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Barbell Medicine Podcast

Latest episodes

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Oct 11, 2024 • 35min

Episode #315: Muscle Weakness After Bodybuilding Show

The hosts dive into a fascinating case of sudden muscle weakness in a 28-year-old bodybuilder. They unravel the mysteries of neurological and metabolic issues tied to electrolyte imbalances. The risks of aggressive post-competition dietary changes and potential refeeding syndrome are thoroughly examined. Listeners are encouraged to engage in diagnostic reasoning. Amidst the serious discussions, there's a light-hearted reflection on wrestling legends and comical encounters, blending humor with weighty health topics.
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18 snips
Oct 2, 2024 • 1h 8min

Episode #314: Excess Cortisol

Dive into the intriguing world of cortisol and its impacts on health. Discover the nuances behind Cushing's syndrome and the importance of accurate diagnosis. Unravel the myths surrounding cortisol's link to fatigue, nutrition, and weight management. Explore how stress-related cortisol influences appetite and its complicated role during exercise. Gain insights into the dynamic relationship between cortisol, muscle preservation, and athletic performance. Get ready to rethink common misconceptions and understand cortisol's complex effects on your health!
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Sep 27, 2024 • 32min

Episode #313: Muscle Pain and Weakness After Packing

The discussion delves into the effects of hypercortisolism on muscle pain and explains how stress influences cortisol levels. A compelling case study reveals the intricacies of diagnosing severe muscle pain, emphasizing the need for thorough evaluations. The challenges of differentiating between adrenal insufficiency and autoimmune conditions are explored. Listeners also learn about new subscription offerings and health resources, as well as the relevance of community health services in addressing public health concerns.
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7 snips
Sep 20, 2024 • 16min

Episode #312: Cortisol Overview and Dieting's Effects

Dr. Feigenbaum, a leading expert on cortisol and dieting, dives deep into the complex relationship between cortisol levels and weight management. He explains how cortisol functions in the body, particularly during stress and dieting. The conversation highlights the effects of fasting and calorie deficits on cortisol, and how these fluctuations can impact weight loss efforts. Dr. Feigenbaum also discusses the link between cortisol and abdominal fat, revealing insights into pre-surgery cortisol levels and their implications for weight regain after metabolic surgery.
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Sep 16, 2024 • 32min

Episode #311: Case Files (Sudden Muscle Weakness)

Dr. Baraki and Dr. Feigenbaum, both skilled medical professionals, delve into a fascinating case of sudden muscle weakness in a 36-year-old man. They discuss the complexities of diagnosing conditions like dermatomyositis and the importance of thorough evaluations. The conversation highlights differential diagnoses and the need for collaborative specialist involvement. Additionally, they cover the implications of muscle weakness on daily life and gym performance, emphasizing how critical it is to recognize when to seek medical help.
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Sep 13, 2024 • 55min

Episode #310: Great Debates IX

Dr. Baraki, a health and fitness professional, and Dr. Feigenbaum, an expert in the same field, dive into hot-button issues in health and fitness. They explore the pros and cons of anti-obesity medication, challenging common weight loss myths. A compelling discussion unfolds around the debate between exercise and diet, encouraging listeners to rethink health strategies. They also tackle testosterone therapy trends, scrutinizing overprescription and its implications. Expect lively insights on powerlifting, dietary approaches, and the evolution of athleticism!
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Sep 9, 2024 • 24min

Episode #309: Case Files (Thigh Pain Goes Awry)

Dive into a medical mystery as experts unravel a case of acute thigh pain in a young man, sparked by a fall. The conversation highlights alarming links to anabolic steroid use and the consequent immune risks. Get insights on the complexities of immune response, challenging misconceptions around white blood cell counts, and the potential dangers of hypogonadism. This intriguing analysis emphasizes the importance of a thorough clinical assessment to prevent overlooking infections, all while keeping the discussion engaging and informative.
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Sep 6, 2024 • 40min

Episode #308: September 2024 Research Review

Drs. Baraki and Feigenbaum, experts in medical research and fitness, dive into intriguing recent findings. They explore the relationship between muscle hypertrophy and dietary factors, emphasizing personalized nutrition and training. The conversation highlights surprising research on androgen receptors and their unexpected role in muscle growth. They also discuss tailored blood pressure management strategies for those on antihypertensive meds, advocating for diverse combinations for improved safety and effectiveness during physical activity.
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Sep 2, 2024 • 22min

307: Case Files (Neurology)

Dr. Baraki, a skilled physician specializing in neurology, and Dr. Feigenbaum, an expert in clinical practice, dive into the complex case of a 39-year-old man suffering from severe headaches after intense weightlifting. They dissect diagnostic challenges, differentiating primary from secondary headaches. The conversation also highlights the significance of neuroanatomy and unique conditions like dural venous sinus thrombosis linked to autoimmune issues. Their engaging dialogue emphasizes the importance of thorough evaluations in puzzling neurological cases.
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4 snips
Aug 30, 2024 • 52min

306: Quack Watch (Threads Edition)

Dr. Baraki and Dr. Feigenbaum dive into the humorous side of health miscommunication on Threads. They clarify the difference between treating symptoms with medications and addressing root causes. The duo challenges common health metrics like BMI and discusses the real impact of grip strength. They tackle diet myths, critiquing trendy diets and emphasizing the connection between blood tests and underlying health issues. The conversation wraps up with insights on individualized exercise guidelines and the true nature of fatigue in training.

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