• Episode #371: Q/A- Optimal Fitness Standards, GLP-1s, "Race-Based" health metrics, and More!
    Oct 21 2025

    This episode features the full Q&A from our first live seminar in over a year, recorded at Watchdog Strength in San Antonio. We field questions from the audience on a wide range of topics in health and fitness.

    Listen in as we discuss the "optimal" metrics for strength, cardiorespiratory fitness, and body composition; whether osteoporosis can be reversed with exercise alone; and the physiological downsides of "grazing" (constant eating) on muscle protein synthesis and insulin resistance.

    We also dive into how GLP-1 agonist medications interact with diet and exercise, practical strategies for learning motivational interviewing , how to navigate challenging clients who present with "learned helplessness", and the critical distinction between knowing enough to coach movement versus giving dangerous medical advice. Finally, we tackle the complex discussion around "race-based" medicine and how it applies to waist circumference and BMI cut-offs.

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    Timestamps:

    • (00:40) Q1: Is there an optimum balance of strength, cardio capacity, and body composition?
    • (07:46) Q2: Can older adults reverse bone loss (osteoporosis) with exercise alone?
    • (13:05) Q3: Why is "grazing" (frequent eating) bad?
    • (22:31) Q5: How do you teach a coach motivational interviewing (MI)?
    • (30:59) Q6: How do you handle clients with "learned helplessness" or a "diagnosis identity"?
    • (35:42) Q7: When do I "know enough" to start coaching others?
    • (40:49) Q8: How long does someone need to be in the "maintenance phase" until their risk of relapse is eliminated?
    • (44:46) Q9: How should we view "race-based" differences in waist circumference cutoffs?



    Resources

    Resources Page: https://www.barbellmedicine.com/resources/

    Template Quiz: https://www.barbellmedicine.com/template-quiz/


    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 support@barbellmedicine.com



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    51 mins
  • Bonus Episode: Can Your Cholesterol Be TOO Low? Why Starting is Hard, & Your Cardio Time-Hack
    Oct 16 2025

    This episode tackles major debates in health and performance! We resolve the question of whether your cholesterol (LDL/ApoB) can ever be "too low" by examining genetic and clinical trial evidence. We dive into the psychology of starting—explaining the "dread" before a task as psychological inertia—and offer actionable tips to overcome it. Finally, we cover optimizing time-limited cardio with high-intensity strategies.

    Become a Barbell Medicine Plus Member Today


    Timestamps

    2:43 | Is there such a thing as too low of a cholesterol level (specifically LDL and ApoB)?

    27:45:00 Is it normal to not feel motivated to do a task before doing it, but get the inclination after starting?

    32:00 :How to improve cardio when you have limited time (two 30-minute sessions/week)?


    Resources

    LDL/ApoB

    • https://www.barbellmedicine.com/blog/a-basic-guide-to-cholesterol/
    • https://www.escardio.org/static-file/Escardio/Guidelines/publications/DYSLIPguidelines-dyslipidemias-FT.pdf
    • Consultations

    Starting something new

    • https://www.annualreviews.org/content/journals/10.1146/annurev-psych-020223-012208?crawler=true
    • https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2016.01328/full
    • Do Hard Things- Steve Magness

    Cardio

    • https://www.barbellmedicine.com/resources/max-heart-rate-and-zone-calculator/
    • https://www.barbellmedicine.com/blog/hiit-high-intensity-interval-training/
    • https://www.nature.com/articles/s41467-025-63475-2
    • https://pacompendium.com/adult-compendium/



    Resources Page: https://www.barbellmedicine.com/resources/


    Template Quiz: https://www.barbellmedicine.com/template-quiz/


    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 support@barbellmedicine.com



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    47 mins
  • Episode #370: Dr. Sohee Carpenter on High-Intensity Circuits vs. Traditional Lifting, New Research, and Coaching Her Mom
    Oct 14 2025

    In this special episode of the Barbell Medicine Podcast, Dr. Jordan Feigenbaum welcomes back friend of the show, Dr. Sohee Carpenter, PhD, to share her latest insights following the completion of her PhD in Sports Science from the Auckland University of Technology.

    We dive deep into the research from her recently published paper in the European Journal of Sports Science, exploring a highly relevant question for strength athletes and the general population alike: How do high-intensity circuit training (HICT) and traditional strength training compare?

    Become a Barbell Medicine Plus Member Today


    Key Topics Covered:


    • PhD Research Deep Dive: Dr. Carpenter breaks down her study, which compared HICT against traditional resistance training in trained women over an eight-week period. The groups performed the same exercises, sets, and reps, and pushed to similar proximity to failure, with the key difference being the rest periods.
    • The Results: Find out the surprising, yet encouraging, findings regarding strength gains and muscle growth between the two popular training modalities. The results suggest that for many, personal preference, time constraints, and gym logistics should be the deciding factors for training style—as long as you push close to technical failure.
    • Circuit Training & Time Efficiency: We discuss why circuit training is a popular option for time efficiency—her study's circuit group completed their sessions in approximately 50-55 minutes, compared to 70-75 minutes for the traditional group.
    • Coaching Loved Ones: Dr. Carpenter shares her personal experience and advice on training her 64-year-old mother. We cover how she successfully addressed barriers like accountability and self-efficacy, starting with short, positive sessions (initially only 20 minutes) and gradually progressing to longer, more challenging workouts.


    Resources:

    • Original podcast
    • Effects of High Intensity Circuit versus Traditional Strength Training on Physiological Responses in Trained Women in the European Journal of Sports Science.


    Timestamps:


    00:00 Introduction and Background

    05:02 Research Focus: Circuit Training vs. Traditional Resistance Training

    10:00 Study Design and Methodology

    14:58 Findings and Implications of the Study

    21:36 Optimizing Group Workouts

    30:21 Training Family: A Personal Journey

    39:40 The Challenge of Progression in Strength Training

    41:57 Individual Differences in Training and Motivation

    46:00 Overcoming Barriers to Exercise for Older Adults

    50:00 Encouraging Loved Ones to Start Exercising


    Find Dr. Sohee Carpenter:


    • Instagram/Social Media: @Soheefit
    • Website: https://soheefit.com/


    Resources Page: https://www.barbellmedicine.com/resources/


    Template Quiz: https://www.barbellmedicine.com/template-quiz/


    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 support@barbellmedicine.com



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    57 mins
  • Bonus Episode: Dr. Feigenbaum on Volume vs. Intensity, Training Frequency, Peptides, and More!
    Oct 9 2025

    In this episode, Dr. Jordan Feigenbaum hosts a live "Ask Me Anything" session, tackling a wide range of questions on health, fitness, nutrition, and training philosophy.


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    Timestamps:

    • 0:32 How important are volume, intensity, and proximity to failure for hypertrophy?
    • 3:46 Does muscle memory exist?
    • 7:03 What is the reasoning behind the heavy "fatigue single" in the low fatigue template?
    • 9:00 What is Barbell Medicine's take on the Mike Israetel PhD controversy?
    • 13:18 What is the TLDR on peptides?
    • 16:47 What's the cutoff in terms of sets for a hypertrophy response?
    • 19:23 If Viagra/Cialis works for a patient, does it mean there's a cardiovascular concern?
    • 20:26 Would you recommend "Murph" from CrossFit as a good overall fitness exercise?
    • 21:37 Can you still build muscle while running 70 kilometers per week?
    • 22:53 Is training three times per week for 30 minutes realistic for a late novice?
    • 25:30 How should I handle lower back pain after returning to lifting?
    • 28:44 Which offseason template should I choose: Hypertrophy 2 or Powerbuilding 2?
    • 30:22 I've had knee tendonitis for two years, any ideas?
    • 32:16 How many rest days do you recommend per week?
    • 34:29 How to manage low back pain without a specific diagnosis from a chiro or acupuncturist?
    • 36:50 If training is only possible at the expense of sleep, is it worth it?
    • 38:06 For health and hypertrophy, how much cardio should you do?
    • 39:54 Is there a benefit to having heels below the platform for calf raises?
    • 41:00 Why are you against acupuncture?
    • 41:48 Recommendations for training for people coming off chemotherapy?
    • 43:29 Is a lunge or Bulgarian split squat considered a squat pattern?
    • 44:13 What accessories complement a Mammoth Bar deadlift?
    • 45:30 How is your dad's training going, and how to get an older parent started?
    • 47:32 Why do you think medical schools give so little instruction on exercise if it's a "panacea"?
    • 49:47 How to approach nutrition for building muscle while staying lean?
    • 51:06 Which workout offers the least benefits?
    • 51:48 What frequency of exercise do you program for a focus on glutes?
    • 53:09 How would you add full-body training for a teen playing tennis twice a week?
    • 54:13 : How would you approach osteoarthritis treatment in general?


    Resources Page: https://www.barbellmedicine.com/resources/


    Template Quiz: https://www.barbellmedicine.com/template-quiz/


    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 support@barbellmedicine.com



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    29 mins
  • Episode #369: The 2025 Blood Pressure Update
    Oct 7 2025
    The old rules for blood pressure are changing. In this episode, we break down the critical 2025 updates that are reshaping how we diagnose and manage hypertension. We move beyond the simple 120/80 cutoff to explore a new risk-based approach, updated ACC/AHA guidelines pushing for lower targets, and new recommendations to screen for the "silent epidemic" of primary aldosteronism. Plus, we cover why low-dose combination therapy is the new standard for treatment and take a realistic look at the new Apple Watch hypertension detection feature.Become a Barbell Medicine Plus Member TodayTimestamps:(01:45) Moving Beyond Binary Cutoffs: Why cardiovascular risk is a continuous spectrum and how the diagnostic approach is shifting from a single number to a person's absolute CVD risk.(10:15) The New 2025 ACC/AHA Guidelines: We break down the updated targets, including the push for systolic blood pressure below 120 mmHg and new treatment thresholds based on the PREVENT risk calculator.(30:15) The "Silent Epidemic" - Primary Aldosteronism: Learn why new guidelines suggest screening all individuals with hypertension for this common but often-missed condition that significantly increases cardiovascular risk.(40:10) Smarter Treatment Strategies: An analysis of new data showing that starting with multiple medications at lower doses is more effective and has fewer side effects than traditional monotherapy.(48:30) How Often to Check Your BP at Home: For stable patients, monitoring too frequently can be misleading. We discuss the optimal interval for re-testing to avoid acting on statistical "noise".(58:15) The Apple Watch Hypertension Feature: Is it a helpful tool or just hype? We review Apple's data on its accuracy, including its low sensitivity (41.2%) and high specificity (92.3%), and discuss its best use case.Referenceshttps://www.acc.org/Latest-in-Cardiology/Journal-Scans/2025/08/28/16/33/New-Scientific-Statement-Deep-Dives https://pubmed.ncbi.nlm.nih.gov/40825202/https://www.acpjournals.org/doi/10.7326/ANNALS-25-02804https://www.jacc.org/doi/10.1016/j.jacc.2025.08.047https://www.jacc.org/doi/10.1016/j.jacc.2025.05.002https://www.ahajournals.org/doi/10.1161/HYPERTENSIONAHA.125.25466 https://academic.oup.com/jcem/article/110/9/2453/8196671?login=falsehttps://www.acpjournals.org/doi/10.7326/ANNALS-24-03153https://www.acpjournals.org/doi/10.7326/ANNALS-25-01368https://pubmed.ncbi.nlm.nih.gov/37439256/https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.123.066389https://academic.oup.com/ajh/article/35/12/967/6620780.https://www.mdcalc.com/calc/10491/predicting-risk-cardiovascular-disease-events-prevent https://pubmed.ncbi.nlm.nih.gov/40324193/https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(25)00991-2/abstracthttps://www.bpmodel.org/https://journals.lww.com/jhypertension/fulltext/9900/how_often_should_self_monitoring_of_blood_pressure.736.aspx https://www.apple.com/health/pdf/Hypertension_Notifications_Validation_Paper_September_2025.pdf Resources Page: https://www.barbellmedicine.com/resources/Template Quiz: https://www.barbellmedicine.com/template-quiz/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 support@barbellmedicine.comSupport this podcast at — https://redcircle.com/barbell-medicine-podcast/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
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    1 hr and 8 mins
  • Episode #368: The Rundown (4)
    Sep 30 2025

    In this episode of the Barbell Medicine Podcast, Dr. Jordan Feigenbaum and Dr. Austin Baraki discuss various topics including a purported creatine overdose by golfer Ben Griffin, the implications of GLP-1 agonists on cancer risk, a new weight loss drug called MariTide, LeBron James doing silly exercises, and more.

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    Timestamps:

    00:45 Ben Griffin overdoses on creatine

    • https://www.instagram.com/p/DNeI9DKxbZc/?utm_source=ig_web_copy_link&igsh=MzRlODBiNWFlZA==

    09:16 GLP-1 and Cancer Risk

    • https://jamanetwork.com/journals/jamaoncology/article-abstract/2837870

    17:16 MariTide

    • https://www.nejm.org/doi/abs/10.1056/NEJMoa2504214

    28:24 Lebron does silly exercise

    • https://www.instagram.com/reel/DNgYIMOMRBX/?utm_source=ig_web_copy_link&igsh=MzRlODBiNWFlZA==

    38:24 ChatGPT goes wrong

    • https://tinyurl.com/57c3fh8x

    49:00 Plant-based diets and blood pressure

    • https://www.ahajournals.org/doi/full/10.1161/JAHA.124.037813

    55:00 Gender eligibility in sport

    1:07:00 Bodyweight vs. mortality

    • https://www.sciencedaily.com/releases/2025/09/250914205759.htm

    1:14:00 Ultra-Processed Food and MAHA

    • Food and Beverage News and Trends - September 19, 2025

    1:22:00 -The Rock Loses Weight!


    Resources Page: https://www.barbellmedicine.com/resources/

    Template Quiz: https://www.barbellmedicine.com/template-quiz/

    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 support@barbellmedicine.com



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    1 hr and 32 mins
  • Episode #367: Training Load ft. Dr. Franco Impellizzeri
    Sep 24 2025

    In this episode, we're joined by renowned sports scientist and researcher, Dr. Franco Impellizzeri, for a deep dive into the complex world of training load.


    Dr. Impellizzeri discusses his journey in sports science and helps us cut through the confusion surrounding a core concept of training: training load. We break down the crucial distinction between external load (the physical work you do, like weight on the bar or distance run) and internal load (your body's unique physiological and psychological response to that work). You'll learn why measuring both is essential for effective programming and long-term progress.


    Whether you’re a coach, an athlete, or just someone looking to optimize your training, this episode will provide a new framework for thinking about stress, adaptation, and the road to smarter, safer gains.


    Become a Barbell Medicine Plus Member Today


    Resources:

    • Second Generation Low Fatigue Programs
    • Dr. Impellizzeri's publications


    Resources Page: https://www.barbellmedicine.com/resources/

    Template Quiz: https://www.barbellmedicine.com/template-quiz/

    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 support@barbellmedicine.com



    Our Sponsors:
    * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com
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    1 hr and 28 mins
  • Bonus Episode: Vaccinations and Exercise, Deadlifts For Hypertrophy, and Recovery from Disc Herniations
    Sep 18 2025

    In this episode of the Barbell Medicine Plus podcast, the hosts discuss various topics related to strength training, such as: vaccination effects on training, the role of deadlifts in hypertrophy, and recovery from non-traumatic injuries.

    Become a Barbell Medicine Plus Member Today


    New Stuff:


    • Seminar Sign-up
    • Second Generation Low Fatigue Programs


    Resources Page: https://www.barbellmedicine.com/resources/

    Template Quiz: https://www.barbellmedicine.com/template-quiz/

    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 support@barbellmedicine.com



    Our Sponsors:
    * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com
    * Check out Factor: https://factormeals.com/bbm50off
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    33 mins