ve been doing about 40 miles per week for the last five, my training for the fling starts in December when the total mileage will drop initially.

In my previous guise as a runner, I was my own worst enemy, habitually over-training and waltzing head-long into injury & illness time and again. There was hardly any consistency. So, I’m almost glad I’ve had this 5-year lay-off and that I’ve got this issue with my hip because there’s absolutely no room for complacency now.

This is what I referred to when I mentioned the ‘value of my 5-year reflective period’. Upon applying for the fling, I asked a mate at work if I could borrow back the books I gave him a few years ago. I got stuck in and have created a training programme I think will be achievable and sustainable. It might seem quite simple but here’s what the next few months will be based on;

1.     Trying to achieve as much as possible on a minimum of training (Law 6).
2.     Placing an emphasis on good nutrition, rest and recovery.

1. The running part


This book recommends running no more than 3 times per week (4 in the later stages whilst training for ultramarathons). Gone are the days of marking your training according to weekly mileage alone. Instead, it’s all down to the quality of your workout. Surely if anyone should be adopting this strategy, it’s me.


Reading the section on Bruce Fordyce, in the bible (above), seemed to resonate with me;

ü  he was an intense perfectionist and highly observant,
ü  favoured hills due to his relatively greater leg strength,
ü  he strongly believed in not starting specific training too early,
ü  whenever in doubt, his advice was to have confidence in the quality of the previous workout and opt for rest and recovery instead of another training session,
ü  and to prioritise quality over quantity.

I looked at his statistics in training for the Comrades and found that over 5 months, his volume was quite sustainable (and lower than other elite athletes). The last two months were where things were stepped up. I also looked at the type of workouts he did.

I took these variables, altered them according to my own ability and shoehorned them into one of the plans (from the first book) and feel I have something workable. I’ve also factored in work; 5 years ago, (when I had a local authority job) I could train 3 times a day. That’s not going to happen now, especially when I’m sitting in a car for a minimum of 2hrs a day.

I already know I can run 20miles in my current condition and that I can run 10 miles the following day. The trick for me will be to progress in such a way that I can run over 30miles (in training) without breaking down AND to increase my running efficiency; my times are now down to 8.40 minute miles at 70% of MHR (an improvement of 1.10 with very little training). However, from now on, I am no longer using the MHR method to train with.

example end of phase 2;
  • Mon; upper body
  • Tue; 6.5miler (max 80%)
  • Wed; 1 set leg weights followed by 9.5miler with 52mins in Lactate Threshold
  • Thur; 30mins bike (max 70%)
  • Fri; day off
  • Sat; 20miles trail (70% as long as possible, 80% towards end)
  • Sun; 15miles trail

example end of push phase (pre taper);


  • Mon; upper body
  • Tue; 3x1mile VO2 max intervals with 400m recovery
  • Wed; 4miler (max 70%)
  • Thur; 10miler with 40mins in Lactate Threshold
  • Fri; 4miler (max 70%)
  • Sat; John Muir Ultra 50km (70% as long as possible, 80% towards end)
  • Sun; 20miles trail

The only slight problem I have with this training plan in that there is a discrepancy with regards what effort is required for each session. I recently purchased a Garmin Forerunner 235 (and subsequently a Garmin chest strap HR monitor because the wrist based one is useless on intervals). This watch is set to MHR zones whereas I believe I train more effectively using the Karvonen HR method.

There is a difference of about 10% between the two methods. So, if I’m out on a tempo run at about 160bpm, this registers as zone 5 (for VO2 intervals) on the watch when its actually closer to an 85% effort for me. Likewise, when I go above 142bpm the watch registers this as zone 4 (threshold) when actually, I’m just going above 70%.

I got the watch for two reasons; one for the fling – the battery last 11hrs, and two for the accuracy of the HR. The fact that it registers different intensities than to what I’m actually doing is of little consequence apart from the fact that it then suggests 2.5days rest after a tempo run because it thinks I’ve just ran balls out for over an hour – which I haven’t!

2. Everything else

For me, half the fun in doing something like this is in dotting all the I’s and crossing all the t’s. I like to get every single variable ticked off and leave nothing to chance.

Kit; I’ve purchased the most important bit of kit I’m going to need; Hoka’s – a road pair and a trail pair. Clearly, I need as much cushioning as I can get my hands on. I’ve also bought loads of other stuff like compression socks, trail pack, winter training gear etc.

Daily nutrition; quite a big one this but fortunately, I feel I’ve progressed well in this variable over the last 5 years. The reasons are two-fold; one I had employed a nutritionist late 2012 to help me develop something workable for my 2013 Triple Crown assault, and, two because of my research into ‘hormone manipulation’, whilst focussing on weight training. Here’s a typical example of my daily diet (on a training day).

6am Breakfast (aim 15% daily carbs & low fat);
½ pink grapefruit, 60cal, 14C, 1P
Medium bowl of porridge (40g + 200ml milk) with choc 280cal, 45C, 14P, 6F
50g Grapes & 3 chopped nuts 82cal, 9C, 1P, 4.5F
420cal, 68C, 16P, 11F

Snack (1000)
Ham sandwich (low fat salad creme) with beetroot 300cal, 28C, 24P, 7.5F
 Date bar, 120cal, 17C, 2P, 5F
430cal, 45C, 26P, 12.5F

Lunch (1300);
Chicken salad with cous cous, 520cal, 48C, 40P, 20F
520cal, 48C, 40P, 20F

Snack
One of the following;
-        Graze bar, 250cal, 25C, 9P, 13F
-        Peanut butter bar, 275cal, 41C, 11P, 6F
-        Coconut bar, 275cal, 41C, 11P, 6F
 270cal, 41C, 11P, 6F

Pre-workout (big sessions)
250ml Ribena, 110cal, 27C
4no jelly babies, 85cal, 21C
200cal, 48C

Post workout
1 banana, 105cal, 25C, 0.5F
105cal, 25C, 0.5F

Post workout (aim 25% carbs & low fat)
1 large tin tuna (water drained), 115cal, 27.5P
75g pasta, 265cal, 56C, 8P, 1F
40g olives, 70cal, 3C, 0.5P, 6F
50g pineapple, 65cal, 16C
Muller yoghurt & apple, 180cal, 34C, 8P, 1F
680cal, 110C, 44P, 8F

Supper
Hot chocolate, 175cal, 33C, 17.5P, 4F
175cal, 33C, 17.5P, 4F

Totals; approx 2800cal; 418g is approx’ C/60%, 127g is P/22%, and 45g is F/18%

Training nutrition; I’ve never been one for holding down solids during long training runs. It’s fine for long efforts where the distance is broken down to periods of walking but the only parts of the fling I intend on walking are up Conic and long inclines. In short, my training nutrition will match that which I intend for the fling; go gels and tailwind.

Recovery; I purchased an indoor upright training bike recently for the sole purpose of cross training and recovery which fits within the principals of running 3 days per week.


Rest; in training for the winter West Highland Way, I engaged in mindfulness and meditation. My training for that was the most consistent it had ever been and for nearly 20hrs of that ultimate challenge, I swear on my life, I felt as though I was floating along the Way. I’m going to add this back into my training regime alongside a daily stretching routine which I have been doing daily for the last 5 years.

CONCLUSION

Maybe I’m just lucky or perhaps fortunate but it feels good to be coming back. Yes, there’s pain but so what, it’s been there at different intensities for every day over the last 5 years. My physio has given me the green light and if I don’t have a go, I’ll never know what I was capable of.


With this considered approach I’ve removed as much chance as possible. I know I could still fall short of reaching the start line for the fling but at least now, I’ve already progressed 20 miles further than simply believing others and giving up. I believe it’s possible.

Sunday, 16 February 2014

My 3 tips for losing excess body fat


I’ve wanted to do ‘nutrition’ ever since I started penning this blog but I’ve always got bogged down in the detail; it’s such a massive subject. Well with this post, I think I have it pretty much covered. Hopefully it will be viewed as easy reading and informative.
‘Before embarking on specific training you are advised to lose some excess body fat.’

How often have we read that in anyone of our fitness/ running books, only for the losing part to be completely left to ourselves, bereft of advice? I could’ve written over 20 tips but they all amount to the same thing so I’ve found a way to abbreviate them down to 3.
Here’s the real Brucie bonus though - if you’re not into exercise in any way shape or form, you can actually ignore the third tip; you do not need to exercise to lose excess body fat. I want to repeat that last part just so it’s crystal clear but I’ll leave it until later.

The added benefit of this post is that it has many correlations with a lifestyle change. Once you understand and practice these principles, you will come to realise that they have the potential to stay with you. Thus permanently improving your main control mechanism; your eating habits.
Here they are, my top three tips;
1.       Get used to the feeling of being hungry; Billy basics and should be considered before embarking on a plan to cut excess body fat. Nevertheless this gets overlooked by many.
2.       Understand your macros, their timing and the sacrifices associated; this is the lengthiest of the three tips so for those not interested in the finer details I’ll outline what I believe to be the most important aspects at the start of the explanation (below).
3.       Undertake weight training and High Intensity Interval (HII) training; endurance training is an ineffective way to burn body fat and as I’ve said, you don’t actually need to do any exercise to cut weight. However, I’ll provide a routine aimed at supplementing your nutrition plan and explain the science behind it.

Before I proceed, I think it is important to define ‘excess body fat’ because the truth is body fat gets a bit of a bad press. We need the stuff; it’s as simple as that. For example, did you know that our body fat has a blood supply and is linked to our central nervous system? It has many important functions to perform and is partially responsible for our moods and libido.
However, having excess body fat is unhealthy because it unbalances our hormones meaning we become susceptible to heart disease, high blood pressure, type 2 diabetes and certain types of cancer.

Not only that but all aspiring runners should know that losing excess body fat will not only lighten the load on their joints (of massive benefit to those with arthritis) but it will actually increase their speed; weight being a huge factor in ones VO2 max.
So what is meant by ‘excess’ then? Well we’re all unique and as such our best answer can be found by referring to guidelines which are been based upon the generic information of what threshold tends to bear witness the majority of associated health problems;
  • 21-34% is regarded healthy, therefore >34% is deemed excessive for women, and
  • 8-22% is regarded healthy, therefore >22% is deemed excessive for men.   
For those that don’t know, your body fat weight can be calculated by the body fat percentage given via weight scales that have such a measure. So if you weigh 200lbs at 25% body fat, you have 50lbs of body fat. An unscientific way of considering this is say you wanted to get to 15% body fat within 6 months prior to beginning base training; this would mean you would be aiming to lose just over 20lbs of body fat.

my body fat scales which cost about £45
Get used to the feeling of being hungry
I think this is the main reason that people who really need to lose excess body fat fail to do so before they’ve even got going. It’s barely even discussed by companies operating within the weight loss industry and I have my suspicions why. Sure there are tons of articles on what to eat and what exercise to do but none of them get down to the nitty gritty; the hard line; the real sacrifice – hence my inclusion here as to what should be a persons number one priority.

No one likes the feeling of hunger. After all, its one of our survival mechanisms as is the storage of excess body fat. But our bodies exist in a time when the food on our shelves tricks us into believing we need more – to be briefly touched upon in tip number 2.
Here’s the thing, if you want to lose excess body fat the only way to do it (aside from various types of operations) is to use it as energy. Sure, many people think of this as doing exercise but that’s actually way off point. Even if we lie in bed all day we’re expending energy; even if we have a desk job and do no form of recognised exercise at all, we’re still expending energy. It’s the reason we need food; to balance our energetic requirements.

Another unscientific example; if you expend/ burn 1800 calories a day at your desk job etc and consume 1800 calories a day, 5 days a week then chances are you will stay the same weight. So if you do have 25% body fat and your usual diet is 2000 calories a day then you cut to 1800 calories a day, you’re still not going to lose any of your excess body fat.
The simple equation is that we should eat less food than we need. By doing this we force our bodies into converting some of our body fat into energy thus making up the shortfall. How else would we (humans) have survived food shortages in generations gone by? The problem with this is that forcing our bodies is uncomfortable for us because it makes us feel hungry.

This is the reason most of us got fat in the first place; because we hate the feeling of being hungry. So we ate when we didn’t really need too and when we did we tended to eat in excess. This is what causes our bodies to create more fat cells (adipocytes) i.e. when we don’t expend what we consume.
People embarking on excess body fat loss (note, I’m not referring to ‘weight loss’ as technically, it’s not the same) need to grasp the nettle and understand that it will be uncomfortable for them and that it can be a long term battle. The upside to this is that the longer one stays the course the easier it gets.

To lose weight sustainably it is best to aim to reduce calorific intake by about 500 per day. Over the course of a week this equates to 3500 calories which is equal to 1lb in body fat weight. Thus aiming to lose about 3lbs a month can be regarded as sensible. The problem with this is two fold;
Many people can’t get used to the feeling of relying on their own body fat for their energy requirements (the feeling of hunger), and,

Not nearly enough people understand the basics of nutrition…………..
Understand your macros, their timing and the sacrifices associated

The long and short of all of this comes down to something very simple; eat real food i.e. the stuff that we’ve had around us for thousands of years, the stuff that our bodies have evolved with.
As promised here are the key bits for those that don’t like detail (the explanation follows);
1.       The carbs you eat should come from low to medium G.I. sources only.
2.       Understand that the only time you need (and can get away) with consuming high G.I. carbs is either;
       a.       at breakfast,
       b.      10-15minutes prior to endurance exercise,
       c.       during endurance exercise, or,
       d.      the 2 hours after hard endurance exercise.
3.       Keep hunger at bay and stimulate your fat loss hormones by making protein and fat more dominant in your macro nutrient count than they’ve probably ever been.
4.       With the above point firmly in mind, you must now tally it with limiting your calorie intake.
5.       Take the odd day off your calorie restricted diet.
6.       If you must eat something at night time, before bed, make sure it’s just protein.
7.       In terms of sacrifices, this process is all about changing your eating habits.

Here’s the great thing about what I’ve just written; once you reach your target weight all you need to do is amend bullet points No.3 & 4 to make it a maintenance diet i.e. you consume what you need as opposed to a deficit. This is then you, for the rest of your life, no matter what you’re doing. Done.
                The brief explanation for the above;

 
Ok so for those that haven’t worked it out yet, macros refer macro nutrients; micro nutrients are vitamins and minerals – not discussed here because if you eat a balanced diet they will naturally come - par for the course. 1 gram of carbohydrate (carbs) contains 4 calories; 1 gram of protein contains 4 calories and 1 gram of fat contains 8 or 9 calories, depending on what you read.

Broadly speaking we need carbs for energy, protein for repair and fat for efficient functioning of our hormones. There are different types of carbs, protein and fat each with their own effect on our bodies and there are good fats and bad fats. And you should also know that protein and fat can be used for energy too.
Something else you should know before I briefly touch on the bullet points is this; when you consume an unbalanced and unhealthy diet certain hormones are compromised. For example, everyone associates the production of testosterone with men and the production of estrogen with women. However, testosterone production in a man is inhibited when he eats rubbish. What happens instead is that he starts to produce much more estrogen.

Have you ever noted a lack of motivation, a general lull in performance, a missing desire to attack the training and your libido dropping off? Assuming you’re not clinically depressed or over-trained this is down to too much estrogen swimming about in your blood stream. The added side effect of this is that you will begin to gain excess body fat. The only way to halt this weight gain in its tracks and get back to your old self is by changing your eating habits, for the better.
I want to leave it at that for now as most people will surely know about macros and if not, well at least they’ve got the layman’s stuff now. If anyone wants to get into much finer detail than I do here then please refer to ‘Advanced Sports Nutrition, 2nd edn by Dan Benardot’.

some suggested reading
                 Bullet points 1 & 2;
1.       The carbs you eat should come from low to medium G.I. sources only.
2.       Understand that the only time you need (and can get away) with consuming high G.I. carbs is either;
       a.      at breakfast,
       b.      10-15minutes prior to endurance exercise,
       c.       during endurance exercise, or,
       d.      the 2 hours after hard endurance exercise.

You ought to be familiar with the type of carbs you can consume in order to limit fat gains; look into glycaemic index (G.I.) and aim for those low to mid on the scale. Only go near high G.I. by following the advice in point 2. This is due to their effect on your insulin (hormone) production – too much due to inappropriate (wrong type and ill timed) carbohydrate intake will lead to body fat increases.
You can get away with (and by that I mean not convert the carbs to fat) consuming high G.I. carbs at breakfast simply because the body is primed for carbs after a period of fasting; I’m obviously not referring to chomping down bars of chocolate here rather the likes of those who might like some marmalade on their toast, that sort of thing.

A mention to vegetables; you’ll have read lots about the importance of getting ‘5-a-day’, don’t fret too much about this. The same goes for fruit, in fact, you can pretty much steer clear of fruit for a while when trying to cut fat (they tend to muck about with your insulin levels too much). Vegetables are good for two reasons; first of all they contain many of the vitamins, minerals, fibre and antioxidants that you need, and, secondly they fill you up when you eat lots of them.
                Bullet point 3;

3.       Keep hunger at bay and stimulate your fat loss hormones by making protein and fat more dominant in your macro nutrient count than they’ve probably ever been.

Essentially this comes down to an understanding of the words anabolic and catabolic. In an anabolic state your muscles are repairing and sometimes building, depending on the training stimulus. If you’re in a catabolic state, you’re literally devouring yourself, your muscles.

When you begin to examine your diet (bullet point 4) you will come to realise that it is difficult to eat too much protein such as its lasting and fulfilling effect. However, it is without doubt very easy to eat too little.
As an example, if you find yourself snacking at 10am and 3pm i.e. between your meals I bet you the dominant macro nutrient will be carbs and bad fats. Change this to protein (difficult I know, especially in western cultures due to commercialism of unhealthy food) and I guarantee a reduction in your hunger pangs as well as the beginning of your fat loss goals.

By making your diet more protein and fat based (remember we’re not doing any endurance training just yet) you will protect your lean muscle mass meaning that your calorie deficit will work to force you to burn excess body fat for energy, not muscle tissue.
Hydrogenated and Trans fats such as those found in all the things we’ve come to love (cakes, biscuits and other processed crap) are designed to make us want more. This is a huge trick that is being played on us by the food industry and it’s only for one purpose – to increase their profits. Put it this way, the amount of proven damage these fats are doing to us, I firmly believe they should be deemed as harmful as certain types of classified drugs. Sure, there’s nothing wrong with a treat now and then, so long as we follow the basic principles laid out above (bullet points 1&2).

"Approximately 20 percent of your calories should come from good fats. Any less than 20% and your hormonal production goes down." http://www.bodybuilding.com/fun/hugo20.htm
As a rough guide when dieting for fat loss you should aim for 35-50% carbs, 25-35% protein and 20-30% fat within your daily intake. To be more specific, the lower your carbohydrate content the more anabolic your diet will be. The diets you see where the carb’ ratio is much higher is usually due to the person being an endurance athlete.

                Bullet point 4;
4.       With the above point firmly in mind, you must now tally it with limiting your calorie intake.

The fundamental problem with this point is that many of us don’t know what 200, 300 or even 1000 calories looks like; it comes in so many different guises. So unfortunately, for those that don’t like detail this is the main area in which you will come unstuck.
You simply have to invest some of your time educating yourself about the density of your food preferences. Once you start doing this, it will almost take over your life in a way, but the good thing is that once your food behaviour improves it will become like second nature to you.

You should start by working out your daily calorie requirements which is done on the basis of certain targets;
·         to maintain your current weight, or,
·         to add weight, or,
·         to lose weight.

I suggest you sit down with a pen and paper and calculate your current daily intake of your food preferences (very important) then tweak it to suit. If you’ve got a smart phone you can download an app which will do all of this for you; ‘myfitnesspal’ I think. I got the following calculation from the insanity workouts nutrition strategy;
                Factor 1

·         66 + (6.23xweight in pounds) + (12.7xheight in inches) – (6.8xage in years)

                Factor 2
·         Sedentary: little/no exercise = 1.2
·         Lightly active: 1 to 3days = 1.375
·         Moderately active: 3 to 5 days = 1.55
·         Very active: hard 6 to 7days = 1.7
·         Extremely active: all 7 days = 1.9

                Factor 3
·         Lose weight; minus 500cals per day
·         Maintain
·         Gain weight: add 250 to 300cals per day

                Example;
72.5kg=160lbs, 69.25 inches, 37yrs old

66 + 996.8 + 879.475 – 251.6 = 1690.675
Weights 3 times per week and HII once a week;
·         Moderately active; x1.55 =                                          2620cal per day to maintain
·         Moderately active; x1.55 = 2620 + 250 =                 2870cal per day to bulk
·         Moderately active; x1.55 = 2620 – 500 =                 2120cal per day to lose weight

Now that you’ve worked out your calorie requirements it is crucial you divide into macro nutrient ratio’s as advised above.
                Here’s an example diet (to compliment bullet points 3&4);

(mon - fri)

7am Breakfast;
                                                 Medium bowl of porridge 150cal, 28C, 7P, 3F
                          2 slices toast with butter and 1 with peanutbutter, 310cal, 32C, 10P, 12F
2 boiled eggs, 185cal, 12P, 12F
A cup of tea, 10cal
655cal, 61C, 29P, 27F

 10am Mid-morning snack;
                                                    1 tin Mackerel (olive oil), 270cal, 18P, 23F
                                                               ½ broccoli, 25cal, 1C, 2P, 2fib
295cal, 1C, 20P, 23F

 1230 - Lunch;
Chicken salad and a baked potato, 400cal, 32C, 26P, 6F
½ snickers, 135cal, 17C, 2P, 7F
A cup of tea, 10cal
410cal, 50C, 27P, 13F

3 - 3.30pm - Mid-afternoon;
A small tin of kidney beans, 125cal, 21C, 10P
A small tin of tuna (in water), 55cal, 13P
2 boiled egg whites, 50cal, 12P
10ml flaxseed oil, 85cal, 10F
½ broccoli, 25cal, 1C, 2P, 2fib
315cal, 22C, 31P, 10F

 Post training;
1 scoop whey protein in water 110cal, 2C, 20P, 1F
200ml apple juice in 200ml water 90cal, 20C
200cal, 22C, 20P, 1F 

Post training meal;
1 scoop casein protein in water 110cal, 2C, 20P,
Scrambled eggs (2 whites, 1 yolk) with sprinkle of garlic powder, 100cal, 12P, 6F
                                                                         210cal, 2C, 32P, 7F

8pm-ish; melatonin supplement (if required)

                Totals;
(remember I need 2120 calories per day to lose 1lb body fat per week) I consume approx 2085cal of which 159g is P/30%, and 81g is F/35%; this means that 35% of my food does not come from protein or fat sources; the two fundamental macronutrients for fat loss.

I’m sure you’ll agree that by sticking with the above diet, I don’t tend to get too hungry, yet I still manage to lose excess body fat weight! Granted, it’s not setting my world alight but once I’ve reached my target I can reintroduce some more carbs in lieu of proteins and fats, especially as I’ll be needing them due to commencing endurance training.
                Bullet point 5;

5.       Take the odd day off your calorie restricted diet.


Leptin is the hormone that helps us burn excess body fat. Think of it as a battery and the more it’s used the more its power is depleted. It is put into use by way of the calorie deficit and appropriated macro ratio diet; this is how we force our bodies to use body fat for energy.
However, if you think starving yourself is a good idea, as opposed to eating a healthy balanced diet through a prolonged period think again as you will actually knock your hormones out of sync and ironically, force your body to start storing body fat!

So what happens here is like all batteries, they either need to be replaced or recharged. We can recharge leptin to normal levels, primed for more fat loss, by eating a calorie surplus diet when we need it most.
The written guidance is that you should aim for 6 days deficit and 1 day surplus but this assumes we’re all identical. I personally go for about 3 or 4 days on diet and then have a day off, which is decided by how I feel.

If you follow the principles above you will know when the right time is to revert to a surplus. It’ll be the day when no matter how strict you’re being you’re simply too hungry to think of anything but the food you crave. Give in; don’t beat yourself into the ground. It’s what you actually need to do. Any weight gained from that one day will quickly fall off in the following few days.
Some people call this a cheat day, others call it a reward day. I’m probably a bit more pragmatic than that. It’s just a day like any other; only on this day your body is telling you it needs something else.

                Bullet point 6;
6.       If you must eat something at night time, before bed, make sure it’s just protein.

When we’re sleeping our main function is repair and recovery. Any carbs floating around in our body are unlikely to be used and thus will be converted to body fat. Even though you might feel like you need carbs or something filling, you really don’t need carbs prior to sleeping.
However, you might need protein. Casein protein is a supplement which is filling and slow release meaning it will work with you right through the night, especially important if you’re trying to recovery from a long endurance session or trying to add lean muscle mass.

                Bullet point 7;
7.       In terms of sacrifices, this process is all about changing your eating habits.

After all, the inescapable truth is this; your eating habits are the only reason you now have more body fat than you desire.
If you can handle your hunger pangs and get to grips with this main tip, I guarantee you will begin to lose excess body fat and will continue to do so until such time as you reach your target. It really is as simple as that. There are no supplements required, no cheats involved. It’s just you, the food you choose to eat and your mental strength; how determined you are to make it happen?

That’s it in a nutshell. Trust me, I know you might be looking for the magic potion or recipe but they don’t exist. The fundamental truth is this, you have to change the way you eat and you have to stick with it.
For example, there is a certain ‘magic’ weight loss pill that can be bought in our pharmacies which guarantees to cut 25% from all of the fat you consume before it is absorbed by the body. This is an absolute crock of shit; if you change your eating habits i.e. do this properly then why would you want to pay £60 for a batch of tablets to remove 25% of the good fats your body needs. Look at it another way, you don’t change your eating habits and you take these pills to help you lose weight. What happens? Your body still absorbs 75% of the bad fats you really don’t need; you still gain weight and you’re out of pocket! Supplements hit your pocket; the most effective way to get rid of excess body fat is by changing your eating habits via consumption of a controlled and balanced diet.

                Conclusion to tip No.2;
I acknowledge that I’ve perhaps led some into a false sense of security with ‘my 3 tips’ but I remain content that the basics of fat loss can be taken from the abbreviated translation.

With that said, we are all different/ unique therefore a further piece of advice I have is that for those wanting even more specific information please look into;
·         somatotypes,
·         biomechanical individuality, and,
·         metabolic typing.  

Oh yeah, one last thing; alcohol. This is converted in acetate which is used in place of our body fat supplies for energy. When trying to cut fat, cut back on your alcohol intake, better still ditch it altogether.
That’s it then, if you don’t like exercise, feel free to stop reading now…………….

Undertake weight training and High Intensity Interval (HII) training;

Ok, very briefly, the science bit first;
·         weight training increases the resting metabolic rate meaning that combined with a clean diet, you are more efficient at burning excess body fat whilst resting,
·         Long moderately intense cardio eats away at both fat and muscle (think running for anything longer than 30mins), whereas
·         Short high intensity eats away at more fat than it does muscle.

Points to note on HI workouts;
If you’re aiming to retain any lean muscle mass (or even make some gains) do not even think about doing insanity workouts. These will have you shrinking all over. Sure, Shaun T looks ripped but that guy was huge as a pro footballer; ordinary folk with ordinary 9 ‘till 5 jobs simply don’t have that foundation to rip back to. In simple terms, insanity workouts will help you lose weight but it won’t exclusively be body fat weight you’ll be losing.

Exercise to the uninitiated should be thought of as alcohol to the pubescent teenager. It will act as a toxin meaning that unless you build your tolerance to it gradually and carefully, you will get ill and/ or injured. This is the main reason that highly driven people get ill too soon when taking up exercise. With this in mind, surely now you will see why some people would be absolutely crazy to be taking up insanity workouts – just because they heard it was good for losing fat!
OK caveats dealt with, here’s a quick example of what to do;

In terms of weight training, you want to do something that creates a state of hypoxia within the muscles; being in an oxygen deficiency. By doing so, your muscles will be stoking the ‘fat burning furnace’ for the next 24-48hrs. Note; this isn’t about building new muscle fibres; it’s about losing excess body fat. This workout might make you’re muscles appear bigger but that’s only a short term process. This technique will assist with your fat burning goals.
A state of hypoxia can be found by doing what are known as drop sets. Alternatively you can do giant sets or tri-sets. Essentially get a muscle group working consistently (time under tension) for between 40-70seconds. Rest for 90 seconds and repeat 2 or 3 more times, then change to a different body part. Do no more than 4 body parts in on sitting.

For example (I workout in my garage at home – so not the purest of drop sets, but you should get the jist);
All body workout (all 4 sets)

Monday
Barbell rows
Drop set
Inverted dumbbell rows

Flat bench press
Drop set
Dumbbell bench press

Back squats

Shoulder snow angel
Tri set
EZ bar upright row
Tri set
Trap hold
Superset
Standing calf raises

I do something similar on a Wednesday and a Friday and on a Saturday or Sunday I perform a High Intensity Interval (HII) session on my turbo trainer (stationary bike).
This usually takes the structure of something like a 5min warm up followed by 3 lots of all-out-sprinting for 20secs, each with a rest period of 2 or 3 minutes between, and a final cool down. All in, no more than 20 minutes work. That’s all the cardio I need to be doing when my specific goal is cutting excess body fat.

Conclusion
Like I said near the end of my previous post, my main goal - post hip arthroscopy - is to lose some excess body fat and rehabilitate prior to commencing base training in preparation for next years Highland Fling.

Since Xmas 2013 I’ve so far lost 9lbs. I was 18.3% body fat before my operation (16 days ago) and I’ve not checked since. However, my goal is to get to 15% body fat, anything below that will be a bonus, before I start running again which will hopefully begin in June of this year.
I’ve lost this weight, and believe I will continue to do so by employing the principles mentioned above. It’s taken me a long time to finally understand nutrition with confidence and hope that by penning this post, it will take others much less time than it did me. Best of luck.