Barbell Medicine Podcast

This Q/A was recorded at our 2019 Berlin Seminar held at Berlin Strength. Timestamps: 00:51 Blood plasma donation and strength 03:15 What are some disagreements between you two? 07:05 Vegan diets and low cholesterol risk? 08:00 Mail-in lab tests 15:40 Physical activity guideline minimums and active jobs 19:15 Varicose veins 22:22 Worst medical student self-diagnosis 25:55 Anabolic resistant vs sensitive programming changes 30:00 Hashimoto’s programming considerations 34:40 Is too much LBM a problem? 38:09 Is LBM a proxy for strength with respect to mortality? 40:30 Improving adherence to diets 46:55 Squat, bench, deadlift, press for hypertrophy? For more of our stuff: Podcasts: goo.gl/X4H4z8 Website: www.barbellmedicine.com Instagram: @austin_barbellmedicine @jordan_barbellmedicine @leah_barbellmedicine @vanessa_barbellmedicine @untamedstrength @michael_barbellmedicine @derek_barbellmedicine @hassan_barbellmedicine @amato_barbellmedicine @charlie_barbellmedicine @alex_barbellmedicine @tomcampitelli Email: info@barbellmedicine.com Supplements/Templates/Seminars: www.barbellmedicine.com/shop/ Forum: forum.barbellmedicine.com/Our Sponsors:* Check out Express VPN: https://expressvpn.com/BBM* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Factor: https://factormeals.com/bbm50off* Check out Rosetta Stone and use my code TODAY for a great deal: https://www.rosettastone.com* Check out Uncommon Goods: https://uncommongoods.com/bbmSupport this podcast at — https://redcircle.com/barbell-medicine-podcast/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Our 2019 research review is focused on low back pain. To get our monthly research review, sign up here: https://www.barbellmedicine.com/shop/monthly-research-review/ Don't forget to use the code "research" to get 50% off. For more of our stuff: Podcasts: goo.gl/X4H4z8 Website: www.barbellmedicine.com Instagram: @austin_barbellmedicine @jordan_barbellmedicine @leah_barbellmedicine @vaness_barbellmedicine @untamedstrength @michael_barbellmedicine @derek_barbellmedicine @hassan_barbellmedicine @michael_amato_barbellmedicine @charlie_barbellmedicine @alex_barbellmedicine @tomcampitelli Email: info@barbellmedicine.com Supplements/Templates/Seminars: www.barbellmedicine.com/shop/ Forum: forum.barbellmedicine.com/Our Sponsors:* Check out Express VPN: https://expressvpn.com/BBM* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Factor: https://factormeals.com/bbm50off* Check out Rosetta Stone and use my code TODAY for a great deal: https://www.rosettastone.com* Check out Uncommon Goods: https://uncommongoods.com/bbmSupport this podcast at — https://redcircle.com/barbell-medicine-podcast/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Livestream Q/A from 11.18.2019. Red Meat Article: https://www.barbellmedicine.com/blog/the-science-of-red-meat-and-health/ Podcast w/ Alan Flanagan: https://soundcloud.com/user-344313169/redmeat Newsletter: https://bit.ly/2OOlVtF New Apparel: https://www.barbellmedicine.com/shop/apparel/ 01:51 How's training going? 03:29 Knee pain. What do? 06:28 Detriment to always squatting with a belt? 10:10 When ignorant people talk about statins 12:00 Residency Interviews 13:34 ATG Squats 14:57 Ammonia 15:42 20-24%. losing weight, and gaining strength 18:08 CBD 21:27 First meet 22:52 Placebo party 23:31 Back tweaks 26:28 Glycemic Index 27:15 Most people are undertrained (still) 30:00 New merch 30:53 Strength vs. Hypertrophy template while losing weight 32:00 Getting bigger by getting stronger? 32:45 Returning to squats after sciatica 33:45 Creatine (again) 33:47 Spreading the word 34:48 Box squats 35:43 Exercise selection 38:24 Protein 40:30 Milk and whey replacement 41:44 Beards 42:10 Blue light glasses? 42:30 Isolation vs. compound movements for hypertrophy 44:00 Vegan diet for strength athletes For more of our stuff: Podcasts: goo.gl/X4H4z8 Website: www.barbellmedicine.com Instagram: @austin_barbellmedicine @jordan_barbellmedicine @leah_barbellmedicine @vaness_barbellmedicine @untamedstrength @michael_barbellmedicine @derek_barbellmedicine @hassan_barbellmedicine @michael_amato_barbellmedicine @charlie_barbellmedicine @alex_barbellmedicine @tomcampitelli Email: info@barbellmedicine.com Supplements/Templates/Seminars: www.barbellmedicine.com/shop/ Forum: forum.barbellmedicine.com/Our Sponsors:* Check out Express VPN: https://expressvpn.com/BBM* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Factor: https://factormeals.com/bbm50off* Check out Rosetta Stone and use my code TODAY for a great deal: https://www.rosettastone.com* Check out Uncommon Goods: https://uncommongoods.com/bbmSupport this podcast at — https://redcircle.com/barbell-medicine-podcast/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

This podcast was recorded in late October, 2019 with Alan Flanagan, Dr. Austin Baraki, and Dr. Jordan Feigenbaum. Jordan also wrote an article accompanying this podcast, which is available here: https://www.barbellmedicine.com/blog/the-science-of-red-meat-and-health/ For more of our stuff: Podcasts: goo.gl/X4H4z8 Website: www.barbellmedicine.com Instagram: @austin_barbellmedicine @jordan_barbellmedicine @leah_barbellmedicine @vaness_barbellmedicine @untamedstrength @michael_barbellmedicine @derek_barbellmedicine @hassan_barbellmedicine @michael_amato_barbellmedicine @charlie_barbellmedicine @alex_barbellmedicine @tomcampitelli Email: info@barbellmedicine.com Supplements/Templates/Seminars/Apparel: www.barbellmedicine.com/shop/ Forum: forum.barbellmedicine.com/ Newsletter: eepurl.com/cpqB3nOur Sponsors:* Check out Express VPN: https://expressvpn.com/BBM* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Factor: https://factormeals.com/bbm50off* Check out Rosetta Stone and use my code TODAY for a great deal: https://www.rosettastone.com* Check out Uncommon Goods: https://uncommongoods.com/bbmSupport this podcast at — https://redcircle.com/barbell-medicine-podcast/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

This Q/A was recorded at the Barbell Medicine Pain and Rehab Seminar in Boston, MA with Drs. Derek Miles and Michael Ray. For more information about upcoming seminars, click here: https://www.barbellmedicine.com/seminars/ Timestamps 01:29 Can those with congenital insensitivity to pain have pain? 06:16 How to justify medical necessity for strength training for insurance? 08:34 Are there any contexts where specific core exercises like deadbugs or birddogs are useful for low back pain? 13:23 Mobility assessment and movement variability 15:41 Mckenzie Protocol problems 17:43 ACL and Core training 19:03 Directional preference for spine exercises 24:07 How to improve efficacy? 27:19 Rotator cuff surgery repair 32:09 How to deal with clinicians who won’t update their practice? 37:43 Joint replacement and Resistance Training 40:32 How do you get people to buy into BPS model? 46:28 Use of manual therapy appropriateness? 52:23 What to do with people in high levels of pain that cannot tolerate exercise? 56:00 What is mandatory reading for clinicians? 1:00:00 Hamstring strength post ACL repair with different grafts 1:02:00 Joint replacement For more of our stuff: Podcasts: goo.gl/X4H4z8 Website: www.barbellmedicine.com Instagram: @austin_barbellmedicine @jordan_barbellmedicine @leah_barbellmedicine @vaness_barbellmedicine @untamedstrength @michael_barbellmedicine @derek_barbellmedicine @hassan_barbellmedicine @michael_amato_barbellmedicine @charlie_barbellmedicine @alex_barbellmedicine @tomcampitelli Email: info@barbellmedicine.com Supplements/Templates/Seminars/Apparel: www.barbellmedicine.com/shop/ Forum: forum.barbellmedicine.com/ Newsletter: eepurl.com/cpqB3nOur Sponsors:* Check out Express VPN: https://expressvpn.com/BBM* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Factor: https://factormeals.com/bbm50off* Check out Rosetta Stone and use my code TODAY for a great deal: https://www.rosettastone.com* Check out Uncommon Goods: https://uncommongoods.com/bbmSupport this podcast at — https://redcircle.com/barbell-medicine-podcast/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

This podcast was recorded November, 2019 on the topic of tendinopathy. 00:49 Surgery vs. Conservative Management 21:48 Collagen Protein 38:49 Muscle vs. Tendon Rate of Adaptation 54:48 Management Research Review Sign-Up: https://www.barbellmedicine.com/shop/monthly-research-review/ Use Code "Research" for 50% off your first month! For more of our stuff: Podcasts: goo.gl/X4H4z8 Website: www.barbellmedicine.com Instagram: @austin_barbellmedicine @jordan_barbellmedicine @leah_barbellmedicine @vanessa_barbellmedicine @untamedstrength @michael_barbellmedicine @derek_barbellmedicine @hassan_barbellmedicine @amato_barbellmedicine @charlie_barbellmedicine @alex_barbellmedicine @tomcampitelli Email: info@barbellmedicine.com Supplements/Templates/Seminars/Apparel: www.barbellmedicine.com/shop/ Forum: forum.barbellmedicine.com/Our Sponsors:* Check out Express VPN: https://expressvpn.com/BBM* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Factor: https://factormeals.com/bbm50off* Check out Rosetta Stone and use my code TODAY for a great deal: https://www.rosettastone.com* Check out Uncommon Goods: https://uncommongoods.com/bbmSupport this podcast at — https://redcircle.com/barbell-medicine-podcast/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

This was an Instagram Live recorded on 10.25.2019. Timestamps: 02:50 Are leg extensions bad for your knees? 06:31 Considerations for Golf and Tennis Strength and Conditioning? 08:56 How to use a belt? 11:58 Spring 2020 seminar 12:14 Game Changers thoughts? 12:32 What’s one thing in your career you would’ve done differently in hindsight? 14:09 Lipid podcast on JAMA 15:08 Weight loss stopping point? 16:17 Leg press vs Squat 19:45 BBM banners? 20:32 What would you tell 30 year old Jordan? 21:25 Drinking and workouts 21:57 Hypertrophy block while cutting? 23:24 Squatting without knee sleeves benefits 25:09 High saturated fat diets 27:07 Deadlift 1st reps feel worse, what do? 28:12 Recommendations for starting a blog and not messing up 29:35 Rehab for patella 30:37 Hypertrophy block and strength loss? 32:25 One side stronger than the other, what do? 33:12 Rucking for conditioning 33:53 Why deadlift first on The Bridge Day 3? 34:30 Conditioning for powerlifters 36:00 Weight calculating overshoots 36:19 RDL from a deficit 37:02 Creatine timing 37:14 Creatine and hair loss 38:29 VO2max increasing benefits 39:09 Diet breaks 39:52 Squats bad for the knees 40:22 Conditioning for novices 40:47 Volume for upper body vs. lower body 41:40 Squat is stuck, what do? 42:08 Protein dosing for older individuals 43:19 Foam rolling 44:30 Recommendation for increasing training volume 45:21 Fasting 46:34 Feet slipping on bench 47:30 Training in medical school 48:50 Hypertrophy in absence of a calorie surplus 49:50 Osteoarthritis and “wear and tear” For more of our stuff: Podcasts: goo.gl/X4H4z8 Website: www.barbellmedicine.com Instagram: @austin_barbellmedicine @jordan_barbellmedicine @leah_barbellmedicine @vaness_barbellmedicine @untamedstrength @michael_barbellmedicine @derek_barbellmedicine @hassan_barbellmedicine @michael_amato_barbellmedicine @charlie_barbellmedicine @alex_barbellmedicine @tomcampitelli Email: info@barbellmedicine.com Supplements/Templates/Seminars/Apparel: www.barbellmedicine.com/shop/ Forum: forum.barbellmedicine.com/Our Sponsors:* Check out Express VPN: https://expressvpn.com/BBM* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Factor: https://factormeals.com/bbm50off* Check out Rosetta Stone and use my code TODAY for a great deal: https://www.rosettastone.com* Check out Uncommon Goods: https://uncommongoods.com/bbmSupport this podcast at — https://redcircle.com/barbell-medicine-podcast/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

This podcast was recorded July 2019 at Elevate Barbell in Fort Collins, CO. Wanna join us at a seminar? https://www.barbellmedicine.com/seminars/ Timestamps 1. 1:43 :Competition and Training 2. 4:25 CrossFit Health 3. 6:57 RED-S 4. 10:46 Barbell Medicine’s Future 5. 14:10 Acute Pain and Opiods 6. 18:16 Weight Loss in PCOS 7. 24:55 Disc Herniation and Recovery 8. 31:30 Ostomy/Medical Devices and Training 9. 33:30 Recommendations for Health Professionals 10. 35:52 Fibromyalgia 11. 40:14 Patient Counseling Time 12. 44:42 Steroid injections for Joint Pain 13. 50:40 Academic Stress and Training For more of our stuff: Podcasts: goo.gl/X4H4z8 Website: www.barbellmedicine.com Instagram: @austin_barbellmedicine @jordan_barbellmedicine @leah_barbellmedicine @vaness_barbellmedicine @untamedstrength @michael_barbellmedicine @derek_barbellmedicine @hassan_barbellmedicine @michael_amato_barbellmedicine @charlie_barbellmedicine @alex_barbellmedicine @tomcampitelli Email: info@barbellmedicine.com Supplements/Templates/Seminars/Apparel: www.barbellmedicine.com/shop/ Forum: forum.barbellmedicine.com/ Newsletter: eepurl.com/cpqB3nOur Sponsors:* Check out Express VPN: https://expressvpn.com/BBM* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Factor: https://factormeals.com/bbm50off* Check out Rosetta Stone and use my code TODAY for a great deal: https://www.rosettastone.com* Check out Uncommon Goods: https://uncommongoods.com/bbmSupport this podcast at — https://redcircle.com/barbell-medicine-podcast/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

This podcast features Drs. Ray, Amato, and Miles discussing tendinopathy diagnoses, management, and more. Time Stamps: Introduction: 0:00 ICON Paper & Terminology: 2:00 Clinical Presentation: 14:00 Tendon Adaptation - Review Paper: 22:30 Expectations and the Rehab Process: 30:30 Programming Considerations: 39:00 What is not supported for treatment: 49:30 Summary/Conclusion: 1:02:50 References: Docking SI, Cook J. How do tendons adapt? Going beyond tissue responses to understand positive adaptation and pathology development: A narrative review. J Musculoskelet Neuronal Interact. 2019 Sep 1;19(3):300-310. Scott A, Squier K, Alfredson H, et al. ICON 2019: International Scientific Tendinopathy Symposium Consensus: Clinical Terminology. British Journal of Sports Medicine Published Online First: 09 August 2019 Practical Applications: We DO NOT recommend completely off loading the area Manage loading is the name of the game. Type of loads (dynamic vs isotonic/isometric) Volume variables (sets/reps - for resistance training but also based on sports such as running, cycling, swimming such as duration of training) Intensity (internal vs external and sport specificity) Frequency (days per week of training) Range of motion alteration / role of technique modification? Exercise selection Remember to treat the person not just the tendon (psychosocial correlates), especially as the rehab process is non-linear and providing strategies for accurately interpreting the meaning and management of symptom flares Passive modalities are not recommended NSAID, steroid injections, PRP/prolotherapy, and tennex surgery are not recommendedOur Sponsors:* Check out Express VPN: https://expressvpn.com/BBM* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Factor: https://factormeals.com/bbm50off* Check out Rosetta Stone and use my code TODAY for a great deal: https://www.rosettastone.com* Check out Uncommon Goods: https://uncommongoods.com/bbmSupport this podcast at — https://redcircle.com/barbell-medicine-podcast/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

This was an Instagram Live recorded on 10.8.2019. I was going to do the timestamps, but honestly there are almost 50 questions so....hopefully you enjoy it anyway! For more of our stuff: Podcasts: goo.gl/X4H4z8 Website: www.barbellmedicine.com Instagram: @austin_barbellmedicine @jordan_barbellmedicine @leah_barbellmedicine @vaness_barbellmedicine @untamedstrength @michael_barbellmedicine @derek_barbellmedicine @hassan_barbellmedicine @michael_amato_barbellmedicine @charlie_barbellmedicine @alex_barbellmedicine @tomcampitelli Email: info@barbellmedicine.com Supplements/Templates/Seminars/Apparel: www.barbellmedicine.com/shop/ Forum: forum.barbellmedicine.com/ Newsletter: eepurl.com/cpqB3nOur Sponsors:* Check out Express VPN: https://expressvpn.com/BBM* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Factor: https://factormeals.com/bbm50off* Check out Rosetta Stone and use my code TODAY for a great deal: https://www.rosettastone.com* Check out Uncommon Goods: https://uncommongoods.com/bbmSupport this podcast at — https://redcircle.com/barbell-medicine-podcast/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy