Barbell Medicine Podcast

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Episode #332: Great Debates X Jan 24, 2025

Show notes

In the 10th episode of the "Great Debates in Fitness and Health" series, hosts Dr. Jordan Feigenbaum and Dr. Austin Baraki debate controversial fitness and health topics including dietary supplements, alcohol, sumo deadlifts, muscle mass gain, PEDs, and more.

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Episode #331: Severe Hip Pain After Exercise Jan 17, 2025

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In this podcast, Drs. Baraki and Feigenbaum review a mystery case where the patient presented with 3 days of progressively worsening left hip pain. He had a similar episode about a year ago that required surgery. Dr. Baraki walks through a differential diagnosis, considering potential causes like infection, crystal-induced arthritis, bleeding disorders, and avascular necrosis. Further testing revealed a bloody joint effusion with high white blood cell count, and an MRI showed synovial proliferation with frond-like projections. What's the diagnosis?

Case: https://journals.lww.com/acsm-csmr/fulltext/2023/09000/pigmented_villonodular_synovitis_recurrence.3.aspx

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For more of our stuff:

· https://pubmed.ncbi.nlm.nih.gov/2336074/

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Episode #330: How-To Train While Losing Weight Jan 10, 2025

Show notes

In this podcast, Drs. Baraki and Feigenbaum discuss training during weight loss. While increased exercise can support health, dietary restriction is the primary method for weight loss. They note that strength, muscle mass, and endurance can be maintained during modest calorie deficits, with studies showing significant gains even in large deficits in trained individuals. It was also noted that the size of the energy deficit matters, with small deficits having minimal effects and larger, sustained deficits being detrimental. Practical recommendations include meeting physical activity guidelines, maintaining protein intake of 1.6 g/kg/day, and a moderate calorie deficit of 250-500 calories per day.

References:

· https://onlinelibrary.wiley.com/doi/abs/10.1002/j.1550-8528.1994.tb00087.x

· https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2828487

· https://pubmed.ncbi.nlm.nih.gov/27804272/

· https://pubmed.ncbi.nlm.nih.gov/25614205/

· https://pubmed.ncbi.nlm.nih.gov/25988763/

· https://pubmed.ncbi.nlm.nih.gov/17331082/

· https://pubmed.ncbi.nlm.nih.gov/8828680/

· https://jamanetwork.com/journals/jama/fullarticle/186794

· https://pubmed.ncbi.nlm.nih.gov/26817506/

· https://www.thieme-connect.de/products/ejournals/abstract/10.1055/s-2001-13822

· https://pubmed.ncbi.nlm.nih.gov/21558571/

· https://pubmed.ncbi.nlm.nih.gov/34623696/

· https://pubmed.ncbi.nlm.nih.gov/20164371/

· https://pubmed.ncbi.nlm.nih.gov/24595305/

· https://pubmed.ncbi.nlm.nih.gov/10846043/

· https://journals.lww.com/nsca-jscr/abstract/1990/08000/the_effects_of_self_selection_for_frequency_of.3.aspx

· https://pubmed.ncbi.nlm.nih.gov/12351469/

· https://pmc.ncbi.nlm.nih.gov/articles/PMC5161655/

· https://pmc.ncbi.nlm.nih.gov/articles/PMC3664274/

· https://pubmed.ncbi.nlm.nih.gov/11094863/

· https://pubmed.ncbi.nlm.nih.gov/16441917/

· https://pubmed.ncbi.nlm.nih.gov/36940222/

· https://pubmed.ncbi.nlm.nih.gov/32796255/

· https://pubmed.ncbi.nlm.nih.gov/39485653/

· https://pubmed.ncbi.nlm.nih.gov/38934469/

· https://pubmed.ncbi.nlm.nih.gov/28012184/

· https://pubmed.ncbi.nlm.nih.gov/28698222/

· https://pubmed.ncbi.nlm.nih.gov/24092765/

· https://jamanetwork.com/journals/jama/article-abstract/2712935

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Episode #329: Severe Bilateral Knee Pain After Squatting 600 pounds Jan 03, 2025

Show notes

In this podcast, Drs. Miles and Feigenbaum review a mystery case where thee patient presented with severe bilateral leg pain after attempting a 620 lb squat. We discuss anabolic steroid use, knee pathology, rehab strategies, and more.

Case: https://pmc.ncbi.nlm.nih.gov/articles/PMC4885268/

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https://www.frontiersin.org/journals/physiology/articles/10.3389/fphys.2024.1472702/full

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Episode #328: December 2024 Research Review Dec 31, 2024

Show notes

In this podcast, Drs. Baraki and Feigenbaum review a misleading social media post from Comp Train regarding VO2 max, a new study on using heart rate variability (HRV) to guide resistance training programming in older women, and another study correlating American Heart Association's "Life's Essential 8" metrics with testosterone levels and risk of low muscle mass.

Papers:

https://ajcn.nutrition.org/article/S0002-9165(24)01421-7/fulltext

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Episode #327: Untamed Strength Update ft. Alan Thrall Dec 27, 2024

Show notes

Alan Thrall joins Dr. Jordan Feigenbaum on this episode of the Barbell Medicine podcast. Alan, a gym owner and strongman competitor, shares his life update, including his children's activities and gym involvement. They delve into the benefits and risks of strongman training, favorite and least favorite gym equipment, incorporating strongman elements into commercial gym routines, and more.

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Episode #326: Doctors vs. The Internet (Bonus Episode) Dec 20, 2024

Show notes

Dr. Jordan Feigenbaum and Dr. Austin Baraki discuss the challenges and benefits of unilateral exercises like Bulgarian split squats, refute Dr. Gabriel Lyon's claim that obesity is due to insufficient muscle mass, and more!

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Time Crunch Template (Update coming soon!)

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https://www.youtube.com/watch?v=EDuf2vIU7JY

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#325: Highly Effective Training With Limited Time Dec 13, 2024

Show notes

The podcast discusses what happens when people stop exercising, how much exercise is necessary, and how to program exercise with limited time.

Recommendations for training on limited time:

Resistance training: 3-5 sets per muscle group per week of compound exercises at >65% 1RM for strength. Add isolation exercises if desired.
Conditioning: 150 mins/week moderate or 75 mins/week vigorous intensity. Split up however you want. Be careful about doing too much sprint/max intensity work. Gradually build up if desired.
Strategies for efficient programming include:
Modifying warm-ups to be more time-efficient (short rest, less reps, bigger jumps)
Using supersets of antagonist muscle groups or unrelated movements
Employing "every two- or three- minute on the minute" protocols. e.g. E2MOM or E3MOM: 5 @ 8, then 65% x 5 e2mom x 3 sets or > RPE 8
Use time caps on sessions, e.g. 20-minutes for movement 1 or work up to 1-rep @ RPE 8 in 8 minutes, then 12 minutes perform maximum sets of 3 to 5 reps with 70% e1RM
Flexibility in scheduling is key - focus on getting the total amount of work done over a 1-2 month period rather than worrying about perfect weekly routines

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References:

Detraining Podcast

For more of our stuff:

https://pmc.ncbi.nlm.nih.gov/articles/PMC7383351/

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https://www.youtube.com/watch?v=EDuf2vIU7JY

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Episode #324: Out of Breath on the Treadmill (Mystery Case) Dec 06, 2024

Show notes

In this episode, Drs. Feigenbaum and Baraki discuss a complex case of a 60-year-old female with a history of type 2 diabetes, hypertension, high cholesterol, and pulmonary sarcoidosis presenting with exertional shortness of breath. Initial tests showed a heart rate of 50 bpm, prolonged PR interval, and patchy fibrosis in the heart. What's the diagnosis?

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Case:

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