Strength and the gym

When a clinician says so, not when you join. A clinician clears you to train, and that clearance expires and has to be renewed. If you report a symptom on a given day, you are not trained that day even if you were cleared last week.

They are told what to avoid and what to stop for, such as no overhead pressing, or stop if lightheaded. They are not told your diagnosis, what you are taking, or that you are on this programme at all. A gym floor is a shared space and screens get read over shoulders; they do not need any of it to train you safely, and the software does not send it.

Losing weight quickly costs muscle as well as fat. Resistance training and enough protein are what keep the loss weighted towards fat, which is why both sit inside the care rather than beside it.

Your trainer stops. Stopping needs nothing filled in first, and a session that stops early stays open until somebody writes up what happened, because an incident nobody documented is one that never reached your clinical team. Certain things go straight to a clinician and a trainer cannot close them, because they are not a trainer's to judge.