How to train a client w/ Metabolic Syndrome

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Ever wondered how to properly design a fitness program for someone with metabolic syndrome? Meet "Metabolic Mary," our 44-year-old avatar client who presents with multiple risk factors including hypertension, elevated resting heart rate, and poor overall fitness. This episode dives deep into the thoughtful approach required to help clients like Mary succeed when standard training methods might do more harm than good.

The journey begins with understanding what metabolic syndrome actually is—having at least three of five specific health markers that significantly increase risk for cardiovascular disease and diabetes. We explore each marker in detail, from waist circumference thresholds to blood pressure parameters, giving you the knowledge to recognize these conditions in your own clients.

What makes this episode particularly valuable is the stark contrast drawn between typical trainer approaches and the more sophisticated method taught at Show Up Fitness. Rather than annihilating a deconditioned client with high-intensity circuits on day one (virtually guaranteeing they won't return), we demonstrate the "Goldilocks approach"—programming that's not too hard, not too easy, but just right for the client's current abilities.

The conversation extends beyond exercise selection to cover crucial professional skills: how to approach physicians for medical clearance, positioning yourself as distinct from "CrossFit weirdos," and addressing client fears (like Mary's concern about "bulking up") with empathy rather than dismissal. You'll learn specific progression models using CA (compound-accessory), CC (compound-compound), and CCA (compound-compound-accessory) formats that can be modified based on client response.

Whether you're a new trainer struggling with program design or an experienced professional looking to refine your approach to special populations, this episode provides both the science and art of effective training for metabolic syndr

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