Barbell Medicine Podcast

Today we talk about all things hormonal with board-certified endocrinologist, Dr. Karl Nadolsky. Time Stamps: 02:30 Contributions to AACE Obesity Guidelines 09:15 Role of hormones in obesity 14:40 Routine endocrine screening- yea or nay 18:00 Optimizing hormones- yea or nay 21:00 Optimizing testosterone 23:15 What does the average person need to know about hormone testing? 25:00 Harms of inappropriate testing 26:30 Handling hormonal testing concerns 28:00 Why are hormones so hot right now? 33:45 Adrenal fatigue 38:20 Thoughts on supplements/foods for hormonal optimization 42:00 Endocrine management for athletes 44:50 Testosterone in athletes, why you so popular though? 50:50 Congenital Adrenal Hyperplasia in female athletes? 53:00 Transgendered athletes- thoughts? Obesity Guidelines Link: Link: http://obesity.aace.com/files/obesity/guidelines/aace_guidelines_obesity_2016.pdf Please leave a comment below and a review on iTunes! For more of our stuff: Podcasts: goo.gl/X4H4z8 Website: www.barbellmedicine.com Instagram: @austin_barbellmedicine @jordan_barbellmedicine @leah_barbellmedicine @vaness_barbellmedicine @untamedstrength @mike_barbellmedicine @derek_barbellmedicine Email: info@barbellmedicine.com Supplements/Templates/Seminars/Apparel: http://www.barbellmedicine.com/shop/ Forum: https://forum.barbellmedicine.com/ Newsletter: http://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

Today we talk with Alan Flanagan, a PhD candidate in Nutrition Sciences, a lawyer, and science literacy juggernaut! Alan Flanagan's Instagram: https://www.instagram.com/thenutritional_advocate/?hl=en Timestamps: 08:20 Problems in nutrition science 15:45 Nutrition science's utility 22:20 Moving forward in nutrition research 34:00 Are nutrition guidelines useful? 40:30 How to improve nutrition guidelines 42:30 Socioeconomic targets for nutrition improvement 47:30 Public health and nutrition improvement 51:30 Food as medicine or nah? Please leave a comment below and a review on iTunes! For more of our stuff: Podcasts: goo.gl/X4H4z8 Website: www.barbellmedicine.com Instagram: @barbell_medicine @austin_barbellmedicine @jordan_barbellmedicine @leah_barbellmedicine @vaness_barbellmedicine @untamedstrength @mike_barbellmedicine @derek_barbellmedicine @hass_strength @charlie_barbellmedicine @tomcampitelli @alex_barbellmedicine Email: info@barbellmedicine.com Supplements/Templates/Seminars/Apparel: http://www.barbellmedicine.com/shop/ Forum: https://forum.barbellmedicine.com/ Newsletter: http://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

Today we talk about our medical training experiences including college, graduate studies, study habits, training, sleep, etc. Timestamps: 01:57 Educational Backgrounds 08:00-26:00 Applying to Medical School 08:35 Austin's Application Process 10:05 Jordan's Application Process 29:00 Preparing for Interviews 33:10 How Do We Study? 43:50 MCAT Rec's 44:00 How Did We Do in Medical School 51:42 Favorite Medical School Class 54:24 Favorite Rotation 56:50 Balancing Study, Sleep, Training, and Social Life 1:00:00 Training in Medical School Part I 1:06:00 Sleep 1:08:00 Training in Medical School Part II 1:12:00 Debt 1:13:22 How Old is Too Old To Go Back To Medical School? 1:16:56 Why Did We Pick Our Specialties? 1:23:00 How To Be Competitive For Residency 1:29:00 What Specialty Is the Best For Doing Good In The Community? 1:33:00 Physician Burnout 1:37:00 What Should Be Changed With Respect To Musculoskeletal Medicine and Nutrition in Medical Training Please leave a comment below and a review on iTunes! For more of our stuff: Podcasts: goo.gl/X4H4z8 Website: www.barbellmedicine.com Instagram: @austin_barbellmedicine @jordan_barbellmedicine @leah_barbellmedicine @vaness_barbellmedicine @untamedstrength @mike_barbellmedicine @derek_barbellmedicine Email: info@barbellmedicine.com Supplements/Templates/Seminars/Apparel: http://www.barbellmedicine.com/shop/ Forum: https://forum.barbellmedicine.com/ Newsletter: http://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

Timestamps: 0:38 If you have established that a trainee is “training resistant” do you coach them any differently? 5:11 Dietary protein recommendations for those with gout or other diseases? Rheumatology Podcast: https://youtu.be/BrCIiwj9qUE 14:24 Strategies for improving work capacity in seniors 19:29 Blood creatinine elevation and creatine supplementation, what do? 23: 00 What is a MET? 24:15 When would illness stop you from training? 26:20 Minimum amount of fat to include in diet 28:47 Sleep apnea and health/gainzZz 31:10 When do you not assume you’re okay despite having pain? 35:50 Fat hormones 38:30 How to evaluate someone’s safety to train post spine surgery 46:30 How to deal with patients who have been nocebo’d? 53:00 What study would you like to see performed if money and IRBs were of no concern? 57:00 How can resistance training be applied in the hospital given the risk for sarcopenia? 1:05.00 Pain science and children 1:08:00 Most important coaching wisdom to a lifter 1:11:00 Most important coaching wisdom to a coach 1:15:00 How do health metric goals change as we age? Blood Pressure Targets: https://www.ahajournals.org/doi/10.1161/HYP.0000000000000065 1:16:30 What is the thermic effect of food? 1:17:45 How often do you drink alcohol? 1:18:20 Salt vs Sea Salt For more of our stuff: Podcasts: goo.gl/X4H4z8 Website: www.barbellmedicine.com Instagram: @austin_barbellmedicine @jordan_barbellmedicine @leah_barbellmedicine @vaness_barbellmedicine @untamedstrength @mike_barbellmedicine @derek_barbellmedicine Email: info@barbellmedicine.com Supplements/Templates/Seminars/Apparel: http://www.barbellmedicine.com/shop/ Forum: https://forum.barbellmedicine.com/ Newsletter: http://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

Part 1: https://youtu.be/O-M_hRLzmXs Hakkinen Paper: https://bit.ly/2X3LWby Ahtiainen et al. paper: https://link.springer.com/article/10.1007/s11357-015-9870-1 Timestamps 0:35 Programs and assessments for people with movement “deficiencies” 10:20 Best approach for expanding knowledge base 15:00 Exercise variations, thoughts? 18:45 Machines and isolations exercises 20:30 Obstacles to gaining strength and muscle mass at “advanced age” 24:00 Cardio and strength training 30:00 Training specifics for varied fitness goals 31:30 Training and weight loss with hypothyroidism 34:00 NKT and Mobility WOD thoughts For more of our stuff: Podcasts: goo.gl/X4H4z8 Website: www.barbellmedicine.com Instagram: @austin_barbellmedicine @jordan_barbellmedicine @leah_barbellmedicine @vaness_barbellmedicine @untamedstrength @mike_barbellmedicine @hass_strength @joe_barbellmedicine @derek_barbellmedicine @charlie_barbellmedicine Email: info@barbellmedicine.com Supplements/Templates/Seminars/Apparel: http://www.barbellmedicine.com/shop/ Forum: https://forum.barbellmedicine.com/ Newsletter: http://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

We sit down with Austin's client, Samantha Calhoun, to talk all things powerlifting and her training history. Check it out! Sam's Website: https://samstrong500.com/ Sam's Instagram: https://www.instagram.com/sam.s.calhoun/?hl=en For more of our stuff: Podcasts: goo.gl/X4H4z8 Website: www.barbellmedicine.com Instagram: @austin_barbellmedicine @jordan_barbellmedicine @leah_barbellmedicine @vaness_barbellmedicine @untamedstrength @michael.ray.dc @mderek4011 Email: info@barbellmedicine.com Supplements/Templates/Seminars/Apparel: http://www.barbellmedicine.com/shop/ Forum: https://forum.barbellmedicine.com/ Newsletter: http://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

MASS www.strongerbyscience.com/mass Website Strongerbyscience.com Time Stamps 4:23 History of Greg vs Jordan 9:22 Criticisms of science in training -11:52 Individual differences in training -13:37 Potential Harms of training -15:32 Applications of training to lifters 21:27 Low load vs high load and hypertrophy 29:27 How to determine if a paper is good 33:09 How to use science in programming 42:42 Main considerations when programming for beginners 48:42 Genetics and lifting performance 53:12 Fatigue differences by gender 1:04:22 Fatigue differences by age For more of our stuff: Podcasts: goo.gl/X4H4z8 Website: www.barbellmedicine.com Instagram: @austin_barbellmedicine @jordan_barbellmedicine @leah_barbellmedicine @vaness_barbellmedicine @untamedstrength @michael.ray.dc @mderek4011 Email: info@barbellmedicine.com Supplements/Templates/Seminars/Apparel: http://www.barbellmedicine.com/shop/ Forum: https://forum.barbellmedicine.com/ Newsletter: http://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

Timestamps 1:15 Advice on making one’s mark in the fitness industry as a gym owner 08:49 What are some of the guidelines to determine what to do as a coach and when to refer? 14:16 If you had a magic wand, what 2-3 things would you have every doctor know or do? 18:33 How to best utilize training time as a full-time working mom? 27:15 Any advice to people who travel a lot? 29:07 Anxiety/Panic attacks in training 33:30 How does one differentiate between tendinitis and tendinopathy? 37:40 Eating disorder recovery vs. tracking and counting calories 41:30 Is a 7-day fast safe to do? 43:00 Gut health labs, scams or useful? For more of our stuff: Podcasts: goo.gl/X4H4z8 Website: www.barbellmedicine.com Instagram: @austin_barbellmedicine @jordan_barbellmedicine @leah_barbellmedicine @vaness_barbellmedicine @untamedstrength @michael.ray.dc @mderek4011 Email: info@barbellmedicine.com Supplements/Templates/Seminars/Apparel: http://www.barbellmedicine.com/shop/ Forum: https://forum.barbellmedicine.com/ Newsletter: http://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

History of the Calorie: https://nutritionj.biomedcentral.com/track/pdf/10.1186/1475-2891-6-44 Institute of Medicine, Food and Nutrition Board. Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids. Washington, DC. National Academies Press. 2005 pp. 119–21. https://www.nap.edu/catalog/10490/dietary-reference-intakes-for-energy-carbohydrate-fiber-fat-fatty-acids-cholesterol-protein-and-amino-acids Ravussin E, Bogardus C. A brief overview of human energy metabolism and its relationship to essential obesity. Am J Clin Nutr. 1992; 55:S242S–45. https://www.ncbi.nlm.nih.gov/pubmed/1728837 Food and Nutrition Board. Dietary Reference Intakes for Energy, Carbohydrates, Fiber, Fat, Protein, and Amino Acids. Washington, DC: National Academy Press. 2002. https://www.nal.usda.gov/sites/default/files/fnic_uploads/energy_full_report.pdf Horton ES. Introduction: an overview of the assessment and regulation of energy balance in humans. Am J Clin Nutr. 1983; 38:972–77. 58. Jequier E, Acheson K, Schutz Y. Assessment of energy expenditure and fuel utilization in man. Ann Rev Nutr. 1987; 7:187–208. http://agris.fao.org/agris-search/search.do?recordID=US8501699 Galgani, J. E., Castro-Sepulveda, M., Pérez-Luco, C., & Fernández-Verdejo, R. (2018). Validity of predictive equations for resting metabolic rate in healthy humans. Clinical Science, 132(16), 1741–1751. doi:10.1042/cs20180317 https://www.ncbi.nlm.nih.gov/pubmed/29967004 Gropper, Sareen S.; Smith, Jack L.. Advanced Nutrition and Human Metabolism (Page 299). Cengage Textbook. Buchholz, A. C., Rafii, M., & Pencharz, P. B. (2001). Is resting metabolic rate different between men and women? British Journal of Nutrition, 86(06), 641. doi:10.1079/bjn2001471. https://www.ncbi.nlm.nih.gov/pubmed/11749674 Horton, T. J., Drougas, H., Brachey, A., Reed, G. W., Peters, J. C., & Hill, J. O. (1995). Fat and carbohydrate overfeeding in humans: different effects on energy storage. https://www.ncbi.nlm.nih.gov/pubmed/7598063/ Fabbri, Elisa et al. “Energy Metabolism and the Burden of Multimorbidity in Older Adults: Results From the Baltimore Longitudinal Study of Aging” journals of gerontology. Series A, Biological sciences and medical sciences vol. 70,11 (2014): 1297-303. Knuth ND, Johannsen DL, Tamboli RA, Marks-Shulman PA, Huizenga R, Chen KY, Abumrad NN, Ravussin E, Hall KD. Metabolic adaptation following massive weight loss is related to the degree of energy imbalance and changes in circulating leptin. Obesity (Silver Spring) 2014;22:2563–2569. https://onlinelibrary.wiley.com/doi/full/10.1002/oby.20900 De Cleva, R., Mota, F. C., Gadducci, A. V., Cardia, L., D’Andréa Greve, J. M., & Santo, M. A. (2018). Resting metabolic rate and weight loss after bariatric surgery. https://www.ncbi.nlm.nih.gov/pubmed/29628405 Bouchard C, Pérusse L, Dériaz O, et al. Genetic influences on energy expenditure in humans. Crit Rev Food Sci Nutr 1993;33:345–50. https://www.ncbi.nlm.nih.gov/pubmed/8357495 Westerterp-Plantenga, M. S., Nieuwenhuizen, A., Tome, D., Soenen, S., & Westerterp, K. R. (2009). Dietary protein, weight loss, and weight maintenance. Annual Review of Nutrition, 29, 21–41 https://www.ncbi.nlm.nih.gov/pubmed/19400750 Ravussin E., Lillioja S., Anderson T.E., Christin L., Bogardus C. Determinants of 24-hour energy expenditure in man. Methods and results using a respiratory chamber. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC423919/pdf/jcinvest00111-0160.pdf Stookey Jodi. Negative, Null and Beneficial Effects of Drinking Water on Energy Intake, Energy Expenditure, Fat Oxidation and Weight Change in Randomized Trials: A Qualitative Review. Nutrients. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4728633/ LaForgia J., Withers R. T., Gore C. J. (2006). https://www.ncbi.nlm.nih.gov/pubmed/17101527/ Podcasts: goo.gl/X4H4z8 Email: info@barbellmedicine.com Newsletter: http://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

For more of our stuff: Podcasts: goo.gl/X4H4z8 Website: www.barbellmedicine.com Instagram: @austin_barbellmedicine @jordan_barbellmedicine @leah_barbellmedicine @vaness_barbellmedicine @untamedstrength @michael.ray.dc @mderek4011 Email: info@barbellmedicine.com Supplements/Templates/Seminars/Apparel: http://www.barbellmedicine.com/shop/ Forum: https://forum.barbellmedicine.com/ Newsletter: http://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