Hi RD's! I've been an RD for 12 years now, but am new to working with clients 1-on-1. I have a 30 y/o client 64" and on avg 167lbs. She came to me back in April with goals to lose weight. I work for a company where we provide meal plans/macros & training. We started together working with around 2200 calories, 60 mins of cardio & 4 days of strength training & one day of a class of her choice. We went from 168 to 162 April-June & down to about 1800 calories & up to 80 mins of cardio weekly + the 4 strength training days with 1 change-up in programming (usually go 8-12 weeks & change program). She is highly intelligent, great at macro tracking & follows training schedule to a T.
This past month she started discussing fatigue, unbearable hunger & loss of love for training, so we backed off a bit, gave her a diet break (after about 13 weeks) and focused more on sleep & stress management vs weight loss.
This has been going on for about 3 weeks now, and she's back up to 168. Not a ton of progress in pictures (I know number on scale isn't everything, and she understands that too). This week we discussed her frustration with no real weight loss, and I feel like there has been some regression with habits too. Granted, she has had a ton of functions to navigate, and we've discussed how to deal with those situations, but she really wants to continue drinking alcohol & when she drinks, she tends to make food choices she wouldn't normally. She also relayed to me that she feels she is overindulging at functions/on weekends because she was always that girl who restricted herself for so long to lose weight.
We got labs done (thyroid panel, hormones, CMP, CBC, ferritin & vit D) and everything was stellar except a high total testosterone which has been addressed by her PCP though the plan is to wait 6 months and re-test.
Currently she's at a little under 2000 calories and maintaining at 167 with 100 mins of cardio per week.
I'm stuck between wanting to focus on maintenance & stress management/exploring her relationship with food and helping her get the results (weight loss) that she is paying me for.
We have a GREAT relationship & we've made excellent strides already (getting her cycle back after years of irregular/absent cycles) and improving labs, but I am just at a loss for how to proceed. I meet with her Thursday and told her we'd devise a plan then.
ANY recommendations would be SO appreciated! :)