Barbell Medicine Podcast

The story goes that hard exercise is risky for women, and that the idea is ancient. Both halves fall apart on contact. In this solo episode, Dr. Jordan Feigenbaum follows the claim that physical effort harms the female body across twenty centuries, and shows that almost every version of it arrived as a verdict first, with the science bolted on afterward.It runs from antiquity to the present: what Galen actually wrote, why Sparta trained its women on purpose, the Victorian “vital force” panic and Edward Clarke’s claim that studying would sterilize girls, the doctor who prescribed bed rest to women and the wilderness to men, and the 1928 Olympic 800m that was erased for 32 years over a collapse that never happened. Then the correction: the research that finally tested heavy training in older women and women with low bone mass, and what it found. The episode closes on 2026, where the guidelines say lift and the menopause market often says don’t.What we cover•    Why the “ancient Greeks” origin story for the no-hard-exercise rule doesn’t hold up.•    How a Victorian energy-budget idea became a medical case against women lifting and studying.•    The real story of the 1928 Olympic women’s 800m and the 32-year ban.•    The strong women who were relabeled as freaks or exceptions instead of counted.•    What Fiatarone’s nonagenarians and LIFTMOR actually showed about lifting heavy later in life.•    The cortisol panic, the fasting scare, and cycle syncing, examined against the data.•    Why the cautious messaging now comes from the market, not the medical guidelines.Timestamps00:00 The 1928 Olympic “massacre” that never happened03:37 Antiquity: what the Greeks actually said06:50 The Victorians and “vital force”10:02 Mary Putnam Jacobi tests the claim, and is ignored11:53 1928 in full: who killed the women’s 800m13:53 The double standard, and Alice Milliat15:39 The strong women history relabeled20:26 The correction: what the evidence shows22:27 LIFTMOR: lifting heavy with low bone mass24:35 2026: guidelines, the market, and cortisol28:34 Cycle syncing, and naming the pattern30:40 What to take awaySubscribe to BBM Plus for the full unabridged Direct Line: https://barbellmedicine.supercast.com/Barbell Medicine coaching and templates: https://www.barbellmedicine.com/Signal book pre-order: https://www.barbellmedicine.com/shop/learning/signal/ReferencesCahn S. Coming on Strong: Gender and Sexuality in Twentieth-Century Women's Sport. Harvard University Press; 1994.Clarke EH. Sex in Education; or, A Fair Chance for the Girls. Boston: James R. Osgood and Company; 1873.Colenso-Semple LM, McKendry J, Lim C, et al. Menstrual cycle pha

In 1889 a French physiologist injected himself with guinea pig and dog testicle extract and published a claim of self-rejuvenation in The Lancet. That announcement kicked off a 200-year medicalization of menopause that ran through leeches and bromides, Premarin, the 2002 Women's Health Initiative, and the contemporary menopause-content space. In Episode 1 of our three-part menopause series, Dr. Jordan Feigenbaum and Dr. Austin Baraki walk through what menopause actually is at the hormonal level, which midlife symptoms are menopause-driven and which are not, the KNDy neuron mechanism behind hot flashes (and the new medication that blocks it), and the 24-year follow-up on the WHI that substantially revised the original conclusions. OB-GYN Dr. Loraine Baraki walks the clinical workup, the lab panel she actually orders, and how she handles patients arriving with DUTCH panels and compounded hormone protocols.If you have heard contradictory things about menopause hormone therapy from your primary care, your menopause coach, and your sister, that is not your fault. The evidence base has been revised in significant ways since the 2002 publication, and most patient-facing summaries are out of date.Timestamps00:00 Cold open: 200 years of menopause medicine03:23 Welcome and roadmap04:20 The HPG axis, follicles, and the FSH lag09:11 STRAW+10 staging and the timing of perimenopause13:47 Austin: the 49-year-old with a hormone panel20:00 Loraine: the OB-GYN workup28:00 Symptom attribution: what menopause actually causes33:46 Austin: the all-estrogen patient37:58 VMS duration and the KNDy mechanism (Avis, SKYLIGHT)43:53 Austin: who actually gets fezolinetant47:22 The WHI 24-year correction (Manson, Chlebowski, Boardman)01:00:15 Modern prescribing today01:06:52 Where the menopause-content space gets it right and wrong01:11:50 Testosterone, compounded bioidenticals, and DUTCH panels01:24:13 TakeawaysWhat we coverThe HPG axis and the estrogen shield: what is happening across the 35-year reproductive era and what changes at perimenopause.STRAW+10 staging: how long perimenopause actually lasts and where most women fall in the timeline. Symptom attribution: hot flashes and genitourinary syndrome are menopause. Weight gain, sleep, and joint pain are mostly other things.The KNDy neuron mechanism behind hot flashes and the new pharmacology that blocks it (fezolinetant, elinzanetant).The Women's Health Initiative: what the trial actually tested, what the 2002 result said, and what 24 years of follow-up have shown since then. The estrogen-alone arm reduced breast cancer inciden

This is the free preview of the May 2026 Direct Line, our monthly AMA for Barbell Medicine Plus subscribers. Three reader questions answered in full.We open with a mid-30s woman with bilateral shin pain and exertional foot numbness who started creatine a month ago and is asking whether the supplement is the cause. We walk through the compartment syndrome literature, the 2025 case report being passed around online and misinterpreted, what creatine actually does to total body water (and what it doesn’t), the four compartment pressure studies that exist, the Waterman 2013 demographic data on who actually gets chronic exertional compartment syndrome, and the workup we would actually run if this person walked into clinic.Next, whether splitting your resistance training across the day affects strength and hypertrophy. We cover BBM’s general heuristic on frequency as a distribution tool for training load, the Schoenfeld meta-analyses on frequency (2016 and 2019), the wrinkle on cardiorespiratory fitness and exercise snacks, and where we go off the reservation compared to a strict evidence-based read.We close with endometriosis for the lifter, including the seven-year average diagnostic delay, the 2022 ESHRE guideline shift away from required laparoscopy, what the menstrual cycle and performance literature actually says (McNulty 2020), why the anti-inflammatory diet narrative is mostly noise, the iron and protein levers that matter, post-operative return-to-lifting timelines, the meet-timing question, and Austin’s clinical case walk on supplement stacks and GLP-1 anti-inflammatory effects. A dedicated full episode on endometriosis is coming this summer.The full unabridged Direct Line covers ten more questions, including where the GLP-1 strength trials actually are, why DEXA misleads on muscle mass loss, how we arrived at the Vital 5 weightings, the salt sermon for strongman, running shoes for casual runners, hernias and crunches in older lifters, the Bristol Stool Chart, Austin on coaching his residents, and a fresh reading list. Full episode on BBM Plus.Timestamps:Question 1 · Creatine and shin pain01:2713:21Question 2 · Splitting your workout across the day13:2120:29Question 3 · Endometriosis for the lifter20:29What we cover:The clinical workup for chronic exertional compartment syndrome and why creatine is rarely the culprit. The Schoenfeld frequency literature and why training load matters more than the day it’s distributed across. Endometriosis basics including diagnostic delay, prevalence, and the 2022 ESHRE guideline change. Why most endometriosis “diets” don’t have evidence behind them, and which nutrition levers actually matter (iron, protein, energy availability). Post-operative return to training, meet-timing options, supplement stacks, and the role of GLP-1 receptor agonists in chronic anti-inflammatory effects.Resources:<

Most cases of low testosterone in modern men are not a problem with the testes. The number is downstream of body composition, sleep, and energy availability. The wellness-clinic algorithm walks past every one of them.Jordan and Austin walk through what actually drives men’s testosterone down, the mechanisms behind it, and the modifiable levers that bring it back up. MOSH, the leptin and Kisspeptin pathway, the aromatase loop, the sleep apnea picture most clinics never ask about, the GLP-1 and weight-loss data on testosterone recovery, the low energy availability case that hits high-volume lifters harder than they realize, and the closing question of when a standard-dose TRT prescription actually functions as a PED.This is Episode 3 of our four-part Signal book launch series. Mark, the patient we have been threading from Episode 1, finally gets his diagnosis revealed.Timestamps00:00 The 9x stat and Mark's diagnosis revealed 02:10 How body fat suppresses testosterone (MOSH) 07:26 Primary vs secondary causes, and Klinefelter 11:35 Leptin and the Kisspeptin pathway 14:38 Mark: the body-composition picture 16:10 The 40-inch-waist case 20:01 Weight loss, GLP-1s, and does Ozempic raise testosterone? 24:21 T4DM: adding testosterone to lifestyle 28:35 Sleep, OSA, and Mark's diagnosis 38:39 TRT in untreated sleep apnea 41:47 Can you train your testosterone down? (LEA / EHMC) 50:12 Replacement dose vs PED 55:47 Four takeaways 57:46 Episode 4 preview and book pre-orderWhat we cover:•         How body fat suppresses testosterone at two different points in the HPG axis, and why the loop is self-reinforcing•         The leptin and Kisspeptin pathway most clinics never address•         Mark’s case: a 45-year-old with a 240 ng/dL afternoon draw, no workup, and an immediate prescription•         Primary versus secondary causes, and why Klinefelter syndrome is the under-recognized one to not miss•         Weight loss dose-response: how much testosterone climbs on lifestyle alone, with GLP-1 agonists, and after bariatric surgery•         T4DM: why adding testosterone to a structured weight-loss program produced no extra quality-of-life benefit over placebo•         One week of sleep restriction drops testosterone by about 15 percent in healthy young men; eight days of military field exercises drop it by 50 percent•         Why CPAP for obstructive sleep apnea reliably improves symptoms but does not always move the lab number•         The opposite extreme: low energy availability, relative energy deficiency in sport, and the exercise-hypogonadal male condition•         The lifter calculus: when a textbook replacement dose is functionally a PED in a chronically underfuel

Three weeks of stalled squats. The conventional answer is to switch programs because you've crossed into intermediate territory. The data says something else. In Part 3 of the Progressive Loading series, Dr. Jordan Feigenbaum and Dr. Austin Baraki walk through why the standard novice / intermediate / advanced framework runs into trouble in real training, what the four adaptive systems are actually doing across a training career, and why most of what gets called a stall is impatience with the noise floor at your current strength level.This is Part 3 of the Progressive Loading series. Part 1 covered why loading should react to demonstrated adaptation. Part 2 covered RPE-based autoregulation and the artificial-momentum approach. Today is the mechanism layer.Pre-order our book, Signal: barbellmedicine.com/signalTimestamps0:00 - Why your lifts aren't moving1:52 - The novice / intermediate / advanced framework, three claims to test13:23 - What 17 years of powerlifting data show about how long you keep getting stronger32:28 - How getting stronger actually works (four systems on four clocks)38:00 - What early growth is actually made of (the Damas 2016 deuterium study)50:33 - The connective tissue lag and why early-training injuries happen58:32 - Why heavy lifting works for bone density (and why "walk on a treadmill" advice misses)1:05:10 - Why new lifters get hurt 3 to 10 times more than experienced lifters1:12:56 - Fatigue is at least four different things (and most coaches treat it as one)1:26:19 - The CNS fatigue myth (and what the data actually says)1:33:52 - When the bar isn't moving: how to actually diagnose a stall1:45:51 - Takeaways and next week's tease: leptin and low testosteroneWhat we cover - The novice / intermediate / advanced framework: three claims and why each one fails the data test- The 17-year IPF strength curve and what the no-kink finding does and does not establish (Latella 2024)- The four adaptive systems and their separate timescales (neural, muscle, connective tissue, bone)- What early growth actually is, including the deuterium-oxide finding that most week-3 size is fluid (Damas 2016)- Why connective tissue lags muscle by six to eight weeks, and why that produces patellar tendinopathy four months in- The 9.5 vs 0.74 to 3.3 injury rate gap between novice and experienced CrossFit participants- The CNS fatigue myth and the Skarabot 2018 finding that locates the fatigue in the muscle, not the brain- Why the LIFTMOR trial result (heavy lifting for bone density in women in their 60s and 70s) is being missed by primary care- A practical decision tree for stalls: environment first, then load, then program- Tease for next week: leptin, the HPG axis, and the metabol

Out of 32 symptoms commonly attributed to low testosterone, only 3 actually correlate with it. All three are sexual. The other 29 — fatigue, brain fog, low mood, weight you can't lose, feeling not quite like yourself — are real, but they are produced by something else, and the wellness-clinic funnel runs on getting that wrong. Episode 2 of our Signal book launch series. Dr. Jordan Feigenbaum and Dr. Austin Baraki cover how testosterone actually works, what the number on your lab report is really measuring, and what a real evaluation of low T looks like.Pre-order our book, Signal: barbellmedicine.com/signalTimestamps:00:00 Mark, revisited (cold open)02:00 How testosterone actually works (HPG axis)06:14 Why "in range" can still be abnormal09:24 What your lab number actually measures12:25 Case: total 230, low SHBG — does this guy need TRT?17:04 The saturation model — why higher isn't better21:11 A patient at 480 wants 900: how the conversation goes28:57 What "in range" actually means (and why 264 is the cutoff)34:41 The 3 symptoms that matter (out of 32)37:16 Walking back a 10-symptom checklist42:31 How a real testosterone workup gets done46:42 Chasland trial — TRT vs. exercise at low-normal T49:31 A warning for hard-training men58:48 Takeaways, tease, and what's coming next What we cover:The HPG axis explained — and why one low total testosterone reading tells you almost nothing about where the problem actually sits.The difference between total, free, and bioavailable testosterone — and why SHBG, the binding protein the wellness-clinic workup almost always ignores, is what determines whether the number on your lab report is misleading you in either direction.The saturation model: above roughly 250 ng/dL, the prostate androgen receptor is saturated. Libido follows the same plateau. Pushing a normal man from 500 to 900 isn't doing what the marketing implies.The EMAS study finding: of 32 symptoms men commonly attribute to low testosterone, only 3 actually correlate. Every other symptom needs a different workup.How a real testosterone workup gets done — morning sample, fasted, repeat draw, LH/FSH/SHBG to localize and contextualize.The Chasland 2021 trial: when standard TRT is prescribed properly to middle-aged men with low-normal levels, does it beat exercise? The answer is what most of the wellness-clinic industry is built on getting wrong.A note for hard-training men: the exercise-hypogonadal-male pattern, what "low-normal" means in someone whose levels are an adaptation to training load rather than a baseline deficit, and why a textbook TRT dose in that man may functionally act as a performance enhancer.If you have a lab report on your kitchen counter right now, this is what we wrote for you.

Stop a GLP-1 and about two thirds of the weight loss comes back within a year. Three randomized withdrawal trials (SURMOUNT-4, STEP 1 extension, STEP 4) and a new BMJ 2026 systematic review of 37 RCTs and nearly 10,000 adults all land on the same signal. The cardiometabolic benefits, blood pressure, fasting glucose, lipids, drift back in parallel with the weight. The framing that actually fits the data: GLP-1s behave like a statin. There is a cumulative benefit during exposure, but this does not extend indefinitely,This month's Direct Line covers two subscriber questions. The first asks what the new BMJ paper on GLP-1 cardiovascular protection after cessation actually shows, and how GLP-1 durability compares to lifestyle-only interventions. The second asks how a postmenopausal woman newly diagnosed with osteopenia should structure her lifting.Studies referenced: SURMOUNT-4 (Jastreboff, JAMA 2024), STEP 1 extension (Wilding, Diabetes Obes Metab 2022), STEP 4 (Rubino, JAMA 2021), West et al. BMJ 2026 systematic review, Budini 2026 eClinicalMedicine regain meta-analysis, SELECT cardiovascular outcomes, FLOW renal outcomes, the Diabetes Prevention Program, Look AHEAD, POUNDS Lost, and LIFTMOR (Watson, JBMR 2018).Full episode on BBM+ covers 8 additional subscriber questions. Join at https://barbellmedicine.supercast.com/Timestamps0:00 Intro1:52 Q1: What happens when you stop a GLP-15:33 Lifestyle-only comparators: DPP, Look AHEAD, POUNDS Lost8:15 Austin on the cessation conversation 12:41 BMJ 2026: weight and cardiometabolic regression17:59 The statin framing23:41 Austin: first 6 months off GLP-128:07 Q2: Osteopenia and heavy lifting35:28 LIFTMOR protocol38:00 OutroNext StepsFor evidence-based resistance training programs: barbellmedicine.com/training-programsFor individualized training consultation: barbellmedicine.com/coachingExplore our full library of articles on health and performance: barbellmedicine.com/resourcesTo consult with Drs. Baraki or Feigenbaum email us at [email protected], Louis J., et al. "Continued Treatment With Tirzepatide for Maintenance of Weight Reduction in Adults With Obesity: The SURMOUNT-4 Randomized Clinical Trial." JAMA, vol. 331, no. 1, 2024, pp. 38–48. https://jamanetwork.com/journals/jama/fullarticle/2812936Wilding, John P. H., et al. "Weight Regain and Cardiometabolic Effects After Withdrawal of Semaglutide: The STEP 1 Trial Extension." Diabetes, Obesity and Metabolism, vol. 24, no. 8, Aug. 2022, pp. 1553–1564. https://dom-pubs.on

Every week there's a new headline saying men are losing testosterone. A quarter of men now start testosterone replacement therapy without ever getting their blood tested. The supplement aisle is full of boosters that either do nothing or contain undisclosed steroids. And the lab test that gets everybody to the pharmacy? Half of low results normalize on their own.In Episode 1 of the Signal launch series, Dr. Jordan Feigenbaum and Dr. Austin Baraki (both MDs and strength coaches) walk through the three-layer problem with how testosterone gets diagnosed and treated in 2026, then take apart the "testosterone is crashing" headline with the most current data available, including a 2025 meta-analysis of more than one million men.Pre-order our book, Signal: barbellmedicine.com/signalTimestamps0:00 Mark's story: treating the number, not the patient1:18 Welcome to the Barbell Medicine Podcast1:41 Problem 1: A quarter of men start TRT with no lab work3:36 Problem 2: Why testosterone boosters do not work (and what is in them)13:40 Problem 3: Why one low testosterone lab is not a diagnosis19:19 Setup: Is the testosterone crisis headline real?20:04 The MMAS data and the 1%-per-year number20:52 The 2025 meta-analysis of over 1 million men22:02 Why the headline is inflated: three causes22:27 Cause 1: The testing method changed (immunoassay to mass spec)25:58 Cause 2: BMI cannot see visceral fat29:37 The Nyante study: when you fix both problems, the decline vanishes33:58 What this actually means for you37:05 The broken testosterone system, summarized38:24 Five takeaways from this episode39:14 Next week: How testosterone actually works39:39 About Signal and creditsWhat you'll learn in this episode: Why 25% of new TRT prescriptions are written without any pre-treatment lab work (JAMA, 2015)What actually happens when researchers test 50+ "testosterone booster" supplements (spoiler: 12% are contaminated with undisclosed steroids)Why a single low testosterone reading is not a diagnosis, and the Massachusetts Male Aging Study data that proves itThe real size of the population-level testosterone decline (much smaller than 1% per year)Why BMI cannot see the visceral fat that is driving most of the genuine declineThe Nyante study that shows the decline essentially vanishes when you use an accurate test and measure waist circumferenceFive practical takeaways you can apply before your next lab drawThis is Episode 1 of a four-part series built around our upcoming book, Signal. Over the next four weeks we cover what testosterone actually is, how to tell when it is genuinely low, what is really driving population-level changes, a

A 43-year-old man starts exercising and ends up in the ER with a CK over 100x the upper limit of normal. His doctor says it’s from training. We don’t think so. In this episode, Dr. Jordan Feigenbaum and Dr. Austin Baraki walk through the full case — history, labs, diagnosis, and what actually went wrong — then break down the mechanisms behind the answer, the nocebo research, and what the brand-new 2026 guidelines mean for the 40 million Americans on a drug class you’ve definitely heard of.We also cover the STOMP trial (do statins actually impair strength gains?), the SAMSON trial (how much of statin intolerance is nocebo?), the difference between myalgia, myositis, and rhabdomyolysis, Austin’s clinical approach to a patient whose strength is declining on a statin, and the treatment escalation pathway for statin-intolerant patients including bempedoic acid, PCSK9 inhibitors, and inclisiran. Plus, where GLP-1 receptor agonists like tirzepatide fit into the cardiovascular risk picture.Timestamps0:00 — A 43-year-old man is getting weaker, not stronger2:09 — Taking the history: Medications, lifestyle, and red flags12:53 — The labs come back: CK at 18,97916:05 — Metabolic syndrome and the modern treatment approach23:15 — Rhabdomyolysis: What it is and why it’s dangerous29:50 — Final diagnosis and what went wrong with the medications37:15 — 2026 ACC lipid guidelines: What changed40:32 — Three mechanisms: How statins affect muscle47:02 — The nocebo effect and the SAMSON trial54:17 — Do statins impair training? The STOMP trial1:00:30 — Who’s at highest risk for statin muscle problems1:07:36 — What happened to the patient and options if this is you1:14:12 — Five takeawaysFive Takeaway Statin myopathy is real but relatively uncommon. The excess symptom rate above placebo is roughly 1–5% in controlled trials. But in exercising patients, especially on combination therapy, the risk can be higher.There are three proposed mechanisms: reduced energy production from CoQ10 depletion, compromised muscle cell membranes from isoprenoid loss, and accelerated protein breakdown from calcium leak via the ryanodine receptor. Exercise amplifies all three, but the vast majority of people compensate.If you’re on a statin and your strength is going down, talk to your doctor before stopping the medication or changing your training. A CK test can help separate a drug problem from a programming problemThe 2026 ACC guidelines list vigorous exercise as a risk factor for statin-associated muscle symptoms for the first time. They also provide statin-intolerant patients a clear escalation pathway: bempedoic acid, ezetimibe, PCSK9 inhibitors, and more.Lower is better for LDL. There’s a 33% relative reduction in cardio

In 2022, researchers conducted the most rigorous systematic review ever performed on overtraining syndrome — looking specifically for controlled studies that documented a human transitioning from a healthy training state to an overtrained state. Zero studies met those criteria. The word "overtrained" appears in coaching certifications, wearable device dashboards, and clinical sports medicine guidelines — and in each context it means something different. That definitional chaos has consequences: it delays real diagnoses, produces nocebo effects with measurable physiological outcomes, and leads athletes to reduce training they didn't need to reduce.In this episode, Drs. Jordan Feigenbaum and Austin Baraki work through the full evidence base on overtraining syndrome — the taxonomy, the attempted studies, the six competing mechanistic theories, the biomarker failures, and what's actually happening when a lifter can't make progress. Timestamps:0:00 Cold open — the zero-studies finding1:21 Why "overtrained" does four different jobs simultaneously16:10 The FOR / NFOR / OTS taxonomy19:43 The supercompensation model — borrowed from endurance, never validated for resistance training32:28 Austin's clinical differential for fatigue and declining performance36:17 RT evidence — what happens when researchers try to induce OTS through lifting43:19 Austin — what actually drives the complaints he sees in practice47:30 Six theories for what causes overtraining syndrome1:01:09 The biomarker problem — why the T:C ratio and cortisol don't work1:05:09 What your wearable is actually measuring (and what it isn't)1:09:28 Austin — testosterone levels in trained athletes and when to act1:13:40 Heart rate variability — limitations for strength training1:15:36 Session RPE — the monitoring tool that actually works1:17:31 How common is overtraining syndrome, really?1:23:04 Three failure modes — what's actually happening when lifters say they feel overtrained1:32:14 Austin — what a proper medical workup looks like1:34:22 OutroWhat we cover:The definition problem — why a single word is doing four incompatible jobs simultaneously, and why that matters clinically and practically.The taxonomy — functional overreaching, nonfunctional overreaching, and overtraining syndrome as points on a continuous variable that can only be identified after the fact, not at presentation.The supercompensation model — where it came from, why it fails to describe how resistance training adaptation actually works, and how applying it too literally produces both overloading and underloading errors at the same time.Austin's clinical differential — what a physician actually works throu

In this free preview of the March 2026 Direct Line AMA. Drs. Feigenbaum and Baraki cover: VO2 max versus cardiorespiratory fitness for longevity (are Peter Attia’s targets evidence-based? — with Goodhart’s Law and the JAMA evidence), what GLP-1 medications actually cost now via manufacturer programs ($149–449/month), and whether 7,000–10,000 daily steps actually meet the bar for cardiovascular training. Full episode for Barbell Medicine Plus subscribers at https://barbellmedicine.supercast.com/Timestamps:0:00 — Introduction3:26 — VO2 Max vs. Cardiorespiratory Fitness for Longevity14:11 — GLP-1 Costs: What you should actually be paying now21:43 — Is Walking Enough for Cardiovascular Health?Next Steps:For evidence-based resistance training programs: barbellmedicine.com/training-programsFor individualized training consultation: barbellmedicine.com/coachingExplore our full library of articles on health and performance: barbellmedicine.com/resourcesTo consult with Drs. Baraki or Feigenbaum email us at [email protected]: JAMA Network Open — Cardiorespiratory Fitness & Long-term Mortality (Mandsager et al.) — Exercise capacity (METs) and longevity — the foundational CRF/mortality study cited in the episode https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2707428JAMA — Blair et al. — Physical fitness and all-cause mortality: a prospective study of healthy men and women https://jamanetwork.com/journals/jama/fullarticle/379243Barbell Medicine Vital Five — Multi-modal CRF benchmarks and longevity targets https://www.barbellmedicine.com/vital-5-action-plan/Lilly Direct — Zepbound (tirzepatide) — Manufacturer direct program ($299–449/month) https://www.lillydirect.com/zepboundNovoCare — Wegovy (semaglutide) — Manufacturer savings program ($149–349/month) https://www.novocare.com/patient/medicines/wegovy.htmlOrforglipron — Eli Lilly oral GLP-1 — What to know about orforglipron (small-molecule oral GLP-1 agonist, pending FDA approval) https://www.lilly.com/news/stories/what-to-know-about-orforglipronOur Sponsors:* Check out Chilipad and use my code sleep.me/BBM for a great deal: https://sleep.me* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Factor and use my code factormeals.com/bbm50off for a great deal: https://www.factor75.com* Check out Quince and use my code quince.com/bbm for a great deal: https://www.quince.comAdvertising Inquiries: https://redcircle.com/brands

You can have a completely normal BMI and be on your way to cardiovascular disease, type 2 diabetes, and metabolic syndrome without triggering a single alert on a standard health screening. The fat that predicts metabolic risk most accurately isn't the fat your scale or your doctor is tracking. Dr. Jordan Feigenbaum breaks down the science of visceral fat — what it is, how it causes disease, how to measure it correctly at home for free, and what the evidence actually shows about exercise, GLP-1 medications, and testosterone.Timestamps:00:00:00 Cold Open: The Visceral Fat Finding00:00:49 The Scale Problem — What Body Weight Actually Measures00:03:50 What Is Visceral Fat — and Why It's Not Just "Belly Fat"00:05:04 Three Competing Theories: How Visceral Fat Actually Causes Disease00:08:35 Adipokines: PAI-1, Angiotensinogen, and What Happens When Adiponectin Drops00:09:52 How to Measure: Three Sites That Don't Give the Same Number00:14:30 Clinical Thresholds, Ethnic Adjustments, and the Waist-to-Height Ratio00:15:45 The Weight-to-Waist Ratio: Tracking the Quality of Your Fat Loss00:19:20 Sleep, Cortisol, and Why the Hormonal Environment Has to Support the Work00:21:24 Why Exercise Reduces Visceral Fat 6× More Than Diet Alone00:22:02 Mechanism 1 — Beta-3 Adrenergic Receptors and Preferential Visceral Fat Mobilization00:24:10 Mechanism 2 — Myokines: The Fat-Burning Signal Only Contracting Muscle Can Send00:26:21 GLP-1 Agonists and Body Composition: What the Clinical Trials Actually Show00:28:05 DXA's Blind Spot: Myosteatosis, Glycogen, and Why Lean Mass Numbers Are Inflated00:30:10 SEMALEAN, the BELIEVE Trial, and the 1-in-10 Reality of Long-Term Lifestyle Programs00:33:15 Testosterone, Visceral Fat, and the Aromatase Feed-Forward Loop00:36:05 Three Testosterone Ranges: Deficient, Eugonadal, and Supraphysiological00:38:05 The Bhasin 4-Group Study — and Why AAS Are a Class, Not a Synonym for TRT00:39:33 Tesamorelin: The GHRH Analogue That Selectively Targets Visceral Fat00:40:53 Practical Framework: What to Measure, When, and What to Do00:43:20 Key TakeawaysNext StepsFor evidence-based resistance training programs: barbellmedicine.com/training-programsFor individualized training consultation: barbellmedicine.com/coachingExplore our full library of articles on health and performance: barbellmedicine.com/resourcesTo join Barbell Medicine Plus and get ad-free listening, product discounts, exclusive content, and more: https://barbellmedicine.supercast.com/To consult with Drs. Baraki or Feigenbaum email us at [email protected] Medicine Vital 5 Action Plan: https://www.barbellmedicine.com/vital-5

A fit, healthy 39-year-old was nearly sent for a liver biopsy. The cause? Was it that he went to the gym before every blood draw or because his supplement was throwing his labs off?. Dr. Jordan Feigenbaum and Dr. Austin Baraki break down the blind spot that sends thousands of healthy athletes down an expensive, potentially unnecessary diagnostic rabbit hole every year.Timestamps:00:01:09  Introducing the Case00:03:44  How to Read a Liver Panel: ALT, AST, GGT, Alk Phos, Albumin Explained00:10:50  What Is GGT and Why Does It Matter Clinically?00:16:38  Why Exercise, Protein, and Creatine Aren't on the Differential (Yet)00:17:35  The Workup: Hepatitis Panels, Abdominal Ultrasound, and More00:19:42  Second Set of Labs — The Mystery Deepens00:25:25  Updated Differential: What's Still on the List?00:27:08  The Labs Normalize — A Critical Clue Appears00:31:40  The Reveal: Exercise Was the Cause All Along00:32:18  The Mechanism: How Exercise Elevates 'Liver' Enzymes00:32:54  Point 1 — ALT & AST Are Not Exclusively Liver Enzymes00:33:49  Point 2 — It's Unavoidable: 100% of Lifters Are Affected00:36:02  Point 3 — It Takes 10–12 Days to Normalize00:37:00  Point 4 — It's Mostly Harmless00:38:27  56% of Physicians Miss This Diagnosis00:38:48  Why Clinicians Overlook Exercise History00:44:01  Point 5 — GGT as the Differentiator (And Its Limits)00:46:42  Why Alkaline Phosphatase Also Rises Post-Workout00:48:51  The Cost of Missing Lifestyle Context: Over- and Under-Diagnosis00:53:29  What to Say to Your Doctor: 3 Patient Scripts00:59:31  5 Key Takeaways01:00:25  Final Advice from Dr. Baraki Next StepsFor evidence-based resistance training programs: barbellmedicine.com/training-programsFor individualized training consultation: barbellmedicine.com/coachingExplore our full library of articles on health and performance: barbellmedicine.com/resourcesTo join Barbell Medicine Plus and get ad-free listening, product discounts, exclusive content,

In this special preview of the Barbell Medicine Plus Direct Line, Dr. Jordan Feigenbaum and Dr. Austin Baraki move past the fitness basics to tackle high-level technical nuances. We dive into the persistent myth of "muscle imbalances" and why your asymmetry might actually be a functional feature of your training.We also address the "meat" of the cardiovascular debate: is red meat and saturated fat consumption still risky if you are highly active and have a high-fiber diet? Finally, we explore the Dual Intervention Point Model to explain why the body defends its energy stores and how our environment has shifted the biological "set point" for body fat.Timestamps00:00 – Barbell Medicine Plus: Special Annual Membership Promotion01:03 – Muscle Imbalances: A Reliable Predictor of Pain?03:59 – Acuted vs. Gradually Acquired Asymmetries08:55 – How Coaches Should Manage "Alignment" Beliefs11:54 – Is Red Meat Necessary to Limit if You Are Otherwise Healthy?15:36 – The Role of Substitution: Plant vs. Animal Protein19:50 – Analyzing the Lean Mass Hyper-Responder (LMHR) Phenotype26:20 – The Dual Intervention Point Model of Body Fatness30:26 – Lipostat, Gravistat, and the Regulation of Energy StoresNext StepsFor evidence-based resistance training programs: barbellmedicine.com/training-programsFor individualized training consultation: barbellmedicine.com/coachingExplore our full library of articles on health and performance: barbellmedicine.com/resourcesTo join Barbell Medicine Plus and get ad-free listening, product discounts, exclusive content, and more: https://barbellmedicine.supercast.com/To consult with Drs. Baraki or Feigenbaum email us at [email protected] Barbell Medicine Vital 5 Action Plan: https://www.barbellmedicine.com/vital-5-action-plan/ Key TakeawaysAsymmetry as a Feature: Human bodies are not naturally symmetrical. In many athletes—such as tennis players, pitchers, or rowers—asymmetry is a functional adaptation to the sport's demands.The Pathological vs. The Normal: Acutely acquired asymmetries (post-surgery or trauma) require specific clinical attention. Long-standing or gradually acquir

Most doctors, trainers, and "safety-first" influencers warn that holding your breath while lifting is a dangerous habit that could lead to a stroke or heart failure. By looking back at the 300-year history of the Valsalva maneuver—from a 1704 ear treatment to the "boogeyman" blood pressure studies of the 1980s—we dismantle the myth of the "fragile tube." Discover the science of the "pressurized suit" and why your body is actually designed to handle extreme internal pressure during heavy exertion.Key TakeawaysThe 'Ear Trick' Origins: Originally described in 1704 by Antonio Maria Valsalva as a way to clear middle-ear infections, the maneuver wasn't linked to cardiovascular risk until the 1850s "Weber experiments."The MacDougall 480/350 Study: Why the finding of massive blood pressure spikes during leg presses may have created a "villain arc" for the Valsalva maneuver in modern medicine.Transmural Pressure Protection: A blood vessel fails when internal pressure significantly exceeds external support; during a Valsalva, the internal spike is matched by an external "cradle" of intra-thoracic and cerebrospinal fluid pressure.Reflexive vs. Intentional Bracing: The Valsalva maneuver is a hard-wired reflex that triggers involuntarily at approximately 80% of a maximal voluntary contraction to stabilize the trunk.Vascular Safety and Stroke Risk: Evidence suggests that for healthy populations, the risk of a vascular "pop" is negligible because the pressure gradient across the vessel wall (transmural pressure) remains stable.Pregnancy and Fetal Safety: Clinical data on pregnant athletes shows that heavy, braced lifting up to 90% of a 10-rep max does not cause fetal distress or compromised uterine blood flow.The 'Hissing' Safety Valve: For those prone to lightheadedness or pelvic floor symptoms, using a slow, active exhalation (a hiss) during the concentric phase can help manage pressure transitions.Timestamps[00:00] History: From the 1704 Ear Treatise to the Weber Fainting Experiments[05:26] The 1985 MacDougall Study: Origin of the "480/350" Blood Pressure Boogeyman[06:22] The Anatomy of a Breath-Hold: The 4 Phases of the Valsalva Maneuver[12:59] Reflexive Bracing: Why You Can’t Stop Yourself from Holding Your Breath[28:24] The Pressurized Suit: Transmural Pressure and Vascular Safety[31:00] The Brain and the Box: CSF Protection and Intracranial Pressure[35:27] Heart Health: Does Lifting Cause Pathological Heart Thickening?[41:17] Special Populations: Strokes, Aneurysms, and the 'Po

The longevity industry is now worth over $100 billion per year. From DNA methylation clocks to multi-cancer blood tests and GLP-1 medications, the promises are bold.But what actually predicts lifespan?In this episode, Dr. Jordan Feigenbaum and Dr. Austin Baraki break down the science behind biological clocks, the real story on GLP-1–related muscle loss, and introduce the Barbell Medicine “Vital Five” — a clinically grounded framework for health and longevity.Key Points:The Three Generations of Biological Clocks: Understanding the evolution of DNA methylation tests from simple chronological markers (Horvath) to sophisticated predictors of mortality (GrimAge) and functional decline (DunedinPACE).Descriptive vs. Prescriptive Metrics: Why a biological age score acts as a lagging indicator rather than a tool for clinical decision-making, compared to traditional risk factors like blood pressure and ApoB.GLP-1s and Sarcopenia Reality: A nuanced look at lean mass loss during semaglutide and tirzepatide treatment, emphasizing the difference between total lean mass and actual skeletal muscle quality.Weight-Independent Benefits of Incretins: Analyzing data from the SELECT and FLOW trials regarding the direct cardioprotective and renal benefits of GLP-1 receptor agonists.The Limitations of Early Detection: Why multi-cancer early detection (MCED) tests can lead to diagnostic loops and how clinical utility differs from marketing promises.The Barbell Medicine Vital Five: A definitive framework for longevity focusing on blood pressure, ApoB, VO2 max, relative strength, and body composition.Neurodegenerative Research Outlook: A critical review of the EVOKE trials and the potential (or lack thereof) for current weight-loss medications in treating established Alzheimer's disease.Next StepsFor evidence-based resistance training programs: barbellmedicine.com/training-programsFor individualized training consultation: barbellmedicine.com/coachingExplore our full library of articles on health and performance: barbellmedicine.com/resourcesTo join Barbell Medicine Plus and get ad-free listening, product discounts, exclusive content, and more: https://barbellmedicine.supercast.com/To consult with Drs. Baraki or Feigenbaum email us at [email protected] Timestamps:</h2

Lifting more weight doesn't always mean you've gotten stronger. In this foundational session, Dr. Jordan Feigenbaum and Dr. Austin Baraki introduce the Fitness-Fatigue Model to explain why "stalled" progress is often just a temporary masking of strength by accumulated fatigue. By learning to differentiate between a lack of fitness adaptation and a lack of recovery, you can avoid the "panic pivot" and maintain the long-term signal necessary for elite-level gains.Supercast Sign-UpFor the 6-part audio series and Training Plateau Action Plan, sign-up for Barbell Medicine Plus:https://barbellmedicine.supercast.com/Key Learning PointsThe Fitness-Fatigue Model: Understand the physiological duality of every workout—while a session builds your "fitness" (potential), it also creates "fatigue" that temporarily suppresses your performance.Strength vs. Effort: Performance must be measured relative to RPE. If the weight on the bar increases but the RPE climbs disproportionately (e.g., jumping from RPE 8 to RPE 10 for a 5lb gain), your absolute strength has not actually improved.Noise vs. Signal: A one-week stall is statistical "noise." Constant program hopping in response to a single bad session destroys the cumulative stimulus (the "signal") required for actual tissue adaptation.The Root Cause Audit: Determining the "Why" behind a plateau.Lack of Fitness: The stimulus is no longer sufficient to drive a new adaptation (Needs more volume/intensity).Lack of Recovery: The fatigue is overwhelming the adaptation (Needs a deload or volume reduction).Autoregulation as a Diagnostic Tool: Using RPE not just to prescribe load, but to "interrogate" your current state of recovery and readiness.Timestamps[00:00] Intro: Introducing the Barbell Medicine Plus Exclusive Series[02:15] The Thought Experiment: 310x6 @ 8 vs. 315x6 @ 10[05:30] Deep Dive: Defining the Fitness-Fatigue Model[09:45] Interpreting the Stall: Is it a Stimulus Problem or a Recovery Problem?[14:20] The Danger of "Short-Termism": Why Panicking Destroys the Signal[18:50] Introduction to the 6-Part Audio Course they simply reduce fatigue to reveal the strength you've already built.<

Can a simple one-second squeeze predict your risk of cardiovascular disease, cognitive decline, and all-cause mortality? Dr. Jordan Feigenbaum and Dr. Austin Baraki explore why grip strength has become the go-to metric for the longevity industry and why most people are interpreting the data incorrectly.Timestamps:[00:00] Intro: The Longevity Industry’s Thermometer Error[01:42] The Neuro-Axis: Anatomy of a Maximal Squeeze[06:43] The 35-3-5 Rule: Biomechanics of Grip[09:12] Asymmetries and Clinical Red Flags[17:31] Dynapenia vs. Sarcopenia: Why the Hand Fails First[18:41] Normative Data and the PURE Study Statistics[27:16] Genetics, Lean Body Mass, and Predictive Power[31:44] Absolute vs. Relative Grip Strength (The Metabolic Signal)[37:03] Bro-Science Beatdown: Neural Jitter and Training Readiness[42:19] The Extensor Training and "Grip Maxing" Myth[45:13] Programming: Systemic Training vs. Indirect Grip Work[48:10] The Straps Debate: Are You Killing Your Gains?[52:03] Final Verdict: Hierarchy and Health PrioritiesKey Takeaways:Grip is Systemic: Handgrip strength tests the integrity of the entire system, from the motor cortex in the brain down to the tendons and bones. It is a proxy for overall muscular quality and neurological health.Predictive Power: According to the PURE study, for every 5 kg decrease in grip strength, there is a 17% increased risk of cardiovascular death and a 7% increased risk of non-cardiovascular death.The Sarcopenia Floor: Clinical "red zones" for probable sarcopenia are  and .Relative Strength Matters: Relative grip strength (Grip Strength ÷ BMI) is a more accurate predictor of hypertension, diabetes, and dyslipidemia than absolute grip strength alone.Don't Chase the Test: Direct grip training (crushers, etc.) obscures the predictive power of the test. To improve health, focus on indirect systemic resistance training (training the whole body) rather than "gaming" the thermometer.Next StepsFor evidence-based resistance training programs: barbellmedicine.com/training-programsFor individualized medical a

Dr. Feigenbaum and Dr. Baraki walk through the clinical workup of a 24 year old male presented with persistent weakness in his foot following weight loss of 22 pounds in two weeks. What could've possibly caused this?The discussion pivots to the science of how fast one should lose weight. While athletes should prioritize slow loss to preserve performance and lean mass, the data for individuals with obesity suggests that the speed of loss may be less critical than protein intake and resistance training.Timestamps:00:00 - The Case of the Paralyzed Personal Trainer 03:48 - How Doctors Build a Differential for Weakness 12:08 - Interpreting Negative Labs and MRI Results 15:04 - Identifying Foot Drop and Nerve Distribution 20:53 - Understanding Nerve Conduction and EMG Studies 26:06 - The Diagnosis: Slimmers Paralysis Explained 32:56 - Are GLP-1 Medications Increasing Nerve Injury Risks? 35:01 - Rapid vs Slow Weight Loss: Muscle Mass and Performance 41:27 - The Truth About Metabolic Adaptation and Weight Regain 52:33 - New Research on Weight Regain After Stopping Medications 58:32 - Clinical Recommendations for Sustainable Weight Management Key Learning Points (SPOILER ALERT)Slimmer’s Paralysis (Dieting Palsy): Discover how rapid fat loss depletes the protective structural fat pads at the fibular head, leaving the common peroneal nerve vulnerable to compression.The "Two-Hit" Model: Understand how the combination of biological depletion (rapid weight loss) and mechanical provocation (aggressive stretching or squatting) triggers focal weakness.Speed vs. Quality for Athletes: Evidence suggests that for trainees, a slower weight loss rate of $\sim$0.7% of body weight per week is superior for maintaining lean mass compared to faster rates.Metabolic Adaptation as a Signature of Success: Why a reduction in resting metabolic rate is an unavoidable adaptive response to weight loss and not necessarily a predictor of future weight regain.Diagnosing Focal Weakness: A step-by-step look at how clinicians differentiate between lumbar spine issues and peripheral nerve entrapment using physical exams and electrodiagnostic testing.Resources:Case: https://pubmed.ncbi.nlm.nih.gov/39809480/ https://pubmed.ncbi.nlm.nih.gov/29503139/ https://pmc.ncbi.nlm.nih.gov/articles/PMC12157737/ https://

In this episode, Dr. Jordan Feigenbaum and Dr. Austin Baraki dissect the federal government’s 2026 Food Pyramid Reset and its radical shift in nutrition policy. They explore the history of industry lobbying that shaped previous guidelines and evaluate whether the new emphasis on protein and animal fats aligns with current clinical evidence. Finally, the doctors provide the framework for the Barbell Medicine Dietary Guidelines, offering a practical, evidence-based framework for managing the modern food environment.Timestamps00:00 - Introduction: The 1992 Food Pyramid vs. the 2026 Reset03:11 - A History of Lobbying: From the McGovern Committee to the USDA09:44 - Big Food and Big Tobacco: How the American pantry was engineered17:15 - The Good: Protein floors and the official war on ultra-processed foods27:13 - The Bad: Saturated fat, beef tallow, and the dairy hall pass44:02 - The Ugly: The 25-gram fiber gap and the retreat on alcohol guidelines54:10 - Economic barriers and the Healthy Eating Index scores01:06:18 - The Barbell Medicine Dietary Guidelines: A practical frameworkNext StepsFor evidence-based resistance training programs: barbellmedicine.com/training-programsFor individualized medical and training consultation: barbellmedicine.com/coachingExplore our full library of articles on health and performance: barbellmedicine.com/resourcesTo join Barbell Medicine Plus and get ad-free listening, product discounts, exclusive content, and more: https://barbellmedicine.supercast.com/Key Learning PointsEnvironment over Willpower: Weight gain is an emergent process caused by an engineered food environment that adds nearly 500 passive calories to the average American's daily intake compared to 1977.The New Protein Floor: The 2026 Reset finally acknowledges that the old 0.8g/kg RDA was a "survival dose." The new range of 1.2–1.6g/kg is a victory for skeletal muscle health, though doesn't really change intake for many (if they even read the guidelines).Incoherent Fat Logic: There is a fundamental conflict in guidelines that recommend beef tallow and butter while simultaneously advising that saturated fat stay below 10% of total calories.The Fiber Gap: By emphasizing animal proteins over legumes, the new guidelines risk widening the already massive fiber deficiency in the U

Fiber is the most underutilized tool in human nutrition. While the internet is currently buzzing about the new food pyramid and debating processed foods versus beef tallow, most people are missing the actual structural levers that dictate health and performance.Today, we are launching the Barbell Medicine Fiber Action Plan to bridge the gap between clinical science and your next trip to the grocery store.If you are a Barbell Medicine Plus subscriber, you can binge the entire 4-part audio series and download the full Action Plan right now in the Plus feed. If you are not a subscriber, head to the link below to sign up for early access to the Action Plan and exclusive content.Join Barbell Medicine Plus: https://barbellmedicine.supercast.com/In this series, we move beyond the simple soluble versus insoluble labels and discuss how fiber can lower cholesterol, manage blood sugar, and regulate satiety. Nutrition should not be a social media shouting match; it should be a deliberate strategy for your health. Stop guessing, get the guide, and let us get to work.Our Sponsors:* Check out Chilipad and use my code sleep.me/BBM for a great deal: https://sleep.me* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Factor and use my code factormeals.com/bbm50off for a great deal: https://www.factor75.com* Check out Quince and use my code quince.com/bbm for a great deal: https://www.quince.comAdvertising Inquiries: https://redcircle.com/brands

For decades, the health and fitness industry has blamed rising obesity rates on a lack of individual willpower and "poor choices." However, a landmark lawsuit in San Francisco argues that the modern food environment is a public nuisance engineered by food giants using a literal tobacco playbook. By manipulating "Bliss Points" and dismantling the natural food matrix, these companies have created an environment where healthy choices are the path of highest resistance. Understanding the shift from personal responsibility to environmental accountability is the first step in reclaiming your health.Next StepsFor evidence-based resistance training programs: barbellmedicine.com/training-programsFor individualized medical and training consultation: barbellmedicine.com/coachingExplore our full library of articles on health and performance: barbellmedicine.com/resourcesTo join Barbell Medicine Plus and get ad-free listening, product discounts, exclusive content, and more: https://barbellmedicine.supercast.com/Timestamps00:00 - The San Francisco Lawsuit vs. Big Food01:46 - Legal Shift: Personal Choice vs. Public Nuisance08:02 - Probabilistic Automaticity: Why Environment Wins13:40 - The 500-Calorie Shift: The Rise of Energy Toxicity16:11 - The Tobacco Playbook instead, the probability of making a "bad" choice has been engineered to increase through environmental cues.The Bliss Point: How food scientists precisely calibrate salt, sugar, and fat to create a transient "nirvana" that mutes the brain's satiety signals.The Potato Continuum: A framework for understanding how processing transforms a simple, satiating food into an energy-dense, hyper-palatable "drug."Food Addiction Data: Why 14% of adults meeting the Yale Food Addiction Scale criteria suggests a systemic design flaw in our food supply, not a character flaw

A 23-year-old soldier presents with hypertensive urgency and acute kidney injury. He thought he was doing everything right for his health—so what caused his system to fail? Dr. Feigenbaum and Dr. Baraki break down the clinical evidence and the surprising lab results.Timestamps[00:00] Introduction to the Case: The Fit Soldier’s Failure[01:07] Welcome and Mystery Case Framework[02:05] Patient History: The River and the GI Symptoms[03:53] Building the Differential: Infection vs. Dehydration[08:20] Initial Workup and the Hypercalcemia Discovery[14:14] The Medical Student’s Reveal: Supplement Reconciliation[18:05] Final Diagnosis: Severe Hypervitaminosis D[22:20] Metastatic Calcification and Permanent Vascular Damage[25:23] The Mechanism of Jaw Pain: Bone Resorption[28:34] Science Review: Debunking the Pilz (2011) Study[32:27] Fat-Soluble vs. Water-Soluble Risks[43:06] The Free Vitamin D Hypothesis[48:06] Updated 2024 Endocrine Society Guidelines[55:16] Final Thoughts: Vitamin D and the Endurance PopulationNext StepsFor evidence-based resistance training programs: barbellmedicine.com/training-programsFor individualized medical and training consultation: barbellmedicine.com/coachingExplore our full library of articles on health and performance: barbellmedicine.com/resourcesTo join Barbell Medicine Plus and get ad-free listening, product discounts, exclusive content, and more: https://barbellmedicine.supercast.com/Key Learning Points The Testosterone Fallacy: Meta-analyses confirm that Vitamin D supplementation has no significant effect on testosterone levels in men who are not clinically deficient.The Fat-Soluble Risk: Unlike water-soluble vitamins, Vitamin D is stored in adipose tissue, meaning toxicity can persist for months or years after cessation.Metastatic Calcification: Severe Vitamin D toxicity causes calcium phosphate to deposit in arterial walls, potentially turning flexible vessels into rigid pipes.2024 Endocrine Guideline Shift: Updated medical standards now recommend against routin

Biohackers and longevity clinics claim peptides are a side-effect-free sniper rifle for fat loss and injury recovery, but the reality is often buried in failed clinical trials and regulatory bans. Many popular compounds like BPC-157 have never undergone a single randomized controlled trial in humans, despite their reputation for Wolverine-like healing. This episode dismantles the hype surrounding the gray market, exposing the significant risks of immunogenicity and heavy metal contamination. Learn why modern load management and evidence-based medicine beat a research chemical bought with Bitcoin every time.Next StepsFor evidence-based resistance training programs: barbellmedicine.com/training-programsFor individualized medical and training consultation: barbellmedicine.com/coachingExplore our full library of articles on health and performance: barbellmedicine.com/resourcesTo join Barbell Medicine Plus and get ad-free listening, product discounts, exclusive content, and more: https://barbellmedicine.supercast.com/Key PointsThe FDA Category 2 Crackdown: Federal regulators restricted many peptides because of the risk of immunogenicity where the body creates antibodies that attack its own proteins.BPC-157 Has Zero Human Data: Despite being marketed for tendon repair, there is not a single published human randomized controlled trial for this molecule.The MK-677 Prediabetes Tax: While it increases lean mass, human trials show zero improvement in strength or power while frequently causing insulin resistance.Retatrutide as the Weight Loss Godzilla: This triple agonist is achieving nearly 29 percent weight loss in trials by increasing energy expenditure through thermogenesis.Sourcing and Safety Realities: A study of 44 research chemicals found that only 18 actually contained the labeled compound, with many containing heavy metals.The 40-Amino-Acid Rule: The legal distinction between a peptide and a protein is based on size, which dictates how the FDA regulates these substances and how your body absorbs them. Timestamps00:03 Intro: The CJC-1295 Heart Attack Case05:39 Defining a Peptide: The 40-Amino-Acid Bright Line15:14 GH Secretagogues: CJC-1295 and Ipamorelin23:51 MK-677: The Oral Hunger Mimetic and Prediabetes Risk32:56 BPC-157 and the Lack of Human Data38:12 Immunogenicity: Why the FDA Banned BPC-15749:46 Retatrutide: The Trip

Experiencing a pins-and-needles sensation on a run or fearing the straight bar deadlift shouldn't be your fitness journey's bingo card. Many trainees abandon effective habits due to false narratives regarding physiological signals or myths regarding back safety. We break down the clinical reality of exercise-induced sensations, the ethics of modern metabolic medicine, and why your choice of imlpement is more about preference than peril.Resources and Next StepsFor evidence-based resistance training programs: barbellmedicine.com/training-programsFor individualized medical and training consultation: barbellmedicine.com/coachingExplore our full library of articles on health and performance: barbellmedicine.com/resourcesTo join Barbell Medicine Plus and get ad-free listening, product discounts, exclusive content, and more: https://barbellmedicine.supercast.com/TopicsThe Hemodynamic Itch: Why vasodilation and increased blood flow to capillaries can cause mechanical stimulation of nerve endings during a run.Exercise-Induced Anaphylaxis: The critical difference between benign "runner’s itch" and a systemic medical emergency involving hives and hemodynamic instability.Medical Paternalism: Why withholding GLP-1 medications from patients who drink alcohol is a flawed clinical approach that ignores aggregate health risk reduction.The Seatbelt Analogy: Treating one health risk (obesity) is objectively better than leaving it untreated, even if other risks (alcohol) remain constant.The EMG Trap: Why electrical muscle activity data is a poor predictor of long-term strength and hypertrophy outcomes compared to longitudinal studies.Biomechanical Distribution: How the trap bar shifts load toward the quadriceps while the straight bar emphasizes the hamstrings and erectors without changing "safety."Clinical PearlsIdentify Red Flags: If itching is accompanied by wheezing, nausea, or dizziness, stop exercise immediately and seek emergency medical care.Prioritize Habituation: For benign runner’s itch, consistent training typically leads to physiological adaptation and symptom resolution within a few weeks.Shared Decision-Making: When choosing between deadlift variations, select the tool that aligns with your specific goals—use the straight bar for powerlifting prep and t

Welcome to the Barbell Medicine Cholesterol Action Plan. Cardiovascular disease is the #1 killer globally. We just released a massive 6-part audio series and written guide to fix that.It covers ApoB vs LDL, the CAC score paradox, the P:S diet ratio, and Plaque Regression.The full series is available INSTANTLY for Barbell Medicine Plus subscribers.If you're not a subscriber, start here:https://barbellmedicine.supercast.com/ Our Sponsors:* Check out Chilipad and use my code sleep.me/BBM for a great deal: https://sleep.me* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Factor and use my code factormeals.com/bbm50off for a great deal: https://www.factor75.com* Check out Quince and use my code quince.com/bbm for a great deal: https://www.quince.comAdvertising Inquiries: https://redcircle.com/brands

The wellness industry wants you to believe that menopause renders you fragile, fasting creates "cortisol belly," and birth control is silently destroying your skeletal health. These claims aren't just scientifically inaccurate; they act as "nocebo" barriers that scare women away from effective training and healthcare.We brought in the heavy artillery—Dr. Lauren Colenso-Semple, Dr. Loraine Baraki, and Dr. Spencer Nadolsky—to dissect the physiology behind these viral fears. Discover why your body remains resilient through hormonal transitions and why lifestyle or GLP-1s is a false dichotomy, Dr. Colenso-Semple: @drlaurencs1Dr. Loraine Baraki: @loraine_barbellmedicineDr. Spencer Nadolsky: @drnadolskyKey Learning PointsThe Menopause "Cliff" Myth: Menopause does not destroy your ability to recover or adapt to exercise.1 While aging may require programming adjustments, your muscles do not stop responding to tension and progressive overload simply because estrogen levels change.Cortisol Fear-mongering: There is no evidence that intermittent fasting or skipping breakfast causes pathological "cortisol belly" or visceral fat storage in women. Fasting is simply a tool for Calorie restriction, not a hormonal wrecking ball.IUDs & Bone Density: Levonorgestrel IUDs (hormonal) work primarily via local action on the uterus, not systemic suppression. Contrary to viral claims, they do not "eat your bones," and most users continue to ovulate and produce protective estrogen.The "Masking" Fallacy: Amenorrhea (lack of period) on an IUD is a known, harmless side effect of a thinned uterine lining. It is rarely "masking" a dangerous underlying condition like premature ovarian insufficiency.Birth Control & Performance: Population-level data shows that hormonal contraceptives do not clinically impair strength or athletic performance. While they increase SHBG and lower free testosterone, women are not "little men" dependent solely on testosterone for performance.GLP-1 Agonists (Ozempic/Mounjaro): Using medication to treat the appetite dysregulation of obesity is not "cheating." Muscle loss on these drugs is primarily a function of the Caloric deficit, not the drug itself, and can be mitigated with resistance training.Get More Value: Exclusive Content and ResourcesWant to support the show and get early, ad-free access to all episodes plus exclusive bonus content? Subscribe to Barbell Medicine Plus and get ad-free listening, product discounts, and more. Try it free for 30-days

Bulletproof or Broken- Why 'Perfect Form' Is a Lie Episode SummaryIn this comprehensive episode, we dismantle the pervasive myth that the human body is a fragile machine susceptible to catastrophic injury from minor technique flaws. This narrative, often perpetuated by social media influencers screaming "Snap City," creates widespread fear avoidance behavior (kinesiophobia) that does more harm than good.By reviewing extensive epidemiological data, we demonstrate that obsessing over "perfect" technique has virtually zero correlation with injury risk. Instead, we explore the true drivers of pain and injury: improper load management (doing too much, too fast) and hyper-specialization (lack of movement variability).We also introduce the REP Model (Repeatable, Efficient, Points of Performance) as a practical compass for movement and provide a new framework for staying healthy: focus on robustness and managing your training dose, not fear-based mechanics.Timestamps00:00:00 - The Fragility Myth: The Body-as-a-Car Metaphor and the Nocebo Effect.00:11:31 - Defining Injury: Why the scientific data is a methodological mess.00:21:46 - Injury Rates Compared: The Gym vs. Running vs. Contact Sports.00:33:32 - MRI is a Liar: Understanding asymptomatic abnormalities ("wrinkles on the inside").00:39:10 - The Body-as-a-Bank-Account: A better analogy for capacity and load.00:41:59 - Suspect 1: Heavy Weight. (Verdict: Innocent).00:45:44 - Suspect 2: Orthopedic Cost & Exercise Selection. (Verdict: Innocent).00:49:53 - Suspect 3: Hyper-Specialization. (Verdict: Guilty).00:54:23 - Suspect 4: Movement Speed. (Verdict: Innocent).00:57:21 - Suspect 5: Age. (Verdict: Innocent - The "Old Man Strength" phenomenon).01:02:17 - Suspect 6: Anabolic Steroids. (Verdict: Guilty-ish).01:04:38 - Suspect 7: Accidents & Gravity Events. (Verdict: Guilty).01:08:22 - The Myth of the "Robotic" Elite Lifter: Why variability is a feature, not a bug.01:15:48 - The REP Model: A new framework for technique (Repeatable, Efficient, Points of Performance).01:20:01 - Conclusion: Your marching orders.⭐ Get More Value: Exclusive Content and ResourcesWant to support the

Episode Summary: The Cardiometabolic Revolution of Semaglutide, Tirzepatide, and BeyondThis episode provides a comprehensive, evidence-based update on GLP-1 receptor agonists (anti-obesity medications), featuring Dr. Jordan Feigenbaum, Dr. Austin Baraki, and Dr. Spencer Nadolsky. The hosts review the rapid evolution of these drugs—from short-acting injectables to potent multi-agonists like Tirzepatide (Mounjaro/Zepbound) and Retatrutide—which now achieve weight loss efficacy rivaling bariatric surgery.The discussion clarifies the broad, weight-independent benefits these drugs offer for cardiovascular, renal, and liver health (CKM Syndrome). The experts address common concerns, including the high incidence of gastrointestinal side effects and the heavily debated risk of muscle mass loss, concluding the risk is often overblown and easily mitigated by resistance training and adequate protein intake. Finally, they discuss the biggest hurdle to access: cost, and the role of newer oral and compounded options in the evolving landscape.⏱️ Episode Timestamps00:00 Welcome and Introductions00:05:48 Defining GLP-1 and the Incretin Effect00:08:06 Debunking "Nature's Ozempic" (DPP-4 resistance)00:11:17 Evolution of GLP-1 Drugs (Longer duration, higher potency)00:14:35 Defining and Discussing "Food Noise"00:19:43 Semaglutide Efficacy (STEP & SUSTAIN Trials)00:22:36 Tirzepatide Efficacy (SURMOUNT Trials)00:24:50 Triple Agonist Pipeline (Retatrutide)00:28:04 Oral Options and Future Accessibility (Orforglipron)00:33:10 Weight-Independent Cardio Benefits (SELECT Trial)00:38:12 Benefits for Kidney and Liver Health (CKM Syndrome)00:41:47 Emerging Benefits (Sleep Apnea, Addiction, Cancer)00:48:20 Common Side Effects (Nausea, Constipation, Fatigue)00:52:59 Rare/Serious Risks (Pancreatitis, NAION)00:58:36 Muscle Mass Loss Concern (Hype vs. Data)01:13:44 Biggest Hurdle: Cost and Prior Authorization01:16:50 Compounded Versions vs. Research Chemicals01:19:57 Role of Older Anti-Obesity Medications and Microdosing01:24:41 Final Summary🔗 Resources and Next StepsWork with Experts on Cardiometabolic Health:Connect with Dr. Austin Baraki and Dr. Spencer Nadolsky: https://joinvineyard.com/ For evidence-based resistance training programs: barbellmedicine.com/training-programsFor individualized medical and training consultation: <a href="https://www.google.com/search?authuser=2&q=https%3A%2F%2Fbarbellmedicine.com%

Cycle Syncing, Cardio Myths, and Iron Deficiency: A Barbell Medicine Review of Viral ClaimsEpisode Summary: Debunking Women's Health Claims and Setting Optimal TargetsIn this in-depth episode, Dr. Jordan Feigenbaum, joined by Dr. Lauren Colenso-Semple and Dr. Austin Baraki, breaks down the viral women's health claims made on a popular podcast, separating misleading mechanistic theory from actionable, evidence-based advice.They tackle three major topics: the idea that Cycle Syncing is necessary for performance (spoiler: it's not); the confused messaging surrounding HIIT and Zone 2 cardio (consistency is key); and a critical discussion on Iron Deficiency, clarifying why standard lab cutoffs for ferritin are too low and why treating to an optimal target (greater than or equal to 50 ng/mL) is essential for managing fatigue and optimizing exercise performance in women.⏱️ Episode Timestamps1:29 I. Cycle Syncing: The Claim and the Mechanistic Logic18:54 II. Conditioning Confusion: High Intensity, Zone 2, and Zone Definitions21:10 Polarized vs. Pyramidal Training (Context)47:08 III. Iron Deficiency: Normalizing Low Ferritin51:52 Evidence Review: Setting Accurate Ferritin Cutoffs⭐ Get More Value: Exclusive Content and ResourcesConnect with Dr. Lauren Colenso-Semple: @drlaurencs1Want to support the show and get early, ad-free access to all episodes plus exclusive bonus content? Subscribe to Barbell Medicine Plus and get ad-free listening, product discounts, and more. Try it free for 30-days.Unsure which training plan is right for you? Take the free Barbell Medicine Template Quiz to be matched with the ideal program for your goals and experience level.For media, support, or general questions, please contact us at [email protected]. Cycle Syncing: Why Consistency Trumps Hormone StatusThe Problem with Mechanistic ReductionismThe viral claim that women must systematically adjust their training volume and intensity based on fluctuating hormones (estrogen and progesterone) to optimize performance or avoid harm is based on a reductionist and largely unproven hypothesis. While hormone changes are real, relying solely on mechanistic data (what happens in isolated cells or textbook diagrams) is insufficient, as the complex, interactive nature of human physiology often overrides these single-factor effects.Dr. Feigenbaum and Dr. Colenso-Semple clarify that no reliable human evidence supports the idea that cycle syncing leads to superio

Episode Summary: Dynapenia, Motor Neurons, and the FirewallIn this episode, Dr. Jordan Feigenbaum and Dr. Austin Baraki redefine sarcopenia, shifting the focus from simple age-related muscle size loss (atrophy) to the more critical loss of muscle strength and power (dynapenia), a process that starts in the 40s. They explain the profound pathophysiology: sarcopenia is primarily a neurological event caused by the death of high-threshold motor neurons, leading to the selective loss of fast-twitch (Type II) muscle fibers. This explains why strength declines 3x faster than size.The hosts detail the modern diagnostic framework—prioritizing functional tests like the sit-to-stand test over late-stage mass measurements. They provide the definitive, evidence-based management plan: lifelong heavy resistance training is non-negotiable as it acts as a firewall against motor neuron death. The episode concludes with a debunking of common myths (e.g., "walking is enough," "muscle turns to fat," "lifting heavy is unsafe for the elderly") and practical advice on optimizing protein and creatine use to combat anabolic resistance.⭐ Get More Value: Exclusive Content and ResourcesWant to support the show and get early, ad-free access to all episodes plus exclusive bonus content? Subscribe to Barbell Medicine Plus and get ad-free listening, product discounts, and more. Try it free for 30-days.Unsure which training plan is right for you? Take the free Barbell Medicine Template Quiz to be matched with the ideal program for your goals and experience level.For media, support, or general questions, please contact us at [email protected] TakeawaysSarcopenia is a Neurological Problem: The primary cause is the death of high-threshold alpha motor neurons, leading to the selective loss of fast-twitch (Type II) muscle fibers—the fibers responsible for power, speed, and fall prevention. This explains why strength (dynapenia) declines 3x faster than muscle size.Diagnosis Must Be Functional: Waiting for a doctor to diagnose sarcopenia via a muscle mass measurement (like a DEXA scan) is too late. Modern guidelines prioritize functional tests like grip strength and the sit-to-stand test as early warning signs, as muscle can be normal-sized but still dysfunctional.Resistance Training is the Firewall: Lifelong heavy resistance training slows motor neuron loss

Episode Summary This is a preview of our subscriber-only Ask Us Anything episode, where Dr. Jordan Feigenbaum and Dr. Austin Baraki tackle the most persistent problems in training and nutrition. Hear the science behind managing pain in the gym—determining the threshold for acceptable discomfort versus a true programming error. They also analyze why short-term study findings often fail in the real world, cover the science of pre-exhaust training, and give practical advice on the psychology of managing dietary cravings when transitioning to a healthier diet. Takeaways Pain Threshold: Learn the 3/10 rule for pain in training: low-level, self-limiting discomfort is common, but anything more should be addressed.Programming Fix: Recurrent pain (e.g., every 5-6 weeks) is often a programming issue caused by a lack of training tolerance, not a technique fault. The solution is modifying the total load, not just changing your form.Training Philosophy: Stop "pushing" harder every session. The best way to progress is to wait for fitness to show up (the lift feels easier) before increasing the load.Pre-Exhaust Science: Find out why techniques like leg extensions before squats are suboptimal for both strength and hypertrophy because they compromise the necessary total training load.Cravings Are Transient: The intense difficulty experienced when switching from ultra-processed, hyper-palatable foods to home-cooked meals is normal (hedonic adaptation) and transient. Understanding that this discomfort will fade is key to long-term adherence.⏱️ Preview Timestamps00:00 Introduction & Plus Subscriber Offer00:40 How Often Should I Feel Pain in Training? (Pain Threshold & Training Tolerance)09:31 The Science of Pre-Exhaust Training (Why it compromises total load)16:54 Managing Dietary Cravings When Switching Habits (Hedonic Adaptation)27:49 Conclusion: Barbell Medicine Plus Offer🔓 Unlock the Full Episode & Exclusive BenefitsThe topics above are only a fraction of what's covered in the full Ask Us Anything episode, which also includes:How to structure high-intensity conditioning intervals and why heart rate is often a poor metric.The science behind Powerlifting peaking and tapering for non-elite athletes.The latest, large-scale meta-analysis on Vitamin D and respiratory infections and why the real-world benefit is highly modest.A full discussion on the discrepancy between short-term studies and real-world results in diet and exercise.Subscribe

Barbell Medicine Q&A: Cholesterol, Hypertrophy Volume, and Training EfficiencyEpisode SummaryIn this Q&A session, Dr. Jordan Feigenbaum addresses listener questions on optimizing training, managing health metrics, and navigating supplement use. Key topics include the latest evidence on cholesterol management (statins vs. PCSK9 inhibitors), why routine Vitamin D supplementation is usually unnecessary, and the mechanics of hypertrophy, emphasizing that volume is superior to intensity once a functional threshold is met. Dr. Feigenbaum also offers practical coaching advice on dynamic volume regulation, the importance of efficiency in the deadlift, and why training models like Pilates do not offer the same benefits as traditional strength work.⏱️ Episode Timestamps00:00 Introduction00:43 Cholesterol Lowering Medication (Statins vs. PCSK9 Inhibitors)03:27 Volume vs. Intensity for Hypertrophy06:48 Regulating Training Volume and the 5% Rule11:43 Barbell Medicine Supplement Philosophy and Safety14:14 Pilates as a Training Modality16:31 Is Zone 2 Cardio Really That Amazing?⭐ Get More Value: Exclusive Content and ResourcesWant to support the show and get early, ad-free access to all episodes plus exclusive bonus content? Subscribe to Barbell Medicine Plus and get ad-free listening, product discounts, and more. Try it free for 30-days.Unsure which training plan is right for you? Take the free Barbell Medicine Template Quiz to be matched with the ideal program for your goals and experience level.For media, support, or general questions, please contact us at [email protected]⚕️ Section I: Clinical and Healthspan OptimizationCholesterol Management: The Lower is Better PhilosophyThe core principle of managing atherogenic risk is that the risk of heart disease is proportional to the overall lifetime exposure (level $\times$ duration) to atherogenic lipoproteins, specifically LDL, triglycerides, and particles tagged with Apolipoprotein B (ApoB). These particles constitute the "atherogenic load."Lowering this load is beneficial, and the data suggests that lower is better for cardiovascular health. While powerful medications like PCSK9 inhibitors offer an immense magnitude of cholesterol lowering and are proven for both primary and secondary prevention of major adverse cardiac events, the general population will often achieve substantial risk reduction with statins or statin/ezetimibe combinations, which are more accessible and cost-effective.This approa

Mental Strategies: Neuroscience, Visualization, and Developing ResilienceEpisode Summary: Training Your Brain for Performance and HealthDr. Jordan Feigenbaum welcomes Anne-Sophie Fluri, a neuroscientist with a background in experimental neuroscience and Parkinson's disease research, who now runs Brain Wave, focusing on mental fitness and performance workshops.This episode leverages Anne-Sophie's expertise to discuss powerful mental strategies applicable to life, stress management, and athletic performance. The conversation provides an evidence-based breakdown of meditation (what it is and what it isn't), the neurological mechanisms behind visualization (process vs. outcome imagery), and how these practices contribute to mental resilience and improved self-efficacy—a core component of the Barbell Medicine definition of health.⏱️ Episode Timestamps[00:00] Introduction, Guest Background, and Barbell Medicine Plus Offer[00:41] What is Anne-Sophie currently focusing on at Brain Wave[04:41] Meditation: What it is (and isn't) & Training Attentional Focus[08:31] Why people start meditating (Sleep issues, anxiety, stress relief)[12:28] Legitimate Health Benefits of Meditation (Focus, stress, health behaviors)[19:35] Meditation in Sport and Performance Enhancement[23:14] How to Start Meditating Today (Apps, YouTube, and the 5-minute approach)[33:30] II. Visualization: Mental Imagery and Performance Rehearsal[35:04] Visualization in Sport (F1, Michael Phelps, and mentally rehearsing failure)[37:02] Process vs. Outcome Visualization & Multi-sensory Engagement[43:03] How to Start Visualization Practices (Aphantasia caveat)[46:47] The Power of Immediacy and Mind-Muscle Connection[56:48] III. Mental Resilience: Self-Efficacy and the Six Components⭐ Get More Value: Exclusive Content and ResourcesWant to support the show and get early, ad-free access to all episodes plus exclusive bonus content? Subscribe to Barbell Medicine Plus and get ad-free listening, product discounts, and more. Try it free for 30-days.Unsure which training plan is right for you? Take the free Barbell Medicine Template Quiz to

🎙️ Q&A Deep Dive: The Critical Cutoff for Fat Loss, Safety, and Strength📝 Episode Summary: BMI, Training Safety, and Evidence-Based NutritionIn this mini-sode, Dr. Jordan Feigenbaum answers core questions on performance and health. The discussion centers on replacing arbitrary body fat percentages with clinical, evidence-based metrics for determining when a lifter should start a fat loss phase, emphasizing BMI and waist circumference.Dr. Feigenbaum also provides critical safety information on heavy barbell training for older men, addresses the mythology of testosterone and its role in strength gains, outlines a strategy for losing weight without losing strength through modest deficits and high protein, and critiques the common use cases for stretching and the risks of the popular carnivore diet.⏱️ Episode Timestamps[00:00] Introduction & Barbell Medicine Plus Offer[00:43] Body Fat Percentage vs. Clinical Metrics for a Cut (BMI and Waist Circumference)[07:22] The Clinical Use of Stretching and Injury Risk (Entry point for pain)[09:51] Losing Weight Without Losing Strength (Modest deficit & high protein)[13:19] Heavy Barbell Training and Heart Problems in Older Men (Cardiac safety)[15:00] Favorite Testosterone Factoid and Relative Strength Gains (Androgen receptor saturation)[17:18] The Problem with the Carnivore Diet (Saturated fat and fiber risks)⭐ Get More Value: Exclusive Content and ResourcesWant to support the show and get early, ad-free access to all episodes plus exclusive bonus content? Subscribe to Barbell Medicine Plus and get ad-free listening, product discounts, and more. Try it free for 30-days.Unsure which training plan is right for you? Take the free Barbell Medicine Template Quiz to be matched with the ideal program for your goals and experience level.For media, support, or general questions, please contact us at [email protected]⚕️ Section I: Body Composition and the Fat Loss TriggerReplacing Body Fat Percentage with Clinical MarkersDr. Feigenbaum critiques the common practice of using arbitrary body fat percentage thresholds (e.g., 25% for men) to recommend a fat loss phase, citing the lack of robust evidence correlating these numbers to disease risk and the poor accuracy of most measurement methods for tracking individual change.Instead, the decision to recommend a cut for the average recreational lifter should rely on three objective, clinical criteria:BMI > 30: A Body Mass Index of 30 or over is highly specific

The Rundown: Deadlift Data, Intensity Science, and Semaglutide's Muscle EffectEpisode Summary: Weighing Records, Efficiency, and RegulationIn this episode of The Rundown, Dr. Jordan Feigenbaum and Dr. Austin Baraki dive deep into the latest data and breaking news spanning strength, longevity, and health policy. They kick off the discussion by analyzing world record powerlifting data to dissect the perennial sumo versus conventional deadlift debate and the impact of specialized equipment.Next, they tackle controversial new science on exercise intensity, revealing that vigorous physical activity may be far more efficient for disease risk reduction than the traditional 1:2 ratio suggests. They examine a new, complex consensus statement from the ACSM on exercise intensity domains. Finally, the hosts analyze new clinical data on the anti-obesity medication semaglutide (Ozempic/Wegovy), assessing its impact on muscle function during weight loss, and they weigh in on China’s new mandate requiring influencer certifications for sensitive topics, as well as the critical issue of lead in protein powder. ⏱️ Timestamps[00:20] I. Deadlift Data DEBUNKED: World records, the stiff bar vs. deadlift bar delta, and the conventional vs. sumo distribution in elite powerlifting.[17:14] II. Intensity Science: Is Harder Way Better?: New data shows vigorous activity is 4x-9x more efficient than moderate activity for health outcomes.[30:51] The ACSM’s New Intensity Definitions: Critique of the confusing new "Metabolic Threshold" and RIR-based resistance training domains.[41:40] III. Medical Updates: The Fox P3 Nobel Prize: How a genetic immune switch (regulatory T-cells) impacts autoimmune disease and muscle repair.[49:32] Semaglutide and Muscle Preservation: The SEMALEAN study data showing 80% fat loss, 20% lean mass loss, and improved handgrip strength.[01:00:26] China's Influencer Certification Mandate: Discussion on government control, misinformation, and the limits of expertise on social media.[01:07:00] Lead in Protein Powder: Why incidental lead is unavoidable, the risk of contamination (especially in plant-based powders), and how to ensure supplement safety.⭐ Get More Value: Exclusive Content and ResourcesWant to support the show and get early, ad-free access to all episodes plus exclusive bonus content? Subscribe to Barbell Medicine Plus and get ad-free listening, product discounts, and more. Try it free for 30-days.Unsure which training plan is right for you? Take the free Barbell Medicine Template Quiz to be matched with the idea

Limits Challenged: 80-Year-Old Ironman, Golf Amateurism, and Paternal Epigenetic Inheritance🎙️ Episode Summary: Shattering Perceived Limits in Health, Sport, and BiologyIn this bonus episode, Dr. Jordan Feigenbaum steps back from the deep technical dives to explore current, compelling stories from sports, medicine, and fitness—all united by a single thread: challenging perceived limitations. We analyze three seemingly unrelated events: the awe-inspiring finish of an 80-year-old Ironman athlete, the philosophical crisis of competitive equity triggered by a former pro golfer’s request for amateur reinstatement, and groundbreaking new research suggesting a man’s endurance training can epigenetically program his offspring’s metabolic health.These stories force us to question the boundaries we accept. What is the true limit of human aging and healthspan? What defines fair competition in modern sport? And what are the biological limits of what a father passes down to his child at conception?⏱️ Episode Timestamps[00:00] Introduction: Challenging Perceived Limits[00:53] The 80-Year-Old Ironman: Natalie Grabow (Case study for Healthspan and strength training)[04:54] Golf’s Competitive Crisis: The Knost Controversy (Should former professionals be allowed to regain amateur status?)[09:43] Epigenetic Power: Training for Two (How a father’s endurance training is passed down to offspring)🔑 Key Takeaways & Actionable InsightsStrength is Non-Negotiable for Healthspan: The achievement of 80-year-old Natalie Grabow demolishes the myth of mandatory frailty. Her success is a testament to prioritizing progressive resistance training older adults alongside endurance work, maintaining the physiological reserve needed to thrive.The Amateurism Crisis in Golf: The controversy surrounding former professional golfer Colt Knost highlights the complex and messy philosophical problem of defining "amateur" status, particularly regarding the lasting, unquantifiable advantage gained from professional experience.A Father’s Health is Paternal Care: Cutting-edge research reveals that a father's endurance training before conception produces specific microRNAs in sperm. This is a mechanism for epigenetic

Dr. Jordan Feigenbaum answers questions on supplements, training philosophy, and competition prep in this extended preview of the Barbell Medicine AMA! This episode debunks common myths and gives you the honest, evidence-based answers you need for better health and lifting.Become a Barbell Medicine Plus Member TodayIn this preview, we cover:Lead in Your Supplements? 🤯 The recent controversy and why you need to check for third-party, batch testing. We discuss the low lead content of Barbell Medicine's whey and why plant-based proteins, like vegetables, naturally carry higher risks.The Problem with Group Class Programming: While F45, CrossFit, and Orange Theory are great for adherence, their circuit training often compromises total training volume, force production, and loads, which reduces exercise-related adaptations.Stop the Endless Stretching! Stretching alone does not reduce injury risk, decrease soreness, or improve performance. Better to use that time for actual strength training.Weight Cutting: Is 20 lbs Too Much? Get the strong recommendation against attempting an aggressive weight cut for a meet, particularly if you are cutting more than 2-5% of your body weight for a 2-hour weigh-in.Isometrics vs. Dynamic Exercise: Isometrics are best as a starting point for those who cannot tolerate any dynamic joint movement due to pain. However, dynamic exercises are generally better for strength and health adaptations.Deadlift Bar Slack: Learn about the two sources of slack in a deadlift system and why practicing with a deadlift bar (which is longer and thinner than a standard power bar) is essential before a competition.Garage Gym Platform: Do I Need One? Why building an 8x8 platform is recommended for lifting, primarily to eliminate the floor slope common in garages and provide a level, solid surface.ResourcesResources Page: https://www.barbellmedicine.com/resources/Template Quiz: https://www.barbellmedicine.com/template-quiz/Got pain and need a professional who understands you lift? Or, do you need an experienced coach to help you get the most out of your training? Contact us at [email protected] Sponsors:* Check out Chilipad and use my code sleep.me/BBM for a great deal: https://sleep.me* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Factor and use my code factormeals.com/bbm50off for a great deal: https://www.factor75.com* Check out Quince and use my code quince.com/bbm for a great deal: https://www.quince.comAdvertising Inquiries: <a href='https://red

In this episode of the Barbell Medicine podcast, Dr. Jordan Feigenbaum and Dr. Austin Baraki discuss a complex medical case involving a 38-year-old man presenting with severe chest pain and shortness of breath.Become a Barbell Medicine Plus Member Today ResourcesCase: ​​https://pmc.ncbi.nlm.nih.gov/articles/PMC3246164/ Podcast on smelling saltsPowerbuilding 2ResourcesResources Page: https://www.barbellmedicine.com/resources/Template Quiz: https://www.barbellmedicine.com/template-quiz/Got pain and need a professional who understands you lift? Or, do you need an experienced coach to help you get the most out of your training? Contact us at [email protected] Sponsors:* Check out Chilipad and use my code sleep.me/BBM for a great deal: https://sleep.me* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Factor and use my code factormeals.com/bbm50off for a great deal: https://www.factor75.com* Check out Quince and use my code quince.com/bbm for a great deal: https://www.quince.comAdvertising Inquiries: https://redcircle.com/brands

In this episode, Jordan hosts a live Q&A while watching Barbell Medicine coach Leah Lutz compete for (and win!) a bronze medal in Cape Town, South Africa This wide-ranging discussion covers common questions on programming, conditioning, and nutrition. Become a Barbell Medicine Plus Member TodayTimestamps(2:40) Q1: How do I know if my training stimulus is too low? (5:30) Q2: Why is my heart rate 170+ at RPE 7-8 on runs? (7:16) Q3: Should I treat accessory exercises as "hypertrophy work"? (10:07) Q4: What's your advice for someone who struggles to adhere to conditioning? (11:08) Q5: Should I increase volume for GPP or focus on intensity for powerlifting? (14:48) Q6: When is the Gen 2 Powerbuilding 2 template coming out? (17:23) Q7: My shoulder hurts. Will ibuprofen impact my results? (18:16) Q8: How do I build "lean muscle"? I get "large" with heavy weights. (20:18) Q9: I dislike bench press. Does the bar have to touch my chest? (22:18) Q10: What are the benefits of floor presses? (24:18) Q11: I'm 39 and stalling my lifts. Is it over? (25:01) Q12: Is DOMS longer-lasting in pre-menopausal women? Timestamps:ResourcesResources Page: https://www.barbellmedicine.com/resources/Template Quiz: https://www.barbellmedicine.com/template-quiz/Got pain and need a professional who understands you lift? Or, do you need an experienced coach to help you get the most out of your training? Contact us at [email protected] Sponsors:* Check out Chilipad and use my code sleep.me/BBM for a great deal: https://sleep.me* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Factor and use my code factormeals.com/bbm50off for a great deal: https://www.factor75.com* Check out Quince and use my code quince.com/bbm for a great deal: https://www.quince.comAdvertising Inquiries: https://redcircle.com/brands

This episode features the full Q whether osteoporosis can be reversed with exercise alone; and the physiological downsides of "grazing" (constant eating) on muscle protein synthesis and insulin resistance.We also dive into how GLP-1 agonist medications interact with diet and exercise, practical strategies for learning motivational interviewing , how to navigate challenging clients who present with "learned helplessness", and the critical distinction between knowing enough to coach movement versus giving dangerous medical advice. Finally, we tackle the complex discussion around "race-based" medicine and how it applies to waist circumference and BMI cut-offs.Become a Barbell Medicine Plus Member TodayTimestamps:(00:40) Q1: Is there an optimum balance of strength, cardio capacity, and body composition?(07:46) Q2: Can older adults reverse bone loss (osteoporosis) with exercise alone?(13:05) Q3: Why is "grazing" (frequent eating) bad?(22:31) Q5: How do you teach a coach motivational interviewing (MI)?(30:59) Q6: How do you handle clients with "learned helplessness" or a "diagnosis identity"?(35:42) Q7: When do I "know enough" to start coaching others?(40:49) Q8: How long does someone need to be in the "maintenance phase" until their risk of relapse is eliminated?(44:46) Q9: How should we view "race-based" differences in waist circumference cutoffs?ResourcesResources Page: https://www.barbellmedicine.com/resources/Template Quiz: https://www.barbellmedicine.com/template-quiz/Got pain and need a professional who understands you lift? Or, do you need an experienced coach to help you get the most out of your training? Contact us at [email protected] Sponsors:* Check out Chilipad and use my code sleep.me/BBM for a great deal: https://sleep.me* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Factor and use my code factormeals.com/bbm50off for a great deal: https://www.factor75.com* Check out Quince and use my code quince.com/bbm for a great deal: https://www.quince.comAdvertising Inquiries: https://redcircle.com/brands

This episode tackles major debates in health and performance! We resolve the question of whether your cholesterol (LDL/ApoB) can ever be "too low" by examining genetic and clinical trial evidence. We dive into the psychology of starting—explaining the "dread" before a task as psychological inertia—and offer actionable tips to overcome it. Finally, we cover optimizing time-limited cardio with high-intensity strategies.Become a Barbell Medicine Plus Member TodayTimestamps2:43 | Is there such a thing as too low of a cholesterol level (specifically LDL and ApoB)?27:45:00 Is it normal to not feel motivated to do a task before doing it, but get the inclination after starting?32:00 :How to improve cardio when you have limited time (two 30-minute sessions/week)?ResourcesLDL/ApoBhttps://www.barbellmedicine.com/blog/a-basic-guide-to-cholesterol/ https://www.escardio.org/static-file/Escardio/Guidelines/publications/DYSLIPguidelines-dyslipidemias-FT.pdf ConsultationsStarting something newhttps://www.annualreviews.org/content/journals/10.1146/annurev-psych-020223-012208?crawler=true https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2016.01328/full Do Hard Things- Steve Magness  Cardiohttps://www.barbellmedicine.com/resources/max-heart-rate-and-zone-calculator/ https://www.barbellmedicine.com/blog/hiit-high-intensity-interval-training/ https://www.nature.com/articles/s41467-025-63475-2 https://pacompendium.com/adult-compendium/ Resources Page: https://www.barbellmedicine.com/resources/Template Quiz: https://www.barbellmedicine.com/template-quiz/Got pain and need a professional who understands you lift? Or, do you need an experienced coach

In this special episode of the Barbell Medicine Podcast, Dr. Jordan Feigenbaum welcomes back friend of the show, Dr. Sohee Carpenter, PhD, to share her latest insights following the completion of her PhD in Sports Science from the Auckland University of Technology. We dive deep into the research from her recently published paper in the European Journal of Sports Science, exploring a highly relevant question for strength athletes and the general population alike: How do high-intensity circuit training (HICT) and traditional strength training compare?Become a Barbell Medicine Plus Member TodayKey Topics Covered:PhD Research Deep Dive: Dr. Carpenter breaks down her study, which compared HICT against traditional resistance training in trained women over an eight-week period. The groups performed the same exercises, sets, and reps, and pushed to similar proximity to failure, with the key difference being the rest periods.The Results: Find out the surprising, yet encouraging, findings regarding strength gains and muscle growth between the two popular training modalities. The results suggest that for many, personal preference, time constraints, and gym logistics should be the deciding factors for training style—as long as you push close to technical failure. Circuit Training & Time Efficiency: We discuss why circuit training is a popular option for time efficiency—her study's circuit group completed their sessions in approximately 50-55 minutes, compared to 70-75 minutes for the traditional group. Coaching Loved Ones: Dr. Carpenter shares her personal experience and advice on training her 64-year-old mother. We cover how she successfully addressed barriers like accountability and self-efficacy, starting with short, positive sessions (initially only 20 minutes) and gradually progressing to longer, more challenging workouts. Resources:Original podcastEffects of High Intensity Circuit versus Traditional Strength Training on Physiological Responses in Trained Women in the European Journal of Sports Science.Timestamps:00:00 Introduction and Background05:02 Research Focus: Circuit Training vs. Traditional Resistance Training10:00 Study Design and Methodology14:58 Findings and Implications of the Study21:36 Optimizing Group Workouts30:21 Training Family: A Personal Journey39:40 The Challenge of Progression in Strength Training41:57 Individual Differences in Training and Motivation46:00 Ove

In this episode, Dr. Jordan Feigenbaum hosts a live "Ask Me Anything" session, tackling a wide range of questions on health, fitness, nutrition, and training philosophy.Become a Barbell Medicine Plus Member TodayTimestamps:0:32 How important are volume, intensity, and proximity to failure for hypertrophy?3:46 Does muscle memory exist?7:03 What is the reasoning behind the heavy "fatigue single" in the low fatigue template?9:00 What is Barbell Medicine's take on the Mike Israetel PhD controversy?13:18 What is the TLDR on peptides?16:47 What's the cutoff in terms of sets for a hypertrophy response?19:23 If Viagra/Cialis works for a patient, does it mean there's a cardiovascular concern?20:26 Would you recommend "Murph" from CrossFit as a good overall fitness exercise?21:37 Can you still build muscle while running 70 kilometers per week?22:53 Is training three times per week for 30 minutes realistic for a late novice?25:30 How should I handle lower back pain after returning to lifting?28:44 Which offseason template should I choose: Hypertrophy 2 or Powerbuilding 2?30:22 I've had knee tendonitis for two years, any ideas?32:16 How many rest days do you recommend per week?34:29 How to manage low back pain without a specific diagnosis from a chiro or acupuncturist?36:50 If training is only possible at the expense of sleep, is it worth it?38:06 For health and hypertrophy, how much cardio should you do?39:54 Is there a benefit to having heels below the platform for calf raises?41:00 Why are you against acupuncture?41:48 Recommendations for training for people coming off chemotherapy?43:29 Is a lunge or Bulgarian split squat considered a squat pattern?44:13 What accessories complement a Mammoth Bar deadlift?45:30 How is your dad's training going, and how to get an older parent started?47:32 Why do you think medical schools give so little instruction on exercise if it's a "panacea"?49:47 How to approach nutrition for building muscle while staying lean?51:06 Which workout offers the least benefits?51:48 What frequency of exercise do you program for a focus on glutes?53:09 How would you add full-body training for a teen playing tennis twice a week?54:13 : How would you approach osteoarthritis treatment in general?Resources Page: https://www.barbellmedicine.com/resources/Template Quiz: https://www.barbellmedicine.com/template-quiz/Got pain and need a professional who understands you lift? Or, do you need an experienced coach to help you get the most out of your training? Contact us at support@barbellmedic

The old rules for blood pressure are changing. In this episode, we break down the critical 2025 updates that are reshaping how we diagnose and manage hypertension. We move beyond the simple 120/80 cutoff to explore a new risk-based approach, updated ACC/AHA guidelines pushing for lower targets, and new recommendations to screen for the "silent epidemic" of primary aldosteronism. Plus, we cover why low-dose combination therapy is the new standard for treatment and take a realistic look at the new Apple Watch hypertension detection feature.Become a Barbell Medicine Plus Member TodayTimestamps:(01:45) Moving Beyond Binary Cutoffs: Why cardiovascular risk is a continuous spectrum and how the diagnostic approach is shifting from a single number to a person's absolute CVD risk.(10:15) The New 2025 ACC/AHA Guidelines: We break down the updated targets, including the push for systolic blood pressure below 120 mmHg and new treatment thresholds based on the PREVENT risk calculator.(30:15) The "Silent Epidemic" - Primary Aldosteronism: Learn why new guidelines suggest screening all individuals with hypertension for this common but often-missed condition that significantly increases cardiovascular risk.(40:10) Smarter Treatment Strategies: An analysis of new data showing that starting with multiple medications at lower doses is more effective and has fewer side effects than traditional monotherapy.(48:30) How Often to Check Your BP at Home: For stable patients, monitoring too frequently can be misleading. We discuss the optimal interval for re-testing to avoid acting on statistical "noise".(58:15) The Apple Watch Hypertension Feature: Is it a helpful tool or just hype? We review Apple's data on its accuracy, including its low sensitivity (41.2%) and high specificity (92.3%), and discuss its best use case.Referenceshttps://www.acc.org/Latest-in-Cardiology/Journal-Scans/2025/08/28/16/33/New-Scientific-Statement-Deep-Dives https://pubmed.ncbi.nlm.nih.gov/40825202/https://www.acpjournals.org/doi/10.7326/ANNALS-25-02804https://www.jacc.org/doi/10.1016/j.jacc.2025.08.047https://www.jacc.org/doi/10.1016/j.jacc.2025.05.002https://www.ahajournals.

In this episode of the Barbell Medicine Podcast, Dr. Jordan Feigenbaum and Dr. Austin Baraki discuss various topics including a purported creatine overdose by golfer Ben Griffin, the implications of GLP-1 agonists on cancer risk, a new weight loss drug called MariTide, LeBron James doing silly exercises, and more.Become a Barbell Medicine Plus Member TodayTimestamps:00:45 Ben Griffin overdoses on creatine https://www.instagram.com/p/DNeI9DKxbZc/?utm_source=ig_web_copy_link&igsh=MzRlODBiNWFlZA== 09:16 GLP-1 and Cancer Riskhttps://jamanetwork.com/journals/jamaoncology/article-abstract/2837870 17:16 MariTide https://www.nejm.org/doi/abs/10.1056/NEJMoa2504214 28:24 Lebron does silly exercisehttps://www.instagram.com/reel/DNgYIMOMRBX/?utm_source=ig_web_copy_link&igsh=MzRlODBiNWFlZA== 38:24 ChatGPT goes wrong https://tinyurl.com/57c3fh8x 49:00 Plant-based diets and blood pressurehttps://www.ahajournals.org/doi/full/10.1161/JAHA.124.037813 55:00 Gender eligibility in sport1:07:00 Bodyweight vs. mortalityhttps://www.sciencedaily.com/releases/2025/09/250914205759.htm  1:14:00 Ultra-Processed Food and MAHAFood and Beverage News and Trends - September 19, 20251:22:00 -The Rock Loses Weight! Resources Page: https://www.barbellmedicine.com/resources/Template Quiz: https://www.barbellmedicine.com/template-quiz/Got pain and need a professional who understands you lift? Or, do you need an experienced coach to help you get the most out of your training? Contact us at [email protected] Sponsors:* Check out Chilipad and use my code sleep.me/BBM for a great deal: https://sleep.me* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Factor and use my code factormeals.com/bbm50off for a great deal: https://www.factor75.com* Check out Quince and use my code quince.com/bbm for a

In this episode, we're joined by renowned sports scientist and researcher, Dr. Franco Impellizzeri, for a deep dive into the complex world of training load.Dr. Impellizzeri discusses his journey in sports science and helps us cut through the confusion surrounding a core concept of training: training load. We break down the crucial distinction between external load (the physical work you do, like weight on the bar or distance run) and internal load (your body's unique physiological and psychological response to that work). You'll learn why measuring both is essential for effective programming and long-term progress.Whether you’re a coach, an athlete, or just someone looking to optimize your training, this episode will provide a new framework for thinking about stress, adaptation, and the road to smarter, safer gains.Become a Barbell Medicine Plus Member TodayResources:Second Generation Low Fatigue Programs Dr. Impellizzeri's publicationsResources Page: https://www.barbellmedicine.com/resources/Template Quiz: https://www.barbellmedicine.com/template-quiz/Got pain and need a professional who understands you lift? Or, do you need an experienced coach to help you get the most out of your training? Contact us at [email protected] Sponsors:* Check out Chilipad and use my code sleep.me/BBM for a great deal: https://sleep.me* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Factor and use my code factormeals.com/bbm50off for a great deal: https://www.factor75.com* Check out Quince and use my code quince.com/bbm for a great deal: https://www.quince.comAdvertising Inquiries: https://redcircle.com/brands

In this episode of the Barbell Medicine Plus podcast, the hosts discuss various topics related to strength training, such as: vaccination effects on training, the role of deadlifts in hypertrophy, and recovery from non-traumatic injuries. Become a Barbell Medicine Plus Member TodayNew Stuff:Seminar Sign-upSecond Generation Low Fatigue Programs Resources Page: https://www.barbellmedicine.com/resources/Template Quiz: https://www.barbellmedicine.com/template-quiz/Got pain and need a professional who understands you lift? Or, do you need an experienced coach to help you get the most out of your training? Contact us at [email protected] Sponsors:* Check out Chilipad and use my code sleep.me/BBM for a great deal: https://sleep.me* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Factor and use my code factormeals.com/bbm50off for a great deal: https://www.factor75.com* Check out Quince and use my code quince.com/bbm for a great deal: https://www.quince.comAdvertising Inquiries: https://redcircle.com/brands

In this conversation, Dr. Feigenbaum and Dr. Lauren Colenso-Semple discuss the pervasive issues in the fitness industry, particularly focusing on Dr. Stacy Sims' commentary surrounding cycle-syncing, fasted cardio for women, as well as 'pink tax' that targets women with ineffective marketing strategies. They evaluate the effectiveness of popular fitness trends such as weighted vests, creatine supplementation, and Pilates, emphasizing the importance of evidence-based practices in exercise and nutrition. The discussion also highlights the need for individualized approaches to fitness, debunking myths surrounding gender-specific training and the marketing tactics that exploit women's insecurities.Find Dr. Colenso-Semple:On instagram @drlaurencs1Click here for all her linksBecome a Barbell Medicine Plus Member TodayNew Stuff:Seminar Sign-upSecond Generation Low Fatigue Programs Stacy Sims DebateReferenced Podcasts:Weighted Vest Pilates Podcast Resources Page: https://www.barbellmedicine.com/resources/Template Quiz: https://www.barbellmedicine.com/template-quiz/Got pain and need a professional who understands you lift? Or, do you need an experienced coach to help you get the most out of your training? Contact us at [email protected] Sponsors:* Check out Chilipad and use my code sleep.me/BBM for a great deal: https://sleep.me* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Factor and use my code factormeals.com/bbm50off for a great deal: https://www.factor75.com* Check out Quince and use my code quince.com/bbm for a great deal: https://www.quince.comAdvertising Inquiries: https://redcircle.com/brands

In this Instagram live, Dr. Jordan Feigenbaum of Barbell Medicine addresses a variety of health and fitness topics, ranging from stretching techniques and range of motion to personal anecdotes.Become a Barbell Medicine Plus Member TodayNew Stuff:Seminar Sign-upSecond Generation Low Fatigue Programs Articles:https://www.barbellmedicine.com/blog/pain-in-training-what-do/ https://www.barbellmedicine.com/blog/lifting-rehab-mistakes/ Resources Page: https://www.barbellmedicine.com/resources/Template Quiz: https://www.barbellmedicine.com/template-quiz/Got pain and need a professional who understands you lift? Or, do you need an experienced coach to help you get the most out of your training? Contact us at [email protected] Sponsors:* Check out Chilipad and use my code sleep.me/BBM for a great deal: https://sleep.me* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Factor and use my code factormeals.com/bbm50off for a great deal: https://www.factor75.com* Check out Quince and use my code quince.com/bbm for a great deal: https://www.quince.comAdvertising Inquiries: https://redcircle.com/brands