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  • In this episode of The Barbell Medicine Podcast, Drs. Baraki and Feigenbaum review new data on seed oils as well as combining HIIT with lifting weights.

    https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2831265

    https://onlinelibrary.wiley.com/doi/10.1111/sms.70025

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  • In this episode of The Barbell Medicine Podcast, Drs. Baraki and Feigenbaum discuss weight loss success, maintenance, and how-to improve success rates.

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    Got pain and need a professional who understands you lift? Or, do you need an experienced coach to help you get the most out of your training? Contact us at [email protected]

    References:

    1. CDC

    2. Zhang 2024

    3. WHO

    4. Quinn 2020

    5. Han 2019

    6. Williamson 2015

    7. Ryan 2013

    8. FDA 2025

    9. Ryan 2018

    10. Magkos 2016

    11. Knowler 2002

    12. Knowler 2009

    13. Look AHEAD 2014

    14. Sacks 2009

    15. Ahern 2017

    16. Anderson 2001

    17. Fildes 2015

    18. Daigle 2020

    19. Tay 2023

    20. Bouchard 1994

    21. Bouchard 1990

    22. NWCR

    23. Nicklas 2013

    24. Miller 2015



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  • In this episode of The Barbell Medicine Podcast, Drs. Baraki and Feigenbaum discuss heart rate variability (HRV).

    Resources:

    · https://pubmed.ncbi.nlm.nih.gov/17276451/

    · https://pubmed.ncbi.nlm.nih.gov/24290115/

    · https://pubmed.ncbi.nlm.nih.gov/8608620/

    · https://pmc.ncbi.nlm.nih.gov/articles/PMC5600971/

    · https://www.tandfonline.com/doi/abs/10.1080/1750984X.2022.2092884

    · https://pubmed.ncbi.nlm.nih.gov/31838969/

    · https://pubmed.ncbi.nlm.nih.gov/26177817/

    · https://www.escardio.org/static-file/Escardio/Guidelines/Scientific-Statements/guidelines-Heart-Rate-Variability-FT-1996.pdf

    · https://pmc.ncbi.nlm.nih.gov/articles/PMC7612541/

    · https://pmc.ncbi.nlm.nih.gov/articles/PMC11560992/

    · https://pmc.ncbi.nlm.nih.gov/articles/PMC11478500/

    · https://pmc.ncbi.nlm.nih.gov/articles/PMC9412437/

    · https://pmc.ncbi.nlm.nih.gov/articles/PMC9412437/

    · https://pmc.ncbi.nlm.nih.gov/articles/PMC8160717/#notes2

    · https://pmc.ncbi.nlm.nih.gov/articles/PMC5624990/#S26

    · https://pmc.ncbi.nlm.nih.gov/articles/PMC8107721/

    · https://pubmed.ncbi.nlm.nih.gov/21273908/

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

    · https://onlinelibrary.wiley.com/doi/10.1080/17461391.2019.1572227

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  • In this episode of The Barbell Medicine Podcast, Drs. Baraki and Feigenbaum answer Barbell Medicine Plus member questions!

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    Book Recommendations:

    Do Hard things -Steve Magness

    Science of Running- Steve Magness

    The Cyclists Training Bible- Joel Friel

    Transfer of Training in Sports - Anatoliy Bondarchuk

    Science of Practice in Strength Training- Vladimir Zatsiorsky

    Periodization- Tudor Bompa

    Coaching Athletes to Be Their Best- Stephen Rollnick

    Low Fatigue eBook

    General Strength and Conditioning II eBook

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  • In this episode of The Barbell Medicine Podcast, Drs. Baraki and Feigenbaum discuss a mystery case of 38-year-old woman who experiences chest pain during a Zumba workout.

    Case: https://jmedicalcasereports.biomedcentral.com/articles/10.1186/s13256-018-1696-x

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  • In this episode of The Barbell Medicine Podcast, Drs. Baraki and Feigenbaum discuss two recent research papers. The first one examines the optimal level of calorie restriction for improving cholesterol levels in the setting of exercise. The second study focuses on risk factors for running-related injuries.

    Quack: https://www.instagram.com/reel/DFOivKJyIWY/?utm_source=ig_web_copy_link&igsh=MzRlODBiNWFlZA==

    Papers:

    https://www.frontiersin.org/journals/physiology/articles/10.3389/fphys.2025.1510949/full

    https://onlinelibrary.wiley.com/doi/10.1111/sms.70004

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  • In this "mystery case" episode, Dr. Jordan Feigenbaum and Dr. Austin Baraki walk through a real medical case of a 21-year-old male who presents to the emergency department with a 5-day history of fever, headaches, and a 1-day history of an itchy rash. The rash started on his face and spread to his chest, back, and thighs, sparing his palms and soles. He also reported nausea, vomiting, and diarrhea. He's been taking a weight loss supplement and his fever persists to greater than 104* F. What's the diagnosis?

    References:

    Case: https://pubmed.ncbi.nlm.nih.gov/25367505/ Dinitrophenol and obesity: an early twentieth-century regulatory dilemmaThe Return of Rainbow Diet Pills2,4-Dinitrophenol (DNP): A Weight Loss Agent with Significant Acute Toxicity and Risk of DeathUnited States v. Bachynsky

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  • 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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  • 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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  • 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://pubmed.ncbi.nlm.nih.gov/2336074/

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

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

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  • 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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  • 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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  • 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% e1RMFlexibility 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

    Time Crunch Template (Update coming soon!)

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    References:

    Detraining Podcast

    Wolin 2008Sturm 2019Garcia-Hermoso 2022Benito 2020 Radaelli 2015 Grgic 2018Nolan 2018Chen 2022Gavanda 2020Hortobagyi 1993Halonen 2024Mujika 2001 Smith 2003Encarnacao 2022Staron 1991 Ivey 2000Grgic 2022Piercy 2018Hamer 2017 Khurshid 2023Schoenfeld 2017 Krieger 2009 Perkin 2019 Fyfe 2022Androulakis-Korakis 2021Borde 2015 Lesinski 2016Yang 2018

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  • 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:

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

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  • Dr. Jordan Feigenbaum and Dr. Baraki discuss osteoarthritis (OA), emphasizing its complexity and the importance of a holistic approach. OA affects joints, causing pain, stiffness, and reduced function, with knees being the most commonly affected. Risk factors include age, prior injury, obesity, and inflammation. Diagnosis often relies on clinical history rather than imaging. Treatments include exercise, weight management, and non-pharmacological interventions like knee sleeves. Pharmacological options include topical NSAIDs, oral NSAIDs, and GLP-1 receptor agonists, with a cautious approach to opioids and steroid injections. Surgery may be considered for severe cases, but lifestyle changes and appropriate exercise are crucial for long-term management.

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    Resources:

    https://www.barbellmedicine.com/blog/the-barbell-medicine-guide-to-osteoarthritis/https://www.barbellmedicine.com/blog/what-do-knee-sleeves-do/https://pain-calculator.com/https://pmc.ncbi.nlm.nih.gov/articles/PMC2730438/https://pubmed.ncbi.nlm.nih.gov/27103611/https://pain-calculator.com/treatment/osteoarthritis-pain/viscosupplementation-publicly-funded-trials/https://www.nephjc.com/news/nsaids-vs-opioidshttps://www.safetyandquality.gov.au/standards/clinical-care-standards/osteoarthritis-knee-clinical-care-standard

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  • In the November 2024 research review, Drs. Jordan Feigenbaum and Austin Baraki discuss the effects of de-training periods in resistance training and the potential benefits of carbon monoxide supplementation for enhancing altitude training. New research investigated 20 weeks of continuous training vs. two 10-week periods of training separated by a 10-week off period. The results are....not what you might expect! The second study explored the use of carbon monoxide to stimulate red blood cell production and what effects it had regarding VO2 max and power output in elite cyclists. Ethical and monitoring concerns are also discussed.

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  • In the Barbell Medicine Podcast, Drs. Feigenbaum and Baraki discuss a case of a 21-year-old female presenting with severe throat pain after a gym session involving heavy squats and deadlifts. The patient's symptoms worsened over six hours, and she had no fever or cough. Her physical exam and initial lab results were normal, except for a slightly elevated white count.

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  • Dr. Jordan Feigenbaum and Dr. Austin Baraki discuss the fundamentals of exercise programming. They outline four major evidence-based goals for programming regarding health: strength, power, hypertrophy, and cardiorespiratory fitness. They introduce the WATER model for programming variables: weight (intensity), amount (volume), type (exercise selection), effort, and regulation (how-to regulate these variables). They stress the importance of matching training stimuli to individual needs and preferences, and the benefits of varying training intensities and modalities for comprehensive fitness development.

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    Hypertension Podcasts and Articles:

    https://www.youtube.com/watch?v=9IEFJ_90vGEhttps://www.youtube.com/watch?v=JCPAffRLtNohttps://www.youtube.com/watch?v=kI6QwgKLP0M

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