I am working with a female who needs to lose 59 lbs by next September. She is currently at ~214, 5'6".
The goal weight is 155, which is the maximum allowable weight according to Air Force standards for her age, height, and gender. Even at 155, she's probably going to struggle to pass the physical fitness test and so getting below that number as much as possible would be good.
I've put her on a paleo diet but allowed her dairy (which she doesn't take too much advantage of, so I'm not too worried about it) and she's shown reasonably good compliance in the last 40 days or so, and has lost about 8 lbs as of the 8th of March (we will do another weigh-in this Friday). She's also lost several inches off the waist. In short, she's making good progress.
She also working out at a fairly good rate, usually with calisthenics or some form of weight training. My difficulty with her physical training has been trying to keep her from injuring herself in her enthusiasm. She repeatedly ignores my instructions for physical training and has injured her knee several times, though I believe it is runners knee and not terribly serious.
Given the short time constraints we are under, and her continual insistence that she is not hungry, I was considering starting her on an intermittent fasting program. I'm concerned that I don't know what intervals to suggest, and I don't want her to crash and burn if she tries it because I really have zero room for error with this girl's self esteem, and if she fails, she may binge eat. I don't want to trigger any sort of disordered eating issue, either. I am encouraging her to seek counseling for the issues I can't handle, but in short:
Would you suggest an intermittent fasting protocol with a client who presents with this history? If so, what sort of protocol? I can post her food log if that would be helpful.