I am 42 years old and I have been active and exercised for most of my adult life. About 10 years ago, I sought the advice of a personal trainer and lost about 20 lbs. I had kept if off pretty well up until about 2 years ago. I continue to follow the advice I was given and even go back to the same recipes and workouts that were given to me. My routine is very challenging: At the gym, I run five miles on the treadmill three days per week, I swim two days per week and I weight train occasionally when I have the time. At home I do crunches during the commercials and bike and play with my kids on the weekend. What more can I do? I am already at the gym for 1 to 1 ½ hours a day!

This is a very common question. The first thing you need to do is to re-evaluate how you are spending your time at the gym. You should not spend more than one hour at the gym doing your workout. Although running five miles on the treadmill can be challenging, your body is now used to that activity and it no longer requires you to work that hard to accomplish. I recommend changing your running to include a day of interval training: about 30 min total, one day of a short, but fast three miles, and a third day of a longer 6-7 mile run. On the alternate days, you should focus on weight training. Work with a trainer at your club and put together a total body strength training program that focuses on core work. It sounds like you have a lot of cardio incorporated in your program, but not enough strength training. The change will kick in your metabolism and start things rolling again. Of course, as with anyone wishing to lose weight, it is important to look at your diet. If you haven’t brushed up on things in 10 years, it is time to sit down with a dietitian and put together a meal plan that will fit in to your lifestyle and that of your family.

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