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                    		   Autoimmune Issues 
                    		    I was diagnosed with lupus, fibromyalgia, and chronic fatigue syndrome about seven years ago, and I'm not getting any better. Dino answers. 
                    		  Underweight 
                    		    I am a 27-year-old man who is still underweight. What is the best way for me to put on the pounds healthily? Is it consuming more calories or lifting weights? Dino answers. 
                    		  Joint Problems 
                    		    I  really want to get started getting fit, but I am 60 pounds  overweight and I have a lot of joint problems. Help! What can I do? Dino answers.  
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		Expert Fitness Advice
		
		Workout Results Without Fatigue
		
		By Dino Nowak 
          Certified Fitness Trainer 
          
		
		 
		 
              CBN.com  Question from a CBN.com reader: "I  lift four days a week— lift two days, off one, and so on. I do three sets of  15 reps, sometimes less if it’s a weaker area. I'm not heavy by any means. I  was blessed with a high metabolism, but it has slowed down, and I'm not a big  eater. I eat very healthily, though. How soon will I see results with as much  as I am doing? And why am I tired now since I'm lifting? Am I doing too much  too soon?" 
              Dino's answers: 
              I'm not  sure how long you’ve been doing this, but you should see results within 4-6  weeks, with things really beginning to snowball after the 6th week.  
              Now,  if you’ve been lifting for a while, you’ll need to change up your program: i.e.,  different exercises, different repetitions schemes of 8, 10, 12 reps, and  different rest periods. The body quickly adapts to the stimulation we place on  it during a workout and soon can easily handle the challenge, so we need to  keep the body constantly adapting.  
              Think  of it this way. If you reached 6th grade and kept using the same 6th  grade math book all throughout high school, you wouldn’t develop past the 6th  grade level. It’s the same with the body. People get this great workout routine,  but they end up doing the same thing over and over for years and wonder why  their body doesn’t respond. The long story short is mix things up. 
              As  far as the fatigue, you may want to check your diet. Your body is having to  work hard during your workout but also needs plenty of nutrients to rebuild  afterward. If you’re eating too few calories, as most women do who suddenly try  to lose weight or get in shape, that could be the culprit. Try doing a food  diary for a week and see what your food intake looks like. After your workout,  within one hour get a balance of carbohydrate and protein in your body. That could  be as simple as a protein shake with some carbs or a sweet potato and chicken breast.  See how you feel then. Also be sure to drink plenty of fluids, as dehydration  will also cause fatigue. 
              Dino 
               
                Dino Nowak holds some of the highest levels of certifications with the American College of Sports Medicine, the American Council on Exercise, and the Cooper Institute for Aerobics Research. He has advised and trained celebrities in the television, film, and music industries, in addition to those of all ages who have struggled with health and fitness challenges. He is the former general manager of Equinox Fitness in Los Angeles and the author of The Final Makeover: Your 40 Day Guide to Personal Fitness. He has been interviewed by major media outlets. His official Web site is www.dinonowak.com. 
              
		
		  
 
 
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