Ask Me Anything

with Barbell Medicine Plus Podcast

Subscribe to ask a question

Power and balance training for general health

I made a drinking game of every time Jordan makes a reference to the Physical Activity Guidelines and now I have no liver, 0/10 would not recommend. The PAG are great in covering minimum doses of resistance training and cardio, but they do not say much about training specifically for either power or for balance/stability. Resistance training will hit some of that, but I would think not as much as if you were programming for those specific adaptations. If someone's primary goal is training for general health and longevity as they get older, what recommendations (if any) would you make for weekly power or balance/stability training?

2 day a week programming

As lots of the new programmes have a two day option, what’s your thoughts on training like this long term?

Training the same muscle group in one workout or over many

Is there a benefit to working a specific muscle group in one session rather than over multiple days? For instance, is it better to train quads on a single day with squats followed by leg extensions (in say a P/P/L style program), or can the same strength/hypertrophy goals be achieved if those exercises were performed on separate days as part of a full body routine?

Hydration / Thirst

Are there evidence/studies to support that thirst is a good enough mechanism to ensure proper hydration (if that's a thing)? As we know hunger/appetite are not by any means good mechanism to manage energy intake, so I was wondering why it would be the case for thirst.. Thanks

Hydration / Thirst

Are there evidence/studies to support that thirst is a good enough mechanism to ensure proper hydration (if that's a thing)? As we know hunger/appetite are not by any means good mechanism to manage energy intake, so I was wondering why it would be the case for thirst.. Thanks

Training response to stress

Why is there so little discussion about how health status, previous physical activity, and mindset influence the perception of pain and discomfort during training? (in addition to BBM and others involved in rehab) It seems strange that even young, previously inactive individuals feel sore after just one or two light workouts per week. Meanwhile, online, many people claim to train at full intensity 4-5 times a week, sleep only 5 hours per night, and still feel great. With the recent trend of high-intensity training involving only one hard set close to or even near failure, does this create a barrier for people who want to start exercising but feel discouraged by discomfort and unrealistic expectations? What factors truly determine how our bodies react to training stress?

Podcast Chapters

I believe for some of the AMA episodes you have been adding Youtube-like clickable timestamps, which is neat. Could we get these for all new episodes? Furthermore there is proper chapter support via audio file metadata, which could also include chapter images. (via a tool like this: https://mp3chapters.github.io/) I would also love to see the podcast expanding on this.

How would you fix healthcare?

You often brush up against problems in the medical system, only to veer away and explicitly avoid what I expect is an at least somewhat political and probably controversial issue. You've hinted at doing a show on it as well. So I'm curious, what would you do to fix healthcare in America? What are your moonshot dreams? What are smaller steps you might actually try to implement if you were an executive or even an elected official? I don't think you should answer this if you're worried it might alienate listeners or if it would negatively impact your business, but it does say to ask *anything*.

Leg Work For Long Distance Athletes

In regard to marathoners/triathletes/bicyclists, with all of the running and/or biking involved is it worth adding fatigue with direct leg work?

Templates

Can you provide some insight as to what sorts of new template offerings will be coming out this year? Will it be mainly updates to current ones or new template concepts like “power” or “speed”.

Testosterone

At what point would you recommend someone visits their GP to discuss concerns of low testosterone levels? What are the main lifestyle changes you'd recommend before doing so and how long would you suggest that person waits to see if said changes make a significant difference? Let's assume the person is meeting all the 7 priorities you outline for health and longevity.

Trunk Work

Hey guys, I have run a few of your templates, including Power Building 1 and Strength 1. When it comes to trunk or abdominal work you recommend isometric exercises. Can you go into why you recommend this?

Sleeping with mouth open

How detrimental is sleeping with an open mouth? Does it affect sleep quality and should it be addressed? Thoughts on the trending "mouth tape" that supposedly helps with this?

When to Go Under the Knife?

What framework would you suggest using for evaluating when to have surgery? Without getting into personal specifics to keep this maximally useful for others, I am thinking about that broad category of surgical procedures that are neither purely elective nor emergency or life-threatening situations, e.g. things where surgery might (or might not) improve quality of life or reduce suffering.

Quadriceps muscle and leg extension

How much potential is left when we don't do leg extensions to build up quadriceps muscle for hypertrophy and general strength? Is it really the only exercise besides the sisy squat that affects the development of the rectus femoris? Does squats and one-legged work are enough?

bursitis

Does your management change in cases of bursitis? Especially when it comes to achilles tendon bursitis, where often just walking causes significant pain?

Rotation Exercises

I'm currently at the beginning of a second round of PB3 (because I had really good results!) and am a fairly new golfer (about 2 months in). I have added a couple of hip rotation exercises (cable rotations mimicking the swing and medicine ball wall toss) to try and help generate some power and "mobility." Do you have any other rotation movements I could either add/or replace with?

Thoughts on the recommended protein intake for resistance training

Greg Nuckols recently posted a very thorough (or at least long) review of the science on protein intake (https://www.strongerbyscience.com/protein-science/), making the case that intakes higher than what you guys usually recommend are needed to maximize gainzZz and that the 1.6g/kg number isn't really that well supported. Do the arguments made by Greg update your recommendation in any way. Why or why not?

Books on coaching

Any suggestions for books on coaching in general and strength coaching in particular?

Barriers to Maintaining Long-Term Health

What do you (Austin and Jordan) think is the most overlooked but crucial factor in maintaining long-term health, and why do so many people struggle to prioritize it?

Recipes

Doctors, Really loving everything BBM+ has to offer. Do you guys have any easy recipes for preparing things you commonly eat/recommend eating. Lentils, oatmeal, etc. Always looking for quick and easy recommendations. Thank you!

Transitioning from the biomedical to the BPS model of pain.

Recently we’ve seen a transition from some older biomedical diagnoses for the msk system, like subacromial impingement syndrome and chondromalacia patellae, to more general ones with less emphasis on the structural components like rotator cuff related shoulder pain and patellofemoral pain syndrome. How do you respond to patients that still want a more traditional diagnosis to make sense of their symptoms, and would you expect them to do worse with conservative care due to the negative beliefs that come with such diagnoses?

Body fat and performance in powerlifting

What are your views on optimizing body fat levels for performance in powerlifting? Many sources claim that "higher" body fat levels are beneficial, but explanations seem lacking and elite level lifters seem to be quite shredded nowadays. How should an athlete try to determine the cut-off (that probably is very individual)?

Deadlift only programming

If someone is only interested in testing maximal strength for their deadlift, as in a DL only meet, is there a need for specific programming or is regular powerlifting training just as good? I particularly wonder what adjustments, if any, would be made to squat training.

Night shifts

How can we minimize the negative effects of shift work? In the case of 12-hour and 24-hour night duty?

+ 35 more questions for subscribers