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In this September 30, 2011 free audio episode: Skinny people just don't get it, when to use magnesium oil, can you absorb sports gels in your mouth, should poop float or sink, cramps from muscle fatigue, how to train fat legs and cankles, what to eat on a rest day, how to use chia seeds, keeping joints healthy during endurance training, racing to prepare for a race vs. just training.

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Featured Topic: Skinny People Just Don't Get It

Dr. Colella, renowned weight loss specialist and one of the only surgeons in the U.S. to do Robotic weight loss surgery, has written a new book titled “Skinny People Just Don’t Get it.”

Dr. Joseph James Colella MD practices Gastric Bypass Gastrojejunostomy, Weight Loss Surgery and Bariatric Surgery in Pittsburgh, Pennsylvania. Dr. Colella attended medical school at University of Pittsburgh School of Medicine and graduated in 1986 having 25 years’ experience. He also received specialized training at Ohio State University on Laparoscopy, Bariatric Surgery. Dr. Joseph Colella is also a member of the American Society for Bariatric Surgery and is a certified surgeon for Lap-Band Systems.

In this interview, I speak with Dr. Colella about his thoughts on the Obesity epidemic in the U.S., how Americans can get fit, why Skinny people are becoming extinct and what his proposed solutions are. Dr. Colella explains why we are always so hungry,  the “inflammatory” scale, strategies to achieve and maintain weight loss goals and how the “carbohydrate cycle” is the final arbiter affecting our perception of hunger, driving our appetite out-of-control.

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Listener Q&A:

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Craig has a call-in question about how to time topical magnesium and pair with compression shorts.

Jeff has a call-in question about absorbing gels through the mouth.

Tony asks: I have a question about poop. My poop used to always sink. I followed a diet pretty close to vegetarian. Plenty of Salmon and very rarely I would have red meat. I have changed my diet and follow the Low Carbohydrate Guide For Triathletes (your book) pretty closely now. I have added more Omega 3 fats and animal fats in to my diet. And I must tell you, I love to drink micro brews. Ales, stouts, and porters. Usually after runs and/or workouts, with food. On Sundays I may drink up to 8 beers throughout the day. My poop used to curl and sink to the bottom. Some still do but occasionally there are floaters and my poop is now mostly a cardboard brown color. Floaters are more often than before I switched to eating more fat and less carbs. Is this a problem?

In my response to Tony, I mention this GI Panel for finding out what is going on with your digestive tract. I also mention the book "What Is Your Poo Telling You".

Andrew asks: If muscle fatigue is likely cause of most cramps then answer is to train to alleviate this. How do you go about that for IM training? Is it, for example, going out for 6 hour bike rides at race pace followed by long run? Or put differently - how best to accomplish this type of training for long distance races?

Marc asks: I lost about 85 pounds in the course of two years or so, all through diet and exercise. Almost two years ago I decided to get an abdominoplasty to remove a great deal of loose skin from my stomach. The results were great, and I now feel very confident in the appearance of my upper body and even have the faint outlines of a six pack. But my lower body is a different story. I still have a good deal of loose skin on my butt and thighs, and the accompanying stubborn fat deposits that seem to stick to this loose skin no matter what I do. Also, I have always been more of a pear shape, and thick thighs and "cankles" run in my family. I know I can't spot train those areas, but my question is, should I avoid lower body weight training to avoid filling out my legs even more?

In my response to Marc, I mention this episode of Get-Fit Guy on how to get rid of loose skin after weight loss.

Kyoko asks: I take one rest day every week. Though you introduce the good information of food, do you have any special meal selection during the rest day?

Jan asks: Can you discuss when to use chia seeds before an event - instead of breakfast, with breakfast, during event. I am a little confused about how to get the maximal benefit out of it.

Kyle asks: My passion is ultra running, yet I also would like to be able to walk when I am 50 years old and hopefully still be running. Including supplements, types of training, etc, what are your best tips for keeping joints healthy and strong to ensure that we continue doing this endurance sport of ours into the future.

In my response to Kyle, I mention Capraflex, cross-training, strengthening the core, hips and glutes, avoiding inflammatory foods (particularly with Holistic Fueling for Ironman Triathletes and Low Carbohydrate Guide For Triathletes), and including rest and recovery phases. Chuck has a call-in question about whether racing is good preparation for a race, vs. doing more training.

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