MUCHO MIKE Matt Eaton, Evan Pollock, Lance Backen, Marcus Kavalchuk, Andre Arruda

Interview Obtained demographic information  34 years old  235 lbs, 6’3”, BMI 29.4  Gained 30 lbs over 2 years  Construction worker Discussed active past - lineman for college football team - competitive power lifter for 5 years - 9 years since last active - currently mountain bikes twice a month

Interview Discussed Injuries  Torn right erector spinae plus a slight disc bulging at L4/5  Went to physiotherapy for 4 weeks  dislocated his A/C joint and tore surrounding soft tissue  Takes NSAIDS, and muscle relaxants for pain Medical  120/90  LDL/HDL levels of 6  Low order chest pain -  angiogram And Family History  History of intestinal, prostate cancer  Coronary heart disease  Osteoarthritis  alcoholism

Interview Discussed motivations  Externally motivated  Girlfriend  Doctor’s advice And Goals  Lose weight  Feel more energized  Relieve pain  Prevent other chronic injuries from developing

Second Session (the 15 th ) Girlfriend present Reviewed past exercises he got from physiotherapist  He did not adhere to that program  We expanded and refined old program  Focus on simple stretches and exercises Discussed importance of diet Provided diet diary

3 rd Session HDL/LDL level – 6 130/90 Solution exercise Lose extra weight Limit alcohol intake Healthy diet

Goals of Diet Weight Loss  10% of 235  23.5 lbs.  2 lbs of weight loss / week  12 week program Lower Cholesterol Blood Pressure Increase Energy Levels

Food Journal

Breakfast

Lunch/Dinner

Snacking/ Beer

Drinking 24 beer per week Approx. 2 beer Tues-Fri 5 beer on Sat, Sun, Mon

Other Concerns Prevent intestinal/ prostate cancer  Diet high in yellow, orange and red fruits and veggies, low in meats and saturated fats, and high in fibre Prevent coronary heart disease  Non-hydrogenated unsaturated fats, whole grains, omega-3 fatty acids, fruits & veggies

Next Sessions Discuss diet progress Introduce new exercises Prescribe aerobic exercise