Sasha Kenis Dr.

Answers to patient questions

• Sport aptitude examination

  I am a female football player and I want to lose weight can I stay one week without eating something.

  • This really depends upon the goal of the weight loss. In some sports, like boxing, there are weigh-ins which require you to lose weight as quickly as possible. Often, most weight lost in a hurry is water weight and not fat. Glycogen stores can plummet, and if you keep the regimen too tight up to competition day, you will not be able to perform well. So, unless the weight loss is a prerequisite to participating in a specific category, I would say, don't rush the weight loss.
    
    For improving body composition, meaning less total body fat, visceral fat, while maintaining or even increasing muscle mass and bone density, you should not b...e aiming to lose X kg in Y time. You should try to implement small strategies to change your current status: total kcal intake per day, macronutrient ratios, exercise, total kcal burned, in a small way, and thus create a small kcal deficiency that can then be compensated for by burning fat. Make this deficiency too high, too fast, and your body will burn muscle proteins instead of fat. Every meaningful fat loss takes time. A lot of time. One gram of fat translates to roughly 9 kcal, meaning 1 kg of fat roughly 9,000 kcal. Most people burn anywhere between 2,500 and 4,000 kcal a day. If you are in a kcal deficit of 200 kcal a day, which is already pretty good, it will still take about 2–3 weeks to lose 1 kg of pure fat.
    
    That is the tough reality of body composition improvement. It takes doing things right every day for a long time. If you want to keep the weight off, no short-lived diet, but long-term structural changes in lifestyle, will do it.
    
    Of course, if there is a medical reason for the weight loss, there are medicinal options that you can discuss under the supervision of a well-versed medical doctor.
    
    Kindest regards, and good luck on your weight loss journey,
    
    Dr. Sasha Kenis Read more

    Sasha Kenis

• Annual control

  Hello doctor Thank you for giving me a chance to explain myself I've been experiencing burning sensation at my sides, discomfort on my testes sometimes and somehow leg ache slightly and discovered I have a nodule on my pubic area was wondering and concerned to know what could be the problem

  • Hi,
    
    This should at the very least be checked, and a couple of tests should be run. For discretion, I will not go into possible diagnoses here, but these complaints, should they still not have resolved, or if they come back intermittently, should most certainly be evaluated by a doctor.
    
    Wishing you well,
    
    Dr. Sasha Kenis

    Sasha Kenis

• Sport aptitude examination

  I am 15. 192cm, 64kg. i want to gain muscle mass these months because i am skinny. i wanted to ask if going to the gym can cause arthrosis. And i was wondering if i can take whey protein powder, and creatine monohydrate.

  • So, a couple of things. You are unusually tall for your age, and certainly not heavy. A long and lanky build can sometimes slightly decrease joint stability because there is a larger leverage at play when you lift weights, thus more stress on your joints. That being said. If you are in good health, there is no reason that you cannot work out at the age of 15 if you do not overdo it. Healthy weightlifting with progressive overload (lifting heavier weights over weeks to months) should be fine. Your diet will play the most important role in what your efforts in the gym will yield, so make sure you eat right and, most importantly, DO YOUR EXERCIS...ES IN THE CORRECT MOTION. Get a personal trainer or an more experienced member of the gym to show you how to move, especially on open chain movement exercises. Your posture and form are important to avoid injury, be it muscular, ligamentous, or joint-related. To your direct question. Arthrosis is a wear-and-tear effect of chronic overuse of your joints. Any use will eventually lead to it; heavier use, if done incorrectly, will progress its development. However, exercise within measure can also have a protective role. Doing no activity is also a danger to the cartilage.
    
    In summary, if you want to train, do so. Don't forget your diet. Get some very good advice and get the movements down before you start training alone and with heavy free weights so you don't acutely injure yourself and, for chronic injury, just work out with measure and allow your body to recuperate between workouts. You'll get the hang of it in no time.
    
    Kind regards,
    Dr. Sasha Kenis Read more

    Sasha Kenis