January 18, 2010

San Diego Personal trainer discusses weight loss accountability with the I-Phone

Lets face it, counting calories and logging then in your spiral binder is so freaking boring. So boring, I bet you will stop logging your intake in just a matter of time. End result is Budda bellies, and double chins…

Enter I-phone applications!  Just the other day I was updating my I-phone when I noticed this new application called “Tap & Track” Its fun easy to use and promotes accountability. After all, if you are like me you work, sleep, eat and crap with your I-phone in hand.  The awesome thing about the application is the nutrition and exercise log. Each imput will let the user know how much he or she should eat by the end of the day, without going into caloric overload, which leads to getting fat! As a very competent San Diego Fitness Pro, I too am surprised how easy it is too over eat unless you see it written on paper! So for all of you who struggle with understanding how to loose weight, invest $2.99 and down load this application to your I-phone, Blackberry, Droid or PDA. For more information check out the video below. To find a great fitness pro contact Somagenesis Health

October 4, 2009

Maintaining your health and fitness during difficult times with physical fitness

Yes, the United States is in an economic funk. We are all feeling the ramifications of a crippled economy and job losses in the thousands. The media who creates a negative energy spin, but why allow your health to collapse too. This morning I turned on MSNBC only to hear how the obesity epidemic has grown exponentially worse during this economic recession.   Just look at Wall Street stock values down by 40-75% with the exception of  McDonald’s and the story unfolds. Tough times means ingesting crappy stress foods that are easy on the wallet. Is it any wonder that McDonalad’s is the only Bullish stock being traded!

OK , enough said. My philosophy as a fitness pro is why eliminate the one facet in your life that reduces stress’s, keeps you healthy and allows you to control your physical destiny when World economics rapes you of everything else you worked so hard for?  Why add insult to injury, get your act together, and resume or begin your daily exercise routines. In the end you will feel mentally and physically healthier. This will prepare you to better approach the intricate problems that surround you on a daily basis.

September 22, 2009

San Diego Personal Fitness Trainer,discusses the world of non completer’s

It is very unlike me to gloat on the negative, since I consider myself a motivator by nature and high achiever in both my business and physical life.  This is without a doubt the reason why I am a Fitness Pro, coach and inspiration to those who choose to pursue the world of divine health and fitness.

Which leads me to the point of this post, the world of non-completer’s. A non-completer , is a person who wants to achieve the holy grail, but expects it to magically appear without and sense of strategy, discipline or dedication to get the action done. You can even show them the steps needed to achieve the given goal and thought of achievement frightens them to the point of aversion. Yes, the thought of success scares them!

These individuals will either e-mail me from the Somagenesis.com or call my business directly. They write and speak of how dire their dilapidated  physical life has become. They send out their personal SOS. Ironically, they are one’s to initiate a last minute cancellation of their first fitness evaluation and consultation. When a fitness pro attempts to reschedule the cancelled appointment, they will evade the phone call, by not calling back, ignore e-mails and simply drop off the face of the earth. Fitness pro’s often refer to this as the “Flake Factor”  I call this the non-completer syndrome. Success is very scary and change is too uncomfortable.

If I review my current client base of 29 men and women, there are some very distinct and cool traits that they all share, that  have made each and every one of them the high achievers in many aspects of their lives except fitness. They understand and don’t accept this imperfection, and therefore contacted my company Somagenesis Health & Fitness for guidance

1.They are all very well educated, either through the University, or through the school of hard knocks.

2. They are persistent to the point of obsessiveness, and thirst finality.

3. They seek personal perfection in themselves, and never settle for the status quo. They are perpetually growing!

4. They run there personal lives like their business. They are courteous, schedule everything in advance to enforce accountability,they never cancel at the last minute, unless there is a legitimate emergency they are faced with.

5. They are always very respectful, polite and thankful for services rendered. The low man on the totem pole gets equal respect and attention as the man on top.

In my business, I am fortunate that I can pick and choose clients, that I know that I can impress upon.  Like the way people choose their dogs ( there is usually a commonality in appearance and personality, right!)   I gravitate towards the high achievers and they towards me!  We have become a magnetic group of fitness enthusiasts and businessmen…

Which brings me back to the world of non-completer’s.  It must be painful to see the greatness of their peers, all knowing that their mindset will always sabotage any dreams and aspirations that they have.  I thank God, I am built differently!

September 9, 2009

San Diego Primary Progressive Multiple Sclerosis client may be cured

A while back, I wrote about my favorite client Bob, who was diagnosed with primary progressive multiple sclerosis some 15 years ago. He is evidently a quadriplegic and will never be functional according to the best MD’s at University of Chicago and Mayo Clinic. I started working with Bob approximately one year ago performing ranging for his upper and lower extremities to reduce bodily aches and pains. Then one freak day I discovered that Bob can ride a recumbent bike backwards under his own energy for 45 minutes to 1 hour!  Nobody payed attention to this unusual act that he is so proud of. I advised Bob to follow up with a Neurologist here in San Diego, CA, since he was new in town and needed to have his Medications monitored. So he found himself one!

His new neurologist  Dr. Clara Blum took careful note of this backward cycling phenomena, and like me found this a very atypical act for a Primary progressive MS patient. So she decided to scrutinize Bob’s situation, and think outside the box. Long story short,  new MRI’s with high contrast were ordered imaging the entire spine versus just the cervical region.. After carefully reading the new films, Dr. Blum denounced the diagnosis of Primary progressive MS. And commented to Bob that one day he might be opening doors for people, versus the opposite. Bob smiled!

Dr. Blum could not appreciate the aforementioned spinal nerve lesion in the cervical region that the other physicians noted. What she did notice,  is an obvious nerve impingement in the region of T-2, T-3. This she feels is correctable with surgery.  After the MRI, Bob was referred to a prominent Orthopedic Spine surgeon for a second opinion.  He too concurred with Dr Blum assessment and treatment plan. To date both specialist believe there is a good possibility that Bob may be able to regain use of his arms and legs and are now in the planning stage of the surgery.  This news brought tears to my eyes, as Bob has become very dear to my heart, and if your remember my previous post, Bob always seems to see the glass half full versus half empty. Bob never complains and always finds humor in the world around him For all who read this post please say a brief prayer for Bob. He would do the same for you!

For more information about what Somagenesis can do for you go to www.somagenesis.com

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August 26, 2009

San Diego Fitness Pro says “Get Fat and shrink your brain”

Right when I think it can’t get any worse for the morbidly obese, the National Institute on Aging just released a study showing the brain masses of the clinically look 16 years older than the brains of lean individuals. This was based on definitive results of high definition brain scans done on 94 people. Paul Thompson, Professor of neurology at UCLA, says this represents “severe brain degeneration”  Loss of brain tissue impairs cognitive function and puts you at great risk for Alzheimer’s and other diseases of the brain. Thompson says you can greatly reduce your risk for Alzheimer’s if you eat health, exercise and keep your weight under control.

The sad news is that more than 300 million people worldwide are now classified as obese according to the World Health Organization. Another 1 billion are overweight! The main cause according to experts is bad food, especially a reliance on processed foods. The secondary cause is increased physical inactivity. People sit too much, and store calories around their midsection.

Obesity also packs numerous other health issues such as heart disease, type 2 diabetes, hypertension and some forms of cancer. For the obese individuals out there reading this post, I have five words for you ” Move it or lose it”  And if need expert assistance making this happen, consult the diet and weight loss experts at Somagenesis Health and Fitness today. We specialize in medical weight loss and nutritional programs for everyone.

August 24, 2009

San Diego Personal Trainer Success with post craniopharyngioma surgery client

Well, its been two months and 24 sessions later working with my client Michael for a weight loss and testosterone boosting fitness program.  To date Michael has dropped over 20 pounds and is now as a modest 18% body fat. I’m so pleased!  If you recall from the earlier post Michael came to Somagenesis Health and Fitness weighing approximately 235 pounds with a whopping 35% body fat due to being heavily overdosed with 30mgs of Cortef daily!  The medical community including  myself and the Endocrinology team at UCLA med Center all concurred that cutting the Cortef down to 10mgs was absolutely necessary, or Micheal would suffer the secondary ramifications of   type two diabetes, hypertension or coronary heart disease.

Besides continuing in a weight loss fixated weight loss program, Michael will soon begin taking Human Growth Hormone therapy, once the medically community is convinced that the tumor will not recur.  HGH can cause tissue regeneration if there are seed remnants.  A recent high resolution MRI showed that Michael’s cranium was free of an tumor remnants… This was great news for Michael!

Michael has not missed a single training session, and workout like he is still fighting for his life. He logs a weekly 4500 exercise caloric burn on his Polar Heart Rate Monitor. The numbers never lie, as a 3500 calorie expenditure, relates to one pound of fat loss.  My future goal is to get down, Mike to a modest 185 pounds over the next 2-3 months.  Moreover his testosterone has climbed and additional 200 points and is now in the normal range for his age.

It is amazing how effective a well constructed exercise program can be in healing even the most difficult situations that life throws  your way. While many people would have succumb to defeat by laying in bed feeling sorry for themselves, Michael rose to the occasion and has  revived a stalled metabolically deficient body.  My hats off to Michael.

Anyway, I will keep you updated on Michael’s weight loss achievements over the next few weeks. For more information on how medical exercise programs can help even the most complex medical situations contact Somagenesis Health and Fitness at 760-271-3064

Be sure to watch the video below which describes the unbelieveable spirit of a brain tumor survivor, like my client Michael

July 4, 2009

San Diego Personal Trainer Rivak Hoffman discusses difficult weight loss due to pituitary and adrenal hyposecretion post resection of Cranial pharyngioma.

Being both a Physician Assistant and  a San Diego Personal Trainer has its advantages and disadvantages is regards to working with the difficult weight loss population. My latest endeavor is a 34 year old  male attorney who is 3 months post op a very rare brain tumor known as a Cranial Pharyngioma. 0.3/100,000 people will acquire this type. Although his neuro surgery was very successful, the end result of removing the offending tumor left this client with dramatic weight gain, seizures, fatigue, sodium depletion,  diabetes insipidous, poor heat regulation, insomnia and bi temporal visual field defects, (due to compression of the optic nerves at the Sella chiasm) pituitary gland suppression and very depressed HGH, prolactin and testosterone levels.  All is all this change in body chemistry has left this client 80 pounds heavier!

This is truly a weight loss challenge. The question at hand is how to promote secretion of growth hormone and testosterone through direct stimulation of large muscle groups without over heating the client or intensifying glucose uptake through muscle receptors. With adequate growth hormone secretion and testosterone production the human body will respond through weight loss and a leaner body composition as the metabolism changes.

Another obstacle to weight loss, is augmented by the prescribing of the drug Cortef, which is cortisone. The chief side effects of cortisone are weight gain, water retention, megaphagia, insomnia. It is of my opinion that the attending Endocrinologist titrate the client off of the Cortef and substitute a NSAID (Non Steroidal Anti-inflammatory Drug) In addition I would add a weekly course of HGH to promote Cortisol production.

I am a bit anxious about working with this client, but do realize i am the  most qualified San Diego Personal Trainer , who also is a Physician Assistant with a strong enough medical background to keep this client safe and goal oriented. I have much thinking outside the box to do, but will keep everyone posted as time progresses. I have high hopes, and a special interest in this unusual client.



April 22, 2009

Perpetual fitness training can help you avoid the wheelchair in our later years.

For many individuals approaching their mid 60’s, the new established mindset is to kick back, sleep in, watch TV, eat excessively and vacation as much as possible. What the heck? Few again adults foresee the propensity for an expanding waistline, osteoporotic bones and significant decreases in liver metabolism and kidney function with inactivity. As we age we should be doing more versus less says my mentor Dr. Kenneth Cooper, founder and director of the Cooper Institute in Dallas Texas.

It is important to understand how our bodies respond to aging. Its not a pretty picture by any means. Muscles react to inactivity by becoming smaller, shorter and less dense in diameter. Given this change, one can expect an abrupt change in physical strength, flexibility, a drop in metabolism, and loss of proprioception and or balance in the frontal and lateral planes. In other words, it is conceivable that a human can become fatter with age, acquire severe neck and lower back pain, acquire peripheral neuropathy, and all due to inflexibility and degeneration of muscle tissue and frozen joints.

Researchers from the University of California, San Francisco, have identified that those who retired from physically demanding jobs and with lower wealth were at greatest risk of gaining weight and decreasing physical activity level  Unfortunately, the double whammy of increased weight and a sedentary lifestyle adds significantly to these people’s already high risk of health problems such as diabetes, heart disease, osteoarthritis, and hypertension.  In summary the kickback retirement adds fuel to the fire of  pre existing poor health.

A large majority of  Somagenesis Health and Fitness’s client base is comprised of debilitated Seniors with an array of orthopedic, cardiac and neurological problems beginning from the neck down.  Such conditions as cervical stenosis, with secondary kyphosis (hunch back) AC joint arthritis and rotator cuff shortening or dehiscience ,nasty  bone spurs, degenerative hip disease, lumbar stenosis or spondylothesis. Although they are considered “age related” conditions,  Age related is  a default word for the lazy, sedentary, low motivated aging adult who choses to do nothing to improve overall health. Sadly enough, all of these conditions can be prevented with specific exercises designed to stabilize joints, ameliorate bone spurs, enhance blood flow, boost metabolism and kidney function and last but not least , enhance spine posture while keeping the spinal canal patent.

So with this information in mind, skip the retirement mindset, get fitter and do more so you can live a higher quality of live. What good is it living until the rip e old age of 80 years, if you  are can’t walk with fear of falling, are suffering with chronic pain and dependent on class two narcotics to keep your pain at bay. It really doesn’t have to be that way. Health, fitness and medical exercise technology is readily available to  help you improve  the quality of your life.  Moreover, professional Somagenesis fitness pro’s with medical backgrounds are available to implement and design  the appropriate exercise prescription to keep you strong and functional . 

Remember, there is much to be said about the the old adage. “If you don’t use it you loose it”   Just do it!

February 15, 2009

How Other Countries Fight Fat

This morning when reading the Sunday San Diego Union Tribune, I read the best article regarding government control of weight loss in other countries. While  some governments struggle to keep their starving citizens fed the leaders of wealthy nations are trying to get their citizens to cut back on food intake and slim down! In Japan, health officials check the waistlines of citizens over the age of 40. Those considered too fat by BMI (Body Mass Index) standards are placed in a government sponsored height and weight body weight modification programs. Failure to slim down and achieve an acceptable body weight and BMI leads to fines and penalties.

New Zealand has strict rules barring people who are too fat from immigrating into their country. If this was the United  States, we would be living in a ghost town.

In Great Britain – 60% of men and woman are expected to reach obesity by 2050. Residents of some cities are being recruited to wear electronic tracking devices to calculate caloric burn and movement activity. The incentive is cost saving store coupons, and even days off work!  The British Nation Health Service is paying for at least 30,000 people to take weight loss classes.

Germany plans on spending $47 million on healthy eating and sports conditioning programs. The will also tackle tough nutritional standards for school lunch’s, asking candy makers to stop targeting young children, and will encourage software companies to develop computer and video games that force children to move more. Nintendo WiiFit is a good example of this.

Seeing that other countries , are on target to ameliorate a critical problem, I can only think, what the hell are the Politicians in DC thinking. $385 BillionTARP plans,  $789 billion Economic Stimulus Plans , which have no financial stimulus allocation to cure the upswing of obesity and obesity relate diseases in the US.  As a matter of fact, many of the Bio-tech companies in the US have been completely cut off from future funding in the field of diet weight loss and obesity! Just like the Subprime mortgage fiasco, short sightedness will only lead future disasters.

For more information on how you can avoid your personal health fallout, contact the health , fitness and nutritional experts at Somagenesis at 760-271-3064

January 4, 2009

Everything about the San Diego personal training industry, that I learned in 2008

1. Go for the positive expected value, not what’s less risky.

2. Don’t do things that you don’t understand, even if you see your competition doing it.

3. Hope is not a good plan, its admitting the possibility of failure.

4. Educate yourself to the max. Read books, blogs, and learn from what others have done.

5. Learn by doing what must be done. Theory is nice, but will never replace actual hands on experience.

6. Learn and surround your self with successful people.

7. Becoming successful, doesn’t mean your great, and you can stop learning. Your success could be just plain luck!

8. If you don’t exercise you will turn into a fat disgusting slob.

9. Develop a good knack for detecting bullshit.

10.  Don’t answer blocked telephone numbers. Its your competition acting like a prospective customer probing for information.

11. Have fun with what you do, or change careers.