Barbell Medicine Podcast

Barbell Medicine

Podcast by Barbell Medicine

  1. Episode #387: The Valsalva Maneuver- Blood Pressure & Safety in Lifting

    12H AGO

    Episode #387: The Valsalva Maneuver- Blood Pressure & Safety in Lifting

    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 Takeaways The '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 'Pop' Theory[46:15] The Pelvic Floor: Stress Incontinence and the Weightlifter's Paradox[49:34] Pregnancy: Monitoring Fetal Heart Rates During Heavy Braced Lifting[56:42] Contraindications: When is the Valsalva Maneuver Actually Dangerous? 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 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 support@barbellmedicine.com Barbell Medicine Vital 5 Action Plan: https://www.barbellmedicine.com/vital-5-action-plan/  References Middle Cerebral Artery and ValsalvaValsalva During Resistance TrainingValsalva and Force Production and WeightIAP During CoughingLifting Belt’s Effects Leg PressTraining and Heart AdaptationsPowerlifter’s HeartsValsalva Maneuver and Cerebrovascular DynamicsRT, VM, and Cerebrovascular PressuresWomen’s Pelvic FloorsPregnancy and RT and AgainFetal Heart RateInjury RiskHerniaSUI Podcast Our Sponsors: * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com * Check out Factor: https://factormeals.com/bbm50off * Check out Quince: https://quince.com/BBM Support this podcast at — https://redcircle.com/barbell-medicine-podcast/donations Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

    1h 12m
  2. Episode #386: Longevity Myths- Biological Clocks, GLP-1 Muscle Loss, and What Actually Predicts Lifespan

    FEB 13

    Episode #386: Longevity Myths- Biological Clocks, GLP-1 Muscle Loss, and What Actually Predicts Lifespan

    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 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 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 support@barbellmedicine.com  Timestamps: 00:00 Overview: longevity industry and proxy metrics01:06 Biological age and DNA methylation clocks08:18 Clinical usefulness and limitations of biological age testing16:16 Multi-cancer early detection tests: screening tradeoffs30:39 Exercise prescription for longevity (treat-to-target)54:39 Protein intake and longevity: evidence and recommendations1:07:23 GLP-1 receptor agonists: outcomes, misconceptions, and use cases1:34:24 Hormone therapy (women and men): risks, benefits, evidence1:49:19 Practical longevity tracking: “Vital Five” markers1:58:15 Closing References:Biological Clockhttps://pmc.ncbi.nlm.nih.gov/articles/PMC8853656/ https://pmc.ncbi.nlm.nih.gov/articles/PMC12038942/https://pmc.ncbi.nlm.nih.gov/articles/PMC11424583/  https://pmc.ncbi.nlm.nih.gov/articles/PMC6366976/ Cancer Screeninghttps://ascopubs.org/doi/10.1200/JCO.2019.37.15_suppl.5574 https://www.thelancet.com/article/S1470-2045(23)00277-2/fulltext https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)01700-2/fulltext https://www.nhs-galleri.org/ Exercisehttps://bjsm.bmj.com/content/56/13/755 https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2807854 https://pubmed.ncbi.nlm.nih.gov/35442242/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8915309/?mc_cid=87bfcaaa3a&mc_eid=8786146256 https://pmc.ncbi.nlm.nih.gov/articles/PMC9012529/ https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2707428 https://pubmed.ncbi.nlm.nih.gov/35228201/https://pubmed.ncbi.nlm.nih.gov/35662329/  ​​https://academic.oup.com/biomedgerontology/article/77/4/781/6354429 https://www.sciencedirect.com/science/article/abs/pii/S0025619625001004 https://pmc.ncbi.nlm.nih.gov/articles/PMC12131147/  https://pubmed.ncbi.nlm.nih.gov/18595904/https://pubmed.ncbi.nlm.nih.gov/12242311/ Proteinhttps://pubmed.ncbi.nlm.nih.gov/40418846/ https://pmc.ncbi.nlm.nih.gov/articles/PMC7250948/ https://pubmed.ncbi.nlm.nih.gov/39110456/ https://pubmed.ncbi.nlm.nih.gov/24606898/https://www.bmj.com/content/370/bmj.m2412 GLP-1https://www.cell.com/cell-metabolism/abstract/S1550-4131(26)00008-2 https://www.nejm.org/doi/full/10.1056/NEJMoa2307563 https://www.nejm.org/doi/abs/10.1056/NEJMoa2403347 https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(24)01296-0/fulltext https://link.springer.com/article/10.1007/s11154-025-09991-4 https://pmc.ncbi.nlm.nih.gov/articles/PMC12338914/HRThttps://pubmed.ncbi.nlm.nih.gov/25754617/ https://www.thelancet.com/journals/lanonc/article/PIIS1470-2045(25)00211-6/abstract https://www.nejm.org/doi/full/10.1056/NEJMoa2215025 https://pmc.ncbi.nlm.nih.gov/articles/PMC4527564/ https://www.mdpi.com/1422-0067/25/22/12221 Body Roundness Index (BRI) : https://www.barbellmedicine.com/blog/should-bri-replace-bmi/ Our Sponsors: * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com * Check out Factor: https://factormeals.com/bbm50off * Check out Quince: https://quince.com/BBM Support this podcast at — https://redcircle.com/barbell-medicine-podcast/donations Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

    2 hr
  3. How-To Fix Your Stalled Progress (Strength Edition)

    FEB 6

    How-To Fix Your Stalled Progress (Strength Edition)

    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-Up For the 6-part audio series and Training Plateau Action Plan, sign-up for Barbell Medicine Plus: https://barbellmedicine.supercast.com/ Key Learning Points The 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 & Actionable PDF Pearls The Pivot Rule: Never change a successful program based on a single week of data. Look for a 3-week trend of stagnant or declining performance (at the same RPE) before initiating a program pivot.Peaking Mechanics: Most "peaking" protocols do not build new strength; they simply reduce fatigue to reveal the strength you've already built.The stimulus-Recovery Trap: If you feel "beat up" but the weights are moving well, you likely don't need a deload yet. If you feel "great" but the weights are stuck, you likely need a stronger stimulus. Our Sponsors: * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com * Check out Factor: https://factormeals.com/bbm50off * Check out Quince: https://quince.com/BBM Support this podcast at — https://redcircle.com/barbell-medicine-podcast/donations Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

    23 min
  4. Episode #385- Why Grip Strength Predicts Death (And Why You Shouldn't Train It)

    JAN 30

    Episode #385- Why Grip Strength Predicts Death (And Why You Shouldn't Train It)

    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 Priorities Key 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 27 kg for men and 16 kg for women.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 Steps For evidence-based resistance training programs: barbellmedicine.com/training-programs For individualized medical and training consultation: barbellmedicine.com/coaching Explore our full library of articles on health and performance: barbellmedicine.com/resources To join Barbell Medicine Plus and get ad-free listening, product discounts, exclusive content, and more: https://barbellmedicine.supercast.com/ RESOURCES: https://europepmc.org/article/med/1538102 https://pubmed.ncbi.nlm.nih.gov/12188074/#/ https://pmc.ncbi.nlm.nih.gov/articles/PMC6322506/ https://pmc.ncbi.nlm.nih.gov/articles/PMC10777545/#/ https://pmc.ncbi.nlm.nih.gov/articles/PMC6322506/#/ https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0113637#/ https://pubmed.ncbi.nlm.nih.gov/31499496/#/ https://pubmed.ncbi.nlm.nih.gov/25982160/#/ https://www.sciencedirect.com/science/article/pii/S2095254620300752?via%3Dihub#/ https://pubmed.ncbi.nlm.nih.gov/27701433/#/ https://pmc.ncbi.nlm.nih.gov/articles/PMC5517526/#/ https://pubmed.ncbi.nlm.nih.gov/18271028/#/ https://pmc.ncbi.nlm.nih.gov/articles/PMC7344191/#/https://pmc.ncbi.nlm.nih.gov/articles/PMC7244054/#/ https://www.sciencedirect.com/science/article/abs/pii/S1388245710003561#/ https://pubmed.ncbi.nlm.nih.gov/25653226/#/https://pmc.ncbi.nlm.nih.gov/articles/PMC6306785/#/ https://pubmed.ncbi.nlm.nih.gov/27619723/#/  Our Sponsors: * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com * Check out Factor: https://factormeals.com/bbm50off * Check out Quince: https://quince.com/BBM Support this podcast at — https://redcircle.com/barbell-medicine-podcast/donations Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

    53 min
  5. Episode 384: The Paralyzed Personal Trainer (Mystery Case)

    JAN 23

    Episode 384: The Paralyzed Personal Trainer (Mystery Case)

    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://pmc.ncbi.nlm.nih.gov/articles/PMC11273815/ https://pubmed.ncbi.nlm.nih.gov/32576318/ https://pubmed.ncbi.nlm.nih.gov/20443094/ https://pubmed.ncbi.nlm.nih.gov/24372837/ https://pubmed.ncbi.nlm.nih.gov/25459211/ https://www.bmj.com/content/392/bmj-2025-085304  Our Sponsors: * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com * Check out Factor: https://factormeals.com/bbm50off * Check out Quince: https://quince.com/BBM Support this podcast at — https://redcircle.com/barbell-medicine-podcast/donations Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

    1h 4m
  6. Episode #383: Scientific Populism vs. Consensus - The 2026 Food Pyramid

    JAN 16

    Episode #383: Scientific Populism vs. Consensus - The 2026 Food Pyramid

    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. Timestamps 00:00 - 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 framework Next Steps For evidence-based resistance training programs: barbellmedicine.com/training-programs For individualized medical and training consultation: barbellmedicine.com/coaching Explore our full library of articles on health and performance: barbellmedicine.com/resources To join Barbell Medicine Plus and get ad-free listening, product discounts, exclusive content, and more: https://barbellmedicine.supercast.com/ Key Learning Points Environment 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.S.The 10:1 Rule: For better metabolic health, aim for a carbohydrate-to-fiber ratio of 10:1 (acceptable) or 5:1 (elite). References Barbell Medicine Guidelines Coming Soon!  https://www.youtube.com/watch?v=inCEbKyWYwg (Trial of Big Food)https://pmc.ncbi.nlm.nih.gov/articles/PMC12027923/ https://www.govinfo.gov/content/pkg/CPRT-95SPRT98364O/pdf/CPRT-95SPRT98364O.pdf https://pubmed.ncbi.nlm.nih.gov/31462476/ https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1001050 https://pubmed.ncbi.nlm.nih.gov/6841553/ https://pubmed.ncbi.nlm.nih.gov/7068846/ https://pubmed.ncbi.nlm.nih.gov/6841553/ https://pubmed.ncbi.nlm.nih.gov/7068846/ https://pmc.ncbi.nlm.nih.gov/articles/PMC10552423/ https://pubmed.ncbi.nlm.nih.gov/26980437/ https://pubmed.ncbi.nlm.nih.gov/26843151/ https://pmc.ncbi.nlm.nih.gov/articles/PMC10552423/ https://pubmed.ncbi.nlm.nih.gov/26980437/ https://pmc.ncbi.nlm.nih.gov/articles/PMC6124841/ https://pubmed.ncbi.nlm.nih.gov/28889851/https://www.ers.usda.gov/data-products/chart-gallery/chart-detail?chartId=58372#:~:text=As%20their%20incomes%20rise%2C%20U.S.,of%20after%2Dtax%20income). https://www.ers.usda.gov/data-products/food-price-outlook/summary-findings#:~:text=Beef%20and%20veal%20prices%20are,higher%20than%20in%20August%202024. https://pmc.ncbi.nlm.nih.gov/articles/PMC4733413/ https://pubmed.ncbi.nlm.nih.gov/26843151/ https://www.barbellmedicine.com/blog/how-to-eat-a-healthy-diet/https://www.barbellmedicine.com/resources/calorie-calculator/ https://www.barbellmedicine.com/resources/macronutrient-calculator/ Our Sponsors: * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com * Check out Factor: https://factormeals.com/bbm50off * Check out Quince: https://quince.com/BBM Support this podcast at — https://redcircle.com/barbell-medicine-podcast/donations Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

    1h 16m
  7. Trailer: The Fiber Action Plan is Here

    JAN 13

    Trailer: The Fiber Action Plan is Here

    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 FIGS and use my code FIGSRX for a great deal: https://wearfigs.com * Check out Factor: https://factormeals.com/bbm50off * Check out Quince: https://quince.com/BBM Support this podcast at — https://redcircle.com/barbell-medicine-podcast/donations Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

    2 min
  8. Episode 382: The Trial of Big Food

    JAN 8

    Episode 382: The Trial of Big Food

    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 Steps For evidence-based resistance training programs: barbellmedicine.com/training-programs For individualized medical and training consultation: barbellmedicine.com/coaching Explore our full library of articles on health and performance: barbellmedicine.com/resources To join Barbell Medicine Plus and get ad-free listening, product discounts, exclusive content, and more: https://barbellmedicine.supercast.com/ Timestamps 00:00 - 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 & The Bliss Point22:33 - The Potato Continuum & The Food Matrix28:09 - Yale Food Addiction Scale (YFAS) Data33:48 - The BMJ Umbrella Review on UPF Risks52:35 - Practical Strategy: Playing Offense at Home Key Points  The Public Nuisance Shift: Why legal strategy is moving away from "individual choice" toward holding corporations accountable for creating a toxic health environment.Probabilistic Automaticity: Human willpower hasn't decreased since the 1970s; 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 in the consumer.The Tobacco Playbook: The historical link between cigarette manufacturers buying food companies and the subsequent optimization of addictive "mouthfeel" and delivery systems. Clinical Pearls Master Your Micro-Environment: Spend your "willpower budget" only once—at the grocery store. If hyper-palatable foods aren't in your pantry, they cannot exploit your fatigue at 9 p.m.Prioritize the Food Matrix: Aim for foods high in protein and fiber that have "built-in stoplights," rather than ultra-processed items where the matrix has been dismantled.Distraction-Free Feeding: Eliminate "subconscious eating" by removing screens during meals, allowing your brain to accurately register hormonal satiety signals like leptin and ghrelin. References: https://sfcityattorney.org/san-francisco-city-attorney-chiu-sues-largest-manufacturers-of-ultra-processed-foods/ https://www.lawforhoas.com/civil-code-section-3479-nuisance-defined https://www.naag.org/our-work/naag-center-for-tobacco-and-public-health/the-master-settlement-agreement/ https://pmc.ncbi.nlm.nih.gov/articles/PMC3667220/https://pubmed.ncbi.nlm.nih.gov/22551473/ https://linkinghub.elsevier.com/retrieve/pii/S0195666325000819https://psycnet.apa.org/record/2006-22447-006 Maimati 2018 Stephen 2020 Machado 2019 Young 2002Zlatevska 2014 https://pubmed.ncbi.nlm.nih.gov/37250387/ https://pmc.ncbi.nlm.nih.gov/articles/PMC6550161/https://pubmed.ncbi.nlm.nih.gov/30040431/ https://pubmed.ncbi.nlm.nih.gov/31105044/ https://pubmed.ncbi.nlm.nih.gov/37813420/ https://ajcn.nutrition.org/article/S0002-9165(22)00584-6/fulltext https://pubmed.ncbi.nlm.nih.gov/38418082/ https://www.fao.org/3/ca5644en/ca5644en.pdfhttps://www.mdpi.com/2674-0311/3/3/25 Powell 2013 Bhutani 2018 Fernandez 2021 Our Sponsors: * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com * Check out Factor: https://factormeals.com/bbm50off * Check out Quince: https://quince.com/BBM Support this podcast at — https://redcircle.com/barbell-medicine-podcast/donations Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

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