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The reason viewers see their muscles emerging as the show goes on is because as the layer of fat surrounding the muscles is lost, muscles become more visible.
Those muscles were always there but covered by a mass of fat tissue.
Sears continues by claiming that "even with the most intense training, people are unlikely to add more than five pounds of muscle in 12 weeks of weight training.
Depending on the season a team may work with a specific trainer or all trainers may work with all contestants.
The trainers are responsible (in conjunction with medical personnel retained by the show) for designing comprehensive workout and nutrition plans and teaching them to the contestants.
The Biggest Loser: Second Chances included a one-mile foot race in its first week, an event that led to the hospitalization of two of its contestants; Rob Huizenga, the show's medical consultant, when asked about the foot race said that "If we had it to do over, we wouldn’t [have done] it" and noted that in response, the show's producers have "changed a lot of the way [they] do things" (including the close monitoring of contestants’ body temperatures during exercise).
Because the show is a contest that involves eliminations from it, some contestants are encouraged to take risks that endanger their health. Benson, the winner of the program’s first season, publicly admitted that "he dropped some of the weight by fasting and dehydrating himself to the point that he was urinating blood".
Those who win a particular challenge are given special privileges, such as a weight advantage for the next weigh-in or even full immunity from being voted off the show.