The Best Kind of Problem to Have: You've Reached Your Health Goals - Now What?

I've been working out for decades but suddenly rediscovered my enthusiasm after setting a goal of participating in a fitness competition. This realization gave me an idea for a blog post.
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Published on
February 22, 2025

Throughout my medical training and now at Admire Medical, I've observed a fascinating pattern: people are often capable of far more than they initially believe possible. The whole premise behind this blog, our fledgling YouTube series, and our educational talks is to help recalibrate these expectations. Even the most self-aware and experienced individuals benefit from external perspective – particularly one grounded in medical expertise and performance optimization principles.

This post was inspired by a long-time supporter, "L," whose journey exemplifies the question many successful patients eventually face: what comes after achieving your initial health goals?

Navigating Beyond the First Harbor

L's story is particularly compelling. Over the past year, they've achieved what many would consider transformative and *admirable* results:

  • Significant weight loss while simultaneously building muscle mass
  • Reduction in both acute and chronic pain
  • Marked improvements in strength and cardiovascular fitness

They've reached what I call the "icing on the cake" phase of health optimization. At this juncture, many patients choose to enter a maintenance phase – and that's perfectly acceptable. However, others find themselves having successfully navigated to their initial destination and immediately begin charting courses for deeper waters and more challenging currents.

Strategy Refinement: The Next Level

For those ready to push beyond their initial achievements, here are several evidence-based approaches to consider:

Rechecking your numbers

A detailed assessment can reveal opportunities for optimization that weren't priority targets (or even apparent) during the initial phase. Note that while many metabolic markers improve with weight loss, some parameters may temporarily shift in unexpected directions:

  • Thyroid function may show increased conversion of free T3 (active) to reverse T3 (inactive), potentially leading to symptoms of relative hypothyroidism despite weight loss. This can slow weight loss progress, and is one reason I stress the importance of resistance training during weight loss.
  • Lipid panels may temporarily show paradoxical increases in LDL cholesterol during active weight loss phase
  • Testosterone levels in men may initially decrease during caloric restriction before rebounding
  • Vitamin D levels can fluctuate as fat-soluble vitamins are released from adipose tissue

Understanding these nuanced changes allows for targeted interventions rather than becoming discouraged by what may appear as regression in certain laboratory values.

Functional Goal Evolution- Recalibrating Expectations!

Success often opens doors to possibilities that weren't previously accessible. Consider how your achievements have created new opportunities:

  • A patient who masters swimming 1000 meters might be ready to train for an open water event.
  • Someone who has developed proficiency in fundamental lifts like bench press, deadlifts, and squats, might consider competitive events- amateur events, because realistic goal setting is important too.
  • An individual who's mastered basic mobility might explore more challenging activities like advanced yoga or martial arts.

Athletic/Activity Diversification

Once core competencies are established, there's often value in addressing relative weaknesses or exploring complementary modalities:

  • The accomplished weightlifter might benefit from developing cardiovascular endurance.
  • The dedicated swimmer might find value in mobility work or strength training.
  • The general fitness enthusiast might explore specialized activities like kayaking or rowing.

Advanced Therapeutic Interventions

For some patients, this phase presents opportunities to fine-tune their supplement or medication regimen to further bolster progress:

  • Exploring peptide therapies as complements to established hormone replaceent protocols
  • Transitioning strategies with weight management medications like semaglutide. Is it time to try stepping down the dose?
  • Incorporating targeted supplements to support specific performance goals

Injury Prevention and Recovery Optimization

Progress often reveals new challenges that require attention:

  • Addressing any emerging overuse patterns- I’m “guilty” of this one, personally.
  • Implementing more sophisticated recovery protocols
  • Introducing blood flow restriction (BFR) training as a method to maintain or increase muscle mass while reducing joint stress – particularly valuable for patients with arthritis or recovering from injuries
  • Developing periodization strategies to prevent plateaus

Advanced Training Techniques

With a solid foundation established, more specialized training methods become appropriate:

  • Implementation of drop sets and other intensity techniques
  • Integration of blood flow restriction training for targeted hypertrophy with reduced mechanical loading
  • Deliberate manipulation of training variables (volume, intensity, frequency)
  • Planned overreaching (aka, deliberate overtraining) periods followed by strategic deload (lower weight and more days off) phases

The Meta-Goal: Sustainable Progress

The key to this next phase is understanding that health optimization is an ongoing journey, not a destination. While celebrating achievements is crucial, viewing them as stepping stones rather than endpoints can open doors to continued growth,  development, and sustainability of recently achieved milestones.

For patients like L, who've achieved their initial targets, the question isn't really "what's next?" but rather "what's possible?" The answer often lies in finding the sweet spot between navigating new waters while maintaining the sustainable habits that propelled you through the initial voyage.

Remember: whether you choose to maintain your current achievements or chart courses for new horizons, the most important factor is that your choice aligns with your personal health philosophy and lifestyle goals. The role of your trainer, coach, or physician partner in this journey is to help you explore these options safely and effectively, while ensuring that any new challenges you undertake serve long-term health objectives.

Important news: we’ve got some partnerships coming! Admire has just teamed up with an agency to help provide discounts on health/wellness products for readers- things like supplements, meal replacements, etc. Right now, we’re vetting them to pick a handful that we truly believe in, so keep an eye out for more updates on this soon

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