Dear Dietitian: Getting “jacked”, protein supps, Zyzz, and getting lost in an ethical rabbit hole

Dear Dietitian: Getting “jacked”, protein supps, Zyzz, and getting lost in an ethical rabbit hole

November 4, 2019 0 By William Morgan


Okay, do you need a protein shake, after gym
shake?
Yeah, so someone asked me the other day, “I
don’t have protein,” yeah?
“I’ve come from the gym, I need my protein.
I can’t go to the gym.”
Okay, yeah.
Okay.
Yeah, and so you’re saying does everyone need
it?
Yes, mm-hmm (affirmative).
No.
No.
If you’re a dietician and people are coming
to you and they’re saying those things, and
you’re telling them, “Yes, you need protein,”
you’re wrong.
They don’t need it.
Only for particular-
No WPI?
WPI, also known as whey protein isolate, is
probably the most researched form of protein.
Which definitely has greater results in muscle
recovery post-exercise, but most people can
get the amount of protein that they require
from their next meal.
They do not have to add in a supplement.
A lot of people can get the required amount
of protein, which is usually around 20 grammes,
give or take, depending female, size, all
of that.
What about if I’m not gonna eat my next meal
for three hours.
If you’re not gonna eat your next meal for
three hours, so they say that the window post-exercise
is around two hours or one to two hours.
What all these protein advocates don’t tell
you, that carbohydrates actually assist with
recovery as much as, almost, as protein.
It’s actually the leucine in the protein is
most important, around three grammes post-workout.
If you aren’t eating for three hours-
Can I just take three grammes of leucine?
It’s more difficult.
A lot of people have BCAAs these days, but
more full proteins probably are advocated
for these days.
A lot of chocolate milk is getting around,
but I wouldn’t really advocate for that too
much just because of the calories that come
in.
If you’re gonna do it, choose a low fat or
create one yourself.
But back to the question of do we need it,
do we need a supplement post?
No.
Do you need protein post?
No if you don’t have to have a recurrent effort
within 24 hours.
Most of the time after 24 hours you would
have been able to recover effectively enough
that it won’t matter.
If you’re someone that’s looking to get more
muscle and you have higher requirements, then
yeah, sure, maybe.
Maybe you’re training two hours and you’re
not gonna eat unless you have that, then yeah,
it becomes relevant, but then it becomes individual.
It’s not something that I go, “All right,
you’re in.
You go to gym.
WPI.”
Most of the time I take people off just about
every supplement under the sun.
Many people taking protein powders and BCAAs
and creatine and all these pre-workouts.
Don’t get me started, but that’ll be like
a four part series.
In terms of post-workout, a lot of people
have gainers and things that fat metabolise
and cut.
There’s a lot of fitness models and I saw
one last night, burning me up inside.
Before I went to bed I was fuming.
Talking about she was just spouting some crap
about how it helps her hormones post workout
and that really helps her appetite to be suppressed
because of the hormone regulation caused by
the supplement.
Surely it’s just the fact that she’s had something
to eat after she’s worked out right?
There’s a lot that was wrong with what she
said but it doesn’t stop the six million people
that follow her on Instagram to believe it,
and probably buy a supplement.
I get it but you’re getting sold lies.
You do not need it.
As a dietitian, it’s your place to advocate
for not doing it, when it’s not relevant and
to insure if you don’t know, if you did not
know the answer to that question, you need
to do some research in sports nutrition, clinical
sports nutrition text.
Get that.
It’s pretty mint, or just go on SDI website
and learn more there.
We’ll probably pull some up on our website
as well, around that.
If you don’t know and you’re not confident,
you’re not confident in that arena whatsoever,
and refer on to a sports dietitian, definitely
the best way to do it.
Long story short, no.
No.
Just to throw a spinner.
Okay, here we go.
That’s my job.
It’s hugely determined by genetics, simple
as that.
Like, some people are better at maintaining
and gaining muscle, irrespective of diet.
You can manipulate the diet and definitely
impact the genetic potential, but that’s a
huge factor.
It’s like why do people gain better and move
better?
It’s different to probably the question.
You’re talking some guy comes in and I don’t
know, he almost died of an overdose, but here
was this guy, very ripped guy, asterionic,
think of that.
He’s like that type of dude, short shorts.
What was that?
[inaudible 00:05:08], that’s what it’s called.
It’s like this thing that they do.
It’s freaking weird.
I don’t know how to do it.
That’s why I’m so jacked.
Because you had protein?
I’ve actually had people come in and show
me photos of him and go I want to look like
that.
When Peta is talking about genetic potential,
that’s part of it.
Then a lot of people see these people on Instagram
now, and he was probably just before the Instagram
boom.
Then I realised that these people are probably
injecting steroids, testosterone, peptides
and a bunch of other stuff to kind of get
to that level, and then genetic potential
is kind being manipulated.
From an individual level, if you can do it
safely, you need to talk to your client about
what is actually realistic.
Definitely try and get them to their goal
or there best version of themselves.
Talk more around that.
Changing their frame of mind around this is
what I want to look like to alright, let’s
just work on gaining muscle every single time
that you see me, decreasing skin folds and
fat nests, every time you see me, and then
they just see themselves in the mirror from
that point forward.
I guess something that’s kind of starting
to get talked about now is this male [inaudible
00:06:22].
This kind of takes a different tact from this
powder thing.
It’s probably something that I’m a little
bit passionate about because I don’t think
it’s really talked about is that dudes are
getting this forget the coin term off the
top of my head right now.
It’s like gender type needing to be-
Yeah, there’s some word for it.
Pretty much where they see themselves as big
but then there’s always the next goal post
and the next goal post and they constantly
want to get bigger and bigger and bigger and
bigger and bigger.
In the end it ends up being.
Body dysmorphia.
Body dysmorphia, yeah.
Is that classified as dysmorphia?
Yeah but the other way.
No.
It’s not yet?
But, they would have disorder tendencies,
yeah.
I think they would try to classify it, but
anyway.
Disorder ends up effecting their lives really
in a bad way.
The only way they can maintain that is to
be on X, Y, and Z.
Yeah, injecting lots of stuff, waste a lot
of money, lose relationships and stop doing
social events because they need to go in the
gym and get bigger and bigger and bigger and
bigger and bigger.
If you start to see those flags of some of
your clients, the main conversations to have-
I’ve done it.
There’s been a couple of guys that have been
like that.
You just got to have that conversation.
They kind of step back and go, oh shit.
Okay.
They don’t really know how to take it initially.
You got to ride that wave.
It’s ultimately a hard thing.
If we’re in private practise and you know
we want to make money, ultimately these people
have a goal in mind and they’ll come back
and see you religiously.
Obviously, here comes the ethical dilemma
in terms of needing to have that conversation
with someone and potentially I might change
the relationship or they might not want to
come back or whatever it might be.
Where we’re good and we actually have a private
practise and ethics that we stick by.
I guess, with that as well, if you’re going
to go the ethical route, so you’re taking
to them about it, it doesn’t necessarily mean
you have to talk to them and say, “I’m not
going to help you, because I’m not going to
help you do that.
You doing that is probably going to end up
far worse,” because whether you like it or
not, they’re going to do it without you.
It’s better to-
Be a part of it?
Yeah, be a part of it.
Talk to them about it.
Help them with their goal while you’re also
helping them psychologically, whether we like
it or not.
We probably aren’t trained as much as we probably
should in counselling and all of that nature
but talking to them about it even just clinically,
but just talking to them and giving an ear
to what they’re saying and maybe relaying
and questioning some of the stuff that they’re
doing and some of the stuff that they’re saying,
they might start to realise them themselves,
and they might seek further help or ask you
help them seek further help.
If you see flags like that in any consult,
slowly, slowly.
If some one comes in, like I’m on a Paleo
diet.
Generally my response is, oh yeah cool.
Yes, that might not be what I would suggest
that they would be doing, but that’s okay.
I’m going to see you for X number of visits.
I’m going to work slowly at starting to change
some of those viewpoints, and then instead
of portraying my views on their diet, and
then be starting to antagonise all of that,
hit them outside, come to the party.
See if you can kind of influence some of them
and then gradually work on them.
A lot of dietitians will then put their spin
on the way they feel about a certain food
or whatever onto them and then instil fear
and even further worsen that condition that
they’ve got.
Always being mindful about they come to you
for advice, not fear to tell on them.
Then, gradually getting areas about building
and establishing relationships.
That might be done within two visits and all
of a sudden you’ve got the best relationship
when you have that conversation.
That just comes down to the skill of the practitioner
and how you go about having that conversation.
Yeah.
It depends on the client.
It depends on you.
Somehow you might do it in the first consult.
Yeah, it depends on the client and what they’re
kind of doing as well as their body language
and the history and everything about it.
It’s hard.
It’s not an easy thing, especially if they’re
talking about injecting like testosterone
and stuff like what do I do.
Thankfully none of the people that have done
that are looking to be elite athletes or going
for national gigs or anything like that.
I would steer those people away immediately.
For those weekend warriors that come in and
they’re used to all their mates doing it in
their PTs or whoever else is recommended it
to him.
Not all PTs do it.
I get it.
Some do.
It’s a hard conversation to have, but better
to be part of the journey than to push them
away and then they’re left out in the wind
and probably going to be far worse off than
if they were with you.
Anyway that took a bit of a turn from the
initial do you need whey protein or do you
need protein after a workout.
I like those deviations.
Yeah.
Hopefully that helped.
That’s it for question time today.
If you have any questions, please keep asking.
This is the email, right there to send it
to.
No matter what question it is, we’ll do our
best to answer it over the next couple of
weeks.
Cool.
See you.