200 KG MALE

Hi Guys

My cousin is an 1.84m 200kg 34y/o male and is being warned by doctors that he will not see his baby's 1st birthday if he keeps on doing what he is doing. he is roughly 105kg overweight. Being the fitness junkie in the family they asked me if i could help but this is a little out of my depth with the severity of the situation. i worked out the following diet for him to the best of what i know and also recommended he start a cycle of clenbuterol or should he wait on that ??

here is the diet

Breakfast

Jungle Oats - 100 g ( 1 tsp honey allowed )
Apples 1 medium
Coffee 1 mug (240 ml) ( black no milk or sugar )
Nutritech 100% Pure Whey - 2 scoops, 30 g

Lunch
Grilled Fish 200 g
Cucumber (with Peel) 1.5 cups slices
Brown Rice 1.5 cups cooked
Lemon Juice

Dinner
Greek Salad - 2 fist sizes
Chicken Breast - 250 g (lemon as dressing en pepper ) of 250g Lean Mince of 200g Steak
1 cup cucumber if not stuffed after salad and chicken

Snacks

Pineapple - 1 cup diced
Rice Cakes With Marmite - 3
Roasted Cashew Nuts - 50 g
Banana 1 medium (18 cm - 20 cm long) (before training in the morning)

any suggestions would be of great help as i want to help this poor man but mostly his wife and new born childs .. thanks guys

For someone like him a ketogenic diet is the best.

There's both good and bad news.
Good news is Pyro is right. A keto diet will leaf to weight loss and heavy exerciser is not that necessary. Obviously a big bloke isn't active at all. As he loses weight and becomes more mobile he can exercise more and up intensity to become fitter.

Bad news. At his age and weight the skin isn't going to shrink so he will in all probability require surgical intervention if he doesn't want to end up looking like a Sharpei. Highly doubt if a med aid will cover this so will be at own expense. I think DJ mentioned about R50k.

Try the Atkins Noaks diets ..its the same as Keto but u eat some saturated fat which makes u feel full and satisfied quicker for longer works well on obese people ...

To be honest I'd tell him to join weigh less. He doesn't need to follow a body building type diet any form of healthy eating will help him loose weigh with the state he's got himself into.

Yep thats why I think Atkins / noaks would suit him u dont need to weigh anything eat as much as u want in the begining the Sat fat will adjust what u need to eat ...in other words start Monday on a whole chicken by Friday u can only finish half ect with green veg ..

Will try and explain the concept to him and see what i can do but its going to be an uphill battle cause i have never ever in my life seen someone so lazy and unwilling 2 change .. this afternoon he could not climb the stairs to my flat halfway through he had to sit down ..

Drop his diet 1000- 1500 calories below his BMR and get him to start walking. Drop the bad habits first then get him into a routine.

@oupa will do !! on the diet i tried to work out i ran it at 500 deficit but will up it to 1000 and then try the keto route if possible

At 200 Kg there's probably a much deeper problem than his diet and being lazy. That is a special kind of obese. He must have some serious emotional issues he needs to deal with and probably needs therapy. If you take away his food he'll be left with a masive void that he'll need to fill with something else - no I'm not talking about his stomach - otherwise he'll just slump back to his old pattern of behaviour.

The 100+ Kg of fat isn't the problem, it's just a symptom of the real problem. So what I'd do is think of what drives him to be so self destructive and start there. Then look at who in his life is enabling him to do this to himself and approach them about what they can do to change things. Who does his grocery shopping? Who cooks these giant meals he must be eating? Who gets him takeaways. All that has to stop. With people like this there's usually a codependent loved one who thinks they are helping but are a part of the problem.

It's very good of you to step up and do what you can to help but all his loved ones need to start playing hard ball as well.

@muscle i have been thinking the same thing for a while now but his wife and parents are definitely his enablers and i have spoken to them time after time and told them hes not going to see 40 the ways hes going on but when you say the word fat they say no he is just a healthy lad with an big appetite ... i mean really but lets see how things go from now on .. one can only do so much for someone .. and unfortunately i have a short fuse when it comes to severe obese people and lazy people

That really sucks. As long as they are enabling him and telling him he's ok then they are digging his grave and there is nothing you can do without intervention. What you could do is look for an eating disorder therapist you could recommend who can see him with his wife and try to convince her. It's a family problem. Not just his problem. His bloodwork much be screwed. Maybe that's what she needs to see to catch a wake up.

bud i have seen the bloodwork .. it scares one .. numbers so high it doesn't make sense .. i mean he has diabetes , high blood pressure , severe water retention , cholesterol issues and the list continues ..

My mom went into a downward spiral some time ago with depression and her weight also shot up sky high. She wanted help so badly. I tried to help but nothing worked at all and i just got irritated and left everything. Always having some excuse to why she didnt eat or why she doesnt wanna just go for a walk around the block.

I would not recommend you take this on unless you have alot of patience if you like me i couldnt wrap my head around the fact why a person can be so lazy and why are they so stubborn not to listin to what you have to say.

I would do what Rhino said get him into weight less they will give him alot more support and advice that you could ever do.

Hey

Maybe the reality check of missing out on his kids life will be motivation enough?

I agree with oupa, drop him below BMR - with that amount of fat he can afford it for a while...
Give him low calorie alternatives...

Let him drink as much coke light as he can get down, provided he can take the sodium... slowly start introducing small changes until he has a body like fillet or rhino :lol:

Dropping calories is like telling a Alcoholic to cut down on his drinking ...just dont work ...I agree with what MA says he needs a sychitrist ...he is medicating with food and emotional eating so a kop crapper and a diet...

Smalguy wrote: Will try and explain the concept to him and see what i can do but its going to be an uphill battle cause i have never ever in my life seen someone so lazy and unwilling 2 change .. this afternoon he could not climb the stairs to my flat halfway through he had to sit down ..

The motivation needs to come from the inside. If the dude doesn't WANT to change then he never will no matter what you do. He has to realise the severity of the situation himself.

hey guys thanks for all the help and guidance but i decided to throw in the towel yesterday with him after i had a heart to heart with him and explaining the severity of the situation and what the actuall reasons behind his weight may be and how we can work on it and was then basically told to sod off and stop thinking I am Gods gift to man just because i have the muscle in the family and that was just one too much for me

Sadly, you can lead a horse to water but you can't make the mother f'cker drink...

Smalguy you did what you could. Unless he wants to address the deeper problems behind his obesity it is never going to change. and As a person you cant force someone to change. Well done on trying and sticking your neck out. but with that level of gratitude or lack thereof you wont get very far with him. So well done. You did what you could and you tried

He needs a family intervention. That's his only hope now.

Smalguy wrote: hey guys thanks for all the help and guidance but i decided to throw in the towel yesterday with him after i had a heart to heart with him and explaining the severity of the situation and what the actuall reasons behind his weight may be and how we can work on it and was then basically told to sod off and stop thinking I am Gods gift to man just because i have the muscle in the family and that was just one too much for me

To me it sounds like the man is jealous of you. He is stuck in a dark hole and he doesn't know how to get out of it. You have the 'muscles' that he would very much like to have. I don't think I need to tell you how filthy a jealous person gets. My experiences have taught me that jealous people do not accept help from the person they are jealous of. All you can do is get out of the way and know that you were the better man.

At least you know u tried.

I believe that you offer help once. After that you walk away and dont look back.

Muscleaddict wrote: At 200 Kg there's probably a much deeper problem than his diet and being lazy. That is a special kind of obese. He must have some serious emotional issues he needs to deal with and probably needs therapy. If you take away his food he'll be left with a masive void that he'll need to fill with something else - no I'm not talking about his stomach - otherwise he'll just slump back to his old pattern of behaviour.

The 100+ Kg of fat isn't the problem, it's just a symptom of the real problem. So what I'd do is think of what drives him to be so self destructive and start there. Then look at who in his life is enabling him to do this to himself and approach them about what they can do to change things. Who does his grocery shopping? Who cooks these giant meals he must be eating? Who gets him takeaways. All that has to stop. With people like this there's usually a codependent loved one who thinks they are helping but are a part of the problem.

It's very good of you to step up and do what you can to help but all his loved ones need to start playing hard ball as well.

Great advice as always MuscleAddict. For someone who has little to no self control, I would focus on the smaller things in his eating habits. Cutting out sugar and processed foods will be the best start in my opinion. Few months down a more strict diet can be implemented. Someone with low self control and determination will not follow a diet.