Big Dave needs our help gys, how to fix this?

https://www.youtube.com/watch?v=GUUPvt9V8pw&t=93s

File: source-youtube-my-600-lb-life-dr-now-chews-out-mom-for-sean-millikens-weight-loss-fail_1292689.jpg (18KB, 586x276px) Image search: [Google]

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stop taking steroids
stop eating at a surplus

45 years old it might be better if he stays on real TRT dose of 100mg weekly tops, none of the 200mg bullshit, 100mg weekly is plenty. Suddenly going hypogonadal would make him lose muscle so fast his kidney can't handle having to filter out the lost proteins.
He also needs to stop force feeding. Saw under construction. He actually eats pretty clean, he just makes himself eat all the time with an alarm that goes off to remind him to eat when he isn't hungry. I would go down to 3,000 calories a day, tops, less if he’s not hungry. This is factoring in his muscle size, and his activity level. He should be doing 1 hour of LISS cardio daily. He also should keep lifting, but keep the weight moderate to fairly easy, do reps. NOTHING super stressful like low rep heavy weight sets.
Basically he needs to go back to that health concept of “everything in moderation”.

>>41263367

Would that be enough to help his kidneys?

>>41263379

No. He also needs to cut his total protein intake way down too. 100 grams a day tops. I'm serious. I would even suggest going lower if possible. Basically he should simply ignore the protein content of his foods. Cut out ALL protein supplements too. His concerns should be healthy micronutrient ruch food, green leafy vegies, and fiber. With a 3k limit he still can eat plenty of tasty normal foods. Pastas and all that are fine. Normal fat to carb ratios. On 3k daily he will easily get in 70g+ of protein and so worrying about it is a non-factor, so long as he does not focus on taking in more. He shouldn't even think about "maybe I ought to add meat to this for the protein". If anything less protein is better in his situation. If this means he loses muscle that is ok, so long as he's not losing it from excess protein breakdown such as injury,hypogonadal, or atrophy from inactivitiy.

>>41263272
>>41263279

He used roids for this? He looks no different from any regular 400 pound fatty.

>>41263434

this

>>41263434
Are you serious? If you can't see that he has a shit ton of muscle then I don't know what you're doing on this board.

>>41263696
literally just looks like a fat ass who does some construction work.

>>41263308
Honestly, if he stops taking the roids he'll just lose the muscle and stay a fucking blob. At this point I'd just tell him to get a fucking grip on his diet, lose weight, keep lifting and do some fucking cardio.

>>41263434
>>41263733

No, you can see a lot of muscle there if you have a trained eye. Definition makes people look bigger in pictures, he doesn't have definition. In person he probably looks like a colossal wall of muscle.

There really isn't all that much fat there. His overall % is lower than it looks. Sub-Q water retention is also an issue.

It looks like at one time he might have been obese, and as a result has some loose mush around his core and upper thighs. Basically loose skin, with a little bit of fat under it = loose fat, which looks worse than it actually is.

To cut down to the point where he has visible abs would probably only be 25 pounds of actually fat loss, and probably 15 of water retention. He'd look pretty good, as far as freaks go, at roughly 335 if he's 375 in those pictures.

It really doesn't take much fat or water retention to spoil someone's look. Getting leaner and the added definition would help see all the muscle on him.

>>41263865

He could get by with much lower amounts to keep muscle than it took to build more in the first place though.

>>41263269
Slowly diet down and gradually reduce your dose. Make sure to also take 5% LIVER AND ORGAN GODDAMMIT