The Peter Attia Drive - #235 ‒ Training principles for mass and strength, changing views on nutrition, creatine supplementation, and more | Layne Norton, Ph.D.

Episode Date: December 19, 2022

View the Show Notes Page for This Episode Become a Member to Receive Exclusive Content Sign Up to Receive Peter’s Weekly Newsletter Layne Norton holds a Ph.D. in nutritional sciences and is a phy...sique coach, natural bodybuilder and powerlifter, and two-time previous podcast guest. In this episode, Layne discusses his training as a powerlifter and shares training principles that non-powerlifters can apply to improve muscle strength and mass. Layne goes in-depth on creatine supplementation, including the benefits for lean mass and strength, and addresses the common arguments against its regular usage. Additionally, Layne touches on many areas of nutrition, including how his opinions have changed on certain topics. Layne also touches on the subjects of protein, fiber, and fat in the diet, as well as the different tools and dietary approaches for energy restriction. We discuss: The sport of powerlifting and Layne’s approach during competitions [2:30]; Training for strength: advice for beginners and non-powerlifters [13:15]; Low-rep training, compound movements, and more tips for the average person [23:15]; How strength training supports longevity and quality of life: bone density, balance, and more [28:15]; Peak capacity for strength as a person ages and variations in men and women [33:00]; Effects of testosterone (endogenous and exogenous) on muscle gain in the short- and long-term [36:45]; How Layne is prepping for his upcoming IPF World Masters Powerlifting competition [44:00]; Creatine supplementation [54:30]; How important is rep speed and time under tension? [1:05:30]; Validity of super slow rep protocols, and the overall importance of doing any exercise [1:12:45]; Navigating social media: advice for judging the quality of information from “experts” online [1:23:00]; Layne’s views on low-carb diets, the tribal nature of nutrition, and the importance of being able to change opinions [1:34:45]; Where Layne has changed his views: LDL cholesterol, branched-chain amino acid supplementation, intermittent fasting, and more [1:42:00]; The carnivore diet, elimination diets, and fruits and vegetables [1:55:15]; Fiber: Layne’s approach to fiber intake, sources of fiber, benefits, and more [2:00:15]; Confusion around omega-6 polyunsaturated fatty acids and the Minnesota Coronary Experiment [2:05:00]; Layne’s views on fats in the diet [2:13:00]; Flexible dieting, calorie tracking, and the benefits of tracking what you eat to understand your baseline [2:18:00]; The nutritional demands of preparing for a bodybuilding show [2:30:45]; The psychological effects of aging and changes to one’s identity [2:42:00]; and More. Connect With Peter on Twitter, Instagram, Facebook and YouTube

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Starting point is 00:00:00 Hey everyone, welcome to the Drive Podcast. I'm your host, Peter Atia. This podcast, my website, and my weekly newsletter, I'll focus on the goal of translating the science of longevity into something accessible for everyone. Our goal is to provide the best content in health and wellness, full stop, and we've assembled a great team of analysts to make this happen. If you enjoy this podcast, we've created a membership program that brings you far more in-depth content if you want to take your knowledge of this space to the next level. At the end of this episode, I'll explain
Starting point is 00:00:38 what those benefits are, or if you want to learn more now, head over to peteratia MD dot com forward slash subscribe. Now without further delay, here's today's episode. My guess this week is Lane Norton. Lane was a previous guest on episode 163 back in May of 2021 and then 205 back in May of 2022. In both of those discussions, we were never able to fully get through the content we wanted and we knew we were never able to fully get through the content we wanted, and we knew we were going to have to sit down and do this again. So here we are on to round three. In this episode, we talk about Lane's training and work as a power lifter. This is in large part because at the time we recorded this, Lane was in the final weeks of training
Starting point is 00:01:19 for the World Masters Powerlifting Championship. We focused the conversation around what non-power lifters can learn about muscle strength and the principles to get stronger in the weight room, even if they of course have no desire to ever compete in a powerlifting meet themselves. We also get into a much deeper dive around creatine, which we only lightly touched on in a previous podcast. We talk about fitness and nutrition experts on social media and the importance of being able to change your mind. Talk a lot about nutrition, and this includes the three areas of nutrition that Lane has changed his mind about over time. We'll also discuss some nuances around time restricted feeding, tracking calories, and more.
Starting point is 00:01:55 Now, just a way of quick background, Lane is a bodybuilding figure and physique coach, and in addition to being a natural pro bodybuilder and professional powerlifter. And though we didn't know it at the time of this recording, we now know it as I make this intro. Lane has very recently won the 2022 Masters World Powerlifting Championship in October in a drug-free tested division. So without further delay, please enjoy my conversation with Lane Norden. Well Lane, we're back from another round of this, but this time we finally get to do it in person.
Starting point is 00:02:30 I'm looking forward to this. I said it would be a little bit different. So let's talk about your training, because right now you are training for worlds in power lifting. We had a great chance to kind of catch up on some of your training yesterday. I probably won't get into as much detail as you and I got into last night because that might be more detailed than the average non-nerd is interested in. But maybe just briefly kind of explain
Starting point is 00:02:51 the sport of powerlifting. There are three lifts, how it works. And then I wanna talk about kind of how you're training for that and some of the challenges that. Powerlifting is a very basic sport. Like you mentioned, there's three lifts, the squat, the bench press, the dead lift, and they go in that order.
Starting point is 00:03:03 You get three attempts on each and they're progressive. So for example, once you put in an attempt, like let's say you put in a squat attempt of 550 pounds for your opener, if you miss it, you can't go down. So usually the way people do it is first attempt is a pretty conservative weight, kind of like a last warm up. Second attempt is getting close to something that's pretty reasonable like RPE 9, 9 1 1 2, and then your last one, you're hoping to get
Starting point is 00:03:33 kind of your true maximum. You basically highest total wins. Between the three different lifts. Correct. So at Worlds, they will give medals for individual lifts. There'll be a gold silver and bronze for squat, gold silver bronze for bench press and gold silver bronze for deadlift. And then there'll be those metals also for the overall. And the overall is just the summation of the total of the number of lifts you hit.
Starting point is 00:03:56 And when you do your three squat, three bench, three data, are you doing them in that order or are you going? So it's you do all three squats go, then all three bench press, and all three deadlift. Typically, how much time in between each attempt? It can really depend. The last time I did worlds in 2015, that was a very, very fast meet. So in our flight, there was only 11 people. So meaning the person who has the lightest squat will go first up to the heaviest squat. And then those will continue to cycle through the same thing for bench press, same thing for deadlift. And the whole meat took over just over two hours, but I've been in meats that have taken as long as three and a half. So
Starting point is 00:04:36 it really just depends on your flight, how quickly the spotters and, but if I'm doing the math, that means you might only have 15 minutes between lifts. Usually you'll get about at least 30 because the way they run it is there's no real breaks for people who are spectating. So they'll have two flights going at the same time. So what will happen is they'll have an A flight and a B flight typically. Sometimes they'll have C flights as well. If it's really really packed meet like nationals but in worlds it's usually just an A and a B flight and they just separate those based on opening squats and usually that B flight will have the top lifters in it. So you have some time while the other folks are lifting you're typically warming up getting ready and then once for
Starting point is 00:05:20 example the squats are finished A flight will start for, and then if you're in B flight, you can have time to warm up. So what are you doing between? So let's just say, between lift one and two, lift one shouldn't have been that stressful if you did it correctly. Does what you eat matter much? Are you getting any tissue work?
Starting point is 00:05:39 Like what do you need to do? Let's just say you have 30 minutes between those attempts. What do you need to do to maximize your odds? Usually between the lifts themselves, like between squat and bench press, we'll have 30 to 60 minutes, depending on how quickly things are going. But what about between the squat attempts,
Starting point is 00:05:55 like between the first and second? So between the actual attempts themselves, I mean, I'll take a drink of water, I might throw some candy in or something like that, really quickly, if I feel like I need it But for the most part, I'm just mentally trying to get myself in the right zone And it is a little bit tricky because you can't keep yourself at that really high level of arousal the entire time Because you're just wear out really quickly
Starting point is 00:06:18 So for me the trick is bringing that arousal down for about you know five minutes or so is bringing that arousal down for about five minutes or so so that I can relax just enough and then start to focus back up. And it's almost like a wave. You're kind of letting yourself come down and then when the time is right and really timing is a big thing in this because once the bar is loaded, they call a bar as loaded,
Starting point is 00:06:41 you'll have one minute to get the down command for squat or bench press or whatever it is. There can be mistakes where maybe you come out and you forgot your belt or something happens. So I really try to make it to where when they say bars loaded, I get out there very quickly so that if there is anything wrong, I can address it and have time. So really timing it and seeing, okay, how many people are in front of me? How long do I need to amp up? Usually for me, I like to have about two or three minutes to really get very aroused and very amped up. And so just trying to time that correctly is kind of tough.
Starting point is 00:07:17 But like I said, for the first five minutes afterwards, I kind of let myself come down, but I never like truly relax. I'm still like got my music on. I'm still thinking got my music on. I'm still thinking about what I've got to do, but I'm not like really hyper focusing. And then as it starts to come into the last five minutes for the lift, I'm putting whatever I need on to focus myself, mental imagery, visualization.
Starting point is 00:07:38 And then by the end, I'm even doing like breath work. I want my heart rate to be about 16170 by the time I go out to hit my left. Like I want to be very amped. Yeah, I was going to ask you what your heart rate got to. I would imagine your blood glucose is probably about 160 as well. Yeah, probably. I've never been. Your liver is just hepatic glucose output at the max. Your stress home earns are going to be high. It's really interesting. I was, it's a little bit off topic, but I was listening to a sports psychologist talk about how the differences between excitement and anxiety and anxiousness are almost you can't almost pick them out. It's just your perception.
Starting point is 00:08:15 And I remembered when I played baseball in high school, I would come up to the plate with the thought process of don't strike out. You don't want to look stupid, just put the ball in play. It wasn't the process of, I'm going to drive these runs in, I'm going to do XYZ. And I was watching an episode of the ultimate fighter probably 13, 14 years ago, was where Matt Sarah versus Matt Hughes. And one of the fighters was vomiting before a match because he was so nervous. And he was over the bucket going, I can't do this anymore. I hate the way this feels. I can't do this. And Matt Sarah just looked at him and said, what are you talking about, man? That's the feeling of being alive. You care about something so much that your body is reacting this way. And ever since then, it completely
Starting point is 00:09:00 flipped the way I looked at competition. And so now, before when I would get nervous playing baseball, I would try to like calm myself down. Like, why can't I feel normal? Why don't I feel relaxed? And now when I feel those nerves start to kick in, I just tell myself, this is a good thing. This is a good thing. This is your body getting you ready.
Starting point is 00:09:19 This is you being ready to go. Really like that reframing of things and just accepting and being okay with the anxiety has helped me so much. You know, something like that in powerlifting where the stakes are really high and it's really short. It's not like, you know, in tennis, you can have one bad match, right? Or one bad serve and it doesn't end the entire thing in powerlifting it can. And I guess the other thing I guess is the stakes
Starting point is 00:09:45 are kind of high from an injury standpoint as well because you are pushing at your limit. Have you ever injured yourself in a meat? Not to the point where I couldn't continue or had really bad pain during, but at the Arnold in 2015, at the Arnold Pro Meat, I had aggravated my back a week out pretty badly. And then the day of the meet, when I hit my last squat,
Starting point is 00:10:07 which was 661 pounds, I kind of rotated a little bit coming up, and the next day I could definitely feel, it was actually closer to my upper lumbar or lower thoracic. I definitely had quite a bit of pain there. So you typically don't see people get injured at meets. It does happen, but I would say that it's less frequent than during training. I don't have any data on that, I'm just guessing. But I think part of it is you are so focused in, you are so excited, you're very tight,
Starting point is 00:10:39 you're very conscious of what you're doing. At the end of the day, it is just one rep, where I've tend to get... Yeah, whereas the volume when you're training and you're also probably more end of the day, it is just one rep or I've tinned again. Where's the volume when you're training and you're also probably more broken down and more fatigued. When you get ready for a meet, if you've done your due diligence, hopefully you've kind of dissipated a lot of that fatigue through rest and tapering.
Starting point is 00:10:58 Whereas when you're in the throes of training and you just kind of high levels of fatigue, maybe you're just not able to execute the lifts as well because of that fatigue. That's where things tend to happen, especially like if you're doing multiple repetitions as you get closer to failure, just the opportunity to get out of position or make mistakes, those sorts of things.
Starting point is 00:11:18 So it is definitely one of the things that is part of the game. You're just going to deal with pain. But I always tell people too, you're just gonna deal with pain. But I always tell people too, you know, I'm 40 now, and most 40-year-olds, 50-year-olds, they have pain anyway. So I'd rather be strong and have pain
Starting point is 00:11:33 than be we can have pain. How many times a year can you peak for a meat? Maybe not necessarily even you, but at the top level of powerlifting, how many really good meats in a year does a lift or have? This is just completely my opinion. It's based on my own experience. But for me, I've done it where I've only, I've done one, I've done it where I've done
Starting point is 00:11:53 four high-level meets. Four was way too much. I think probably two is the sweet spot for me. You know, it gives you time to really, I don't think I've ever gone into a meet and just been like, oh, I feel 100% healthy and nothing hurts or anything like that. It's kind of, it's not the same thing as getting ready for like a fight, but in order to be able to execute a heavy lift, you have to lift heavy. And so part of that is you're going to accumulate some things and some dunks.
Starting point is 00:12:21 Really it's about getting to competition day with enough fitness level in terms of being able to execute heavy lifts while dissipating fatigue and being in low enough levels of pain that you can execute. And so afterwards really it's always been the most dangerous when I feel good after a meet because then I just tend to like go in like and say, well, let's get right back into training. And really the smart thing to do is just to take some time, train for fun, keep that core strength, but move more towards accessory movements and things that don't beat me up so much for several months. Then we enter like more of a building accumulation phase where volume is going up at the weight store.
Starting point is 00:13:03 It's super heavy. And then those last three, four months, four weeks, now it's time to start putting in more heavy weights and starting to ramp up towards by the end of my training. I'm mostly on my competition lifts just hitting heavy singles. So that's what I want to kind of talk about is what can the rest of us who aren't power lifters learn just about strength? Because if I wanted to frame this for a listener, because people have heard me talk about this,
Starting point is 00:13:28 but the two metrics that are most significantly associated with longevity. So if we were to stack up every possible known risk factor, smoking, type two diabetes, high blood pressure, coronary artery disease, end-state kidney disease, whatever, and we were to talk about how much of a hazard ratio do these bring to you in terms of all cause mortality? They're quite big.
Starting point is 00:13:50 Hypertension is about a 20 percent. Type 2 diabetes is about a 30 percent increase in mortality. Smoking is 50 percent increase. Being weak relative to being strong is about 250%. Having a very low VO2 max in the bottom 25% of the population versus being in the top 2.5% of the population is about 400%. So when you line everything up, the two things that stand out the most are incredible cardio respiratory fitness as measured by VO2 max and strength. And then a third is muscle mass. But I think when you look at the data, you realize muscle mass is so coupled to strength that that association is tight. Point being is if you're listening to this
Starting point is 00:14:37 podcast and thus far into this podcast, your eyes are sort of glazing over as we're sitting here talking about powerlifting, it's probably worth pointing out that even if you never once care to do a heavy squat or a heavy bench press or a heavy deadlift, you have to be strong. And in these studies where these associations continue to show up over and over and over again, they're using things like grip strength, bench press, leg extension, things that are a little less technical, but the point remains, anybody who's going to a power meet and crushing a deadlift has pretty strong grip strength. So I think it becomes important for people to understand how to train for power. So let's now talk a little bit about that.
Starting point is 00:15:16 So if a person comes to you and says, I want to get stronger. And that's my primary objective in the weight room. It's more so than the aesthetic, because we're going to talk about that later. What are some of the principles they need to keep in mind? What's interesting is the principles are pretty much the same. It's just the level to which they're applied. And I think it's important to point out that there are diminishing returns with strength in terms. Well, I'm sure there are studies are refined enough to pick this refined enough to pick this out at this point because it's not like they're getting a population of power lifters and looking at their longevity. But my guess is that at a certain point, you
Starting point is 00:15:53 pretty much get all the benefits and just getting even stronger is probably not going to give you more, especially if it comes at the risk of injury that can later on in life. Sure. And then you also see with like running, there's kind of like a J-shaped curve. Part of me thinks that just the people that take it so far, whether we powerlifting, running, whatever, that it's not that their sport makes them more prone to early mortality, but more so that they probably have other behaviors of being an extremist that probably contribute to that. Interesting. But as far as strength goes, we really what we're talking about is progressive overload.
Starting point is 00:16:27 That is the most important core principle. It actually really applies to a lot of things in life to be quite honest. But when it comes to lifting weights, a lot of people here progressive overload, and they just think weight on the bar. And that is the most simple way to explain it. So if you come in, you've never done some sort of squat movement
Starting point is 00:16:45 before, and you do 95 pounds for five reps. And then the next week you come in and you do 100. And the next week you come in and do you do 105? At the same number of reps. At the same number of reps, right? That is a form of progressive overload. And most people, when they enter the gym, that's kind of their experience. They don't need to increase that number. They can increase the reps, but for the most part, when you first start going to the gym, you're just going to be able to put more weight on the bar pretty much every week. And that is a perfectly reasonable way to progress. And I know we haven't gotten here yet, but people will say, well, I'm postmanal possible woman, or I'm a 75-year-old male. It's too late for me. No, it's not. Now is the best time.
Starting point is 00:17:27 In fact, when I was at University of Illinois where I was in the Department of Nutritional Sciences, right across the street in the exercise physiology department, they were conducting a study on frail elderly, people who basically almost couldn't really walk. They could, but it was very tough for them. And they just started progressive overloading them. And that looked like basically squatting to a really high chair to start. And what they saw was incredible. And like 12 weeks, they actually had people who could squat down to like a below parallel chair and come back up, which may not sound like much for the average person, but when you're talking about somebody who's frail elderly, the difference in functionality and their lifestyle is going to be incredible in terms of what they can do.
Starting point is 00:18:16 So what I'll tell people is what you can learn from power lifters is that progressive overload one in terms of weight on the bar, but nobody's able to increase weight on the bar forever. That's just not going to happen. And the longer you get into it, the more not linear it's going to be. It's going to be you're going to go down and go up and go down and come back up. But there's also other ways to progressively overload one being more repetitions and the other being adding more hard sets. So the latter adding more hard sets is really something you only need to get to as you get to be
Starting point is 00:18:47 more advanced. Because like I said, you're not going to be able to add strength forever and you're not going to be able to add reps forever either. By the way, this is one thing that from one of our earlier discussions that really started to change my training. I started adding a little bit more set at slightly lower RPE, net increase volume. So I was doing a lot more RPE 8.9 stuff, but you could only get a few sets at that level, like you're really, really spent. And instead I was saying, well, wait a minute, why don't we do a little more RPE 6 and 7 and add more sets, more volume. One, I feel like it's lowering my risk of injury.
Starting point is 00:19:25 And two, as you said, it's really just another way to progressively overload. You're always weighing those two things, kind of your stimulus versus fatigue ratio. So I'm coached by a guy named Zach Robinson who's doing his PhD in my exorbitialysis lab at FAU, great lab. And he talks about stimulus versus fatigue a lot.
Starting point is 00:19:41 And they do a lot of training in that kind of RPE 5 to 6 area, which some people call that easy. When it comes to compound lift, I would really call it easy, but you know, it's kind of like, how can we maximize our stimulus and minimize fatigue? And if you're talking about an RPE 9, for example, how many sets at RPE nine can you get? I don't know about you. I have like one to two. Right.
Starting point is 00:20:08 Before you really have to drop the weight down or whatnot. Someone like me who's not at the level that a power with his at like my form starts to compromise. Right. Mike Israel's a lot of great kind of take on this too in terms of like training to failure. He's like, if you take a squat, like a free barbell squat to failure for 10 reps, and then you try to do another set with that same weight, how many reps will
Starting point is 00:20:29 you get? I know from doing the sets to failure of 10 reps of free barbell squat, I might not even be able to get like two or three reps on my next set, because it's just so fatiguing. That is one thing that's important to point out when we talk about RPEs, which is kind of a measure for proximity to out when we talk about RPEs, which is kind of a measure for proximity to failure. We talked about it on a previous podcast. Why don't you tell people how RPE works? Because I think it's really a fantastic system, but you do need to push yourself in the gym to really understand what they feel like. So RPE is kind of a, it's been adapted from running to lifting and it's on a scale of
Starting point is 00:21:07 one to ten, or I guess even zero, but RPE 10 being, you had no more reps left. That was your absolute all out 100% effort. RPE 9 is, you could have done one more rep, RPE 8, one more rep, so on and so forth. And one of the issues, we know you don't have to train to feel like it a grow muscle. In fact, it may actually be a little bit counterproductive just in terms of the fatigue that it causes relative to the stimulus. We know that for most movements, you get most of the hypertrophy and strength benefits going within a few reps of failure. So RPE like seven, eight.
Starting point is 00:21:46 And obviously, if you can do more volume, it may be even more beneficial. But the downside is if you've never actually taken something to failure, like true failure, people are really bad at estimating it. And so beginners and intermediates, they find that they tend to underestimate their RPE by about five, which is pretty incredible. We've seen it in a lab.
Starting point is 00:22:06 We'll take somebody in and they'll put a weight on, they'll do a rep and you'll ask them. What was that like? And they'll say their RPE and then the research will actually make them take it to failure whether like yelling at them and encouraging them. And on average, they'll get five more reps than they estimated they would have. I can totally believe it. Whereas when they look at RPE validity in advanced lifters, it tends to be much more accurate, much more accurate.
Starting point is 00:22:32 I was in a powerlifting meet where they had a Tendo unit on the bar and they were measuring our bar velocity and they were asking us to rate our RPE after every attempt. And they found that RPE, as validated by velocity data, was a pretty good measure in that population of power lifters, because they've taken so many sets near failure.
Starting point is 00:22:56 So your point is, well, taken, you do need some experience going really hard and really close to failure. But once you have that experience and you understand what that feels like, then you can estimate better. You're probably better off staying a few reps shy of failure and accumulating volume that way just because going to failure is just so incredibly fatiguing. So for a person who again is not planning to go to a power meet, is there a need for them to go below four reps in training? That's an arbitrary number, but you know what I'm getting at.
Starting point is 00:23:29 I would say probably not. I mean, you can get plenty strong even doing, you know, sets of 10, those sorts of things. I would have thought you needed to get at least into the fives and sixes sometimes, but. So you can get really strong doing sets 10, 15, those sorts of things. Now, you will not be a strong even per cross-sexual area as somebody who trains for strength because strength is a specific skill. And even like myself, my best squat ever is a big 68. And when I was six months out from that, I added weight to the bar that I was able to squat, but it's not like I added that much more lean body mass because I didn't. I was practicing the skill of a one rep max, which allowed me to better do the one rep max.
Starting point is 00:24:15 And you were practicing at what percent of ultimately became 661? Usually around 90, 95, but not very much at 95, mostly at 90, for like singles. And what was your RPE when you did those singles? They're usually about eight and a half or nine. And so you would do multiple doing the math. Let's just say that six, 20 or something like that. So it's called 600 pounds. So you would do a 600 pound single three times in a workout.
Starting point is 00:24:42 Something like that. And what you're kind of making gains on at that point is just your one, it just teaches you how to grind through a lift. Because a lot of people have never had the experience of really sticking with a lift. And interestingly, the more advanced somebody gets in terms of strength, the slower their one-wrap max velocity will be. And we see this in research studies all the time, somebody who's kind of new will come in. They will absolutely smoke away. You put five pounds on and then they get stapled because it's just they don't have that grind capacity. They don't know how to do it.
Starting point is 00:25:12 And part of that may be psychological, but part of that's probably physiological too. In terms of you just haven't trained your body to recruit all the fibers that it can get. So lean body mass and strength are very closely tied together, but when it gets to those finer levels of strength, it's kind of just practicing the actual one rep max. So when it comes to getting strong, you can absolutely get strong doing sets 10, 15 because you're increasing your lean body mass.
Starting point is 00:25:42 Do you need to do sets of three, four? No, but what I would say is like, don't necessarily count them out, because a lot of people actually just do really well with variety. Periodization was kind of a big thing for lifting back in the day. And now we've kind of shown that,
Starting point is 00:25:57 at least in the research studies, it doesn't appear to produce greater gains in lean body mass. Maybe a little bit better strength gains, but that's probably just because people peak better when you're periodizing things. But what tends to actually be shown is that people just tend to like periodization better because they're varying their repetitions,
Starting point is 00:26:16 they're not as bored. So you never wanna kind of poo-poo the psychological effects of those things, I talk about this with diet as well. Adherence is the most important thing just getting people to come in and do it. So especially for people who are coming into the gym, if they're just trying to get strong gurr and be healthy, well for me, if I'm talking to them or coaching them or whatever it is, it's like, well, what do you enjoy? What's going to get you to show up consistently? You don't want to freeze squat? That's fine. Let's leg press. There's many ways to skin a cat? You don't want to freeze squat? That's fine.
Starting point is 00:26:45 Let's leg press. There's many ways to skin a cat. You don't want to barbell deadlift? Okay. No problem. Let's do some RDLs, you know, those sorts of things. Slightly less technical lifts. They're still going to produce really great gains in terms of strength, lean body mass,
Starting point is 00:26:59 those sorts of things. So, if you're not going to specifically compete in a strength sport, there's so many paths to Rome in terms of getting stronger and increasingly in body mass. Do you think there are some principles? For example, like, let's say a person isn't confident that they have the technical ability to execute a squat or a deadlift. Let's look at a hip thruster. Again, you can screw that up too and you could hurt yourself, but it's a lot harder to hurt yourself doing that. Do you think there is still an essential need for some sort of compound movement, like a hip thruster at least as it complement or a leg press as you point out?
Starting point is 00:27:34 It's pretty funny. I went through a phase where everything I learned from the magazines, the bro science, I was like, well, this all has to be junk. And now we're actually having studies come out that are validating some of this broch science from like 20, 30 years ago. So there does appear to be like different areas of the leg muscles, the quadriceps, for example, that are better activated by say a leg extension
Starting point is 00:27:54 compared to a leg press compared to a squat. So I do think it is good to have variety. I think it is good to have compound lifts as well. And in fact, there's some interesting data that suggests that you don't have to get as close to failure on compound lifts to still get the same stimulation compared to isolation exercises where you do seem to have to get much closer to failure to get those benefits.
Starting point is 00:28:17 But I also just thinking about, again, if we're looking at the longevity or the quality of life piece, what is most analogous to what these people are gonna be doing and where they're gonna be needing it? Well, if it's bending over and picking something up, that's some kind of hinge. If it's sitting down and standing back up,
Starting point is 00:28:36 some kind of squat. Now, you can use variations, right? And I would never, I don't wanna say never, because it's a superlative. But I very rarely would take somebody who's like fresh off the street, put a barbell on their back and say, okay, learn how to squat because it's gonna be like
Starting point is 00:28:52 bambi trying to stand up. Ideally, you're probably gonna maybe even start them off with no weight and just teach them how to hinge, how to use their hips, how to use their knees, how to track their legs with their feet and those sorts of things and just balance. Because if you've never put a barbell on your back, it's not a comfortable position. And honestly, to do it well, you shouldn't feel comfortable.
Starting point is 00:29:14 You should feel very tight most places. Once they're established with that, then moving to where they're like holding a kettlebell in front of them, and then you can progress with weight with that. And then maybe you progress to something like a safety bar, whether or not having to worry with so much about hands and whatnot, to a box, and then eventually take the box away. And then maybe then you can progress to a barbell squat. But I would say that the Puritan and Mugue,
Starting point is 00:29:39 like yes, everybody should barbell squat, but I know that that's not true. I think the biggest thing is just getting something close and analogous to the things that are going to be important in your day to day life, as you get older, especially if quality of life is important to you. And I mean, when we talk about people who fall as elderly, I think I read something insane, like half the people over age 65 who go in the hospital for a fall, never come out.
Starting point is 00:30:05 I think it's something of that nature. I've seen many studies on this. The one that sticks out of my mind was 30 to 40% of people over the age of 65 who break their hip will be dead within a year of that insult. Yeah, because you got infection and then you have, they're going to have to be immobilized for some more. Right. And then they get pneumonia or adalecticis pneumonia or something like that.
Starting point is 00:30:25 So yeah, it's awful. There's a study, and I think I've even mentioned this on a previous podcast, but we should link to it. It was an Australian study that took a group of older women. I don't remember exactly how old they were, but they certainly looked like they were in their 60s or above who all had osteoporosis. At least osteophenia, if not osteoporosis. And it put them on a relatively unsophisticated lifting program,
Starting point is 00:30:45 unsophisticated, and that there wasn't a lot of instruction other than just pick up weights. It was mostly just pick up weights. As I saw the video on YouTube of the PI discussing this. Isn't it fantastic? Because they're in this totally old school gym and you've got these old ladies picking up weights, walking around, some of them getting really,
Starting point is 00:31:05 I remember one lady was picking up her body weight. I mean, she was basically dead lifting her body weight. These are women who had never lifted a weight before and their symptoms just got so much better. Absolutely, the best thing you can do for bone density is lift weight. So this isn't like a mutually exclusive thing. In fact, people get really focused
Starting point is 00:31:24 on the bone density portion of this when we talk about falls and whatnot. So they get very focused on how do we keep them from breaking their hip? Well, what if they didn't fall in the first place? What if they had the strength to catch themselves, the balance to catch themselves? And then, again, even if they did fall, if you have more muscle mass, you're probably going to have more bone density as well. These are all things that are going to help. Resistance training is great because you can have these other sort of interventions that can improve lean body mass and whatnot, but they all work way better with resistance training because you're creating the need for the tissue.
Starting point is 00:32:00 That's something I think that has been missed a little bit is the teleological perspective of this, which is you have to give your body a reason to lay down tissue. Muscle tissue is pretty energetically expensive, relatively speaking. So again, I'm kind of speaking philosophically, but the body is not just going to go, oh, yeah, we got some extra calories. Let's just lay down some lean tissue. It doesn't make sense because from the body's perspective, the number one thing it's trying to do is keep you alive long enough to reproduce. And then once you've
Starting point is 00:32:31 done that, just trying to prevent you from starving. The risk of dying from starvation over the course of human history is way is magnitudes greater than like diseases from too much nutrition. I mean, that's basically a 20th, 21st century problem. So the idea that, oh well, if I eat some higher protein, I can lay down some more lean body mass. Yeah, you can, but it's gonna be really, really minimal compared to what you can build through resistance training. And then when you couple resistance training
Starting point is 00:32:59 with high enough protein, or you know, any of these other modalities, now you're creating the turnover in the tissue that the body has the requirement to lay down that tissue. What do we know about the peak capacity for strength as a person ages? Does this differ between men and women? I'm sure there's variability for people, but on a per pound basis, are you stronger today than you were at 20? Yeah, I am stronger today than I was at 20. Are you stronger than you were at 35?
Starting point is 00:33:28 No, that's come off my peak a little bit. I don't think that's a sarcopenia thing. I just think that that's accumulation of injuries and not being able to train the way I used to be able to train. So I used to be able to train much harder than I can train now. My governor is not the work ethic. It's the okay how hard can I train before the pain level gets too hot?
Starting point is 00:33:47 So it's not that you're losing type two fibers that you're losing some of the two A or two B fibers and that's why you're not quite as strong. Do you believe that on a muscle biopsy basis, you could be as strong now as you were at 30? I think I probably could. If you look at the research literature, you do see differences between young and old, but most of those get emulated when you start adding in resistance training. More to your point, you know, the idea, how much strength could I gain? How much lean mask could I gain based on what I've seen? So let's take men and women, for example, women have been shown to gain just as much lean mass
Starting point is 00:34:25 as a percentage of their starting lean mass. Now, keep in mind, it is the relative increase. So, for example, if people had 10% lean mass, something like that, well, if you're a male and you have 70 kilos of lean mass, now you're 77. If you're a female, you had 50 kilos of lean mass, now you're 55. So the male added seven kilos, the female added five kilos, but relative to their start,
Starting point is 00:34:48 they added the same. And that's what the research literature says is they pretty much can add the same amount as a percentage of their starting lean mass and the same thing for strength. And actually, there's some evidence that women may be able to tolerate higher training volumes than men too. Now I'm not sure if that's- Is that across all ages, you think, or is that within a certain age? They've only really looked at it in kind of young adults 20s and 30s, so it's hard to say.
Starting point is 00:35:13 But I wonder if that's just more of a function of their just smaller bodies handling less weight? My wife would tell you that no one can handle a cold less than me. Because, and I think it's true, I have an insanely high-paying tolerance, except for when my sinuses are congested, and I have a miserable cough, and I turn into a little baby. So there might be something about women just being tougher too. I've thought about this quite a bit. Let's look at super-heavyweight powerlifters, just an extreme example.
Starting point is 00:35:40 And these are guys that weigh over what? Like Ray Williams, for example, so he's one of the greatest drug tested power lifters in history. First man does raw squat over a thousand pounds. He was a college football player. They dexed him. He had 308 pounds of lean mass. And he's probably over 400 pounds of total body weight.
Starting point is 00:35:57 How much? Lean mass? Over 300 pounds. Incredible. Now, like let's say we're talking about working with 80% of a 1 rat max. His 80% is 800 pounds. A female is 80% if she's doing a 1 or a max of 300 pounds is 240 pounds. Though the same percentage, I'm not sure that you can say that the same thing in terms of what happens with the body.
Starting point is 00:36:19 I know, Is at the end of the day, connective tissue is connective tissue. I know very, very few super heavyweight power lifters who train the main lifts like three, four times a week. Some of the lighter weight classes do. So I do think there's something about the absolute load. Part of me thinks the idea that women can recover a little bit better might be that they're just using absolute lower loads.
Starting point is 00:36:43 But we'd have to have some more intricate research. Now there's an interesting point about that study because I know the one that you were talking about. And I've heard people use that study to suggest that testosterone is not important in muscle gain. The idea being if women can add 10% to their base and men are adding 10% to their base, clearly men and women have a log full difference
Starting point is 00:37:05 in testosterone. Therefore, testosterone doesn't matter. But of course, you only need to look at tested versus untested power lifters and bodybuilders to know testosterone's doing something. So how do you reconcile these? I think part of it is, so if we look at, like, let's take the men and women example,
Starting point is 00:37:22 one of the main benefits testosterone is the increase in satellite cell number that you get, which is going to increase your potential for increasing muscle mass. So I don't wanna talk about this, like it's hard and stone proven, but there's a theory out there I tend to agree with called the Myonucleoid Omin theory.
Starting point is 00:37:39 So for those people who aren't familiar with satellite cells, satellite cells are question cells that sit on kind of the outside of a muscle fiber. And through various ways, resistance training, testosterone, whatever, you can get those satellite cells to be donated to the muscle fiber and muscle fibers, the only cells that are multi-nucleated. And we think the reason is, each myonuclei can only control protein synthesis for a certain area. The muscle fiber can only grow as big as it has myonuclei. So the more myonuclei you can donate, the greater your potential is. So one of the things that we
Starting point is 00:38:18 think is a reason that men have more lean mass than women is during puberty. Because up to puberty, males and females tend to have similar amounts of lean than women is during puberty because up to puberty, males and females tend to have similar amounts of lean mass. But during puberty, that's when we start to see these hormonal differences emerge. And that exposure to testosterone increases that myonuclei number and just gives them a greater overall potential for lean mass, which again makes sense if you think about it as a relative percentage. So now when you talk about taking exogenous levels of testosterone, now you're donating even more myonuclei and so you can reach a higher ceiling. So I think honestly, I mean, this might give me a little bit of trouble, but I think that's
Starting point is 00:38:57 actually the strongest argument against the crossover of transgender sports of people who previously were male now identify as female is you can't really get rid of those extra nuclei of the long term benefit that's conveyed by the fusion of those myonuclei. So for example, and we see this with like muscle memory, for example, so we know that if you've trained before, but you stop training, you can gain back muscle much faster than it takes to build it. And they've even shown this in people who have stopped training for years, but they gain it back faster than it originally took to build it.
Starting point is 00:39:35 The other interesting thing is they did a study where they looked at giving testosterone to, it was either rats or mice, I can't remember which one. They were able to resist and train them. It's funny to see these rats resist and training setups. I'm sure you've seen them. So one group, they did not give testosterone. The other group they gave testosterone. Now, of course, both gain strength, both gain lean body mass, but the group getting testosterone obviously gained more.
Starting point is 00:39:58 Then they had a complete wash out period. And basically for as long as it took for them both to get back to kind of their original lean mass number, then they both had them train again, no drugs in either group and the group that originally had testosterone just that once gained muscle significantly faster than the other group. And our best understanding is it's probably these myonuclei that got fused through that extra testosterone that confers that long-term benefit. So that's kind of how we think about max percentage. Do we think that that's kind of like only during a critical window of development
Starting point is 00:40:36 or does that happen if you're 40 years old and you're taking exogenous testosterone? See that's where it gets more tricky. We don't really know. I think part of it may be there's no data on this. So I'm speculating 100%. But if you have a certain level of testosterone through puberty and you're an adult and you kind of maintain that, that's just kind of your native natural. Let's say you don't get to obese or to underweight, whatever. You've probably fused the amount of myonucleitis that you're going to fuse, at least from testosterone. But now if you start taking it exogenously, you've now ramped that up another notch. Now you confuse more myonuclei, which again, anecdotally would make sense because if we look at the drug use in bodybuilding, it's continued to go up, up, up, up, up. And now we're getting to the point where these guys really
Starting point is 00:41:20 aren't getting much bigger because there's just only so many drugs they can take before. And we're it now many of them are I think last year there was something like a half dozen professional bodybuilders who died. So it's getting the point where they really can't go any higher in drugs and you're seeing that lean mass start to cap out. And this is why because you compete and test it or drug-free powerlifting as good as it is they make make you guys take a polygraph that says, have you used drugs in five years? And that's an interesting window of time, right? Because you'd think like, why would they care if you used performance enhancing drugs five years ago? But in theory, they do care because you may still confer a benefit five years later, even if you've actually been drug-free.
Starting point is 00:42:02 That's what we did in natural bodybuilding, when I competed in natural bodybuilding. In parallel to they don't do the polygraphs. Oh, they don't. So you just, you cannot test positive. So we're completely under water. So basically the way the water drug testing works is once you enter the water drug testing pool, so you've qualified for some kind of international competition, you can be drug tested at any time.
Starting point is 00:42:24 So you have to provide, you have to use a wearabouts form, you have to provide your wearabouts, all that kind of thing. And if it's during your window and they say, hey, you need to be drug tested and you don't do it, you can get a strike against you and be out of competition for a certain period of time. There's pluses and minuses to both methods. Polygraph obviously is not something that's crazy accurate. I don't think they
Starting point is 00:42:46 allow it in the court of law, but just the idea that you are going to be asked that and it could be something that you fail probably keeps quite a few people from doing it. And the other thing I tell people is there's just not really any money in this stuff. So are there cheaters? Absolutely. Is it rampant? I would kind of be surprised because there's just not that much money. Now when you talk about sports, we can make millions of dollars, I would not be surprised if there it rampant? I would kind of be surprised because there's just not that much money. Now when you talk about sports we can make millions of dollars I would not be surprised if there's rampant cheating because you're talking about millions of dollars. I think the most money That's ever been on the line for me competing was like two or three thousand dollars. I love to do it not being done for the money No, for sure
Starting point is 00:43:20 So with the polygraph at least it allows you to kind of go back, like you said. Now, interestingly, the data that we just talked about kind of suggests that, well, if it was five years ago, it doesn't matter. You still got an advantage. But they're also trying to balance that with. At some point, you got to let people come clean if they've used in the past. And I actually agree with that point of view. I spoke with a guy who competed in bodybuilding.
Starting point is 00:43:44 He's like, you know, I was 17 years old. Some guy to Jim gave me something. I was an idiot. I didn't ask what it was. And I got like a bunch of side effects and got bigger and stronger. But he's like, you know, looking back, it was like I really regret doing that at that age. Well, should I have a punished for his like his entire life and not able to compete in drug free bodybuilding? I mean, you can make the argument. I understand the argument, but I'm in favor of being
Starting point is 00:44:08 a little bit more inclusive in terms of that. You mentioned that as you're getting ready to train for worlds yesterday, you said to me, you know, your back kind of hurt, you really backed off. Also this is your first major meat, international meat in about seven years. And a lot of that was due to injuries. Of which back was the most prevalent, but I think you also mentioned a little bit of knee pain as well. Knee, yeah. So how do you think about this personally? How much longer do you want to be loading yourself at basically putting cars on your back and lifting cars off the ground,
Starting point is 00:44:42 right? Which is effectively what you're doing. Candidly, if I went out and I won master's worlds, I'd probably give a real hard thought about, okay, I think I'm done at least competing in this. But the other part of me, I think that part of my problem is I love to train so much. I never really gave myself the time to get pain free. As soon as I started feeling better. I would just start pushing again. And I do think I've slowly gotten more intelligent because I used to think I was basically Superman. So I think I've just matured a little bit. And even like yesterday, getting to a certain point, warming up on squads and saying, all right, it's not happening
Starting point is 00:45:24 today. There's no reason to try and force this. I think previously, I would kind of create a narrative in my mind of, I'm going to power through this because it's what it takes. And yeah, at some points, you have to, I think one of the most important things is knowing when to press the gas pedal and knowing when to back off a little bit. Sometimes discretion is the better part of valor. And for me, I'm probably a little bit weird in that.
Starting point is 00:45:48 I would train three, four hours a day because I just love to train. I love the way it makes me feel. I love feeling strong. Part of me, the egocentric part of me probably loves to feel like a badass loading up, five, 600 pounds in a gym and whatnot. But I've kind of gotten to the point now
Starting point is 00:46:03 where I'm like, all right, if it's there today, we take it, if it's not there, we take what's there, and then we live to find another day. Because I've just had so many experiences where I've tried to press on this. And with the way pain works, the more pain you have, the more pain you're going to have. Because you just end up getting fixated and ruminating on it. And the research actually shows that the more you ruminate on it, the more you think about it and the more times you trigger it, the worse it's going to get. And so it's like this delicate balance between a kind of dough, how far I can press something before I'm making it worse because the research also shows that you don't want to completely just stop lifting because you detrain and then when you come back, even if you're paying for your more likely to
Starting point is 00:46:46 retrigger it because you've lost that adaptation. So it's kind of like when you have those pain triggers, trying to find either a weight amount or a movement pattern or something similar to what you're trying to do, but it's low enough pain that you can start to build back from that. So like, for example example yesterday, ideally, I would have done some squats and deadlifts. Couldn't do them. Okay, I'm going to go and do some leg press. I'm still going to get some stimulation for my quads, the primary movers of the squat. I'm going to go do single leg dumbbell RDLs. I was able to do those with no pain.
Starting point is 00:47:18 Is it loading it as much as I would like? No, but I'm still using my hamstrings, I'm using my lower back. I'm getting in some of that movement No, but I'm still using my hamstrings, I'm using my lower back. I'm getting in some of that movement pattern and I'm still getting a training effect, some adaptation without further triggering that pain. And then to what did you do today? Pretty much just cleaning up stuff I missed throughout the week. So I just had some dumbbell pressing.
Starting point is 00:47:40 I did some more single leg RDLs and I did some mobility work. Not a whole lot of intensive stuff, but when you consider like what I do, ideally, all I would do would be squat bench press and deadlift, because it's completely specific to what I'm going to express on competition day.
Starting point is 00:47:57 But those are also very fatiguing movements. And I think part of that too is just, when you know how much you can do and you know how much you've done, you kind of have like this anxiety about those movements because it's like you're almost being tested and comparing them to what you previously done. So sometimes just creating a little bit of a variation of that movement where you're not you can kind of just let the weight happen and pick your RPE And if it's not a previous set weight, it doesn't bother you. So I've started using a lot more variations to build that baseline level of strength. And then again, when it comes to the actual competition lifts, I'm mostly just focusing on doing heavy singles and building my volume through other areas. And how many times a week will you do those heavy single workouts?
Starting point is 00:48:47 Once or twice, just depending on how I feel. I've often thought there would be really interesting experiment I'd like to do. I wouldn't do it, but I'd like to oversee it. I'd like to see it being done, I guess, which is you take a powerlifter and their entire training cycle, like six months building up to a competition. They have no idea what's on the bar. They have a really good coach and the coach is telling them for every set how many reps to do or what RPE to go until. So it's completely being programmed, but you eliminate the problem you just talked about,
Starting point is 00:49:17 which is you take the psychology away and you don't let the athletes suffer from knowing, oh my god, I should be able to do this many reps. So one day they might get down on the bar and the bar is gonna be really light and they're gonna be told, I think you're gonna get 10 reps here. Let's see it. And they have no idea what percentage of their max it ever is.
Starting point is 00:49:36 So it's interesting, one of the top lifters in the world, somebody I competed against multiple times, guy named Bryce Lewis. So he actually trained an entire training cycle that way. So he would have his girlfriend put trash bags over the weights. I don't know if he still does that, but he just she would load up every set, but she had to be the one to know what every set needed to be in advance. She's a competitive pal after as well. I think a world champion as well. And so she would kind of like look at what his RPEs were supposed
Starting point is 00:50:03 to be at. Load the weight way up put the trash bags over it And then he would go do it and probably just for what you meant super interesting now for me Might work, but for whatever reason you like to control things a little bit Yeah, there's some people on meat day. They'll tell their coach Don't tell me what you're putting on the bar. Just put it on me. I'll go do it. I want to know I don't know. Maybe it's just part of how my brains wired, whatever. Because I also have a trust with my coach and all the coaches I've had have been great, honestly. I've worked with a couple different people. They've all been great. I just had such a good trust in my coach that I just knew if they put something on the bar, they're not going to put
Starting point is 00:50:39 something on the bar that they don't think I can do. They know I can do it, and it's my job to go and execute. When you have a good meat day coach, that is so valuable because I know they're not gonna put something on, I can't do. So it's just up to me to go out and do it. So what about nutrition? How does nutrition factor into powerlifting? You're 208 pounds or so right now, it's about the weight you're gonna compete at.
Starting point is 00:51:03 You once told me that the difference between powerlifting and bodybuilding is in powerlifting, all of your pain is compressed into the gym and bodybuilding, most of your pain is actually out of the gym. Having not done either, I mean, I did some powerlifting growing up, but basically having never really done either of those at a serious level,
Starting point is 00:51:20 I can appreciate it just based on the concept. So you've been here now a few days, we've had a bunch of meals together, you're just eating now a few days, we've had a bunch of meals together. You're just eating like a normal guy, reading whatever the hell we want. Is there anything you will do as you get closer to the meat with your nutrition specifically? Because I know that you'd like to come in two pounds or so below your target, but that's something you can modify in days. Outside of just calories, is there
Starting point is 00:51:45 something you're going to manipulate with macros or anything that you're going to be thinking about with respect to more creatine that you're going to be loading or anything that you're needling that way? Not really. I mean, at least for me because I'm sitting very close to the weight class that I'm going to compete in, I don't really have to make a bunch of changes. If I was sitting at say 215 pounds, 217 pounds, then it gets to the point where a weight cut to a five gives a little bit untenable because where I compete, it's a two hour weigh-in.
Starting point is 00:52:13 So if you're cutting 10, 15 pounds, you're not gonna be able to rehydrate and refuel quickly enough. Two hours, meaning two hours between weigh-in and competition. And lifting, correct. Yeah, unlike the day before where you'd have a full day to catch up.
Starting point is 00:52:26 Right. So there are organizations where you can weigh in a day before. And I think actually one organization had 48 hour weigh-in. So there were guys, which actually in a way makes it more dangerous because people will cut way really, really cut. Oh, yeah. I think Dan Green, who's really well known untested power lifter. I think he weighed in at 220 and then like the next day was walking around like 255 or something like that. So just incredible amounts of weight these guys
Starting point is 00:52:53 are cutting. You'll see them with IVs and all that kind of stuff. So for us, you cut two, three, maybe 4% of your body weight, but you really don't want to go much more than that because with two hours, you just don't have time. Are you doing five grams of creatine daily right now? I keep my creatinine because I can modify, which is like sodium and modifying fiber a little bit to get some water weighed out those last few days. And like you mentioned,
Starting point is 00:53:17 I'll usually try to be a little bit under the day before the meat so I can eat enough calories the day before where I don't feel like I'm having to shovel down food? Because if I have to go pretty aggressive for a Saturday, meet Thursday, Friday, now on Saturday, with that weigh-in, I've got two hours to get food down, but there's also a lot of other stuff I gotta do. I gotta warm up. I want my brain free to think about the stuff I've gotta do. Not be like, okay, well, I've gotta get down this, I've gotta get down that. I'll take some pdL lighter or some kind of electrolytes, those sorts of things.
Starting point is 00:53:47 But for the most part, I've never really had issues with cramping. I've never had issues with energy on meat day. I think a lot of that is just I keep myself pretty close to within striking distance. And then the other benefit is your leverages can change based on your weight thickness, the tightness of your belt can change. All that stuff can make a difference in terms of the style of squat you do or how you feel. So just being able to train in a manner that's going to be very somewhat high-compete,
Starting point is 00:54:12 I feel like is a little bit of an advantage for me compared to people who have to cut quite a bit of weight. And if you had to guess by Dexa, what would your body fat be at weigh in? I caliper at around 8%, so I would say Dex is probably like 11 or 12 something like that. Cause in my experience, Dex is usually three, four percent higher than Calipers. My most people standard still incredibly lean, but not necessarily by bodybuilding standards. Of course, yeah, absolutely. Let's talk a little bit more about creatine. We talked about it really briefly on one of our podcast, but we were kind of at the end.
Starting point is 00:54:43 So I want to kind of go back and make sure people understand that it's one of the supplements we get the most questions about. It's also one of the supplements that we feel the most confident telling patients, this is a supplement worth taking. It's clearly past test number one, which is it safe. And it passes test number two, which is it's probably got efficacy. Washington's it's got efficacy. The real question is, are you okay with a little bit of weight gain? Because you're gonna pull more water in. So, explaining to people a little bit about why creatine is so important. And presumably this is something that's really important in powerlifting.
Starting point is 00:55:16 I'm guessing going into a bodybuilding meet, you probably don't want creatine for that extra weight or do you? I think it's actually great for bodybuilding. Okay, great. I want to hear about it. I was assumed you'd have a little more water, but maybe the water is all in the muscle, and that's where you want it. So creatin is a high-energy phosphate donor.
Starting point is 00:55:33 So in muscle, it exists as phosphocreatin. And when you take supplemental creatin, it'll come into the muscle, it'll get a phosphate attached to it, phosphocreatin. And originally, the only mechanism we thought of was a high energy phosphate donor, so people were performing better. But then we saw people increase the lean body mass, increase their strength, and there's even benefits in terms of
Starting point is 00:55:54 cognitive benefits. It's pure to be pretty clear that there's some cognitive benefits as well. So as you mentioned, in terms of safety and efficacy data, to me, there's no strikes really. I tell people, I'm like, I don't even know where I have this conversation anymore, and it's also, mention in terms of safety and efficacy data to me. There's no strikes really. I tell people, I'm like, I don't even know I have this conversation anymore. And it's also, you know, it's got up in price a little bit recently because of the supply chain stuff, but it's still relatively expensive, incredibly inexpensive for what you're getting. You know, when I see people talk about some of these other supplements and they're not even taken, created in monohydrate, and I'm like, you're stepping over pennies or start
Starting point is 00:56:22 you're stepping over dollars to pick up pennies, because this is just the lowest hanging fruit. Even at your size and even at your demand, is there any benefit to taking more than about five grams a day? Some people have postulated there might be, I haven't seen really clear evidence for it yet. You could argue that there's really no downside to taking the extra.
Starting point is 00:56:42 The downside might be some GI irritation. For some people, creatin can be a GI irritant, which I think will circle back to. But we know it can act as a high energy phosphate donor. So when you are exercising or just doing anything, your energy currency of your cells ATP. And in order to drive muscular contraction,
Starting point is 00:57:03 your ATP donates a phosphate, and that liberation of that phosphate to form ADP and a free phosphate is energetically favorable and helps drive these muscular contractions. So creatin can act or phosphocreatin can act as a high energy phosphate in order to reform ATP and allow you to perform better. But it's also a really powerful osmolyte. And so it pulls water into muscle tissue, which in and of itself may actually be anabolic. So just a muscle cell being more hydrated, there's some evidence that that can actually
Starting point is 00:57:41 improve the, that's more anabolic environment. But regardless of the mechanism, we do know that when you take creatin, you see improvements in lean mass. And some people will say, well, that's just water. That's what muscle, muscle is. But muscle is 70% water. So, and there's actually research to show that
Starting point is 00:57:59 even non-contractile, just water may improve strength and contractability. So we're not sure exactly how, but it could just be like the volumization of the cell is just a benefit. You could also kind of make up at least conceptually a framework that says a more hydrated cell is more able to carry out its function. So if the function of a myofibral is contractile release contract release and it has more water. It sort of seems logical to me that it's going to be better at clearing metabolic waste
Starting point is 00:58:30 and recruiting fuel, which at least be two things that would factor into it. Its ability to do that. The other thing about is if you look at anything that improves hypertrophy, a big portion of it is water. It's not just all myofibrilar. I think regardless of the mechanisms, I mean, it's pretty clear that this stuff works. It's pretty clear it's safe. I mean, they've done numerous randomized control trials, some of them being well over a year long. Yes, you get an increase in creatinine, which can be a marker of renal function, but I think what-
Starting point is 00:59:02 Although the data, you know, on this lane, there was a paper that just came out a couple of weeks ago that we were really happy to see. We've abandoned looking at Serum creatinine for renal function because it's just too easy to get fooled by people with varying muscle mass and training volume. So we've completely abandoned it. So every time you order labs on somebody and you see their creatinine,
Starting point is 00:59:22 it'll tell you what their estimated glomerular filtration rate is. We just ignore it completely. We only look at say statin C. So everything we do is based off that. And there was a paper in JAMA a couple of weeks ago that basically said as much, which is, maybe we should look more at say statin C instead of crannin. So I would even say that hopefully this is a PSA for other docs out there listening and other patients to say, please look at my system at and see as a way to estimate kidney function. You know, there's some other things that can get a little bit wonky like from lifting weights
Starting point is 00:59:49 like liver enzymes and whatnot. I tell people you have to keep in mind, these are markers. So if you have liver failure or you have kidney failure, it's very, very likely you will have elevated liver enzymes and elevated creatine. But just because you have elevated liver enzymes or elevated creatine. But just because you have elevated liver enzymes or elevated creatine does not mean that you necessarily have damage to those tissues. So you have to disconnect those two. And I don't think that I feel like correlation versus causation is just not something that's taught very well in school. Because I even see not really good doctors, but some physicians
Starting point is 01:00:21 get so hung up on just, well, this is on the page, and this is supposed to be a normal range, and it's not. And it's like, but just look at the person sitting in front of you, who obviously works out, is in good shape. If you're concerned about their kidneys, then do a 24 hour urine collection or an ultrasound or whatever you have to do to verify that they're safe, but I don't worry about that kind of stuff. There's also been some people who have said, well, creatin can cause hair loss and you've got to be careful about that. I don't think the data on that's very compelling at all. There was a single study that showed an increase
Starting point is 01:00:53 in DHT from supplementing with creatin. One study, 2009, I've never seen it replicated, never seen any follow up. How much the DHT increased by? I'd have to go back and look, I can't remember the exact amount. It was significant. But the interesting thing is we know creatin doesn't affect angrogen levels. So it's kind of like where is this increase in DHT coming from? It has to come from somewhere. And like I said, there's no randomized control trials showing that creatin actually causes changes to hair
Starting point is 01:01:25 follicules or actual hair loss. So maybe it does, but I would think that if that data existed, it would probably have seen it already. Do we think that there are significant benefits from supplementation even on non-lifting days? So for example, on hard cardio days, assuming we're not talking about sprints, So clearly there would be a benefit in sprinting because the creatine phosphate system is really lending to that ATP generation during that incredibly high intensity stuff. But if you're out there doing a VO2 max day, which is, that's a really hard day. Those are kind of three to eight
Starting point is 01:02:00 minute all-out intervals, which is aerobic. It's peak aerobic. Do you still get a benefit, do you think, from creating? I would guess yes. There was a recent meta-analysis that came out and looked at different ways of taking creatin. And it was useful data, but in some ways it was kind of frustrating because they basically showed, when we take five grams a day, you get increases in lean mass and strength and performance. You take more than five grams a day, you also get increases in lean mass and performance. But it's hard to kind of compare them directly based on the way they did the men analysis. They also looked at, okay, if we just take them on lifting days, okay,
Starting point is 01:02:34 get benefits. If you take them on non-lifting days, you also get benefits. What I would say is that you probably can get away with just taking it on lifting days, but keep in mind that the benefits of creatin are an accumulation. So you've really got to saturate the muscle cell. That's the key. Because when we were kids, you would load it. I feel like you did 30 grams a day
Starting point is 01:02:54 for a week or something crazy. Yeah. And then five grams thereafter. Of course, this was reading neuroscience magazines. You would then do that for a couple of months and then you would come off it for a month and then you would repeat the cycle. Am I making that up or is that about?
Starting point is 01:03:07 No, that was definitely a thing. I will say that the research does show if you load it, you will saturate the muscle cell faster. Now, I always try to tell people like, there's no solutions, there's only trade-offs. So the trade-off with this is a lot of people will get pretty bad GI irritation with loading creatin in terms of GI bloating, nausea, those sorts of things.
Starting point is 01:03:30 So if you just take... You're playing a long game, it doesn't really matter. Right. You're talking about getting the results you want in one week as opposed to three weeks. It's really not a big difference. So if you just want to take five grams a day within a few weeks, you'll be saturated and you'll be getting the same benefits. So it's really, I guess if you were somebody who'd never taken it before and you've got like a big athletic event coming up and you really want to be on it for it,
Starting point is 01:03:53 that could make sense. But for most people, I would say just take five grams a day. And when people say, well, you know, what if I just take it on lifting days? Yeah, probably good, but it's pretty darn cheap. It's easier to forget something when you only do it on certain days. Sometimes it's just easier to make it a part of the routine. And what I would say too is people ask you about timing of creatin, those sorts of things. There's some really small, really tenuous, I really want to emphasize that evidence that perhaps after a workout might be better than before workout. But I tell people, just take it whenever you'll take it regularly. So for me, I just get up in the morning and I take it.
Starting point is 01:04:30 And that's what I worry about. Now, as far as like the cycling on and off, so there's evidence that you do reduce your endogenous production of creates and when you're on it, there's also evidence that the creates and the receptor on the muscle cell does down-regulate a little bit. Now, the important thing to keep in mind is
Starting point is 01:04:46 that doesn't mean that your intracellular levels of creatin are falling. So they've actually never shown that even far out that those phosphocreatin levels in your muscle drop. So what I would say is I don't really think there's a reason to come off because they have shown that if you do come off within a month
Starting point is 01:05:05 or so, everything goes back to normal, but you lose the benefit of the supplement of creatin. So I would say as long as intramuscular levels of creatin are not falling, there's really no benefit to coming off. Used to be like, I think people kind of just equated supplements with steroids, and so like, well, you're supposed to cycle steroids, so we should cycle supplements. And creatin is not hormonal. It's not the same biofeedback loop. So I would say there's probably no reason to cycle it. So something else that kind of bridges the world between bodybuilding and powerlifting is this question I want to ask you about, which is basically one of Newton's laws. Right. So four sequels, mass times acceleration.
Starting point is 01:05:45 Let's just say I'm on the ground, I've got my dumbbells, or I'm on a bench, and I've got my dumbbells, and I'm going to press them. One school of thought is, press them as quickly as possible, because four sequels, mass times acceleration, the mass of this thing is fixed. So any speed with which I lift it is accelerating, because I'm moving against gravity, but the faster I can do it, the greater the force.
Starting point is 01:06:09 But of course, at some point, the weight becomes so heavy that you increase the effort more on the mass variable than on the acceleration variable. In other words, we can manipulate mass and acceleration to reach maximum force. Now an extreme example of that is you doing a 1 rep max. But as you pointed out, the more elite a powerlifter becomes, the slower that is. In other words, the lower the acceleration is, and therefore the more they're emphasizing the mass, which is of course what you get scored on. No one scoring you on the acceleration. How do we think about that in terms of mixing and matching the mass versus the acceleration variable in an effort to optimize force? Because of course we also don't want to go to maximum
Starting point is 01:06:55 force every time, because if I did maximum force with a lightweight, I'd probably move it too quickly. I could injure myself as well. Do you think about the variation of mass and acceleration when you're moving weight? If you think about what the expression of strength is, it's basically force. So as you mentioned, if it's a very heavy weight, it'll just move slower. If it's a lightweight, you can still apply the same force, and it will just move more quickly. So this is actually a concept that I heard my coach Zach talk about on a podcast was they do quite a bit of would do a heavy single or double or whatever it is. And then our back offsets are relatively light talking RPE 4 or 5,
Starting point is 01:07:34 but trying to move them as quickly as possible. Let's just talk about the concentric now. And then I want to actually come and have the discussion about the eccentric. Yeah, on the concentric. Exactly. Because that is in terms of strength, that is the closest expression of eccentric. Yeah, on the concentric, exactly. Because that is in terms of strength, that is the closest expression of that. If I'm understanding correctly, you're saying your coach is saying, look, on the heavy weights, they're going to move slow because they have to. But to keep training strength, I want you to move as quickly as possible as we come down on weight.
Starting point is 01:07:58 Bingo. So the idea is, what we're still applying the same force, it's going to move more quickly, but it's going to be less fatiguing because it's lighter weight. That's kind of the concept behind it. Is that happening with you? So for example, when you did, let's just say you back wasn't hurting yesterday. If you were out there doing, today was an RPE six day, do you think that your speed would have increased sufficiently that you would have almost matched 90% of the force you'd put
Starting point is 01:08:23 out on a one-wrap max best? It's hard to tell because I've never actually done the calculation of the force. I imagine there's probably a sweet spot somewhere in there where too heavy probably has less force than, but yeah, I'm not sure where that is. As far as hypertrophy, I think that force is probably less important. I think it's more about just having enough sufficiently hard sets. However, you slice that. For example, like the idea of time under tension training was very popular. And if you look at some of the initial research, I think there was a study where they had people doing curls and I may butcher the study, so I apologize,
Starting point is 01:08:59 but it was kind of like a six second eccentric, six second concentric, and they had them go to failure. And they had another group that just did normal cadence, and they had them match the number of reps and found that the group that was doing the slowest centuries and slow concentrics gained more muscle. People said, we'll see. There you go. Well, the problem is they were using like 30% of what they're one rep max for like 10
Starting point is 01:09:24 reps going really slow. Well, if you're going in a normal pace, how many times could using like 30% of what they're one rep max for like 10 reps going really slow. Well, if you're going in a normal pace, how many times could you do 30% of one rep max? I mean, you could do 30, 40, 50 reps. So it wasn't, I don't really say the study was bad. It's not bad. It answered the question of wanting to answer. But if you're going to compare them straight up, really what it needs to be is if you take both of these things to failure. So the same level
Starting point is 01:09:45 of intensity or sufficient difficulty, what does the outcome look like then? And so when they do that, they really see very little difference between slow lifting and fast lifting. There was a study that just came out that looked at fastest centcentrics versus slowest-centrics, and found that there was actually a little bit better outcomes with fastest-centrics compared to slowest-centrics. And that actually relates back to... With respect to muscle mass. Yeah. You mentioned this to me earlier.
Starting point is 01:10:16 The only time I've ever done a fast-acentric is on my Xerfly machine because you're forced to. It's pulling you down so quickly that you're screaming down and you're coming to a stop. Outside of that, it never occurred to me to do an eccentric quickly. Like if I'm doing eccentric dead lifts, I'm actually almost trying to come down as slowly as I can in my head thinking this is more beneficial
Starting point is 01:10:38 because I was thinking it's more time under tension. It's probably partly with the lift too as well. You don't wanna take it too extreme. If you're doing a squat and you just dive bomb and there's no partly with the lift too as well. You don't want to take it too extreme. If you're doing a squat and you just dive bomb and there's no tension on the bar, one that's going to look really bad when you're trying to come out of it. And two, probably not what they're actually seeing in the research. Let's use a bicep curl to say for exercise. So this research suggests that you've taken two people that are doing the exact same weight, and they're the same people, basically, and they're doing the same speed of their concentric. And one of them is doing, let's say it's a two-second concentric, and he's doing a two-second
Starting point is 01:11:14 eccentric, and the other guy is going two-up, six-down. They're saying the two-two will technically produce more hypertrophy. It might be better. So I say might because it's just so interesting. Now, if you think about mechano-transduction and the force, the mechanical tension being applied to a muscle, when you're kind of getting that point where the muscle is stopping and then having to come the other way, if it's fast, that's probably more tension at that specific point. So we just don't know enough about this stuff right now
Starting point is 01:11:43 to really be able to say for sure, but I think I also don't want to make it sound like there's no benefit to like slow movements, especially for people who have pain or they don't want to go heavy, you know, those sorts of things, then slowing down a movement because a lot of times pain can be tied to velocity. If you just slow down a movement, it won't be as painful. So I've used tempo training pretty liberally in some of my training cycles just to make it so I had to use less weight, but still make it pretty difficult. Now, was it as good as me doing my regular movement? Maybe not, but it's still better than doing nothing. So it's always important to keep those
Starting point is 01:12:20 things in mind in terms of like don't let perfection be the enemy of progress. things in mind in terms of like don't let perfection be the enemy of progress. So I do think that like slow movements Still have application for people like I say who have pain or if they don't feel comfortable with heavy weight You can make it much more difficult just by slowing down the movement at the end of the day the biggest Determinant is just doing enough number of hard sets. How are that kind of looks? Now there are a couple of patients that I've had over the years whose disdain for exercise is so great that the most I can negotiate them doing is one 20 to 30 minute workout per week doing the super slow protocol. You know, they have these specific gyms that have very specific types of
Starting point is 01:13:04 equipment. And they're going to do, I don't know, maybe eight to ten different machines, and they're only going to do one set, and it's going to be to failure. And the sets are typically titrated to be somewhere between 90 and 105 seconds. So about a minute 30 to a minute 45, the sweet spot, right? So if you're going more than that, the weights too light, if you're less than that, the weights too heavy. And then I do like four simple upper body, four upper lower. So there might be a press, a pull, a bicep, a tricep, a leg press, you know, all that kind of stuff. The reason I negotiate that is my alternative is they'll do nothing. And I'm thinking I probably can't get any better benefit in 30 minutes once a week than I can
Starting point is 01:13:45 there. If it's done right, now the challenge that I've realized with that type of exercise, because I've done this many times myself, it's actually really hard to go to failure. At the end of the day, it can be done, but it can't be done often. And I actually think it's really hard to do it eight consecutive times, which is basically what you're asking a person to do in 30 minutes to truly go to failure. So what does your take on the super slow protocols? Which clearly, guys like Mike Menser
Starting point is 01:14:15 have like there are really famous bodybuilders who have taken these protocols to the limits. But what's your take both on the physiology of it and then the psychology of it? That just kind of shows that there's many ways to skin a cat. When it comes to hypertrophy, you really have a lot of options. And certainly, no one will argue you can't grow muscle that way because you can. It is kind of remarkable, isn't it, to think that these people could do 30 minutes once a week and grow muscle.
Starting point is 01:14:38 So a friend of mine, Jeremy Linnikey's professor, Ole Miss. Jeremy's been on the podcast. BFR, yeah. Yeah, he's great. My claim to fame was I actually introduced him to BFR. But they actually published a paper where they looked at just flexing isometric contraction. And we're actually able to show with long isometric contraction, some hypertrophy, which before that we always thought,
Starting point is 01:14:58 oh isometric doesn't actually grow muscle. There's a little benefit to it. So I think I hate to be the typical tools in a toolkit, but things are tools in the toolkit. We're talking about people who are, they don't want to be bodybuilders, they just want to get some of these benefits from resistance training. It really is what can we do to get them into gym consistently? And is it as good as compound movements with free bar and training at an all-in-a-pace?
Starting point is 01:15:27 Maybe not, but it's a heck of a lot better than them sitting at home and doing nothing. So I think that's really important to understand. And when it comes to like the super slow, the physiology of the hypertrophy response, what's wild is we still don't fully understand how the process of muscle hypertrophy occurs. We know that you need to progressively overload to continue causing the hypertrophy response.
Starting point is 01:15:51 We know what things are associated with hypertrophy, but every time they try to get really granular with it, we still have a lot of gaps in our understanding. Now one of the things we do think matters is metabolic stress. So this idea that you're accumulating these metabolic byproducts inside the muscle as you work it out. Hence the BFR. The pump. That does appear to have some decent mechanistic data to support it in terms of hydrogen ion
Starting point is 01:16:20 accumulation, how that may affect some signaling, those sorts of things, even right down to calcium release into the sarcoplasm. So I think when you're dealing with that super slow protocol, you're kind of pushing a little bit more on that metabolic stress as opposed to the mechanical tension portion of it. But there still is mechanical tension. I think a lot of people think about mechanical tension just literally is weighed on the bar. I think what people don't realize is mechanical tension is kind of cumulative because otherwise why wouldn't we just load up a heavy single and just do that
Starting point is 01:16:52 every time because that's the most amount of mechanical tension you can get in terms of a set point in time. So to me it seems pretty obvious that mechanical tension has to be like a little bit cumulative throughout a set. And so if you're doing super slow, okay, you might have a pretty light weight, but you've also got a really long time that's under that really light weight, and you're accumulating the metabolic stress and some mechanical tension. So to me, it makes sense that you would have some of those benefits. What I would say is, I think the bigger downside is you're probably not going to get a strong doing that methodology
Starting point is 01:17:26 as you are doing a little bit more normal pace and it may have a little bit less functionality than somebody who's done kind of more traditional strength training. That's my bigger issue with it truthfully is one I don't think people really can go to failure. It's hard. You'll get a couple of sets here and there but it's really difficult. I think it's easier to do an exercise where you don't have to go to failure, but you make up for it on volume. But then your other point here is I think you're really missing out on the reason why we exercise. Sometimes we exercise to be a better at lifting. Powerlifting is the only example of that. But outside of that, we lift for life. And I do worry that when we rob people of movements that require more than one plane, movements that require balance and some coordination, we're not giving them the full benefit of the
Starting point is 01:18:13 exercise, of the reason to exercise that is. I would agree with that. And again, that has to be one of those things where it's better than the couch, as you said, it's better than the couch. And so I think a lot of people when they get into things Especially now we have paralysis by analysis. I'll tell people like at a certain point your paralysis by analysis is actually just your excuse to do nothing So just go do go do something go throw something against the wall and see what sticks But when it comes to people who may have been sedentary I mean mean, sometimes a conversation I'll have is, hey, what are you like doing? Like, is there something you like doing? And let's press on that a little bit. Because if the only outcome that we're going for is perfection, well, not a lot of people are going to be able to hit
Starting point is 01:18:59 that. So I really do think a lot of it boils down to a conversation of okay, yeah, this isn't as good as this But it's still better than that and I think that conversation is a lot of the stuff that gets lost that nuance gets lost And a lot of these conversations especially because you're an optimizer I love to talk about optimal because scientists. That's kind of where we live and what we think about Do people really need optimal to get out of the state we're in, where somebody will have type two diabetes and have obesity and are dying from heart disease and cancer? Like, honestly, if we get 50% of the way there, probably see a huge benefit.
Starting point is 01:19:37 And that's really the flip side to the stats I gave earlier in this discussion, which were how high VO2 max and high strength were the two biggest predictors of longevity. And that's true by a country mile. But the part that I didn't mention that is now worth mentioning is that when you break people down into quartiles or quintiles of fitness and strength, the biggest jump in the benefit, right? So the biggest improvement in mortality always, right? So the biggest improvement in mortality
Starting point is 01:20:06 always comes from being in the bottom quintile or quartile to the next one. This is a really important point that shouldn't be lost. So people are sitting here listening to us thinking, look at these two idiots who train all day and love this stuff. Like that's nice for you to say, no, actually, you're going to achieve the most benefit when you go from being in the lowest 20% of the population to the second 20% of the population. And that can't be overstated. So in other words, the curve looks like this. And I think one of the biggest failures of the fitness industry, quite honestly, is convincing
Starting point is 01:20:39 people that they need to have a shredded six pack and be really muscular to be fit. No, you don't have to. In fact, I would argue that most people that are that lean probably don't feel that fit. I know that when I was very lean for bodybuilding, I had no energy, no sex drive, thought about food all the time and was a miserable human. So the real sweet spot is probably where you got a little bit of fluff, you're still relatively lean, but even not getting to that point, just moving. I mean, look at the step data. The step data is very, very clear too. Like, there is a huge inflection at about 8,000 steps per day. You still get benefits by going even up to like 20,000 steps a day, but the vast majority of the benefits, the dip off in mortality,
Starting point is 01:21:25 I'm sure you've seen it. It's like going from 2000 to 8,000, it's like precipitous. It's like free falling off a cliff, how drastically that decreases mortality. And I don't think there's anything magic about steps. I just think you're just literally looking at people getting more active. So I think one of the biggest failures of the fitness industry is the messaging that you need to look like this in order for you to be healthy. When the messaging should be,
Starting point is 01:21:52 hey, for you to be healthy, it's really like a very low-barried entry. Even if you just get out and walk for 30 minutes a day, so much benefit from that, just compared to just sitting down, just doing anything in the gym. People say, all machines are worthless. They're not worthless. Machines are great tools. You're still applying tension to the muscle. Would I argue that maybe a free barbell movement might be more
Starting point is 01:22:16 functional, maybe, but if it's the difference between the 70-year-old female who's never resisted trained before getting into the gym and doing something or not I'm gonna be like yeah knock yourself out of machines So I think that is a huge failure of the fitness industry and the messaging which is you need to look like this in order for you to have achieved health on that front Because I do want to talk a little bit about bodybuilding both both in your own personal experience and just again, the insights that we can gain. I don't think most people listening to this myself included ever one of the four percent or five percent body fat, which is you don't trust me. But look, I'm sure somebody who's 25 percent body fat would like
Starting point is 01:22:56 to be 20 percent body fat. And can they learn something from bodybuilder? But just picking up where you went, where do you see kind of the general role of fitness experts in social media? How can a person make sense of the never ending sea of experts out there? And so a couple years ago, we had a guy in our podcast named Alan Lovinavitz. He's been on Joe Rogan's podcast too. And he's a religious studies expert, but you wrote a book on the naturalism fallacy and We were talking about how hard is for people to identify experts and he said something that I thought was really insightful And he said what you should look for an expert is the exact opposite of what you probably think you should look for if
Starting point is 01:23:41 Somebody sounds really confident. They're probably not an expert you should look for, if somebody sounds really confident, they're probably not an expert. What you really want to look for is people who sound kind of doubtful and they say things like probably maybe possibly, when you speak to true experts, usually if you ask them a question, the first thing they'll do is ask you a question back unless the question is very contextual. So I'll get people who say, what are your thoughts on X? And usually I'll say, okay, well, as it pertains to what? Like hypertrophy or strength or fitness or, you know, I need context or to be able to answer the question
Starting point is 01:24:16 correctly. People ask me like, what do you think about like credentials, the SNET? Credentials help. If I see somebody has a PhD in a certain subject, I'm probably going to give them a lot more leeway in terms of, okay, if they say something I disagree with, let me see why they said that. Let's dig a little bit deeper. But I've seen some PhDs say some really dumb stuff. I've seen people from Harvard say really dumb stuff. I've probably said really dumb stuff.
Starting point is 01:24:44 It doesn't stop you. Credentials aren't a, they're a nice thing, but they're not foolproof. So really, I try to listen to how people speak. But given that you have such a knowledge background, it's a lot easier for you to look at someone's Instagram account and pretty quickly realize this person knows nothing, they might look good, they might be a great marketer, but they don't really know anything. But the average person doesn't have your knowledge base. What else can they rely on?
Starting point is 01:25:17 So clearly that's one great criteria or two. Some sense of credentialing can be helpful, some sense of speaking with nuance and being comfortable with uncertainty, that's also helpful. Are there any other tools that a person can use to disentangle this world? People who say the magic words, I don't know.
Starting point is 01:25:36 That again, sounds counterintuitive. So when I was part of getting my PhD, I had to do what was called a qualifying exam. And so that is a four hour oral examination in front of four professors. when I was part of getting my PhD, I had to do what was called a qualifying exam. And so that is a four hour oral examination in front of four professors. And when I was prepping for this, Dr. Layman, you found out in the podcast,
Starting point is 01:25:54 he said, they are going to push you in whatever subject they start out on until you don't know. And you need to be able to say, I don't know. They did exactly that. I'll still never forget the way they started off the qualifying exam was, let's talk about vitamins. What's your favorite vitamin D? Okay, where is it synthesized? And they kept pushing until I just didn't know. And I'll still never forget they asked me like an acid-based balance question in the lung. And I started
Starting point is 01:26:18 to get up on the wipe-off board. And I just turned around and said, I don't know this one. So, okay, move on. And when I got done, they said, you're actually one of the best students we've had the last few years because you knew what you knew and you knew what you didn't know. That division puts such an emphasis on not going outside your lane, not speaking about something, not speculating about something that you didn't know and trying to pass it off like you did. So I think that just got hammered into me. So when it comes to looking at other folks, one, if they're willing to like know their scope and not feel the need to comment on every single thing, that's a good metric. Also, I'm going to paint with a broad brush. And there's always
Starting point is 01:26:59 exceptions to this. But people who use like tips, tricks, hacks, five things to never do, five things to always do, the best worst. People who use a lot of superlatives, that's not typically the way that experts talk. I say a lot, there's no solutions, there's only trade-offs. There's certain tools that make a lot more sense, depending on somebody's goals and where they're at, then compared to somebody else, and vice versa. But that almost suggests that social media is negatively selecting, because a lot of those things that you said,
Starting point is 01:27:33 certainty, a flair for showmanship, tips, tricks, and listicles. That's what gets attention. I think the algorithm likes those things because they get a lot of attention, even if some of that attention isn't warranted. So that adds another layer of confusion to this, which is it is difficult. And it's even when I scroll through Instagram, I'm amazed at how much it's trying to push to me.
Starting point is 01:27:55 You know, I miss the day when all I saw on Instagram were the 40 people I followed. I feel like that was the good old day. And in the sequence of the way things were posted too. It was like, oh, here's what this friend of mine did. Here's what this friend of mine did. Here's what this person who I don't know, but who I respect. That, that, that, that, that, that, and now it's insane. The barrage of stuff that Instagram thinks I want to see.
Starting point is 01:28:15 And admittedly, sometimes it's right, but so many times, it's just wrong. And it makes me think, well, if that's my experience, that's got to be everybody's experience. And it is. Alan talked about this is information silos. And this is a broader problem, but it is a problem in nutrition and fitness specifically. If you just follow the people you follow and the accounts that get suggested to you, you're actually not broadening anything. You're sitting in an information silo. And what happens is, or at least what I think is happening, is previously 90s, 2000s, 80s, whatever, you'd come across people with differences of opinion to you. And you could have a conversation with them.
Starting point is 01:29:00 And it usually was, you know, sometimes it could be contentious, but for the most part, I would say like when you can sit down and look at human being in the eyes and talk about your differences, it's usually not as confrontational. Now we have whole generations of people who are not used to seeing opinions different than their own, or thoughts or beliefs that are different from their own because they're in those information silos. And when they get exposed to something different, they just don't know how to handle it. Like you see some really like extreme responses, even to stuff like nutrition. I can't
Starting point is 01:29:33 name how many times I've been called a shilfur XYZ big meat, big dairy, artificial sweeteners, big sugar, you know, because it's almost like, well, it can't possibly be it. Somebody just has a different opinion based on this data. They have to be a bad person. So I do think it's a real problem. And what you said is very well taken that is, you almost have to be willing to do clickbait to really get your stuff out there. And so I, as a business owner, who does a lot of the business through Instagram, I really have to try to screw the fine line of I am trying to get people's attention and not lose the nuance and the context and all those things are important. And just be those days where I'm like, man, I can make so much money if I just, but that isn't how I want to live my life or leave my legacy or anything like that. You're an interesting person because your personality on Twitter and your personality
Starting point is 01:30:31 on Instagram are quite different and your personality in real life is totally different. But people who know you, like I know you, you almost don't recognize. Now, tell me a little bit about that. Has that been an evolution? Because I have to be honest with you. I quite envy your personality on Twitter. I've just made a decision that I've almost always been able to uphold, which is I'm not going to get
Starting point is 01:30:52 drawn into it. I don't really even look at comments on Twitter anymore. Posting ghost. Posting ghost as Rogan has adequately reminded me many times. So, but I'll be honest with you. I see enough negative ones where I just want to spank the living shit out of the person on the other end. I mean, I want to, with words, eviscerate them. Yeah.
Starting point is 01:31:14 And 99.9% of the time I refrain from doing it, but I really get a kick out of the fact that a lot of times you just spank people into the next century. So tell me about that. Is it a conscious decision? Because it never comes across as unhinged. It never comes across as terribly reactionary.
Starting point is 01:31:31 It usually comes across as kind of calculated. Walk me through your thinking. I think it probably was a little bit unhinged when I first started. The internet was just in general, like I'm bodybuilding forums. It's like, you're disagreeing me. You call me a name. Well, you know, but I think my style is gonna be for everybody.
Starting point is 01:31:47 Part of it, honestly, if I had to like psychoanalyze myself, probably goes back to like me being bullied as a kid, and I almost view misinformation and people who, especially you've probably noticed, I saved my most the biggest amount of vitriol for people who is very clearly have a pattern of behavior that's also being monetized. When you're like praying on the desperation and ignorance of people, I'm going to have very little sympathy for you.
Starting point is 01:32:17 And part of that evolved too out of my coaching and seeing how many people came to me quite frankly feeling broken because they tried so many of these things that were the solution and the cure. And when it didn't work for them, they're just like, you know, something wrong with me. It's like, nothing's wrong with you. You just, you haven't been executing on these principles that work. I really have tried to dial it back a little bit because I think I took it too far at a certain point. But now I just try to like use it a little bit because I think I took it too far at a certain point, but now I just try to like use it to be funny, to get some attention.
Starting point is 01:32:49 So what's funny is like my best Instagram post are all just screenshots of my Twitter. If you look at my, you can go to your insights and you look at my top-performing post, it's 95%. Twitter screenshots. Twitter screenshots. One of my top rated posts of all time was Mark Hyman had said something. My response was just stop making shit up.
Starting point is 01:33:11 Very like cavalier and funny. And there are some people who would absolutely turn them off. And I get that. But then I also speak to the people who are like, yeah, I'm tired of like stuffing overly sanitized. And I just wish somebody would tell me how they really feel. That's funny because I've had so many academics reach out to me. Behind closed doors and say, I love your Twitter.
Starting point is 01:33:32 I love just watching you break this stuff down. And the thing is, I'll say to people, it's never just me attacking the person. I'm also providing citations or logic and data and whatnot, but I'm just trying to make it funny and engaging. But I'll always have a conversation with somebody like for example, Thomas DeLauer is a great example. So I've done several videos, keep on getting some of the claims he made.
Starting point is 01:33:55 And actually one day he just reached out to me and said, Hey man, I want you to know that actually really respect you. And you've actually made me change the way I think about some of this stuff. Would you want to come on my podcast? Yeah, man, let's do it. Because I really respect anybody who can be self reflective enough to go, you know what, I might have been wrong. Or just even like wanting to get a different perspective on things.
Starting point is 01:34:22 So just another great example of that, I'm actually going and speaking at a low-carb conference next year, the joke was, do I need to bring bodyguards? That's so interesting to me. I'm not close enough to any of the dietary communities to know. Obviously, I still get very strongly associated with a low-carb ideology, which is funny given that you see how many carbohydrates I eat. But what is the view about you in low carbohydrate diets? Because I've never heard you say anything that is uniquely anti-low carb other than the stuff we've already talked about on the previous podcasts. We'll always tell people some like, how could I be anti-low carb? If you go to our nutrition
Starting point is 01:34:58 coaching app, carbon diet coach, two of the six settings are low carbohydrate. There's low carbohydrate and there's ketogenic. So how could I possibly be low carb or anti low carb? I think that this is just an example of, I call this the timetivo effect, but it's just like polarization. So, during timetivo was playing an FL football. My hypothesis was there are very few people in the middle about timetivo. You either love them or you hate them. And the way this kind of comes up is if you watch this guy and you're like, you know, he's not really that good. He's got weird mechanics. He's more of a running back than
Starting point is 01:35:35 he is a quarterback and he's kind of preachy. But you know, he's all right. But then you see all these people saying, he's the he's the he's going to playoffs. He's better than your quarterback. Like, you know, this that what are playoffs. He's better than your quarterback. Like, you know, this that, what are you talking about? Like his completion percentage is like 45%. How can you say he's good? Then you have the other side, which people like me, I actually was kind of a Tim T. Bofman.
Starting point is 01:35:55 Cause I'm like, you know, he seems like a nice guy who works hard, maybe not the best genetics to be a quarterback, but he's been successful. That's admirable. And then you look over here and you see all these people going, he sucks. He's terrible. And it's like,. And then you look over here and you see all these people going he sucks, he's terrible. And it's like well, he did win a playoff game. So I think this happens with many different subjects. We were talking about this the other day. Your uh, car guy,
Starting point is 01:36:17 I'm not a car guy. So I've posted many times. In fact, when we bought our new house, I'm going to take a picture of me with the car outside the house, give me the greatest picture that ever goes to my social media, because I've still got my grad school car, which is a 2003 Lero, and I've just never felt the need to get rid of it. So, I got this really dinky old car with me on the hood sitting outside this wonderful big house, and sure enough, we got like 1,500 comments, but some of the comments were, and I was talking about how basically saying, you know, my ability to delay gratification is what got me here,
Starting point is 01:36:57 and you can do it too, like delaying gratification and anything, it's so essential for success in almost any goal, because it's so crazy how, in almost anything, whatever provides you short-term relief for happiness, almost always makes it worse than the long term and vice versa. But people would say, why do you hate people who buy nice cars? Where do I say I hate people buy nice cars? I never said that. Same thing with low carb. My messaging has consistently been, usually there'll be some kind of insane claim. Calories don't matter or you know, you can use much on low carb as you want, not gain fat. Well, here's citations, citations, citations. Low carb does not appear to be better for fat loss than calorie, protein , equated diets that are not low carb. But that means choose what you prefer because
Starting point is 01:37:41 it's not worse. So by all means, you like low-carb go right ahead. I don't enjoy low-carb, but I know many people that do. And so one of the reasons people get so travel about this is they find something that worked for them and they then retroactively try to find the evidence to show that it's the best thing that there is. Which of the two landscapes, nutrition and exercise, do you think is more culty? My impression is nutrition. Definitely nutrition. Definitely nutrition. And do you think that that's because of the ubiquity of food in our lives and the fact that we all have almost equally a personal relationship
Starting point is 01:38:25 with food, whereas not everybody exercises the same amount. So there's two things, especially here in America, we've come from a puretune background. And I think that this kind of thinking that anything that is pleasurable at all must be bad for you and you cannot have it and you should feel bad about it. So I think that causes people to get a little bit tribal. I mean, I've had people say horrible like moral judgments because I'll post me eating a bag of skittles or something like that. Never mind the fact I just went and trained for three hours. I think somebody like called me a disgusting
Starting point is 01:38:59 sugar addict one time. So that's one part of it. I think it's the smaller part. I think the bigger part is what you just said. It's funny whenever I meet new people, I'm always kind of hesitant, you know, if they don't know anything about me to tell them, you know, I have background nutrition, PhD nutrition, because usually one of a couple of things happens. They either clam up real quick, we're out to dinner and they get very self-conscious about what they're eating, which, bro, I just ordered the fries, like good. Or I get like blitz creaked with questions, but mostly people wanting me to validate
Starting point is 01:39:33 what they already believe to be true. If I sat down, I said, you know, I'm a theoretical astrophysicist. We might talk about space a little bit, but they're probably not gonna question my beliefs or my opinions on string theory. But I think because everyone eats and everyone knows something about their body right or wrong, they have drawn certain conclusions about what they put in their
Starting point is 01:39:56 body and what happens to their body. I think because of that, because everybody has an opinion about nutrition, it makes it really tough because people already just natively have certain beliefs. And we know how hard it is to change people's beliefs. There was a classic study, it was in politics, there was a classic study where they showed hard data. And this was for both parties. They would either refute a preconceived belief or support it. I can't remember what they used for Republicans, but for Democrats, the
Starting point is 01:40:32 belief was that I think George W. Bush stopped or outlawed funding for stem cell research or something like that. The reality was he just stopped federal funding. He didn't outlaw it. They showed people these facts, By the way again, if I butchered that I apologize to anyone watching, but I think that was it They showed people these facts and it didn't matter if they believed that he had outlawed it Even if they showed them the facts that he didn't it's still reinforced their pre-existing belief It actually made their belief stronger the same thing was true for Republicans by the way So it I don't think it's a Republican or Democrat problem. I think it's a people problem, to be honest.
Starting point is 01:41:09 One of the benefits I had very early on in grad school was Dr. layman just absolutely dismantling so many beliefs I had. But doing it in a way that wasn't judgmental or made me feel bad. And what I tell people now is being wrong about something is a beautiful thing. Because if I'm already right about everything, then I'm already doing everything the best I can. And I can't get better. If I'm wrong about something, that's actually awesome. Because now I have something I can improve on. Now, I tell people, I like being right.
Starting point is 01:41:46 Like, I'll do cart wells in my living room if I'm right. But if I'm wrong, I don't really take that much offense to it because it's just data. There's no ethical judgment. And I've changed my mind about a myriad of things over the years. I was going to ask you, what are three of the most impactful things that you have changed your opinion on in nutrition specifically? And let's make it recent because I know for any of us, if we go back a decade, it's an eternity in terms of our understanding of nutrition science or something like that.
Starting point is 01:42:18 But let's pick a narrower window of maybe three or four years. What would be sort of three areas where your opinion has really changed in a manner that actually leads to either a different behavior in you or a different coaching input to your clients? I think of three things right away. So first thing being LDL cholesterol. So when I got to grad school, the narrative,
Starting point is 01:42:44 and even out of the lab I was in, was we don't think it's LDL. It's more the HDL to LDL ratio and the particle size and those sorts of things. And I kept that probably until about five years ago, four years ago. And I just saw enough of these Mendelian randomizations come out and it's like, wow, that's pretty powerful. When you look at the mortality rate, and it is like linear with the exposure, the lifetime exposure, LDL, I'm like, ugh, can't really hold this belief anymore
Starting point is 01:43:12 because it's just not supported by the data. And it actually changed my opinion on, now I'm a little bit more conscious about the saturated fat I consume. We talked about, actually started taking a low dose of a statin. I've never had super high LDL, but I've always been around 150 to 125, even if I reduced my saturated fat and increased my fiber. I ate it probably 60, 70 grams of fiber a day. So I think people
Starting point is 01:43:38 get that one twisted a little bit because they'll hear things like, well, it doesn't consider HDL, it doesn't consider this. No, you have to understand what an independent risk factor means. It means that all things being equal, are you better off having higher HDL? Yeah. But HDL is more of a marker of metabolic health because we have some drug trials and Mendelian randomizations now where they modulate HDL and it doesn't really seem to make a difference. Whereas if you modulate LDL, so even at high HDL or low HDL in both stratifications, lower LDL is almost always better for cardiovascular disease and mortality.
Starting point is 01:44:15 I feel like I need to do a podcast on Mendelian randomization. I write about it in my book. It's very powerful. And I understand why it doesn't get more attention because you do have to really get into the weeds of genetic sorting and the statistical methods that are involved. But I actually, in the book, write about it as one of the five pillars of evidence that we should be relying on as we
Starting point is 01:44:38 formulate insights with respect to anything that we do. So that's an interesting one. And obviously, it has a parallel piece which is around your relationship to saturated fat. One of the things to keep in mind is when you're looking at mortality, cardiovascular disease, this is where nutrition science can become so limited. The power with Mendelian randomization is you're kind of looking at a lifetime randomized control trial. So people will point out things like the Minnesota coronary study, and I think there's another Australian study, and they think there's another Australian study And they said we'll look at this randomized control trial with a looked at the high saturated fat versus low saturated fat
Starting point is 01:45:10 And there wasn't a difference or you know that sort of thing and One of the biggest problems with those studies is they're two years Which is a really long time for a randomized control trial But when you're talking about a disease that is a lifetime exposure, two years in people that are in their 40s, I mean, you're just not going to have that many incidences to pick up on. So when you're looking at Mendelian randomization, you can get around that because you're looking at people across their lifetimes. And the way I kind of explain, and I don't consider myself a lipid expert, but the way I try to explain like lifetime exposure risk is, imagine if you and I start investing and you
Starting point is 01:45:50 get in at 8%, we both invest $10,000, you get an 8%, I get it at 6%. If we look after a year or two, I mean, you'll have more, but it won't be statistically different. But if we look at four years, you're going to have a lot more. I don't know how much exactly, but my guess is it's going to be magnitudes of time is greater. Because you're again lifetime exposure. Actually, I've done this exercise. It was initially in my book. I actually used this exact analysis. Oh, really?
Starting point is 01:46:18 It was a thousand dollars invested at, I think I chose 6% versus 4%, or maybe it was even 6 versus 5. It was something that was small enough that at 5 and 10 years wasn't enormous, but at 40, 50 and 60 years was staggering. And that was the exact point, which is the cumulative effect of compounding over a lifetime is so non-linear that I don't think we are capable of understanding it. Like, I don't think we can ever cognitively realize it until we literally just do the calculations and they're staring us in the face. Again, that's one thing I changed my mind on and I'm pretty strong belief about it. It's kind of like, well, how much evidence do you need? Like, we still have LDL denialus out there. I think it's one of the most dangerous
Starting point is 01:47:04 things I see actually. You have the mechanism, the penetration of the endothelium. It's very clear that that happens. We have the animal models that show linear dose independent effects. You have the Mendelian randomization and you have the clinical trials in humans. And you have the prospective cohort studies. And then you have the genetic studies. You have the PCSK9 over and under expressors. I want to come back to Minnesota Heart Study in a moment, but let's go on and hear the genetic studies. You have the PCSK9 over and under expressors. I wanna come back to Minnesota Heart Study in a moment, but let's go on and hear the other two.
Starting point is 01:47:29 Self mental branch chaminocasids, that's another one. I used to be a big advocate for that. In fact, the first self-min company I had five years ago, we sold a product with branch chaminocasids in it. And then my current self-min company, Outwork Nutrition, we do not have a branch chain into acid product because. And that was basically taking the three branch chain amino acids as an in workout supplement. As a post workout recovery supplement. I still do think there may be a small benefit for
Starting point is 01:47:56 delayed onset muscle sornus with branch chains that may be outside of just regular protein. But based on the cost and honestly, like, the negative impact on taste too, because it's a. The loose scene's horrible, right? Oh, yeah. I used to spike five grams of loose scene into my water during a workout. I mean, it's the most awful tasting. Is there any other amino acid that tastes as bad as loose scene?
Starting point is 01:48:21 Probably some of the sulfur based ones, you know, cysteine or methionine. No, it's pretty bad. And the fact it's also non-polar. So it doesn't dissolve. Yeah, it doesn't dissolve at all. You're shaking it constantly. Yeah, yeah. So I was a big advocate for that. I was sponsored by a company called Sivation for Years, the head of branch, immuno acid product. Has the rest of the world caught up to that? Or are BCAAs still a big product? They still are a big product. But most evidence-based folks will say it's not better than protein. In fact, the research tends to suggest that way protein is actually better than branch chains, even when you equate for the dose of branch chains in the protein.
Starting point is 01:48:56 So yeah, I just kind of got to the point where I'm like, if I put this in the products, I'm just doing it because I'm tied to branch chains, right? Like people are expecting this from me because my PhD was in loose scene in the branch chain, we know acid and the metabolism and other effects on muscle protein synthesis. But I couldn't hold that position anymore based on the evidence because it was just too strong. So the other thing I changed my opinion on was intermittent fasting, at least in terms of like your traditional 16-8 because I used to say, well, I'm worried about the catabolic effects of it, you know, that sort of thing. At least when combined with resistance training and sufficient total protein, the caveat should be that they also, in these studies,
Starting point is 01:49:36 they trained within their feeding window. There's some really good studies by Grant Tensley on this. There doesn't appear to be at least not statistically significant differences in lean mass between people who do 16, 8 intermittent fasting versus people who just eat continuously. So I used to be like somebody like, well, really every four hours should be getting a protein dose, that sort of thing. Maybe if you plot it out over 30 years, it'll make a difference on how much lean mass you gain. So I would still say if you're somebody who is a bodybuilder and you want to absolutely squeeze out every last ounce of muscle that you can get, I still would say like any form of intermittent fasting probably isn't optimal,
Starting point is 01:50:15 but for the average person, can you get plenty strong, plenty big and still do intermittent fasting? At least the 16-8, I would say absolutely. Which is really interesting, because I've kind of gone the other way from... Yeah, you were saying. I used to be a big proponent
Starting point is 01:50:31 and then what I was seeing clinically. So this was really just anecdotal, but when you see it over and over and over and over again, on so many patients, on whom you have DEXA data, and was we were seeing a real deterioration of body composition. Now, were they still definitely getting enough total protein? No, and that's my point. So what I know was happening was they were falling behind on protein. And so the question then becomes one of efficacy versus effectiveness. In other words, the data,
Starting point is 01:51:04 which are done under controlled settings say if I control for total protein, it can be identical, but the effectiveness version of that is in practice, do people make that happen? I guess what I would say is we weren't seeing it. So we still use intermittent fasting in patients as one of the three big levers of energy restriction, but we have a big red caution button all over it that says if you choose this instead of caloric restriction or dietary restriction, if you want to choose time restriction as your lever, you're going to have to go out
Starting point is 01:51:45 of your way to make sure you are not compromising protein. One of the things I'll tell people is I can do dogmatism over all these different disciplines, including what I like, which is flexible dieting. But people get too hung up on the actual fasting part of intermittent fasting. You're reducing your energy intake. It's a tool, and a lot of people, it works great. Like they say, I'm not hungry. It didn't feel like I was dieting. Awesome.
Starting point is 01:52:09 But so people say, well, is it gonna break a fast if I have coffee? Well, break a fast if I chew gum. Well, break a fast if I have a protein shake. And what I'll say is like, why are you fasting? And usually, if... And by the way, I'm only laughing because I'm guilty of this. Right. I used to really think about the details of that.
Starting point is 01:52:28 And like, I think atophagy is an incredibly important part of our ability to regenerate. I just don't think there's a chance you're getting any meaningful amount of it in 16 hours. And therefore, to your point, we would even tell patients now to have a protein shake outside of that feeding window. In fact, I think you and I even spoke about that idea, which was, if it's really all about energy restriction, what's an extra 200 calories outside of your feeding window? Exactly. It actually, if you look at some of the effects of high protein diets, they actually are not dissimilar from some of those effects you get from fasting, at least like liver metabolism and whatnot. Similar from some of those effects you get from fasting at least like liver metabolism and whatnot So I would say to somebody well Don't worry about breaking your fast in terms of you're eating something if you're worried about it
Starting point is 01:53:17 Inimately fast your carbohydrate fat intake and just have an extra dose of protein in the morning or essentially I'll ask it or whatever you want because now you're getting that anabolic stimulus Spraying in a little bit more you're making sure you get enough total protein in during the day. And quite honestly, I mean, this is a theory that Dr. Laman and I had, which was breakfast probably is the most important protein dosing of the day because you are coming off a significant period of fasting. And then if you're extending that out,
Starting point is 01:53:39 like how much longer are you extending that out? What does that mean? You know, it's a long term. I think I told you I've officially taken to bribing my 14 year old daughter. There's now real stakes on the line for her to get that minimum 30 grams of protein. Don't pun intended with steak, right? Minimum 30 grams before she goes to school in the morning. I'm like an awful father, just.
Starting point is 01:53:58 It's interesting how that dogmatism plays out. Like you have the same thing with low carb. People so worried about getting any carbs. It's interesting how that dogmatism plays out like you have the same thing with low carb people so Worried about getting any carbs Meanwhile, they're like dumping oil on their salad putting butter in their coffee and eating like loads of bacon or they're Being keto ice cream because it's not spiking their blood sugar But if you look at the keto ice cream, it's actually more calories than like we're missing the entire point here And the same thing goes for like flexible dieting. I had people who were like, they were trying to hack the system of how can I eat as much junk food as I want. I'm allowed 3000 calories a day. What if it's
Starting point is 01:54:33 all skittles? So what if I do just protein shake, skittles and peanut butter? And my point is like, listen, if you take anything too far, it's probably a really bad idea. And one of the things I said about flexible dieting too is like, we know if you take anything too far, it's probably a really bad idea. And one of the things I said about flexible dining too is like, we know fiber is really important. There are some folks who are kind of anti fiber now. Oh, really? I've missed this move. Well, the carnivore, the carnivore folks. Ah, okay, okay. It's funny. Like, I was in a debate one time with a carnivore advocate. And you know, my research was sponsored by the Ag Nutrition Center, the National Dairy Council, and the National Countdowns Beef Association.
Starting point is 01:55:07 If anybody should be pro carnivores, yeah. And I said, the fact that I'm sitting here defending plants is actually kind of mind-blowing to me. And if anything, it should actually increase your trust in what I'm saying, because I am a fan of high quality animal protein. I think it's... What is the argument? Let's talk for a moment about the carnivore diet.
Starting point is 01:55:28 Obviously for people listening, it's pretty straightforward explanation. It's a diet where you only eat meat. I've heard some versions now where people eat honey and fruits and whatnot, which I'm not sure how that's carnivore anymore, but in any case, I would say that's a little better, but so the argument against...
Starting point is 01:55:43 What's the argument in favor of that? What do they propose is the reason to do it? The reason to do it is it's basically anecdotal People have done this and they've seen this and of course you could absolutely lose weight doing something like that Seems pretty easy to see how you would lose weight only through the lens of dietary the strict enough dietary restriction Is going to ultimately reduce I mean how much meat Can you eat even if it's fatty meat? And the justification is why I still go to the bathroom, just fine. It's like, well, that's not why you should eat fiber.
Starting point is 01:56:10 I mean, yeah, it helps, but that's the last reason to eat fiber in my opinion. Some people have said, well, it helped clear out some autoimmune issues. That's hard to quantify. And some people say, well, get lowered by inflammation and my GI problems. So this is one thing a lot of people can mix up.
Starting point is 01:56:25 They'll get bloated or have GI discomfort, and they equate that with inflammation. You might have some localized inflammation, although it's probably based on what we know about, like IBS and whatnot, it's probably just like, marrow sensitivity. But that's not the same thing as like, well, you just say, well, did you get your CRP measured?
Starting point is 01:56:41 Did you get your IL-6 measured? That's inflammation. When we talk about inflammation, that's what we're talking about. Let's assume that all those things are true. Let's assume that I went on a carnivore diet and my actual biomarkers of inflammation improved and my symptoms improved.
Starting point is 01:56:58 I don't know what the number is, but if you think of the average number of foods, a person will eat in a given week, different foods. Let's pass it that it's in the tens, maybe a hundred. If you eliminate all but one of them, it's not a good experiment. You haven't really learned a lot. You've learned that something in those 99 might have been the problem. That's a hard way to learn that. So one of the things I've said, I think a lot of people are getting benefits
Starting point is 01:57:24 is they're basically doing an elimination diet. For the most part, most people don't have sensitivities to meat. I think many people, just not being in tune with their body, probably have IBS, FODMAP sensitivities where they're fermenting a lot of fructons, a lot of saccharides, those sorts of things. And that fermentation for people with IBS, even though it's a healthy thing, because bacteria getting fuel from fiber is a healthy thing. If it's causing pain,
Starting point is 01:57:53 they're equating that with being something negative, which obviously we don't want anybody in pain. I still believe that there are a lot of people who have wheat sensitivities that are not full on gluten sensitivities that don't rise to the level of celiac disease. It's possible. So it's one of those things where they eliminate all plants
Starting point is 01:58:10 and they go, well, I feel better. Okay. Well, now the next step should be should be a decision. Adding things back in one by one, and let's figure out what's actually causing those problems. So what I would submit to people is like, still try to include fruits and vegetables
Starting point is 01:58:25 and just slowly add them back in and see what works for you. Because I think, and this gets into dietary protein along Jevidi, I think a lot of this negative perception of animal protein with longevity and health is people who eat high amounts of animal protein. These aren't people for the most part. They're not eating like lean cuts of sirloin and chicken breasts and whatnot. People who are eating
Starting point is 01:58:51 high meat are typically eating high amounts of processed meat and they eat less amounts of fruits and vegetables. In fact, there's a really classic study in my opinion from maximum off in 2020. I think it was quintals. So four different serving amounts of fruits and vegetables and four serving amounts of meat. So lowest to highest. When you look at low vegetable intake, there is like a linear effect of, or sorry, if you look at like going from high to low vegetable intake, linear effect on the incidence of cancer. And meat, as you go up and meat, not correcting for fruits and vegetables intake, you have a linear effect of meat on cancer.
Starting point is 01:59:35 But guess what happens when you couple the highest quintile of meat intake with also the highest quintile of fruits and vegetables intake. There's no effect. You have the same risk for cancer with high meat and high fruit and vegetable intake as you do with low meat and high fruit and vegetable intake. So to me, that suggests it's less about the meat you're eating and more about what you're eating it instead of. One of the things to keep a mind with nutrition is when we tell people to eat more or eat less of something,
Starting point is 02:00:09 usually there's a replacement that happens. It doesn't happen in a vacuum. So to me, if we're talking about carnivore, sure, I like high quality protein, great. I would argue probably lean cuts are a little bit better option, but for God's sakes, have some fruits and vegetables with it because it's what's going to mitigate your risk. Now you said you're getting about 40 grams of fiber a day.
Starting point is 02:00:31 I'm around 60. 60. And that's total soluble and insoluble. Yeah, it's total soluble. And so what are your sources? What's the main foods that are contributing to that? I'll do like a lot of rice cauliflower. I'll do broccoli, some beans. I love apples. So that's kind of my go to fruit source. How many grams of fiber in an apple?
Starting point is 02:00:50 I'm going to say it's like three or four grams. Maybe a little bit less than that. It's not a huge amount, but if you want something a little bit more packed berries, berries, to be really fiber dense compared to something like apples, like a banana is a fruit, but relatively low fiber, all things considered. But even like the higher sugar, lower fiber fruits are still relatively well associated with good health outcomes. And then honestly, people are going to laugh and be judgmental.
Starting point is 02:01:15 I love popcorn. So popcorn actually is pretty darn high fiber. More than corn on the kernel per kernel basis. I don't know about that because I feel like you could eat more corn than popcorn. Oh yeah. So popcorn is actually very filling. That's one reason I got into eating it during bodybuilding competitions.
Starting point is 02:01:32 I would just like air pop popcorn, and I'll usually like put a little bit of cinnamon and splendor over that, and then like a little bit of the butter spray for 50 grams of carbohydrate from popcorn, I'll take you 20, 30 minutes to eat it. So I just found that that helped me control my hunger. And in 50 grams of carbohydrate from popcorn, it'll take you 20, 30 minutes to eat it. So I just found that that helped me control my hunger. And in 50 grams of popcorn, you're getting around six to 10 grams of fiber
Starting point is 02:01:51 depending on the specific brand you're using. I love that as a snack. Is it as healthy as if I had some fruits and vegetables? Probably not, but as far as a snack goes, it's pretty good and very filling. So I do that and then like just missling these sources throughout the day. But one of the things to really look at is I was in a debate with Paul Saldy no one time and we were talking about fiber and one of the things he said he's a big carnival advocate.
Starting point is 02:02:16 One of the things he said was, well this stuff with fiber is just healthy user bias. People eat more fiber. They just have other health promoting behaviors. Now, that's a real thing in terms of cohort studies and cross-sectional data, observational data. It is a real thing. But when you're dealing with something that's kind of a healthy user bias, typically you'll see the data is not consistent. One study will say one thing, one study might have no effect, one study by say a different thing you see that with meat You see that with meat longevity. I was just looking at some men analysis earlier that one man analysis
Starting point is 02:02:50 Even showed that after controlling for confounding variables that actually animal protein was not associated with increased mortality But you don't see it with exercise. You don't see with exercise. Don't see it with the smoking studies in the opposite direction You don't see with fiber the effect and in the opposite direction. You don't see it with fiber. The effect of fiber, at least in terms of cardiovascular disease, cancer, it is a very consistent effect. And it's very consistent even across all the meta-analyses I've seen. So do we have a 10 year randomized control trial of giving people enough fiber versus not enough fiber and seeing how that comes known? We'll never have that. But do I feel very comfortable saying that I think fiber helps reduce the risk of cardiovascular
Starting point is 02:03:30 disease and cancer based on the data we have? Oh, yeah, I feel very comfortable saying that. What's the RDA on fiber? Is it 30 grams? Not that the RDA matters. I'm just kind of curious. I think it's 20 to 30 grams. I'll be honest. I haven't looked at it in a while. I know they changed the guidelines while back to what I tell people a good target to shoot for is like 15 grams per thousand calories. I would love to go more but at some point it just becomes intractable to get that much fiber at that low calories. Now all the things that you mentioned for fiber, you're eating real food to get it. So how do we think about it in terms of bars and things that seem, I've heard different things about this where, you know, if you look at the Incrotin effect, for example, it
Starting point is 02:04:11 would suggest that the fiber that's in a processed bar is not really contributing the way a fiber is in the way you just described it. If you're actually eating cauliflower or beans or things like that. I try not to fall into the naturalistic fallacy. I get a little bit cringed when I hear processed unprocessed because what we do to food now everything's processed. Processing of a itself is that.
Starting point is 02:04:32 Processing doesn't mean bad. I just mean, and I'm really talking about this purely through the lens of the disruption of the actual kernel and what that actually does at the GLP1 level. Getting back to that. Yeah, I would say that Mother Nature's kitchen is probably better than a fiber bar that's
Starting point is 02:04:47 like some indigestible form of glucose or some less adjustable form of a starchy carbohydrate. But is it better than nothing? It's probably better than nothing. But as someone says, well, I'm getting 40 grams of fiber a day and it's because they're eating three protein bars that 14 grams of fiber. I would argue that, well, it's probably not equivalent to getting six to eight servings of fruits and vegetables. Let's talk about one other macronutrient
Starting point is 02:05:10 or subset of macronutrient, which is polyunsaturated fatty acids. This is one of those things. I always tell people there's nothing in nutrition that I'm more confused about than the role of omega-6 poufas. So let's go back to that Minnesota coronary experiment that you mentioned. It's a very unique experiment, probably never to be replicated. Now, no IRB would ever approve it again. I'm still trying to track down Chris Ramston, who wrote the paper that looked at all of the data
Starting point is 02:05:37 that were never published in France's first study, but I'll retell the study to the best of my recollection, which is super foggy at this point. So this was a study carried out in Minnesota. Please correct me if I'm missing any details. It was carried out and assisted living or mental facility. It might have been two arms. I can't remember. What makes this special, then, is that the subjects in this study were fed every meal. So what makes this a really unique study is that it was not a free living study, though it had free living duration. I want to say the average duration was three years. Just over two. Was it? Okay. The study was five years. Yeah, but the
Starting point is 02:06:15 feeding intervention was only two. Well, I think because people were kind of going in and out of the facility, the average subject duration was about two or two and a half years. So for this period of time, every meal is being fed and there's patients are randomized into two groups. Isocholoric, Iso macro, but at the fat level, one group was high saturated fat, one group was low saturated fat. If I recall, the reduction in saturated fat was not trivial. fact, if I recall the reduction in saturated fat was not trivial, it was 30, 18.5 is a number that sticks out in my mind, and I can't remember, but I don't remember the exact
Starting point is 02:06:51 number. It was a really big reduction in saturated fat. It was not something that I would say, well, there just wasn't a big enough difference. That's right. I think we can all look at it and say, wow, these guys were getting a lot of saturated fat. These guys were getting a lot of omega six polyunsaturated. Was it canola? What was the dominant form of the oil? I don't remember that actually. It might have been corn oil. I don't
Starting point is 02:07:10 remember which one it was, which of the big four, safflower. But I think it was canola, but I could be wrong in that. We'll obviously post a link to the original study. So the study goes on, and they get all the data, oh, what was the hypothesis that was being tested? The hypothesis that was being tested was, in this really well-designed elegant study, the group on the lower saturated fat arm should have had fewer cardiovascular events. Because this was right at the time when the theory initially proposed by Ansel Keys in about 1961 was that saturated fat specifically was the driver of blood lipids and this was really the connection to the heart, the lipid heart hypothesis. This was supposed to be kind of like the nail in the coffin for that hypothesis in terms of cementing it as legit.
Starting point is 02:07:58 So the idea was this group on the hair saturated fat they would have more heart attacks and it couldn't argue these data. This was really clear. You've also had a high power to this study because it was very large. It was like 500 something people. Oh, I think it was more. Yeah, I think it was a stag. I was amazed at how big the number was. And they were old, which meant you were going to see events. You couldn't do a two year study study in 40-year-olds. You've seen no events in anybody. So, at all these things going for it, 1973, the results come out. There's no difference. The study goes unpublished. It's not published until 1989. 16 years later, friends publishes it. When asked why, he said quite plainly, we didn't like the way it turned out. Now, a guy named Chris Ramsden, who I believe is still at the NIH though, if you're listening to this and anybody knows him, please tell him I've
Starting point is 02:08:48 been trying to reach him for the past two years unsuccessfully, won't return any emails. He comes along maybe five years ago and finds a whole bunch of unpublished data and republishes, I think, one, if not two studies in the BMJ. Before we get to what Ramseyns findings are, my interpretation of the study that I just described, my initial representation or my initial interpretation of that 10 years ago was saturated fat's not causing heart disease. 10 years later, my interpretation was that study wasn't long enough to see a difference. At the time they did measure total cholesterol levels. They didn't fractionate cholesterol at the time, so they couldn't measure LDL or HDL or
Starting point is 02:09:30 anything like that. But there was about a 30 milligram per desoleter reduction in total cholesterol on the low saturated fat group, which again, now you have a biomarker that tells you this intervention worked. And the majority of that 30 milligrams per desoleter was probably LDL cholesterol could they have measured it. So then my interpretation turned into two years of an intervention wasn't long enough. If you took a bunch of people and put them on a statin for two years, you probably wouldn't see a difference.
Starting point is 02:09:59 You could miss a difference. Now, the PCS K9 trials suggested otherwise. It was really interesting, the Odyssey and Fourier trials in 2015, which were testing the most potent lipid-lowering drugs available actually did show a benefit in about two and a half to three years. But they were crushing LDL. So again, it's an area under the curve problem. This one was reducing it, but not crushing it. That's sort of where I left it. I think it's important to point out to the modifications that you can make to cholesterol from diet. In some cases, can be quite small compared to what you can get pharmaceutical interventions. That's right. Outside of the most extreme, I'm sure if somebody went onto a zero
Starting point is 02:10:39 saturated fat, 12% total fat, calorie restricted diet, they could probably cut their cholesterol in half, but they'd be doing a whole bunch of harm, I would argue, along the way. And the other direction, you do have some people like in the low carb community who are bragging about LDL cholesterol levels in the 500s. Well, that's what I was going to say. You can do the opposite much more. It's an unbounded problem above. So obviously a bounded problem below.
Starting point is 02:11:02 Ramstens data suggests that actually the people in the Pufa group had worse outcomes. Now that really kind of throws me for a loop and that's frankly why I kind of want to have them on the podcast because his data suggests that at least this particular Pufa had a negative cardiovascular effect. Now to me, that study is probably, if the details of that study are consistent, that would be the most damning evidence against N6 poofas in terms of lowering lipids, but raising events. And by the way, there is a precedent for that.
Starting point is 02:11:40 There was a drug that was approved in the 1960s that actually lowered cholesterol, but increased cardiovascular events. That drug was withdrawn. This was back in the day. Do you know what the mechanism was for that? I can speculate, actually, recently discussed this on a podcast, the mechanism that it's believed that this drug worked, is it prevented the conversion of Desmastral to cholesterol. That's the final step of cholesterol synthesis in one of the two pathways.
Starting point is 02:12:05 And so when you gave people this drug and the name always escapes me, triamatrol or something like that, when you gave people this drug, their cholesterol went down significantly and the drug was approved on the basis of cholesterol lowering, not on the basis of outcomes. Today cholesterol drugs are only approved on the basis of outcomes as well. But then I'd be pulled from the market because you saw the events. So I don't think they ever investigated it, but I think today we look back and we think that Desmonsteral acted perhaps as bad if not worse than cholesterol in terms of the oxidative process. So you basically lowered cholesterol, but the precursor went through the roof and the precursor was at least as
Starting point is 02:12:43 bad if not more damaging. Ah, interesting. That's the suspicion. The point only being there is there was a precedent for you can lower cholesterol and worsen events. And so Ramston proposes a series of mechanisms by which that might be the case with at least this polyunsaturated fat. Conversely, there is a lot of epidemiology that says the opposite, that polyunsaturated fats, whenever you substitute saturated for polyunsaturated, things get
Starting point is 02:13:10 better. Nobody's disputing moofa over here. The data seem unambiguously clear that moofa's the best of the three fats, both epidemiologically and experimentally. How do you think about the breakdown, not the breakdown, but what I mean is the distribution of how one should think about distributing their fats? I've actually have seen some epidemiology that showed that poofas were actually lowering events more. That's what I'm saying. The poofa data look like it's more favorable than the SFA. Well, even then model unsaturated too.
Starting point is 02:13:38 I've seen some of that as well. But again, you're dealing with cohortnated and whatnot and we all know the limitations there. As far as the Minnesota coronary study, it's probably a sound like a cop out, but I've really gotten to the point after seeing just so many random events and studies where I go, I don't know what one study means.
Starting point is 02:13:55 No matter how well it is. Now, I have seen studies that were so compelling that I swayed my opinion a little bit, but it was usually because there was also other contextual data that made sense. The way this one came about, it's like, we don't really know how to reconcile this, because even if you look at some of these omega-6 fats, and I think one of the big mechanisms that's been proposed is, will they're going to increase inflammation because those double bonds can
Starting point is 02:14:24 be oxidized and oxidation caused inflammation. But if we look at the hard outcome data and randomized control trials, where they give like little aic acid or alpha little lemic acid or whatever, you just don't see inflammation go up if they're not increasing total calories.
Starting point is 02:14:39 In fact, you usually, especially if you're replacing a protetorated fat, sometimes you see inflammation go down. So this one says, where I go, I don't really know what it means. And I think, so I don't feel bad now saying, I just have no clue on this.
Starting point is 02:14:52 I think it's one of those things where you kind of have to look at the weight of the evidence and then a couple that with some of the mechanistic evidence and look at the human outcome mechanisms we can see, which is, okay, maybe we can't do it to your randomized control trial, but 12 weeks is enough time to see differences in inflammation. If something's going to cause a difference in inflammation, so we can look at that.
Starting point is 02:15:15 I don't know if that was his main mechanism that he proposed for how it was occurring. It was absolutely one of them. God, it's been so long since I looked at his bigger BMJ paper. We'll attach to the paper in the show notes so people can kind of go through it. If I recall, I can almost picture it. There's a figure that kind of nicely walks through what the proposed mechanisms are. The other thing to consider is we just talked about how when you suggest cutting something out, you place it with other things.
Starting point is 02:15:42 And I think in the last 20 or 30 years, the biggest contribution to added calories in the diet is actually added oils. On a per calorie basis, the big demon right now is seed oils. I haven't even done a post about it yet because the anti-seed oil crowd is just so vitriolic and so nuts that I'm like, all right, when do I want to wait into this conversation. And tell me about this crowd. This particular sect is of which religion? There are definitely more towards the low carb carnivore.
Starting point is 02:16:12 There's a lot of people in the low carb community who've tried to abdicate saturated fat. It's not bad or it's innocuous. That's sort of, or even it's healthy because if you look at elderly people, people have higher LDL cholesterol, live longer. And it's like, well, that's because they're probably actually getting in enough food when you're elderly. It becomes a wasting problem and not a obesity problem, but that's a separate conversation. I think a lot of it stemmed from, okay, we want to make saturated fat a good guy.
Starting point is 02:16:40 So somebody has to be the bad guy. So it's been seed oils. It's very, very powerful belief that some people hold on this. And again, if you just look at top level stuff, it fits a pretty good story, which is we never ate these seed oils 120 years ago. They represented this much of our total fat calories. Today, they're this much of our fat calories and look at all the things that are wrong with the world today. It's got that kind of top level story, which I think a lot of things do. Sugar has the same thing. We ate this much sugar in 1900. We ate this much sugar in the year 2000. Look what got worse. So it's important to understand, I guess, how... I mean, I've certainly fallen for that. I've looked at that and gone, yeah,
Starting point is 02:17:24 that's got to be the seed oils. It's got to be the sugar. It's got to be that. It's got to that and gone, yeah, that's gotta be the seed oils, it's gotta be the sugar, it's gotta be that. It's gotta be, it's really easy to make a boogie man. I think when you look through the data and try to be unbiased about it, what you see is like the continuous boogie man is just energy toxicity, what you're dealing with is just extra energy because people will say,
Starting point is 02:17:41 well, we did the food guide pyramid and people did it and everybody got sicker, people kind of did it. They didn't really do it because the food guide pyramid also said exercise and reduce your calorie consumption. They added in more carbohydrates, but they really didn't decrease their fat intake either. And so, yeah, as we added more calories, we had more of these problems. I'd really love to know, because unfortunately, we only have food availability and waste data. So we have to use food availability and waste,
Starting point is 02:18:11 take a delta to estimate what's happening, and I personally always found that to be difficult. The other thing I find impossible is to estimate what I eat. I want to actually ask you about how you do it, because I think you're much more dialed into this. If I could tell you at the end of a day within a thousand calories, not a thousand,
Starting point is 02:18:27 I could probably do it within a thousand. There's no way I could tell you within a day 500 calories within what I've done. It's just not possible. I can't personally do it. I don't have that infrastructure. So I really believe that we've probably underestimated in the low fat craze, how much fat didn't go down, and how much low fat
Starting point is 02:18:46 stuff did go up. Well, think about going to a restaurant. And if you've ever been to a restaurant where they go to the cheesecake factory, you look at the calories on the dishes, you know, like, how do you get that much in there? Well, carbs contribute to that, but the way you densify food is with fat. Fat is what will take something from a 500 calorie dish to a 1500 calorie dish. So when it comes to estimations, yeah. Last night, we were out and you were eating ad lib, but I know in your head, the wheels were
Starting point is 02:19:19 kind of telling you like, at some point, I think I even asked you and you made some comment. I got about 600 more to go. Is that literally just repetitions like you've done enough food logging in your life? You can look at a brownie and you can look at a sandwich and you just sort of know what you're getting. I'll tell people for some people like that's not a sustainable way to live to just keep a running track in their head or whatnot. Let me back up just a little bit higher level of you.
Starting point is 02:19:43 If you want to lose fat or control body weight, you have to practice some form of restriction. Now you can pick the form of restriction you want. For me, the easiest thing for me is to be able to eat what I want within reason. What you want when you want, but just control the amount. Bingo. So if you do that, you're going to have to track calories or macros or whatever it is. Or you can restrict time, or you can restrict a certain macronutrient group, or I'm just going to eat mentally processed food.
Starting point is 02:20:10 So there's some form of restriction you have to do. Now what's interesting is none of these forms of restriction seem to be emerged as being better than another in terms of adherence across a population level. So it really does boil down to the individual. So I always say, you have to practice some form of restriction, but choose the form of restriction that fuels the least restrictive for you. So for me, that's just been tracking macros.
Starting point is 02:20:35 Did you play much with the others? A little bit like clean eating back in the early 2000s, which was just, you know, minimally processed foods and high fiber and whatnot. And I actually found that I wouldn't say I developed binge eating disorder, but I did start kind of binge eating. If you look at the psychology of binge eating, it's really interesting. We had Professor Jake Lennard and on our podcast a while back.
Starting point is 02:20:55 His expertise is in eating disorders. And he said, really, there's two things that are kind of essential for an eating disorder to emerge. The first is some sort of poor body image perception. That's kind of a prerequisite. The second is hard food rules. So when you create hard food rules, it just does a weird thing in your mind. I'm sorry.
Starting point is 02:21:18 Are both of those necessary or sufficient or the necessary and sufficient? Both of those seem to predict. When you look at the vast majority of people, I want to say every single person, when we look at the vast majority of people who develop eating disorders, those are two things that are common. So what I found was that,
Starting point is 02:21:37 and sorry for my ignorance, is binge eating defined as, because that obviously doesn't involve purging necessarily. Binging just means overeating. How do we technically define binging? I actually don't know the criteria from what Dr. Lennard said, it's kind of like periods of really intense food consumption followed by a lot of guilt, like feeling guilty. And with or without
Starting point is 02:22:04 compensatory mechanisms, because sometimes people exercise in response to people will throw up or guilt, like feeling guilty, and with or without can pin story mechanisms. Because sometimes people exercise in response to people will throw up in a sort of deprivation would be another compensatory act. Correct. And usually you're not talking about, oh, yeah, I had Nesstra Cookie. You're talking about like you ate the whole box of Oreos
Starting point is 02:22:16 or whatever it is. I'm guessing, but it would probably on the magnitude of over 1,000 calories at a sitting unintended. And the other thing is it can be tied to stress as well. That's not a part of it. But for me, I found that I would just kind of go in the bodily magazine set. I couldn't have sugar, can't have this, can't have that. The rules for what was clean seemed to be very arbitrary. But I was young. I didn't know
Starting point is 02:22:39 anybody knows. I'm like, okay, well, I won't have these quote unquote bad foods. And the weirdest thing started happening. I actually started eating more of them because when I would get more of the things you weren't supposed to, right? Because when I get exposed to it, I wasn't able to moderate it because it was like, I mean, college buddies bring home a pizza, the department, hey, Lane, you want some? Sure. Or I would try to avoid and it feels so bad that I'm trying to avoid But the outcome was the same which was I would just end up eating way more than I had intended to or even felt hungry for
Starting point is 02:23:12 But it was like this mindset of well, this is bad I'm not gonna eat this again. It's been my last time eating this because I'm gonna be really serious after this So since I've already broken the seal, my as well just go all the way and just kept going through this. And finally, I was kind of like, this seems to be really ineffective towards my goals. I wonder if it's the fact that I have pizza or the fact that I'm eating like an entire large pizza to myself, that's the problem. So at that point, I was kind of like, well, let's just try this whole portion control thing and see if this works. And fun enough, I was able to modulate my body composition by eating foods I still enjoyed, but controlling portion size. And it was really interesting. I was supposed to debate, this
Starting point is 02:23:53 is like seven, eight years ago, I was going to debate a bodybuilding coach at a seminar about clean eating versus flexible dieting, which is what I practice, which is tracking my macros and kind of treating it like a budget. And my opening argument, he ended up bowing out of the debate, but my opening argument was I had gone to his Facebook and looked at his cheat meals and had estimated the calories in his cheat meals in terms of a per week basis. And then put up what my calories were from junk food on a per week basis. It was going to show that his was actually higher because in the concentrated amount he was taking and he was actually taking a more calories
Starting point is 02:24:31 from those foods. And so my point was going to be, so you're telling me it's really bad to have a cookie, but if I binge on it, it's okay. As long as I don't have it the rest of the week, because that seems like a really odd metric. My guess is that everyone, if we exposed everyone to all three different forms of restriction, you would have a rank order for any person of what's most effective, both biochemically and also psychologically.
Starting point is 02:24:56 It's a min-max, you'd have to find an optimization. What fraction of the population do you think will do best, meaning they'll have the best physical response, and also just psychologically will have the best response to caloric restriction as a tool or flexible dieting? And I say there's knowing there's no data, but asking you to think about clients and what percentage. Part of it is some people will be resistant at first and then actually really enjoy it later, which I'm sure you've seen that with fasting as well or low carb, those sorts of things, but it really just boils down to how willing is someone to make
Starting point is 02:25:29 this part of their lifestyle. All of them have downsides. If you're on a ketogenic diet and you're going out, there's a lot you can't eat, but you can usually make do most places. Like get some funny looks from your friends and family, but you know, whatever. Timer's trick to feeding. Hey, you want to go out and join us for breakfast? Can't, I'll sit and I'll drink some water. There's downsides with flexible dieting. The downside is I've got to count for it. We know the data on reporting for food.
Starting point is 02:25:55 People under report by like 50%. And it's pretty consistent in the studies. And people really take that as like in a front. So I'm not a liar. I don't think that people are lying. I think people are just really horrible estim as like in a front. So I'm not a liar. I don't think that people are lying. I think people are just really horrible estimators of what they eat. If you ever want to be depressed, go away out of serving of cereal or way out of serving of ice cream or serving a peanut butter.
Starting point is 02:26:16 People when they do these food recalls, a serving of ice cream is not a bowl of ice cream. A bowl of ice cream is probably three times more than a serving in terms of what people are actually taking in. So it makes total sense as to why people underestimate their energy intake. And one of the things I'll say is even if you don't land on flexible dieting as the tool that you want to use, tracking and weighing every single thing you put in your mouth for a week is an incredibly valuable tool Because it will teach you about portion control and actually you'll learn more about nutrition in that week than probably doing anything else to be honest Now a lot of people don't want to do it because it's a lot the same reason a lot of people don't want to keep a budget for their money
Starting point is 02:26:57 Because I don't want to know where it's going because then it's kind of like here's the mirror and you have to look at yourself and say Oh, where have I been spending my money? I spent $500 on Uber Eats last month, whatever it is. But then with macro tracking, again, it's very much, oh man, I have had this so many times. People say I'm eating 50-100 calories a day and can't lose weight. It's hard to believe you can't lose weight on 1500 calories. There was a metabolic ward study where they put people on 1500 calories and there was actually one person who gained just a tiny amount of weight over like I can't remember the time period.
Starting point is 02:27:33 But the vast majority lost weight. I wonder what was going on with that one person, endocrine issue or something like that. I think the point that I would make is that I do think it's useful for people to try tracking for what our app is different than a calorie tracking app because it actually gives you macros to eat based on your dietary preference and your goals. It will adjust them based on how you're progressing. So it's not just a one and done calculation. And a lot of people love that, but they also people who have never tracked before go, oh my god, I didn't know what I was eating. It has a barcode scanner and all that kind of stuff.
Starting point is 02:28:07 So it's much easier. Like when I first started doing this, it was me going to the grocery store with the complete book of food counts and going, okay, where is it? Okay, there it is. But now after having done this sort of stuff for 20 years, like last night, picking up that brownie, I know what your what's the calculation. How did you do the? I don't know what particular brownie that is. And I know what- Yeah, what's the calculation? How did you do the question?
Starting point is 02:28:25 I don't know what particular brownie that is. And I don't know how they made it or anything like that. But it's likely that the calorie density is going to be similar to other brownies. The carb fat ratio might be a little bit different, but the calorie density is probably going to be pretty similar. So I really just try to think about what do I think this weighs? And so last time I was kind of like,
Starting point is 02:28:42 it's a little bit denser than a normal brownie. I put it about 40 grams. And so I put that in. But hang on, you didn't put it into an app, did you? Oh yeah, well you did. I just put it in my app, but I just pulled up some random brownie from Sarah Lee or whatever. Okay, I feel a bit better now. I literally thought you were doing this in your head the whole time.
Starting point is 02:28:58 Oh no, no, no, no. God, how is he doing that? Ha, ha, ha. The apps now make it much easier. But then the night before before we were out at dinner or two nights ago, I didn't see you putting anything in the app. I did after. But how, how did you remember what we ate and how would you like the bone marrow and all that crazy stuff we were eating? How are you estimating all that stuff? So there was an entry for bone
Starting point is 02:29:18 marrow that I found. Now again, the point that I think I'll make is it's very likely that some of these are inaccurate. It's going to be more accurate than just going, oh, I have no idea, so I'm not going to worry about it. Do you think that the act of tracking it is what's putting a governor on it? In other words, do you think the fact that you had to enter 40 grams of brownie is what prevented you from having three? At this point, no, but for some people, absolutely. This is the one of the most basic laws of science.
Starting point is 02:29:46 When you monitor something, it changes. So I've done this so many times with people who have said the following, you know, like I'm eating fattenta calories, can't lose fat. And I've said, listen, I don't expect you to do this forever. But for one week, just one week, everything you put in your mouth, weigh it on a scale and track it, and then come back to me and let's talk one of two things happen.
Starting point is 02:30:06 They go, Oh my God, I was actually eating 2800 calories. I go, well, welcome to freedom because now you know that you're not broken. You're actually like, you can modify or the other thing happens. They actually eat the amount of calories. They said they were eating and they lose three pounds. Starving exactly. So it's what monitored is what gets changed. And we know that right down on a particle basis, if you monitor it, it changes its behavior. So when you get people to
Starting point is 02:30:33 monitor things, they change their behavior. It's like, if somebody's like, oh, we're going to do lane's budget for the month. And we're going to put it on YouTube as a video or some all the sun. And we're like, well, I'm going to spend money on YouTube as a video or something. All the sudden, we're like, well, I want to spend money on this. It's not going to look good. You know, like when we monitor things, it changes. But we know that about behavior and we can use that to our advantage. So if I was getting ready for a bodybuilding show, for example, I would have to change how I do things.
Starting point is 02:30:57 I couldn't just go out and just kind of guesstimate like that. I would have to get much more granular. Now the sacrifice might be, okay, maybe I'll still go out to eat, but I'm gonna have to take all the ingredients, put them on my scale and then track it, which sucks. But... If that's what you're doing, that's what you're doing. That's the price you have to pay to get that good. The other sacrifice that if I want to do a body link shows, okay, I can't go out with my friends anymore.
Starting point is 02:31:22 Or at least in the final. Yeah, and I would say like in the last four weeks, I pretty much are hermit. All these different forms of restriction are just tools, but I do think having that accounting, looking through what you're actually having is really educational for a lot of folks. And I would say to people who are listening or who are watching and have never done it,
Starting point is 02:31:42 try to do it without judgment towards yourself, really without judgment, just be curious and say, hmm, I wonder what this is. And I think what you'll find is if you just enter it with that genuine curiosity, you'll find some things out that will be really helpful for you and you'll also learn so much about portion sizes that you'll go, whoa, I didn't
Starting point is 02:32:05 realize that restaurants serve such massive portion sizes. It's going to sound bad. I can't tell you how many times I'm eating something and go, yeah, I'm good. I don't need any more. And are you still hungry when you push it away? You know, being in tune with your hunger signals plus some bit of monitoring is helpful. The one other thing I'll say is being in tune with hunger signals is great, but that's also hard when you're eating processed food. Energy, dense, hyper-palatable food. You know, previously, based on our hunger signals, we could
Starting point is 02:32:33 auto-regulate what we ate because we're in a situation where food wasn't energy dense enough, you would have to become uncomfortable. Just based on the volume. Just based on the volume of food you were eating. And even like up until the 1950s, we had hyper processed food, whatever, but you had to walk down to the bakery to get it. You didn't have it in really nice, available and I still think the serving sizes were a lot smaller. Oh, yeah, if you look at dinner plates, like the early 1900s, they're like this. And then like this, and now you got dinner plates that are just massive.
Starting point is 02:33:02 I think anybody listening to this who's been to Europe will recognize this, but it never ceases to amaze me no matter how many times I go to Italy or something like that, I can't get over how small the portions are. And it's really wonderful because I'm just a glutton. I think it's part of it is like you grow up as an immigrant kid, you eat what's on your plate. We do not throw out food in this house. And how many times do I get that lecture
Starting point is 02:33:27 about those kids in Africa that don't have anything? And it's like, you're going to sit here until you eat that thing on your plate. And it wasn't like I was being forced to eat bad food. It was liver and spinach and stuff I hated. But the clean plate was just a part of your mind. Same. Grip in a lower middle class family.
Starting point is 02:33:43 And so it was very much like we don't waste food in this house. I think there's still a little bit of the, you know, I was joking about it yesterday, like I eat off my kids plates now. I was like, what you're not throwing that out? Give me that Do you think you'll do another bodybuilding show? Do you plan to do that anymore? Right now I consider myself on a long off season. Right now there's just so many things going on business-wise and I'm kind of in a place where I'm very grateful for that and I want to get it while I can get it and Hopefully we can get to the point where we're working because we want to work not because we feel like we have to work I mean, that's kind of the dream. I love what I do. I don't see myself ever retiring retiring But it would be nice to be able to have a little more freedom to go
Starting point is 02:34:25 and do the things that I really am super passionate about doing and not having to worry about doing some of the work granular stuff. So bodybuilding, getting ready for a show, would take a significant amount of energy and time. So in parallel to you already does that. It's just that I can do that without the brain fog and the mood swings and all that kind of stuff. If you look at case studies of bodybuilders by the time they're at show, literally every single case study on natural bodybuilders shows that they're
Starting point is 02:34:49 hypogaddele by the time they hit stage. And I'm somebody like my testosterone, I've had it measured probably a half a dozen times in the last five years. The lowest it's ever been is 900. And the highest it's been, I think I hit almost 1100 people will say, well, see, he's not drug free or whatever, but I would tell you my LH is normal and my FSH is normal and all that kind of stuff. But when I was competing bodybuilding, it was under 300 when I was that close to a show. Think about the hungriest you've ever been in your life. And now imagine that feeling doesn't leave you for weeks. And the lowest energy, what's the absolute nature of calories you're consuming at the lowest?
Starting point is 02:35:28 So the lowest I've ever been at this level of lean mass was 1900. How many grams of protein are in that 1900? 260 grams of protein. So I was like around 100 or under 100 grams of carbohydrate a day and 30, 40 grams of fat if I recall correctly. What does that look like practically?
Starting point is 02:35:46 What's the actual foods you're eating? Egg whites, chicken breast, some Greek yogurt, fat free Greek yogurt. You have to be very careful with your fats when you're at low calories. Meaning you should be careful you don't go too low on the fats? That's part of it. At a certain point, you know, the idea is, well, keep your fats high enough and you're going to want to, well, at a certain point, you're like, all right, yeah, I'd like to have my hormones there,
Starting point is 02:36:05 but I also need to get lean enough. Meaning be careful that too much fat isn't sneaking in. Yeah, yeah. I mean, just eating something that's like seven grams of fat, which, while the counts is a low fat item, I'd be careful about that, because it could just sneak up very quickly. You can't have nuts or something like that.
Starting point is 02:36:20 Oh, no, no, no, no. Mm-mm. So the low energy, too, no, no, no. So the low energy to I can literally remember being on my couch. That's probably three weeks off from the show. I just got done training sitting on my couch. And the remote control was probably I just like set down like literally like clop down. Moe control was probably, you know, five feet away. And the real housewives of some county was playing. I abhor that show and I sat and watched the entire show because I was not willing to get up to go get that remote because I was that exhausted. And how many weeks in to that
Starting point is 02:37:00 degree of color orchestration, do you think you were at that point? That was like 20 weeks in, not at 1900 calories. My calories had progressively come down. Really, it's mostly a body fat issue. I've had clients who were able to eat higher calories and get really lean. At a certain point of body fat level, it just doesn't matter. If you're that lean and you're leptin is that low, your testosterone's that low,
Starting point is 02:37:27 Eric Helms describes contest prep as like, you're circling a drain and you're just trying to delay going down the drain as long as possible, but eventually you go down the drain. So how do you get the energy to get on stage? Is that basically one big push of carbs shortly enough before you go on stage that it's not going to show up in your physique. I will say like there are spurts where you feel okay when you're in those
Starting point is 02:37:51 drags of contest prep. I'll also say that for me to get from like say 15% on Calipers to 7% on Calipers, it's not difficult at all. In fact, I had gone up a weight class in powerlifting a few years ago and then came back down. It was about a 30 pound weight drop. So 15 to seven easy from seven to, and I think the lowest I ever calibrated was 2%. And everybody watching, no, I don't think I was 2%.
Starting point is 02:38:14 Probably more like five or six. But to go from seven to three or two, which is an absolute lower amount of fat loss was infinitely more difficult. The best way to describe it is like, you get a fresh roll toothpaste to get out some toothpaste. It's very easy. Then as that toothpaste tube gets emptier and emptier, how much effort do you have
Starting point is 02:38:36 to put in to just squeeze out that last little bit of toothpaste? It's magnitude higher than at the beginning. And contest prep is very much like that. But you do have times where you have energy because you still have to train two or three hours. Right. And trust me, like that is actually the part I despise the most of contest prep. Is at a certain point, I just don't like training anymore. I'm just doing it for energy, expenditure, and retaining a muscle. I'm not doing it because I'm passionate about training.
Starting point is 02:39:01 And I'm somebody who I love to train. It's like my favorite thing in the world. But there will be times we go and you have a little bit better workouts. I did periodize my nutrition, so I would have some higher calorie days on days that were more demanding for training, usually like lower body training days. As far as like getting on stage,
Starting point is 02:39:21 well, one thing is I never cut water for bottom-ling shows. A lot of people do that. I think it's silly because think about a muscle is 70% water. And in your native state, you keep more water inside your muscle cell than you do outside your muscle cell. And this is just basically shot the A's principle. If you begin removing more fluid via diuretic or fluid restriction or sodium restriction. Well, what happens? Well, sure, you were moving from the subcutaneous layer, but you're also going to remove it in the same proportion from the intracellular layer. All you're going to do is just become
Starting point is 02:39:54 flatter. In the intravascular layer, you got hypotensive. Exactly. So one thing that helped me is that I didn't cut water. So I felt I never was like dehydrated or anything like that. Didn't cut sodium and I could go into the physiology behind why I think it's silly to cut sodium as well. I didn't take a diuretic, but yes, during peak week, food went back up because the idea is are diuretic, even legal in test. You can take OTC diuretic, so you could take like dandelion root and those sorts of things.
Starting point is 02:40:21 It's very funny, like the logic behind why people cut water and sodium. I think it's like somebody just saw a figure of the sodium potassium pump in a book. And they're like, Oh, see, the cell wants to get sodium out and potassium in. So let's cut sodium and load potassium. And it's like, if you actually look at the physiology, if you get the sodium to potassium ratio too low, it'll actually cause you to retain water as well. You'll actually start reabsorbing water in the distal tubule of the kidney. I think that that helped with my energy and whatnot, but definitely food in the days before the competition comes up because at that point, if you're still trying to lose body fat
Starting point is 02:40:55 that close, it's probably not going to go well for you. I'll usually in peak week, I'll start feeling better as opposed to worse. And then on the day of the show, you know, I'm usually having three to 400 grams of carbohydrate, something like that. It's very interesting because a lot of the dog mugs in bodybuilding originated in like wrestling and endurance running. The correlation was kind of like, well, wrestling has cut water and they look really lean. So we should cut water. And I always use the example of,
Starting point is 02:41:25 if you've ever seen George St. Pierre, when he weighed in, he looked gaunt, I mean, he just didn't look healthy, not very muscular, and then the day of the fight, 24 hours later, I mean, he looks like a bodybuilder, he looks pretty jacked. Well, that will just show you what, drinking water, eating an sodium and carbohydrate will do
Starting point is 02:41:46 for your muscle fullness because muscles are 70% water. So I think all that stuff kind of helped me have a little bit more longevity in that sport. And so far as like I wasn't beating my body up with fluid restriction. So you're 40 now when you sort of think about yourself being 60 or 70, how do you think about aging in terms of the reductions in strength, which is obviously an important part of your identity, and that change in physique, do you think that it's going to be a difficult transition? And I'm not suggesting that the alternative to what you're doing now is sitting on a couch all day drinking beer of course
Starting point is 02:42:26 but invariably whether you're Arnold Schwarzenegger or Anyone who's really fit you're not gonna look the same when you're 60 I Think about this a lot I bugged my wife or not bugger I just say all the time. I'm like God I can't stand my face like it's so wrinkled and beat enough from all the sun And she's like well, you don't do anything about it. She's like, you could go and see a dermatologist. And I'm like, yeah, I'm just too lazy. I think it's just sitting here and sort of gripe about it.
Starting point is 02:42:51 Just have these vain thoughts of, well, the older I get, the older I look, I can say, oh, no, I'll be fine. No, of course, I'm going to struggle with it. Look at any athlete. That is your identity for such a long period of your life. Now, I think I'm fortunate in that I've kind of had multiple identities. So I've had academic, influencer, entrepreneur, powerlifter, bodybuilder, scientist. So I think it'll be a little bit easier for me because I already have other things that I care about, being a dad, I already have other things I care
Starting point is 02:43:23 about. But of course, it'll be hard. Nobody who's successful doesn't have any ego whatsoever. And so I'm not going to lie. When I load up a bar with 500 pounds in a commercial gym and I'm squatting that, part of me feels like a badass, you know what I mean? And so yeah, there's going to be part of me that absolutely missed that. That's why you have the guy who's like, well, well you know when I was in high school, I benched 405 or whatever it is or I squatted 600 until my knees hurt. My goal is to not be that guy. Other than somebody asked me about what I've done to do it, but I think really what's
Starting point is 02:43:56 going to be most important for me is just trying to not judge it and just find other things that I can be interested in. And I still always lift, I'll always train. I love it too much to not do it and just find other things that I can be interested in. And I'll still always lift, I'll always train. I love it too much to not do it. Makes me feel too good. And quite frankly, like if you look at some of the people who've been doing it for a really long time, I got a great compliment the other day
Starting point is 02:44:14 because I was in the gym and I just kind of casually brought up. I turned 40 this year and Lady was like, what? I was like, yeah, and she said, how are you? I would have guessed that you were like mid-30s. Oh, thank you. I think resistance training as far as like keeping you young, that's one of the isolation you can do.
Starting point is 02:44:33 I feel like for both men and women, it is a fountain of youth both cosmetically and also internally. Looking at some of the bodybuilders out there, notwithstanding like some of the drug stuff, but some of them still look really good into their 50s if they continue to do it. Now, there's a lot of guys who get out of it and kind of wants that identity is gone. They just go, what's the point of putting energy into lifting? But you know, like Jay Cutler is in his 40s and he's in the middle of it. Jay Cutler is my favorite of the recent bodybuilders. He's the only bodybuilder of that group that I follow on Instagram. I enjoy looking at him. He still looks to be an insane shape.
Starting point is 02:45:05 If you look at him, he goes trains every day. He still eats really well. He likes that lifestyle. I got used to it and it shows. Yeah, it would definitely be a hard transition. I'm sure I'll find something to bury myself in. And who knows? We'll see.
Starting point is 02:45:19 Well, we went a little longer than we expected to. That's always we cut ourselves out of a few extracurricular activities I had planned this afternoon, but maybe we'll have time tomorrow. So anyway, Lane, awesome to sit down with you. Thanks again for making the time. Yeah, thanks for having me. It was fun. Thank you for listening to this week's episode of The Drive.
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