Not Medical Advice

I am a physical therapist. I am not your physical therapist.

That distinction is the whole of this page. Reading what I have written, paying for it, and following it does not make me your clinician. No provider and patient relationship exists between us, however personal the writing sounds, and it is written to sound personal because that is how instruction is best understood. Nobody here has examined you, nobody has reviewed your imaging, and nobody is watching your sets.

Lattice sells education. You read it, you decide, you train on your own.

Nothing in any of these programmes is intended to diagnose, treat, cure, or prevent any disease or condition, including osteoporosis, osteopenia, vertebral fracture and obesity.

Talk to your doctor before you start

Not as a formality. There is a Doctor Briefing written for exactly that conversation, it is free, and it is yours whether you buy anything or not. Print it and take it with you.

If your doctor tells you not to do this, listen to your doctor and not to me. Your doctor can examine you. I cannot.

The risk is real, and it is yours

The Threshold Protocol asks you to lift heavy loads. Resistance training and impact training can cause muscle strains, tendon and joint injury, back pain, falls, cardiac events, and in rare cases a fracture. That risk is higher, not lower, when bone density is already low, which is the reason most people are reading this.

The Upright Protocol never loads your spine, and it is still exercise. It carries its own risks: falls, strains, and pain that gets worse rather than better. A programme being gentler than another programme does not make it risk free.

The Muscle You Keep is written for somebody on a GLP-1 medication, and it is not about the medication. This one needs saying twice, because the stakes are different from the other two.

I do not prescribe it, I do not manage it, and I do not know your dose or your history. Nothing here is a reason to start one, stop one, change the amount you take, skip a dose, or stretch out the gap between them. That conversation belongs to whoever prescribed it, and it is not a conversation I am in.

What this programme is about is the training and the eating around a medication somebody else is managing. Appetite suppression can make it genuinely hard to eat enough protein, and eating too little of it while losing weight quickly is associated with losing more muscle alongside the fat. If eating to the amounts here is not possible for you, or it makes you feel unwell, that is information for your prescriber rather than something to push through.

You accept those risks when you start. Section 3 of the Terms of Use sets that out properly.

The screening is a filter, not a diagnosis

On the two bone programmes, it asks eight questions and sorts you into a lane. It cannot see your scan, read your chart, or look at your spine. It is set to be cautious on purpose, which means it turns away some women who would have been perfectly capable. That is the trade I chose, and I would choose it again.

Whatever a programme asks you before it sells you anything, the same thing is true of all of it: the questions are a filter, the answers are yours, and none of it is an examination.

Answer it honestly. A screening you have flattered is worse than no screening at all, because it produces a confident wrong answer instead of a cautious one. If your health changes, take it again.

This is not the trial

The LIFTMOR trial (Watson, Weeks, Weis, Harding, Horan and Beck, 2018) put a trained supervisor next to every participant for every set.

You have a phone and a screen. That gap is the entire reason for the four-week technique ramp, the RPE-based loading rather than percentage-based loading, the form gates and the screening. Those things reduce the risk of training without supervision. They do not remove it, and nothing in any of these programmes reproduces the conditions of that trial. Do not read it as though it does.

Stop and get seen

Stop training and get looked at if you feel any of these:

• Sharp or sudden pain, as opposed to the ache of effort
• Pain in your back that feels like a line rather than a spread
• Chest pain, or pain down an arm or into the jaw
• Dizziness, faintness, or a heartbeat that does not settle
• New pain that is still there the next morning
• Any loss of height, or a new curve forward that people comment on

None of that is a reason to feel foolish for asking. The women who get hurt are rarely the ones who called too early.

What ticking the box does

It records the date and the time you agreed to this, and which version of this page you agreed to. It means you have read it, you understood it, and you accept the risk of training without supervision.

If you have a question you want answered before you tick it, ask me first: support@latticehealth.online.