Spinal Cord Injury Exercise and Nutrition Conceptual Engagement

Inclusion criteria: * Adults 18-65 years of age (inclusive) * Sex: male or female * Women of child-bearing potential who agree to refrain from getting pregnant during the trial * C4-T4 motor complete (AIS A\&B) spinal cord injury for duration greater than 12 months * \<5% change in body weight over the past 12 months Exclusion criteria: * \<22% body fat * Unresponsive to neurostimulation * Those who have participated in an FES or ACE exercise program (\>60 minutes/week) within the past 3 months * Known orthopaedic limitations * Coronary artery disease * Type 1 diabetes mellitus, insulin-requiring Type 2 or untreated diabetes mellitus (fasting glucose\>126 or HgbA1c\>7.0) * Uncompensated Hypothyroidism (Stable on medication \>1 year or not on medication) * Renal disease * Uncontrolled autonomic dysreflexia, recent (within 3 months) * Deep vein thrombosis * Pressure ulcers \> Grade II * Decisional impairment * Any potential causes of autonomic dysreflexia at the discretion of the PI * Prisoners * Pregnant or nursing women