Havent benn to the gym in years

[kins]

Hi there. I used to follow Starting Strength but I got old and lazy. Now at this time I'm told I need a new hip. The doctor showed me the x-rays and I current have zero Cartlidge between my hip. I did do some work rehabing or whatever with some nurse person. Helped slightly. Have to go back to the gym but my hip slips out of place at awkward times and I wouldn't want it slipping during squats. I'll just be walkinng and it'll shift and slip out of place and I have to catch myself or I will fall down. I'm turning 52 in a few weeks. I've needed a new hip for over a year now. Lost a lot of fat because I need to lose fat also because my blood pressure is way too high. My blood pressure has been so high over the years that now I've been diagnose with Stage 3 Chronic Kidney disease. My kidney only currently works at 60% and it doesn't get any better. So how could I even build much muscle if my kidneys can't handle the protein?. I've been told by some that I shouldn't be eating much protein because of my disease. I've also been told the opposite. Also started and have been on a low carb/keto diet and lost a lot of fat. So I'm not young and healthy but Starting Strength I thought was more intended for youngsters that are very healthy. Personally I think your book for older lifters might be something I should follow instead. Still don't want my hip to slip in the middle of squats. Plus how can I even build much muscle at this age and with this disease. Guess I just came on here to bitch and get some answers. What do you think?. Am I just a lazy fat fuck?. Or are these legitimate concerns?.

[Mark Rippetoe]

Worry about all this shit after your hip is replaced. Do that NOW.

[Leo M]

I've had both hips replaced. Find a surgeon now and get it scheduled as soon as possible. You will almost certainly wake up in the recovery room in far less pain than when you went to sleep.

The Barbell Prescription is a great book. However, it depends on the blue book. You need your hip replaced so you can start with the blue book.

While you're waiting for the operation, get your upper body stronger. It will help you with recovery. Even 2-3 weeks of strength training will make a difference. Get a competent coach. Do the bench press, and lat pull downs, if you can't do chinups. If you are stable enough to do the press that will also help tremendously. You'll be on a walker for a couple of weeks, then a cane for a couple of weeks. A stronger upper body makes this much easier.

Be sure you don't have sleep apnea. It's very common in heavy guys. It is a common cause of both high blood pressure and kidney disease. It delays healing after surgery.

Your doctors don't know enough about strength training and protein. Talk to a dietician who understands these issues. The obvious choice would be Dr. Santana, who runs the nutrition forum here.

[Robert Santana]

You have two choices: Delay the progression of kidney disease and become malnourished or accept the inevitable. I did not pull that from my ass, that was the medical approach when I worked in dialysis. Many doctors would push the low protein diet but some refused because they said while it may delay the progression of the diseases, it's not stopping it and it's just putting you at a higher risk for other health issues.