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Dr Andrew Yun talks about Losing Weight Before Total Knee Replacement Surgery. Dr. Yun is the Medical Director of Joint Replacement Services at Saint John’s Health Center in Santa Monica. www.totaljoints.net

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Fight Sarcopenia with body recomposition, build new muscle and lose body fat at the same time. Today we are going to talk about body recomposition. As we age we might feel more like we are suffering from body decomposition. With are bodies slowly starting to decompose right before are very eyes. They actually have a term for this called sarcopenic obesity. Which is really just the reduction of muscle mass with an increase in body fat. When we are recompositioning our bodies we are doing just the opposite by increasing our lean body mass while reducing body fat. Essentially reversing sarcopenia If you are interested in losing body fat and adding muscle, please email me at [email protected] for information on my personal training services. Facebook; https://www.facebook.com/Fit-and-50-548844435514900/ My Amazon page link; https://www.amazon.com/shop/fitand50 My Affiliate link to Lebert for their Equalizer bars and more; http://www.easywebautomation.com/app/?af=1679568 and use the discount code LFI20 you will receive 20 dollars off your purchase Fight Sarcopenia with body recomposition, build new muscle and lose body fat at the same time I’ve quoted lots of studies on this channel that have shown that we can get fit and build muscle at any age. And I’ll put another meta analysis at the bottom of the description that looked at a group of studies done on people between the ages of 50 and 67. This meta analysis was on inexperienced lifters without the aid of any anabolic hormone treatments. Some of the workouts they had the test subjects do were pretty poor programs and despite this they still managed to improved their lean body mass by 2.5 pounds in just over 20 weeks. Last time I did a video on body recomposition I was 52. I’m 54 now and still adding new muscle to my frame while staying relatively lean. Now if you are at a good body weight for your height, but find yourself in that skinny fat zone then you are a perfect candidate for body recomposition you won’t even necessarily need to go into a calorie deficit to lose body fat. But you will need to stay at least in maintenance calories and improve the quality of your diet along with being consistent with a progressive weight training program. But more on this in a little bit. I want to talk to everyone with over a 40” waist. You Too can build muscle and lose body fat at the same time, but for you it is more important that you are in a calorie deficit as your bodies will function much better on a hormonal level under a 40 inch waist . And hormones like growth hormone continue to improve with each centimetre your waist goes down. We may not have the raging hormones we had when we were young, but we can optimize what we have by managing our weight along with a good diet and regular progressive exercise. The heart foundation states that men with a waist size of 37 inches or over are at an increased health risk. So I would recommend that you continue to focus on weight loss and stay in a bit of a calorie deficit at least until you are under the 37 inches. This doesn’t mean you might not want to lose a bit more weight, but at least this gets you into a healthy zone to build muscle. Of course you should be weight training the entire time you are losing weight. As you can still build muscle during this time especially if you don’t cut your calories to drastically. A pound a week is a good average. When it comes to fighting sarcopenia, What we eat is a big part of the picture and the 2 things I find we tend to neglect the most is protein and veggies. For protein I don’t like recommendations based on bodyweight as a person with a high body fat percentage will require less protein than someone with less body fat. You can make the recommendation based on lean body mass, but again short of getting a dexa scan most methods of estimating our body fat percentage can often be unreliable. And people are notoriously bad at guesstimating their own body fat levels. Which is why I prefer to use percentage of calories consumed. If you are a hard training person than you should be consuming 25 to 35 percent of your calories from protein. This does mean you need to take some time to learn what you are eating and how many calories you consume on a regular bases. The best way to do this is to log your food for a couple of months. You don’t need to log forever just long enough to understand how much your eating, calorie and macro nutrients wise. Meaning how much protein fats and carbs are you consuming. Vegetables are very filling, nutrient dense and low calorie. We should be having them at every meal, filling up half of our plate. Influence of Resistance Exercise on Lean Body Mass in Aging Adults: A Meta-Analysis https://www.bewegenismedicijn.nl/files/downloads/metaanalyse_resistance_exercise_on_lean_body_mass.pdf https://www.heartandstroke.ca/get-healthy/healthy-weight/healthy-weight-and-waist