365 ‒ Training for longevity: A roundtable on building strength, preventing injury, protein, & more
By Peter Attia MD
Summary
## Key takeaways - **Low Resistance Training Adoption**: Only about 5-15% of Americans engage in resistance training, despite its unmatched benefits for lifespan and quality of life, largely due to lifestyle barriers like jobs and kids that add hours to the day. [07:11], [10:05] - **Protein Minimum Recommendation**: The minimum protein intake recommended is 100 grams per day, body weight specific and not sex specific, to support muscle health across ages, as the RDA of 0.8 grams per kg is insufficient for most, like a 115 lb woman needing more than 45 grams. [26:40], [49:29] - **Unilateral Over Bilateral Lifts**: Single-leg exercises like split squats match or exceed bilateral squat strength due to the bilateral deficit, where one leg's power surpasses two combined, making them safer and more athletic for injury prevention and performance without heavy barbell risks. [56:05], [01:00:52] - **Risk-Reward of Heavy Squats**: Heavy back squats and deadlifts carry poor risk-reward for aging bodies, with experts abandoning them after injuries, favoring reverse lunges and single-leg alternatives that build strength without the frequent pain and recovery issues seen every eighth workout. [01:06:59], [01:11:07] - **Youth Sports Specialization Harm**: Early sports specialization driven by coaches profiting from year-round programs increases injury rates without benefits, as multi-sport sampling develops better long-term athletes; pros like Tiger Woods are rare exceptions, not the rule. [01:34:03], [01:35:39] - **Achilles Injury Prevention**: Prevent Achilles tears by foam rolling calves, stretching for ankle mobility, and doing both seated and standing calf raises to strengthen gastroc and soleus, avoiding training through soreness which signals unresolved issues leading to snaps. [01:43:42], [01:44:34]
Topics Covered
- Exercise trumps all health pillars for lifespan.
- Protein needs are bodyweight-specific, not sex-specific.
- Unilateral training equals bilateral strength safely.
- Early sports specialization harms long-term athleticism.
Full Transcript
You can build a great body on six exercises.
I just don't see any evidence that anything trumps exercise.
>> 50% of Americans are not training or doing any kind of exercise.
>> You don't know you're losing the battle until it's too late.
>> Say a little bit about the programming.
>> I know that it works and I know that it doesn't have to be hard and it doesn't have to be uncomfortable.
>> Skeletal muscle health is really what we're talking about.
>> Do you think that the average person appreciates the role of nutrition in that?
The minimum amount of protein I would ever recommend would be 100 grams. Is not sex specific. It's body weight specific.
>> Up until about 18 months ago, I was still squatting and deadlifting regularly, though with much less weight.
I just sort of decided the riskreward trade-off wasn't there for me.
>> You're not going to piggyback someone in and take a [ __ ] Like, that's not how it's going to work. In order to be able to use the bathroom, you only need to be able to bodyweight squat.
>> Coaches want kids to specialize earlier and earlier.
If you look at most of these people that are telling you that kids need year- round sports are people who are making their living from year- round sports.
>> It's not like injury rates are going down.
So, we're playing more and getting injured more.
>> Is there something something significant that you've changed your mind on?
And not just changed your mind on, but it's changed the way you behave.
>> Hey everyone, welcome to the Drive Podcast.
I'm your host, Peter Atia.
[Music] Ladies and gentlemen, thank you so much for all making the trip out to Austin.
Um, been looking forward to this one for a while.
Um, as as some listeners might know, this is our second version of a roundt.
But unlike the first one where um, I had interviewed the three guests multiple times previously and they were, you know, very familiar to the audience, um, all all three of you are people whose work I'm very familiar with, but I've never had the privilege of sitting down with you one-on-one. And as much as I would have loved to have done that first, I think it would have stood in the way of of doing this today.
So before we jump into what we're about to talk about today, which is all things related to resistance training, um I want to just ask each of you to to maybe give the nonbio version of of who you are and and and as such why I think you're a great part of this.
Let's start with you, Gabrielle.
>> Certainly. Um well, my name is Dr. Gabrielle Lion and I'm a fellowship trained physician in geriatrics and nutritional sciences.
I did my fellowship at WashU and at the time I was very reluctant to doing geriatrics because it can be a very arduous and sad experience.
But I was fascinated by the nutritional research side. And there was a moment we were working on a study looking at body composition and brain function.
And I really took to one of the participants and I imaged her brain.
And at her mid-50s, she looked like the beginning of an Alzheimer's brain.
And in that moment, um, muscle centric medicine, which is the concept that I practice and founded, was born.
And it's really that skeletal muscle is the focal point of all our health and wellness.
Uh, I'm an author, wrote a New York Times bestseller called Forever Strong.
and uh I continue to do research and work within the space and um >> and you see patients.
You're a clinician.
>> I see patient. I have a medical practice.
>> I do see patients and um we actually just submitted a paper that got accepted for a publication on sexual function, the relationship between sexual function and muscle mass.
>> Okay, cool.
>> Yeah.
>> Mike, >> um Michael Bole. I'm a coach.
I've been a coach. This is my 43rd year actually coaching.
I was lucky enough to bounce right out of college and into a college job.
I started out as an athletic trainer.
When you said to be immodest, I think I invented training for the NFL combine, at least there's a book that says I did invent training for the NFL combine in the 80s. I worked in the NHL for the Boston Bruins in the '9s from 90 to 99 while I worked at BU cuz strength coaches were basically part- timerrs at that point.
and worked at BEu for 30 something years, opened a business uh for profit, strength and conditioning, probably the first one in the United States in 1997.
And then in 2012, I left be where I've kind of always had more than one job.
And I jumped over to the Red Sox for two years and was able to get a World Series ring out of the Red Sox in two years.
and then realized that that was not very conducive with being a what I really want to be a good father and a good husband and was like, "Okay, I'm done with pro sports." So now I I coach still coach my son and his friends. I have a son who plays college lacrosse and uh I'm still actually functioning as a personal trainer, I guess, in some cases and as a strength and conditioning coach in some cases. So I'm I'm more than anything just a practitioner.
>> And what type of clients do you see now?
What's the range? The range is 11 to in their 80s.
So that's our that's our client range.
We don't take kids till they're 11 because we really don't want them in the gym before that.
And we'll take them as old as we can get them.
But I think the oldest right now is uh is early.
Actually, no, we 89.
And that's actually my son's pediatrician just turned 89.
Retired last year, believe it or not.
Dr. Leer had still been working all those times. And he's one of we have a three we have a couple three generation families of which he's one.
We have him, we have his kids, and we have his kids' kids that are all training in the same space.
>> Good. Well, there a lot of things I want to talk about that are embedded in there, so we'll we'll come back to it.
Um, and Jeff, >> um, I'm Jeff Cavalier. So, I'm a physical therapist by trade. Um, sort of moved out of the clinic at a at a early stage, um, and got a great opportunity to work in that role for the New York Mets.
Um, which was a dream come true for me cuz I was a diehard Met fan growing up.
It was like you know presented the dream job. Um and from there sort of piggybacked into how could I continue this education of athletes on a on a broader platform was well aware of the power of the internet at that time.
So I started a YouTube channel which by luck beyond just my family members subscribing early on. And I got a few others that did along the way.
And it sort of piggybacked that into a broader message, which was, okay, now it's not just about training athletes and empowering athletes, but how do I empower people who want to be more athletic, feel more athletic, move more athletically in daily life, not just in we're getting a pay to paycheck.
So that became my my mission really from that point.
Now, beyond having to sort of maintain a certain level of consistency because I want to practice what I preach, I also have two uh young boys.
I started late uh 40 years old.
I have twins and now I feel like I got to make sure I can keep up with them when they're ready to have me be able to run and play.
So, I have a lot of motivation to keep doing what I'm doing and stay in the shape I am. But, I believe that it requires having an understanding of injury, training around injuries, because no matter what, as we get older, things do start to break down.
And I think you have to have strategies to be able to push through that and train around that.
And I think that's where my big strength is as a PT to provide that background to help people do that more readily.
>> Let's start with a question that probably has an answer, although I actually am a bit embarrassed to say I don't know the answer. So I'm wondering if one of you guys do. Do we have a sense of what percentage of people in the United States do not practice resistance training?
Well, we know that 50% of Americans are not training or doing any kind of exercise. I from the research that I've read up until recently, um it's probably 70% do not meet the criteria for both activities.
>> 70% in total then or you think it's 70% of people who are doing some form of exercise.
>> That's a great question. I believe that it is 70% of people in total.
>> Got it. Okay. Does that I I can't even fact check that. It's I mean that's hard for me to imagine but I can believe it.
>> I think it's lower in terms of if you're talking about resistance training because we were talking >> you would say lower than 30% would do resistance training then.
>> Yeah. Because I think 20% of people belong to a gym. If we look at home gym stats aren't very good in terms of people there the home gym person who actually has one and uses it is is probably more unicorny than we think they are.
And so if you start looking at that number, 20% have a membership.
50% of those people use it, which now brings us down to only 10% of people in the United States are actually in a gym.
And then you look at that and say, what percentage of them are resistance training?
Maybe now we're down to 5%, cuz you see a lot more hamster wheel people who are just walking on a treadmill or walking on a stair climber or whatever it is. So I would think the numbers are are pretty low. We spoke a little bit about this, but we have digital statistics that actually show people who have signed up to train with our programs, let's say, either be at home or at the gym, the percentage of people that make it through our programs is only 20%. And that's very high.
>> Twice the industry standard for digital, which is usually like 10% or so.
So, those are people who showed the commitment, made a purchase, put their hard-earned dollars behind it, have everything they need, I would think, in terms of the tools and sets and reps and what's supposed to be done, and only 10% will finish a program. So, I think that's that's a pretty remarkable statement on why why people can't.
I think there's a lot more of a desire to to do things, but the the ability to actually follow through is where I think we're having a hardest time. So it might be then Gabrielle your stat is 70% of 50 be the reciprocal of that 30% of 5015.
It might be that our range is somewhere from 5 to 15% if I were going to sort of triangulate between these three data points.
Uh, again, that's that's kind of a hard thing to digest if you're asking the question um and and I've never been um sort of shy about my thesis, which is of all the pillars that we have um to embark on improving our health, whether it be changing our nutrition, improving our sleep, taking the medications and supplements that can be actually quite important.
I I don't I just don't see any evidence that anything trumps exercise.
um just purely from an actual lifespan perspective and from the standpoint of reducing the risk of chronic disease when you then layer in the benefits it has on quality of life.
I mean it's just sort of a no-brainer.
So what do you think and Mike I'm going to start with you because you've been at this the longest. What do you think explains the disconnect between the fact that we have this incredible tool that will lengthen your life, improve the quality of your life, make you look and feel better and yet 5 10 at most 15% of people engage in it?
What are the barriers?
>> I think the biggest barrier is just life lifestyle kids jobs people thinking you you really have to commit to is it getting there early?
Is it going there after work? Whatever it is, it's adding hours to your day.
I think that's probably the biggest barrier.
In some ways, I guess that's economic, right?
People don't have the economic freedom to say, "Hey, I can devote.
" That's why I laugh sometimes when I hear people talking about hours per week of exercise and hours per week of cardio.
I just kind of snicker in terms of if I can get someone to do two hours a week and that's I like your guideline more of I think you said 75 hard minutes and I'm like 75 hard minutes now is realistic but even 150 minutes some of the guidelines are crazy and then there's a lack of awareness people you don't know you're losing the battle until it's too late that's what we see in our business we see people coming in and you think wow thank god you got here now at 50 or thank god you got here now at 55 because the end for you was going to bad.
But you're and I'm not I'm not saying this to flatter you. I've been following you for a while and you know you and you are get like you're getting the message out in a way that it hasn't gotten out before because the message before was you know either geeky or nichy or whatever it was but it wasn't this hey this is really good for you and this is going to make you live longer and live better which double bonus right I mean you know you want to live longer but you don't want to who wants a a long shitty life excuse me I don't know if we're not supposed to swear but um >> we swear Okay, good. Okay. But do you know what I mean? Versus looking at it and saying, "Hey, I would like to live longer.
" And Jeff and I talked about this.
I've experienced 50 to 65.
And trust me, it's not fun. The decline is rapid and the decline is significant.
And I think if people like, if you don't wake up by the time you're 50, you're going to be in real trouble by the time you're 65.
>> Gabrielle, how much of a difference do you see between men and women on this front?
Not from this standpoint, not from the economic standpoint, but from some other barrier to entry. Do you see differences between men and women who are who are um are new to resistant training?
>> I do. And the first thing that I want to say is you're absolutely right.
There's nothing more important for maintaining health and wellness than taking care of muscle health.
Whether it's strength training mobility resistance but skeletal muscle health is really what we're talking about. Where is the disconnect from men versus women or people in general? Part of it is cultural.
We live in a society of comfort.
It's very easy to take the escalator or take an elevator.
When it comes to nutrition, we all have to eat, but we don't all have to move.
I literally could sit at my house, order my groceries, Amazon Prime, everything.
And I never had to take more than 300 steps.
For women, typically strength and strength training has not been the focus.
And we know that. I mean, even just from a standpoint of walking to the gym, you don't see or you're starting to see it more. I I really do feel like we are on the precipice of women recognizing the importance of strength and muscle, especially with new conversations around menopause and more potent conversations, but they're busy.
And the other aspect of that is there are self-imposed limitations.
A woman would look at a 40 pound weight and go, I can't lift that. But she would look at her 40 pound toddler and go, I'm going to lift that and then I'm going to carry my groceries and uh I got it.
And that's really where I think that we can change the disconnect is re-educating the importance of muscle and then also changing the cultural conversation.
>> Obviously, you're really fit.
Has has resistance training always been something you have enjoyed? Did you grow up doing it or was something you kind of came to uh in your 20s or beyond?
>> I grew up doing it. By the time I was five, I was riding 10 miles on a bike.
And with the conversation around children, if we teach them good habits now, then we don't have to have them spend a lifetime outgrowing old habits because we're not raising children, we're raising adults.
And yes, I have always trained.
>> So, I'm in the same boat. and the and I and I suspect that's true for all of us.
And so one of the challenges that I know I have that's a bit of a blind spot is when I'm talking to patients who are perhaps representative of the real world which is people who are like actually I don't enjoy the feeling like you know I'm sure you've all heard this.
I don't like the feeling of lifting weights.
It hurts. I don't like that. I mean, I I can't tell you how many times I've heard that, and I appreciate the honesty, but I can't relate. And it's hard when you can't actually relate to what your patient is saying. I can relate when they complain about having to watch what they eat, cuz that's a struggle I would have.
Um, but I truly can't relate to that.
So, do you think that that's a function of having started early or do you think that there are literally just just as we have people with different eye colors and different heights, there are truly differences in genetic hard wiring that would speak to an individual's appetite for that kind of discomfort?
I I I think it's I actually think it's the latter. I think people there are some people who are more inclined to enjoy that type of stress.
I doesn't matter how much I run. I do not enjoy the stress of running.
I don't enjoy how I feel. I don't enjoy the the feeling I get in my lungs when I'm sucking for air. Um, I'll do it because I know I have to, but I don't there's no enjoyability about that.
Training hard and lifting weights and and pushing myself to the to the to the utmost uh level of effort. That's always been something I actually kind of enjoy.
And I think that it can be learned though.
You can get better at it. just like I can learn the the the the discipline to continue to push and run when I don't want to.
So a after doing it for a while when you start to see results the results actually might become motivating enough to go like well there is a trade-off here.
I'm seeing the I'm seeing the trade-off. And I think that's what when we were talking about before about people the the the start being the thing that's stopping people is that the perceived level of what they're going to have to do is usually bigger than what they have to do. I' I've mentioned before, you can build a great body on six exercises.
Literally, the row, squat deadlift bench pull-up curl done.
Like, you've got everything you need.
You don't have to complicate it if you keep trying to get stronger at those exercises.
Now, you might get bored to tears, but you can build the the prerequisite foundation to get a better body, but people want sometimes to complicate it in their heads so that they have an easier out because it makes it a little easier.
Say, "Yeah, I don't have time for all that." You know, I we we we liken it to um I've known a few people in my life who've wanted to start businesses, right?
And like I got this great idea and I'm they're gung-ho.
They want to do it and then they get caught up in I don't know if I should, you know, set up an LLC or if I should do it as a corporation or I want to get my business cards.
I can't figure out my logo.
And they right, they're doing all that stuff and they never take the step of actually just starting what their what their service is going to be and they never get going. And I think people do the same thing in terms of fitness.
Like they they make it bigger and they make the commitment larger so that they can almost have a safe landing spot to be like, "Yeah, I just going to get it going.
" Um, so it's our job to educate them as to how simple it can actually be.
Simple being like the what you need to do, but I think the the commitment to actually showing up and doing it, that's that's hard.
Mike, what percentage of the people that walk into your gym are coming to resistance training for the first time?
>> I'd say 50 if I was guessing because some of them were high school athletes and have some basic relationship with strength training.
I What percentage of them are approaching intelligent strength training for the first time?
100%. So most of them are coming, you know, let's we're going to party like it's 1999.
Like people come in and they kind of look at us like, what are you doing?
And I think that's where when you were talking about people saying the discomfort, my first thing would be like, what discomfort?
There shouldn't be any discomfort. If you come in and start working out with us, my whole goal I say to somebody, you should get out of bed the next day and be like, I I think I worked out.
>> Yeah, >> I felt okay. I always tell everybody, everything's gauged on how you if you get up in the morning and you're crippled.
>> Yeah, we did something wrong.
>> I suck. I'm like, I did I did a really bad job.
You should not be uncomfortable at all.
We should be able to This is whatever, you know, slow and steady wins the race.
1% better, however you want to look at it. And if we can just layer like I always think I'm a big attendance guy.
If I can get you to show up two days a week for a year, you'll be remarkably different.
And you might not have ever had, you know, any people, you know, balls to the wall or go to failure.
Like we would have done none of that.
Zero. And yet you would look at somebody and think, "Wow, like if you came into our place, everybody looks younger than they do.
Every single person. one of I I am 100% certain not just of the longevity benefit but about the physical change that people undergo because I'll just show you people and say yeah that guy's a you know an 80-year-old two-time cancer survivor and people will be like he is and I'm like yep they look different and they all look different they all look younger and again what is that is it hormonal I don't I mean I again I'm not a scientist but I know I know that it works and I know that it doesn't have to be hard and it doesn't have to be uncomfortable.
>> So, let's let's talk about an an example of somebody that walks in.
So, somebody walks in, they're 50 years old.
Uh let's pick a male to start with, but we're going to do many case studies today, I think, cuz that's how people, I think, can sort of connect. My goal is to make sure everybody listening to this can identify with a person, a person we're going to talk about. So, 50-year-old guy comes in.
Um he's he's done a little bit of the trade his health for wealth thing.
So, he's uh um he's been working himself to to death. Um, and he's he's had some health scare, right? He went to the doctor's office and they told him, "Your your blood pressure is really high or there's something going on." Um, or he's just sort of confronted his own mortality.
He's lost a parent, right?
That's a big wakeup call for somebody in their 50s.
Um, played sports in high school, but um, that was about it. Um, so doesn't doesn't really do much of anything now and somehow has landed himself in your gym.
Maybe he he saw he saw Jeff on Instagram and he was like, "That guy looks incredible.
I gotta I gotta do something.
" And and you know what what he's doing sounds cool. So So how do you interview this guy? How do you find out what his goals are and and then how do you create that that show up attendance pattern that's going to make sure he's he can give you a year of whatever it is two days a week?
>> The show up attendance pattern is a big thing and that's there's a really good book called Never Lose a Customer Again.
One of the thing we talk about, we appro approach our business much more like a restaurant.
Um un uh oh my god, what's the name of it?
Unreasonable hospitality I think is the willar book.
And you know we we try to get our we try to train our coaches we refer to them coaches more than trainers way more in the customer service skill because we realize that we want to get the person to come back.
That's the goal. Get them to come back. Get them to get through the first workout and come back.
And I we don't interview people a lot.
I don't talk to people about their goals cuz I know what I look at and think your goal is to not be the kind of sad sack of [ __ ] that you are right now unfortunately and that's you know we just want to get you going. So it's like just get them on the conveyor belt and and carry them through and make them this is the one thing and I one of the things I wrote in my notes that CrossFit did well.
They created community.
You need to create community where people are comfortable.
One of the object problems that we had was people would say I can't go there. It's all athletes cuz they come in and you know just from a marketing standpoint, there's jerseys all over the place and it looks like a place where athletes train, but 65% of our business are people like us.
But just getting them to be comfortable in that environment and getting them to show up again. When we tell everybody if you've got new people in your group, you should text them that day and you should text them the next day. How was it?
How did you feel this morning?
We we're trying to build a relationship because it's it's relationship marketing, right?
Get the person know, like, trust, all the things that you read about.
get them to know you, like you, trust you, want to come back, want to be part of it, and then we can take care of the training part, but the the training part to me is is relatively easy. It's the getting that person to be consistent and to come and all I call them check the box clients.
I just want check the box clients.
If you check the box, which means I got to Mike Boils twice this week, you will get better. You will feel better.
>> Say a little bit about the programming.
I want to I want to understand a little bit about >> the programming for us.
very assembly lineish, very I always talk about the idea that uh it's a it's a recipe and not a menu. So, no one gets to pick what they want to do. You come in and it's like, "No, this is this is how the cake is made.
It's in this order.
This is what you get. Don't like it?
Go someplace else where they're letting, you know, go to Planet Fitness.
You can make your own cake. You want to come here, you do it the way we do it.
Everybody foam rolls.
Everybody stretches. Everybody does their mobility work.
Everybody does dynamic warm-up.
Everybody throws medicine balls.
Everybody does some sort of power training.
I want I plyometrics, not really actually some sort of jump training.
Then they'll go and they'll lift.
The lift takes 36 minutes. And then they'll go and they'll do some type of conditioning work.
And we'll start really really again really easy.
Try to give them something that's very achievable.
Uh don't get them particularly tired.
And then boom, out the door.
They're in and out in an hour.
>> Hour. Hour door to door. Not doing the shower.
>> Yep.
>> Okay.
And 36 minutes of that is the actual resistance training, but obviously everything that's leading up to it and on the back of it is is I mean that's clearly training as well, right?
Moving movement more I think honestly for the older client more important.
We always talk about the first 15 minutes is more important getting people to to roll to stretch to start to deal with their tissue limitations because most everybody that comes in has something.
No one comes in healthy. No one comes in.
So I have nothing that hurts.
And progress is made by advancing weight, advancing reps, advancing sets, uh, jumping higher.
I mean, presumably >> pres mostly by advancing weight.
I mean, if you're going to look at it the simplest way, it's just try to get them because again, females, right?
You're just trying to get them to engage in progressive resistance.
I always think what someone said, you know, I've been doing the 5B dumbbells for the last year, I'm like, oh, you only wasted like 50 weeks, right? You know, so our thing is just get them to pick up something that's a little heavier. get them.
You know, we try to figure out ways to, you know, it could be isometrics, could be eccentrics, it could be, you know, we try to vary it because now we're in the with our adult clients, we're in the entertainment business a little bit in terms of we've got to keep it interesting.
Like you said, you can do six exercises, but we have to figure out, are there 14 different versions of those six exercises that we can do to keep somebody not thinking they're doing the same thing over and over again?
And so that's if we get one complaint it might be that it's we're doing we do the same exercises a lot and it's kind of like yeah because we do the good ones but we don't our adults don't touch a barbell.
>> Okay. I was going to ask you are there any things that are off limits?
>> They don't barbell bench press.
They don't barbell deadlift.
They don't barbell squat. No one squats anyway.
That's we that's another whole conversation.
But all almost all of our lower body stuff is unilateral.
will do goblet squats, basic stuff with people that are really deconditioned because we need them to be capable with two legs before they're going to be capable capable on one leg. But it's very I would like I always say to people, we're really smart and really safe.
And I think that's what you want to be if you want to keep people coming back.
I think you can be really smart and not be really safe and you can be really safe and not be really good. And I think the the midground is where we want to operate.
So, Gabrielle, what's the biggest thing you're thinking about when a patient is in your practice and they're, you know, they're coming along well on many of the other lifestyle adjustments.
Let's just assume this is a person who's a lifelong cardio rat, right?
So, they love to run.
They run two marathons a year. Um, they've been running forever.
They've got some nagging injuries, though, right?
As you know, a runner, especially a female runner, the probability that her proximal hamstring isn't just torn up is pretty low, especially if she's had kids, right?
So, now her pelvis is tilted a little bit. Um, how do you make the case to her cuz she's lean, right?
Doesn't need to lose weight as though that's the thing that matters, but uh what how are you making the case to her um that that this muscle centric approach matters?
Well, she's going to want to be active her whole life.
And the healthy her her skeletal muscle mass is, you know, there seems to be somewhat of a disconnect. People talk about strength and then disassociate it from mass, but I believe, you know, and I have patients like this in the practice that are very lean, have always been runners, but we'll see their glucose creep up.
We will see an increase in visceral fat.
that can be course corrected by addressing skeletal muscle mass.
And um you know when you just think about if this woman and I I'm thinking about one patient in particular, she's actually in her she's around 60.
She runs a 100 miles.
>> She's an ultra.
>> Oh, she run she does actual ultra.
Her body composition was not nearly as good as it is now. Just by adding in two days a week of resistance training.
We added in two days a week. We pulled back on some of the mileage. She's able to move more weight.
I mean, and this girl, she is unbel.
Hey Sharon, she listens to your podcast.
As a matter of fact, she is incredible.
by pulling back her training and increasing her weights and being very specific about obviously I don't program but we work with coaches that program by changing up the movement patterns she was able to really increase her lower body strength but also improve her labs improve her fasting insulin her glucose and that and her triglycerides >> and and so you know do you think that that's purely a function of having a larger reservoir to put the glucose into or do you think that it also speaks to the insulin sensitivity? I mean, is it is it does it even make sense to try to disentangle those two?
>> It's a great question. I think that the larger reservoir is important for a number of reasons.
The metabolic component of muscle the, you know, as we all know, muscle is the primary site for glucose metabolism, also free fatty acids at rest. However, it enables her to have more dietary flexibility because when we think about nutritional sciences and we think about triglycerides, insulin, glucose, what we're really looking at is the health of skeletal muscle.
Metabolic syndrome, the markers of metabolic syndrome are the markers of healthy skeletal muscle. Does it her activity improve insulin sensitivity?
Yes. But her running is she's going to be very insulin sensitive as is.
But it's really that metabolic component of having healthy skeletal muscle mass it from what I believe.
>> So Jeff, you're working with people a lot of times at the opposite end of the spectrum, right?
You're looking people are coming to you often because they want to um they want to have 7% body fat.
I mean they and and it might be that they're you know they're an actor and like that they're they're about to do a role where they kind of have to look a certain way.
Um, alternatively, it might be an athlete who um probably doesn't need to be at 7% body fat, but might want to be at 7% 7 body fat.
So, so, so you're kind of dealing with the other end of the spectrum. Is it safe to say that these people that are coming to you are so long on motivation that that's not really an issue anymore?
>> Yeah. When you're when your goals start to become 7% body fat, I'm assuming that you're probably not 35 or 40, you know, with with aspirations to be there.
that these guys are usually coming in 12, 13, 14, 15% body fat with want desires to want to get leaner for whatever those reasons, like you said, whether it be a role or I I always tell like the athletes, they have to be very conscientious of not falling in love with what they see in the mirror because ultimately they're not getting paid to look that way unless they're I mentioned sometimes we work with WWE athletes who do get paid to look a certain way and perform at a certain level, but you know, the people that have to be conscientious of the level that they are, you know, what level of body fat they are.
So, they have a certain role.
I mean, they are usually pretty good at being able to dial in.
They've often times done this multiple times before, too.
So, they've done this and had a history of being able to get down there.
They just don't have ability to sustain it.
Um, I think that it's always going to be achieved through nutrition.
That level of look is a nutritional uh consistency.
It is not has nothing to do with training.
It has nothing to do with with exercise you're doing.
It doesn't matter what split you're following.
It doesn't matter any of the any of that.
All you have to do is be able to remain very consistent with nutrition.
And the level that you're able to get down to is just a reflection of how many sacrifices you're willing to make. You know, you want to still drink a couple times a week, that's fine. Just you're going to have to bump it up a notch or two because you really need to be able to make some cuts. Now, I do not believe I don't do it myself. I do not make sacrifices to the point where I'm eating boiled chicken and broccoli, steamed broccoli.
I don't do that. I eat meals that are good meals. I You saw what I eat.
I can eat a meal that anybody else can eat, but I'm very disciplined in in not straying from those meals.
And so, your ability to kind of stay that way is going to determine how low you're able to get and how low you're able to stay.
I always say if you're eating, let's say, five times a day and that's a seven day a week, it's 35 meals. If you can stay 90% or above, you don't have you don't have to be perfect. If you can stay 90% or above on those meals, you're looking at three meals in a week that aren't perfect.
Now, I'm not saying go hog wild and go down to, you know, Buffalo Wild Wings and start eating everything you can. I'm saying that they just aren't perfect meals.
Your body almost completely ignores those.
It just overlooks it. You keep going and and you're the consistency overrides that and you're able to get, you know, to levels that you weren't able to achieve before.
But people can't sustain it because either they make it too difficult or as I said it is actually difficult because getting yourself to the gym for one hour five times a week, two times a week, whatever that might be, even the 36 minutes, that's that's that's one level of commitment.
It's what you do in the other 23 hours of the day that determines your your look because that is the nutritional responsibility that a lot of us don't have the ability to to manage.
How well do you think that's understood?
I mean, I'd say that for all of you. This is a question for everyone. Um, you know, when when someone looks at a person and says like, "Look at that man.
Look at that woman. Look at how jacked they are.
" Do you think that the average person person appreciates the role of nutrition in that? Or do you think most of them assume I mean that that person must be spending 12 hours a week lifting weights?
>> No. I I I I and sorry to jump in, but it's such a a sore spot for me.
People People always think exercise first.
They in my experience, they always think exercise first.
To the point where I have people that will say to me, if they see my my my abs or something, they'll say, "Oh, what exercise did you do for that?
" You know, and they pat there usually in a it's big belly that they're patting.
It's not an exercise.
You know, >> I did less of this exercise. I did the reverse.
>> Fewer sets of that, more of these, pushing yourself away from the table.
I mean, no, they I don't think they have an appreciation for it at all.
Their their instinct tells them it's it's exercise, it's movement.
>> Would you guys share that sentiment?
>> I I would totally agree. And what's so fascinating is the data supports also the synergistic effect of resistance training activity and a calorie control diet which if people could connect the dots that it is not simply training but to be fair training is the most potent stimulus to muscle but you cannot what do they say you cannot outtrain a bad diet.
>> I I mean that that's true. I feel like you could when you were 14. Like when I when I was 14, I did train six hours a day, right?
I mean, I was running 13 15 miles every morning before the day start, you know, before my workout.
Like it was just And all I did was eat, but I was like a garbage disposal.
Like breakfast was a bowl of not a bowl, a box of Froot Loops in a large Tupperware bowl.
You could put the whole box in the It just didn't matter. But but something changes when you're 20 and you can't do that anymore.
>> When you're 13 and and younger, you're very anabolic.
Muscle the balance between what drives muscle changes as we age.
When you're young, you're very driven by insulin.
For example, my daughter who is five, she could have 5 g of protein.
She doesn't need to have a meal threshold of 30 to get an anabolic response because when you are younger and you are still growing, you're very anabolic.
After you are done growing, you want to shift from that the insulin usage to the stimulus which then now exercise becomes much more important. Oh, I want to talk about that, but I want So, I'm going to come right back to that, but I want to I want to hear Mike's point on nutrition and then come back to that because that's actually a a very interesting question.
>> But, well, think about it. I think about it in a simpler sense. We go from being extremely active to extremely sedentary.
Suddenly, you get into your 20s and you get a job and you're commuting and maybe 8 hours, 10 hours, you might be sitting on your ass 10 hours a week or 10 hours a day every day. And then you might go to a bar with your friends after.
And I don't think people they don't sense the shift.
I think our problem is that the shift is happening and then people don't pick up on it until it's too late.
Suddenly you look down at yourself and think, "Oh my god, what happened?
I gained 40 lbs and I'm in horrible shape and I'm completely sedentary." And then then they think, "Oh, I have to do something about this." But then they tend to revert back to whatever information they might have had.
And think about what's your relationship with exercise in high school, right?
If you're not an athlete, you have a terrible relationship with exercise in high school because it's something that you're made to do.
It's not fun. You probably don't understand strength training.
So, you you go to the gym.
I saw a great presentation one time at a seminar. I forget who someone did it in New York. And they brought in they said, "I'm going to bring in the most important person in fitness." And they brought in a woman who was a member and had her do a half hour talk.
And she talked about not, you know, just having the money to join the gym and learning how to train. She said, "I followed this pretty girl who seemed to know all the machines around.
" She said, "And I would stay like two machines behind her.
" So, she didn't realize that I was following her, but I would watch what she did and then she'd move two more machines and then I'd do what she did. And then you just realize like this is how people are learning.
Like, we all learned to exercise.
Somewhere along the way, somebody created kind of that initial imprint on us. And most people's initial imprint is really bad. what I learned to do when I was in my, you know, teens was just moronic in terms of the way I would look at it now. I would tell everybody and that's why I say the reason I say the things that I say is because I've done everything conceivably wrong that you can do and I have all the orthopedic maladies to show for it.
>> What do you guys do? Do you guys have nutritionists in your uh in your business that also help people when they're also trying to lose weight in addition to improve strength and other metrics?
We've tried a whole bunch of different ideas and none of them have ever really stuck to be honest.
We still have another one going right now.
One of the guys that works for us is trying to do nutritional consults.
And truthfully, we've never found one that we felt really was sticky that a lot of people would do it. But we deal in the the most basic nutritional information that we can with people in terms of, hey, you know, we want you to hydrate better.
We want you to eat more protein.
That's why that's why your message is great.
Like your book is perfect. It's like, okay, if we can just get people to eat not even more protein, never mind, eat protein.
We still have people say, what's protein, adults who don't really even understand the the most, again, we're we're so sometimes up here and then realizing that our consumer is somewhere, even our intelligent consumer is way down here with these incredible, you said disconnect.
I had disconnect written down, incredible disconnects, incredible misconceptions.
I have women, well, I don't want to start lifting cuz I don't want to get too big. And I'm kind of like, trust me, buddy. That's that is not what we're worried about right now.
But they're >> still trying.
>> They're right. Exactly.
You're trying like hell and you're up, you know, whatever 125 pounds or something like that.
>> 110 110.
>> You're killing you. But I mean, you're killing yourself in the gym to build muscle.
It's not It's not easy to do.
It's not easy to do for anybody.
It's not easy to do for males, >> but we see too much steroid use, >> right?
And then we see too much uh responders.
Like you look at NFL guys.
I mean, I think there's people that are that are way higher responder levels than other people. And I think we look at responders or we look at like when I was a kid coming up, I was looking at people taking drugs, but I didn't know they were taking drugs. I thought I thought I could look like I can remember I'd go to bodybuilding shows.
I can remember looking at Boyer Co, you know, and thinking, you know, I can look like that and Frank Zayn, I can look like that.
And then, you know, suddenly in my 20s realizing that these guys were taking drugs and that was why they look like that.
But I spent years frustrated.
Why don't I Why don't I look that good?
I'm doing all the right stuff.
So, I think this the and that's why these things are good because trying to get people to see reality, I guess.
>> Jeeoff, you talked a minute ago about five meals a day. So, let's double click on that a little bit. Most people think, I thought I'm only supposed to have three meals a day or sometimes just one if I'm intermittently fasting.
So, talk about the five meals per day.
>> Yeah, I mean, I actually I know a lot of people that intermittent fast and actually do well with that. Um the thing that I think why more more people do better with more frequent meals is simply because they tend to get hungry throughout the day and they don't have good management of hunger and then therefore portion control and they don't have willpower to sort of wait to that next meal.
So, if they are hungry in the midm morning and they have nothing sort of pre-planned or or prepared for a snack, they'll just go into the kitchen at work and just start picking and grazing.
And that's where a lot of the calories throughout the day are consumed, not in those three main meals, but in the grazing that happens because they can't make it to the next meal.
So, I just found that it's been easier, especially from the athletic world.
These guys want to fuel more often, so they want something in between their main meals.
But in the world of just um the the regular individual who wants to be more uh disciplined with their nutrition, it's easier to actually program in two additional snacks.
Nothing big, but just snacks in between that I always think should still focus and center around a protein because again I believe that protein is should be the cornerstone of every every one of our meals and snacks because we don't get enough.
Um, that's enough just to keep somebody a probably more metabolically stable to get to the next meal, but also it starts to teach them the willpower to do it. So, if you're sitting there, you ate breakfast is 8:00 and then now it your next meal is at let's say uh 12 or 12:30.
When it's 10:00, if you get hungry and you have a snack there, you don't have to get through 4 hours of willpower that you don't have right now to get to that lunchtime.
you only have to get through two hours and of those two hours, you weren't hungry the whole time anyway.
Only the last half hour.
So, you're teaching yourself willpower over the course of an hour and a half.
And then, you know, I actually have dropped back a little bit to where I'm not necessarily doing five meals in a day.
Now, I'll maybe do four, but I have >> Yeah.
Walk me through walk me through a day in in the life for you.
So, if you're not not on a day when you're here and traveling, so you're at home, you your first meal is what time?
>> Um, it depends on it, you know, weekend or not, but usually 7:30, 8:00.
And what is that meal?
>> And usually it's uh oatmeal, egg whites.
Um but again, not like my oatmeal I we call it pumpkin oatmeal. Like it's it's oatmeal, it's it's walnuts, it's uh a splendor brown sugar or or brown sugar if you don't care about, you know, the the the cal, you know, the um the calories in it. Um whipped cream, put whipped cream on top. Uh pumpkin I mix inside.
Like it it's good.
Like it tastes good and it's something that I actually enjoy.
If it wasn't, I could never just eat boiled oatmeal for the rest of my life. And then egg whites because you're just trying to cut the calories.
>> No.
>> Do you want the protein without the total calorie of the egg?
>> Yeah. Although I'll mix in I I I would like just at the hotel here, I'll eat eggs.
I just the prepared eggs here cuz they're there because I have my egg whites and I keep them in a in a in frozen egg whites I can use.
I don't have like I don't want to start cracking full eggs to put into. I'm a little bit simplistic when it comes to my nutrition because I know what works for me.
But I have no problem with mixing one or two full eggs.
I think you should.
people should um and then I'll have uh uh milk with that or I'll have even a protein shake along with that. So, they're not small meals either. Okay.
>> Um that will take me through now I'll actually go to lunchtime. In the past, I would have had uh um like a another small snack.
I'd have some pretzels and uh jerky or something like just again some protein and then some carbohydrates.
Um, then I'll go to lunchtime and at lunch I'll have either um, it's funny because I'll either have a chicken grilled chicken wrap with vegetables and yogurt. That would be my preferred meal.
Some fruit.
That would be my preferred meal. Or I'll have cereal cuz I am still a cereal addict.
And we have lots of cereal choices, but I try not to choose the Cinnamon Toast Crunch that my son prefers.
And I'll have something else, but I'll have cereal and yogurt.
Um, just >> How much protein are you getting in that meal then?
um from I'll have I'll have uh usually a protein shake there too.
So I have my protein shake that's 30 g plus the the yogurt another 8 to 12 g.
Um and then in the cereal a little bit more milk too.
So I get enough protein from the meal.
It's just a little bit u less preferential in terms of where the carbs come from.
I don't really get crazy about the carbs. I just try to pick lower sugar carbs. I try not to be um I try to be a little bit more um selective when it comes to that.
But >> and then you do an afternoon snack around.
>> Then afternoon snack would be the same would be the same type of thing as whatever the first snack was.
Um in terms of I I like jerky, so I'll have some jerky.
Just pick at it.
And again, some some type of um like crunchy food just like a like a pretzel. Be easy for me to have a handful of pretzels.
Then I will have um my dinner which actually well actually before that I have another protein shake after I train. So if I train it will >> and you train in the afternoon typically >> randomly I'll train at 5 before I finish up work randomly but most often than that I wind up uh having my shake and then I'll go train at night like late late at night. So my whole thing is >> I think I think we have an input into the sleep issue.
>> We do have input into the sleep issue but I'm not having I could fall right asleep after my dinner. The is the issue for me is that >> when I get home my kids have been waiting to see me all day. Um, and I make myself available to them.
We play, we run, we go in the pool, whatever it might be.
And then they go to bed a little bit late. You know, we have a busy household, so four dogs. It gets a lot to put everybody down, but they go to bed around 9, 9:30. And then when I finally get to the gym, it could be 10:30.
So now I'll go and I'll train.
I don't like to train on a full stomach.
I hate the feeling. So I'll I'll opt to have my dinner afterwards. But that does mean that the dinner could come at 11:30, sometimes even 12:00 at night.
And that is not recommended for everybody listening.
But like that I I also I do think I could dispel the myth though.
I do not believe in the don't eat after six at all. I don't believe in that at all. Your body, especially if you're carrying a good amount of muscle, which is why we want to um can utilize those calories, can utilize that protein, can utilize those carbs throughout the day, provide, you know, whenever they do come in. Um and I don't think that just magically eating after six is is the deathnell to having low body fat.
So that that's not part of my equation.
The only part of the equation for me is I could get like it's a little late in the day to be eating.
>> Yeah. It might be impacting your sleep more than anything else.
It's clearly not impacting, you know, your fuel partitioning.
>> No. And I've been I've been blessed to have the ability to, you know, hit the pillow and fall asleep within minutes and stay asleep because I don't sleep very long.
I sleep five to well, six hours, five to six hours. But my quality of sleep is usually very high.
I don't wake up I don't wake up at all.
I wake up when when the time to wake up in the morning.
>> So, I want to kind of go back to what you were talking about a second ago because it opened the door towards protein in kids. Um, but before we do that, maybe just for people listening who have been maybe not paying attention to some of the stuff we've we've all been talking about elsewhere around protein consumption, what type of guidance are you giving your patients on uh on protein? Is there any difference between men and women? And are you differentiating it based on age?
>> Age, yes. Men and women, no.
When we talk about protein, typically we talk about one thing, but it's 20 different amino acids, nine of which are essential.
We actually eat for those nine essentials.
There is a lot of nuance around protein in general and uh what it does. Each of those amino acids do something different.
For example, leucine, which is I know our favorite amino acid is critical for muscle for muscle protein synthesis.
But something like thrienine is important for mucin production in the gut. When you are eating a lower protein diet, the organs well I suppose I should start with why are we eating protein? We need about 250 grams a day. We recycle much of that we don't eat that. A portion of that probably the largest portion maybe 75% of that goes towards visceral tissue for turnover and maintenance. Maybe 25% of that goes to muscle. But we have to continue to get these essential amino acids so that we can maintain rebuilding and repairing which the efficiency of that changes as we age.
Anabolic resistance, protein efficiency decreases.
Those are or that is one reason why we need dietary protein just to maintain the tissue integrity and the structure.
Women and men do not need at this time from what we know in the literature a different amount of protein is not sex specific.
It's body weight specific.
The minimum amount of protein I would ever recommend would be 100 gram at a minimum.
Men or women that would be the starting place because if you are say 115 lb woman and you are following the RDA at grams per kg, what is that 45 gram of protein or so? That's that's not enough.
>> Part of the failure there is that we have to recognize protein is different amino acids. And so when we talk about muscle health, we need to get enough lucine to support muscle health.
And that is probably the recommendation is two to three grams a day.
It's probably for optimal health around eight or nine.
>> And how do you get folks to think about that?
Right. which is um cuz now all of a sudden you get into dramatic differences in terms of protein source.
So if you I don't really think we should go down the PDcast pathway necessarily for everybody today, but but just in terms of understanding that foods are created different, right? So um you can look at an ingredient label of something that says 30 grams of protein.
You can look at another thing that says 30 grams of protein, but they don't list out the amino acids.
They don't tell you that this one has more leucine or more methionine and this one doesn't.
But there are certain themes that we know, right?
We know that dairy derived protein, beef derived protein, and egg derived protein seem to have the highest amount of the right amino acids or let's just say the more important amino acids.
So when you're when you're when you're saying to that person, hey, I want you to eat a minimum of 100 grams per day, does it come with the caveat of assuming you're getting your protein sources here?
>> And what you're pointing out is protein quality.
The there are plant sources of protein and there are animal sources of protein.
And just from hard fast biological numbers, we considered a high quality protein to be eggs and dairy, fish, chicken, any of the animal source proteins.
The lower quality proteins would come from plants. When we educate our patients in the practice, we have them choose.
And we really don't focus on plant proteins as a source of protein.
While they do have amino acids and certainly a combination is wonderful, we like to focus on plant foods for fiber and let's say we take out soy, but we really want to focus on high quality animal source foods because listen, it makes up let's say makes up 30% of our diet. Nearly 100% of our calcium are bioavailable iron and zinc, selenium come from these animal-based foods.
And while we talk about protein, we should also talk about nutrient quality.
Whether someone decides to get their protein from plants or animals, it isn't just about protein. It is also about those nutrients of concern.
For women, like bioavailable iron, for kids, bioavailable iron, nutrients that primarily come from animal sources.
I I just think are really important.
And again, nothing wrong with plant-based proteins, but we eat plants for fiber and phytonutrients.
>> And so presumably you have some patients as as I do who are vegetarians and in some cases it's ethical, religious, whatever the reason is.
Um >> what are some of the what are some of the things that you and let's go one step further and let's go because at least vegetarians will at least be able to consume the dairy portion.
But when you if you have somebody who's vegan and who is purely looking at animal sources of protein, how much of an uphill battle is that?
>> Well, it's the challenge is the carbohydrate consumption.
So, I was listening to what Jeff was saying and he was absolutely right. He could have You were saying that you have maybe 100 grams of carbs and you have no problem with it at a meal. Did you say that?
>> Well, I mean, you probably calculated it in your head, but yeah, that's that I can do that. And for someone like him who is super active, he is able to dispose of those carbohydrates.
But a normal person, our carbohydrate threshold, if you calculate the disposal from skeletal, muscle, organ systems, it is not much. It is about 40 gram in a 2-hour period.
Anything above say 40 or 50 grams in a nonex exercising adult will result in a robust insulin response.
We do not want that. We do not want to be utilizing insulin to help support glucose.
We want to use activity or have the health of our skeletal muscle be able to balance that. And um I suppose what we're talking about is carbohydrates.
And unless you are highly active like you are, then we also have to think about the carb portion of this.
And designing a diet, typically for us, we think a lot about a 1:1 ratio of protein to carbs at a meal depending. Let me think about that in myself. Um, that's pretty tough.
You have to be pretty deliberate about withholding carbohydrates to and and I eat I mean, I'm probably eating a gram of protein per pound of body weight.
So, it's not like I'm skimping on protein.
Um, yeah, maybe I maybe I I don't know.
I would I would >> But you're metabolically healthy and that goes back to this hierarchy of how we deter >> I think you have a longer leash if you're active.
>> Absolutely. When we make protein decisions in the practice, when we're designing a diet, it's age, it's activity, and it's metabolic health.
If you are metabolically healthy, then you can tolerate.
There's no problem, right?
Carbs aren't the enemy. But once we find out someone is metabolically unhealthy, which you can see from blood work, then you have to begin, you know, you don't change your protein amount because as you restrict calories, you keep protein the same or higher because you must protect lean tissue. And also it's it's better.
I mean, we've seen this in the data for a long period.
>> What about overweight patients?
So, if you let's say you had a patient who's let's say it's a man, 250 pounds and um I know we're going to talk about body fat because I'm actually super interested in what you what you have to say about that. But let's just assume you did a DEXA on this guy.
You don't need to do a DEXA, by the way.
You can look at his you can look at him.
You know, you know this guy's carrying way too much fat. But the DEXA just gives you some numbers. The guy's 40% body fat.
Okay. Um, so when you're trying to tell him how much protein to eat, are you doing it based on an ideal body weight or are you doing it based on his 250 pounds that he's carrying around?
>> His target body weight.
>> Okay. So, you're going to say, I'm targeting for you 16% body fat.
Let's calculate how much lean tissue you have at what would you what would be your ideal body weight at 16% body fat?
And that's what we're going to target you at.
>> Yeah.
>> Okay. Um, I want to totally pivot and talk about something that you already brought up, Mike, and and this speaks to how these round tables get totally messy because I'm not done with nutrition.
I want to come back to it, but I don't I I don't want to forget this idea of unilateral lower extremity training.
>> So, this is a topic that's near and dear to my heart. So, I grew up um, and apologies for people in the audience who've heard me talk about this, but this is just context for you. I grew up powerlifting was one of the things I did on the side. It actually wasn't a sport.
I mean, I boxing was my life, but I became hooked on being in the gym.
And the gym I belonged to was a dungeon.
It was an old man dungeon, two stories underground with no windows.
And I didn't realize how lucky I was at the time, but this happened to be like the power training, you the powerlifting epicenter, right?
So, you basically just had a bunch of middle-aged men who were machines.
Like, you know, these are even even the guys that weighed like, you know, everybody could bench press two times their body weight, squat three to times their body weight, deadlift four times their body weight. So that's what I grew up doing. I was like, we bench, we squat, we deadlift, and we do it really, really heavy.
And not surprisingly, over time, like I started to get injured, right? I injured my back by the time I was in medical school.
and um kind of decided like I I don't know if this is worth the risk anymore.
Like I don't I don't really see that I need to have four plates on my back squatting anymore and almost through necessity had to discover single leg training.
So, I want you to say more about that experience and help somebody because I have patients who really can't believe that you can achieve optimal lower body hypertrophy without a barbell on your back or without picking a barbell up off the floor.
>> Yeah. Which is amazing.
I same background as you. I got into competitive powerlifting in college just because I was no longer an athlete and I was looking for an outlet and it was like, okay, I'm good at lifting weights.
So started competing in powerlifting, started hurting myself, back problem, shoulder surgery and athletic training background, get to college as a strength coach, start to see the same things.
I've got athletes with back problems. Everybody's back problem seems to come down to one thing, back squatting.
Every kid, cuz we weren't we there weren't deadlift, we were the old school like squat, bench, power clean because that was the football mentality at that time.
But the people with back pain had it always related right back to back squat.
We started to look at that and think, okay, if we're doing something that we know is hurting 20% of our population, should we continue to do that?
For a while, we had to because the football coaches mandated it. But when I got to the point where I was kind of fully in control, I said, "We're not going to do this anymore.
" And then we went the unilateral route.
>> Sorry. When you say football coaches, are you saying even at the level of the NFL?
uh at at every level the football coaches, you know, they want to know how many guys can bench press 400 lb and how many guys can squat 500 lb and how many guys can, you know, they're it's it's still a very old school mentality.
It's getting better. NFL level is getting much better because >> is the bench still uh in the combine for anyone but a quarterback.
Y >> everybody's still benching and still benching 225 as a strength test.
They do an endurance test for strength.
We could talk about the >> the foolishness of the combine, too, but that's another >> The same combine that you helped develop.
>> The same combine that I helped train people for.
Yes. It is not.
I always tell people it's like getting in copy of the SAT and all you got to do is cheat.
You just got to practice the event, practice the questions, you know the test.
You know the answers, practice, you'll get good at it.
We we developed that thought process.
But so we started going just down this sort of unilateral rabbit hole and then we but then you start getting into the biggest thing that people have to understand is when you get into the bilateral deficit research, you're stronger on one leg.
You have more strength capability on one leg than you do on two because your body there's and there's research.
>> It's so interesting. Sorry to interrupt you, Mike.
It's so interesting how difficult it is to appreciate that when you're not doing unilateral exercises >> and people don't try it and then it's very dogma oriented because we we've all grown up around kind of the squat poems and all these things about, you know, king of all lifts and all this [ __ ] that people spout and I'm always kind of spouting the anti of that.
But the reality is we started seeing when we first started testing is what happened was one of my assistants this guy Jeff Oliver who's been at Holy Cross for 25 years said to me if we could test you onelegged strength would you stop squatting and I was like yes. So then we said okay let's try to figure out how we test.
So we started making up these sort of halfass one leg squat test you know doing rep maxes in different split squat variations and things. But when we did it the results blew us away in terms of >> the difference between sides blew you away.
Uh, no. The the the ability to be stronger than we were or as strong as we were bilaterally blew us away.
So, we had guys >> the first year I did it with my hockey team 200 maybe six or seven somewhere in there.
>> And everybody could split squat what they could front squat. Same amount.
So, if I did a backsplit squat test, everybody that could back split squat 300 lb was a 300lb front squatter.
everybody that could back split squat, you know, project project out to a 400 lb max was a 400 front squat.
Right across the board, it was exactly dead even, one leg to two legs.
And then people would say, "That's cuz they're using their back leg." They were trying to come up with all these rationes for why it wasn't. But the numbers were just glaring, you know. Then we went to a split squat test and we had one kid who did uh did 240 lbs for 20 reps, which, you know, if you bilateral it out, it's 480 for 20. He's a 200lb hockey player, 190 lb hockey player. They just the numbers started to smack us in the face a little bit and I started look and then you start looking at the bilateral like you look at the grip strength research bilateral deficit right hand plus left hand will be more than combined two hand you look at you know they've done it with leg extension they've done it with a bunch of different things and what they realize I think this is my own theory but we neurologically know that we are unilateral if I said to you try to dunk a basketball I'm going to guarantee your right >> foot I'm going to jump off one foot >> you're going to jump off your left foot you're going to hold ball in your right hand everybody Everybody here is going to do it except 10% of us are lefty.
So 10% of us are going to grab it in our left hand.
But everybody knows if I say to you throw a baseball, I always say to somebody, if I say throw a baseball, everybody knows how to throw it.
If I say throw two baseballs, somebody would think, I'm not really sure how I'm supposed to do this right now.
We understand neurology and then we deny it when we start strength training because we want to deny it. And I think it's actually limiting.
I think I've said to people I think I think I spent a lot of time probably making people less athletic at the higher levels.
One of the things that we noticed >> you you you think that that you did that in the past?
>> In the past. Yes. Because we had some of our really some of our super elite like NFL wide receiver type guys would be very resistant to really heavy back squats and deadlifts and things like that.
And they would always they were like cats.
They like I don't I don't like it.
I don't like it. It makes my back sore.
I don't feel right.
And what you realize is you were probably dampening their nervous system a little bit because the analogy I always use, if you think of like the mountain, the guy from uh Game of Thrones, he was an Icelandic basketball player, decent mid-level Icelandic basketball player.
When he became one of the world's strongest men, he was a worse basketball player.
And I can remember I went to used to go to powerlifting meets and I'd look at the powerlifting meets and I would be like, "Nobody here looks athletic.
No one." And then I'd go to an Olympic lifting meet and I'd be like, "These cats are athletic.
Like these guys can they can jump and they can sprint and they've got big traps and big asses.
They look sort they looked more like what I wanted my athletes to look like.
" Whereas powerlifting, it was sort of like a semi-mobile refrigerator imitation, you know, just people lumbering and even little people lumbering around.
The little people lumbered just as bad as the big people.
And then you go to a track meet and go watch the sprints and the jumps and you're like, "Oh, wait. That's what I want.
That's what I'm trying to get everybody to.
So I became a big Charlie Francis guy in the 90s. You know, you start looking at this and saying, "Okay, let's look at how the fastest people in the world, the people that jump the highest in world, what are they doing for training?
" And again, you started to see more unilateral work, unilateral plow work, unilateral strength work.
So it was sort of this this rabbit hole that I just I went down and never came back from.
>> You know, it's interesting.
Uh Charlie Francis of course a lot of people will will sort of just have a sort of negative thought associated with him because the association with Ben Johnson but I but I don't think a lot of people realize his coaching genius. Um can you say a little bit more about Charlie who sadly passed away I think due to cancer kind of young right? Yeah, kind of young.
I luckily one of the guys I said someone said that you know anybody you've never met in the field that you would have liked to have met and I said yeah I wish I had met him at that time but when you think about he developed worldass sprinters in Canada almost all of them from Toronto greater Toronto area the probability of doing that is really really low and so you think and he was so far ahead of his time if you read Charlie Francis training system right now it was originally published as Charlie Francis training system then after he got in trouble they republished it as training for speed.
So, it's the same book.
You can just get it on the internet.
But he's talking about recovery, regeneration, massage.
Now, this book was written in the '8s. You would read it right now and think, my god, this thing was written a month ago by a guy.
I mean, he was using words that I hadn't even seen yet. It was the first time I encountered even the word. So, I started to think that's we started to do massage work with our athletes. We that's where we started foam rolling because we realized we can't get massage done for every single athlete, but we can get everybody to foam roll. and he was always talking about tissue quality and tissue resets and the therapists that you know they'd bring excuse me they would bring therapists to training camps that they were doing and it was so forwardinking I mean imagine cuz now well 45 years ago right I guessif you know 35 years ago whatever it was it was a long time ago and he was so far ahead of the field frighteningly and to the point where it's still really I still encourage people to read his stuff now I started reading I read everything he wrote.
I even they had I read Speed Trap, which was more about what had happened to them in the process.
And then I read this Angela Seno, who was one of his sprinters, wrote a book.
I read that book. I I just read every thing I could consume about Charlie Francis to see, you know, is there another little nugget of something that I'm missing.
And I guess from the track and field thing, I never looked back.
I never looked and said, you know, I don't care what power lifters are doing.
I don't really I care what Olympic lifters are doing.
really athletically.
And then we started to look at rehab and we realized that from a rehab standpoint, it was all unilateral and it was all what they were calling functional and it was all what they were calling clos chain.
And suddenly it just to me it all it all made sense. It all kind of uh it all came together for me at that point in time.
So and we've been doing that for I don't know like I said 30 years.
So Jeff, in your world training people the way you are, what are the exceptions to those rules for you? When are the times when you're saying or are you saying no, I still see that the riskreward tradeoff for someone in a certain position is there for you know a back a barbell back squat or you know a sumo deadlift or something like that.
How do you how do you think about that?
I think that if there's there's always the argument of can you train?
See, a lot of times in especially in Mike's world too, when when people come to him, they've already learned bad mechanics for squats.
So, they're bad squatters when they come to him.
So, they're already demonstrating habits that are going to totally break down their body by continuing to just pile more and more weight on.
I think when you can intervene with somebody at an early age and teach them biomechanically how to squat better, which Mike and I have discussed before at length, like it's not it's not easy to to really dissect that lift.
It's a complicated lift.
There's a lot of moving parts.
So, you have to be willing to spend a lot of time with that person to teach them from the ground up. In those instances when you can, I think you could probably teach somebody how to squat more safely.
That doesn't take away the fact that if you can do it and not have to load that way and especially as we talk about the aging population, then the benefits might still outweigh outweigh the risks in terms of it's just better to single leg squat.
But I think that you can probably teach that lift, but you have to be willing to teach that person to either unlearn the bad things that they've already learned or if they're starting out early, learn how to do it more properly.
And you could do it in stages, too.
You can by squatting to a box, you can biomechanically fix a lot of people's issues because having the target or the safety net behind them is enough to sort of get them to actually move in a better better way.
But you don't want to train that way, you know, without ultimately going to a freestanding squat if they're going to be ultimately, you know, playing playing sports and and needing to do something like, let's say, an offensive lineman coming off the off the uh the line.
But I again I'm actually in Mike's camp in terms of the value of of of single leg training.
We do so much single leg training with Athlete X because I believe that it's not just the unloading that we get from the single leg squat.
It's just a it's just as Mike said how we're wired, how we're actually preferred to move. And I I get I took some [ __ ] along the way because anytime you pick up a leg from the ground, it's functional training.
And then all of a sudden that has was a cool thing at one time.
It's not a cool thing anymore.
But you do pick up your leg and yes that's functional for a reason. So I think doing uh lunging and step-ups we did we built a whole program in our um and with the Mets around step-ups and lunging because we knew how important that was.
And again we did other forms of bilateral lifting.
We would do trap bar deadlifting um to to clean up some of the issues that people had. I always say that if you want to learn how to squat, take a dumbbell, u hold it between your your hands or a kettle bell and just let the ball let the dumbbell the weight go straight down to the ground. It will put you biomechanically in almost a perfect position because you're just letting the the the weight drop straight down your center of mass. That's a great tool for teaching what people what it's supposed to feel like. But when you then go put the bar on their back, as soon as the bar they don't have thoracic mobility, all the things that they're lacking start to change that that dramatically from just you think it's the same exercise cuz you're going straight up and down, but it's a very different exercise because now when your hands are up and again thoracic the extension is more required.
They don't have that and the whole system gets thrown out of whack.
So it it's um it's done.
it's still done in certain circumstances and you're always going to still encounter people who I don't know Mike you might just tell them to go to a different gym but like you know there's going to be people who will insist that they still have to squat and they want to learn how to do it and do it more safely and I think having the you know the the the willingness or the ability to still coach them through that is important but because of guys like Mike and because hopefully stuff that I talk about like the people are less reliant on those as the as the only things that they can do.
>> Yeah. I I've you know, I'm a little conflicted.
Less less so now, but I think up until up until about 18 months ago, I was still squatting and deadlifting regularly, though with much less weight, right? I wasn't I was never going below five reps. Um, and frankly targeting 8 to 12 most of the time.
And my rationale for it was the following.
I viewed it as an amazing audit of my chain.
So, I filmed every set.
So, I have a tripod in the gym. My phone would sit on it. I would from the warm-up set to the last set, every set was filmed and my recovery was watching the video.
And the truth of the matter is, despite that, about one in every eight workouts, I just screwed something up. And I would spend the next four days in pain.
And I'd be sitting in the shower running hot water on my back. Was it anything catastrophic?
No, not at all. I got my erectors just flared up. It wasn't the end of the world.
What it said to me was I I mean people watching us might be offended by the statement, but I'm getting old.
I'm getting old.
>> You look great for 25. Come on.
>> And as I think all of us would agree, the name of the game when you're old is never getting out of the game.
Like there's nothing more devastating.
It's one thing to get injured when you're 20.
You're going to be back. But if a 55year-old, never mind a 70-year-old, if a 55-year-old has to take a year off because of some devastating injury, it's really difficult to come back. And so I very sadly decided that the risk that I was going to do something dumb and actually I'll tell you the straw that broke the camel's back.
I used to do a lot of tire flipping.
So, I used to have this 450lb tire and my favorite my absolute favorite activity was how many there was different games you would play.
So, you would love the gamification of it, right?
It's like how many times could you flip it? How long did it take you to flip it 25 times or something like that?
And so, when I moved to Austin, I didn't have my tire cuz it was out in San Diego.
So, of course, I had my assistant call and find a guy who could find the closest tire to 450 lbs. We found one that was 407bs. The guy delivered.
He's like, "What the hell do you want this thing for?
" I start flipping it again and my friend who's a really awesome PT was watching me and he goes, "Have you ever hurt yourself doing that?" And I said, "Never.
" He goes, "You are you are in a remarkable amount of uh of lumbar flexion right now." Um, and I would just be careful like at you know, you you know that the the lumbar spine does not like to be in this position when it is that loaded.
And I was like, you know, he's right.
like I can absolutely see how under fatigue I could just, you know, do something too much.
So anyway, it's sorry for the ramble, but the point was I basically decided as much as I love this exercise, as much as it's a great audit, I you know, this I'm learning I'm I'm I love the idea of critiquing my form between sets, I just sort of decided the riskreward trade-off wasn't there for me. Um, do you think that's sort of a do you think that's a mistake?
Do you think that I should have stuck with it and and made other modifications?
>> No, I don't. I I think because you have these options, I don't think there's a compromise in the benefits you're getting from single A training.
Like I said, there's probably more benefits that you're getting from that. Um I I will I'm right in that same boat with you.
I spent probably from 35 to 45 wanting so badly to get a I have bad knees and I and that probably comes from my flat feet, but I I wanting so badly to not have to squat because every time I did it would it was just it would kill my my knees the next day would be horrifyingly pain in pain and my low back would ultimately wind up taking on that same brunt. I know exactly the same spot you're talking about, but yet I kept telling myself, "But you have to squat.
You have to squat." Like, it's just what we do. We have to squat.
Like, so I would try to get past the point of the things that were bothering me, and I would ultimately go back under the bar and squat again until I, you know, through watching Mike and others said like, "No, you know, it really doesn't it's not a requirement to get what I'm trying to get out of it. I'm trying to hypertrophy my legs. I'm trying to get stronger hips.
I'm trying trying to get uh stay injury-free." And so my favorite exercise at that point became uh a reverse lunge.
So I'll do it with a barbell or I'll do it with dumbbells.
And honestly, it's a little easier with the barbell because I don't have to worry about the grip of holding the dumbbells.
>> And so reverse lunge meaning you're starting in a standing position and you're doing a step back.
>> Step back or step back.
>> And you I've seen a great video on this where you emphasize how wide you're stepping out.
>> Yeah. You need because you don't want That's the thing. And this is where some of the functional training stuff comes up.
Like, oh, it's a balance exercise.
That's a bad sign of strength exercise.
It's a balance exercise. It's not a balance exercise.
If you can't keep your feet wide enough, you all you have to do is just step back and out.
You'll maintain a wide enough base where you still have support. And then it's a strength exercise if you're lifting a lot of weight.
>> I remember where I was when I watched that video of you and I went to the gym that day and I was like, I've never thought about taking a wider stance.
I mean, I added 40 lbs.
>> Right. And I think it's also my second big tip on that exercise is as you go down just I I tell I call it like screwing yourself into place, but you know, you're really not. You just take a little bit of a rotation towards the front leg.
So you're just taking your tors.
So you take it a little bit over the front leg. It will it will basically stabilize that front leg a little bit more.
And again with with enough contact I think what what do we when we do those um reverse split like situations?
It's about 75% on the front leg or so.
>> Yeah. How about Yeah. So, I mean, you still got 25% going back on that back leg, and that's enough to support you and and make sure that you're not falling all over the place, but that that is my my favorite way.
And I recommend people all the time to do that.
Lunging forward is fine, but people that have knee issues like myself, um that doesn't feel too good either.
So, it's like why not do it this way?
Because this is a safer way that has less orthopedic issues for people and it's still a great you can go you can pretty heavy if you're going to use a barbell there, too. So, u that's my favorite substitute.
And since I learned that there were other things I can do and not compromise whatever it was that I was chasing at the time, um I have since sort of backed away from that and and you can ask Jesse. Every now and then I'll I'll go back and try again and inevitably in a few days I start things start, you know, clicking on my hip or things that didn't pop or click before and I I do believe that there's a path away from that. So, so for you before I want to talk about your patients, but personally because we're all telling personal stories, what have you changed in your training, resistance training specifically, as you've aged, as you've increased wisdom, whatever, whatever, whatever the case might be.
>> I wish I could say I get less hurt.
Um, before we started the podcast, I said that I had a right torn hamstring and a proximal or distal, it is proximal, and quad fem, which is very unusual.
glute me and gluten that I love to overachieve.
I thought it was a great idea about eight years ago to keep up with my husband who my husband was a former SEAL who's now at Baylor. I thought we would do a 50-hour event and I was not physically capable or prepared to do that.
It's just another Tuesday for him.
And I tore my left hamstring on a sprint.
Since that time, I think that it changed my ability to squat. I kept going back to the squat. I am not able to do that at all now.
But that changed probably I don't know 6 months ago.
I stopped squatting six months ago.
I also found out that I had hip dysplasia.
all of these injuries, all of these patterns which you know as I think is as someone who is listening or watching this if something doesn't feel right you talk about taking that wide step back if someone is doing something that people will say okay this is a squat pattern but it doesn't feel right to you I had been squatting in a much too narrow position for someone that has hip dysplasia and so I ground out my hip and but I'm somewhat stubborn for those people that that know me I just kept doing it because I believe that we should squat. Needless to say, I'm now in a position where I am doing only single leg movements and really trying to pull back, probably be doing some PRP for this now new injury.
And I say that all about um someone in a roundabout way that as we age, like you said, Peter, the worst thing that you can do is stop. You know, and I think about Doug Patton Jones's work, the catabolic crisis model. This isn't a catabolic crisis, but a catabolic crisis model is when you're off the table, you lose muscle mass and strength rapidly over 40 you and that continues per decade.
So my training has changed dramatically.
I do more high intensity um on say the bike or the air down a air dime versus any kind of long slow steady state which I would love to get back into.
And then also the lifts are all >> So you're able to do highintensity stuff on a bike with a high hamstring tear.
>> Well, this is new.
This >> this new tear just happened. I got my MRI back two days ago.
>> Got it.
>> So I I won't be able to.
>> So when you're recovered, so let's just say we're we're sitting here in 9 months which >> I'll be recovered before then.
>> All right. Very well. Um when you're recovered, how is it going to change what you do going forward? And how will that impact what you modify in terms of your patients?
Because I think all of us are practitioners here and therefore we're kind of we're students. We we do a lot of self-experimenting. We make a lot of mistakes on ourselves that gets us curious about, you know, okay, what's the lesson here? How do I make sure that my client, my patient doesn't make the same mistakes?
So, what's what are you going to change and how is it going to impact what you tell patients?
Now, >> definitely it doesn't have to be these big lifts.
We don't all have to squat.
And for me personally having to deal with that I prior to injuring my hamstring just recently I was starting to do more unilateral work and I will go back and also just being much more particular about form.
I think as lifelong exercisers we can compensate a lot. People that are somewhat athletic compensate very well.
I think I have to hold myself to a much higher standard otherwise I know I will continue to get injured. And also I want to add in more zone too.
>> By the way, it's so funny you say that.
Um I remember um a trainer and I can't remember who it was. Um but he was showing me videos of some incredible athletes doing workouts and he was just pointing out all of the horrible mistakes they were making and he goes, "They're not great athletes because of how they're training. They can get away with training that way because they are such great athletes." How much did you see that Mike when you were training pros?
>> I literally just wrote down the better the athlete, the better the compensator.
That was a note that I >> Masters of compensation is what we used to call.
>> Yeah. I used to look at these guys and think like my god it's amazing what they can get away with at that level.
But I want to go back to the adult cuz it's really funny.
The squat thing because I wrote an article one time and I forget what I called it but it was basically about slamming your hand in a car door.
I said if you substituted slamming your hand in a car door for squatting and then had the same conversation with yourself saying, "Hey, I just hurt my hand.
I slammed it in the car door and I can't wait till my fingers heal up cuz I'm going to go back and slam my hand in the car door. Right.
>> That's what you'd be saying to me in the shower every eighth workout.
>> Exactly. We all We've all Exactly.
And that's why I wrote the article because people do it all the time. And you just realize that if you just And that's where being rational and substituting something really stupid.
>> Although in fairness, the analogy is more like this. The analogy is I love slamming the car door because I love the noise, but I like to also reach in the car when I'm doing it.
>> And normally it's fine, but on every eighth slam, >> I might edit the article for that and say, "Okay, even if it was only every eighth time you did it, would you go back and slam the car door eight more times?
" >> And you wouldn't. You would be like, "No, that's absolutely stupid.
The the riskreward doesn't work." But for some reason, squatting has such kind of I don't know, a visceral attachment in strength and conditioning.
And that's why I mean people you should go go look at some of the old YouTube comments about me.
The things people were saying about me were unbel, you know, and I was kind of like I'm just >> it's religious, right?
>> It's religious.
It's absolutely religious.
>> Yeah. But but like an exercise like the clean doesn't have that type of religion because I think functionally again everyone can relate to the squat.
The squat is something we do every day.
every time we get out of a chair, every time we go to the bathroom. So, I think there's that >> point, Jeff, sorry to interrupt, is a very good one, which is people are confusing a goblet squat or effectively a sumo deadlift with a goblet, which is it's all the same hip hinge.
They're confusing that with this. This is the unnatural part.
I think >> we teach everybody to go squat.
We teach everybody to sumo deadlift. But I always tell everybody in people like, well, you know, you got to be able to go to the bathroom.
I won't use the indelicate description.
And I said, "Yes, but no one, you're not going to piggyback someone in and take a shit.
" Like, that's not how it's going to work.
Like, so you don't have to be able to do that.
Like, in order to be able to use the bathroom, you only need to be able to bodyweight squat.
So, once you can bodyweight squat, you're good.
Let's do unilateral stuff for loading because, and this is where we get into adults versus athletes.
Like I was people say, "What's an adult? What's an athlete?
" I'm like, "An adult has a job that does not involve playing sports." So, and I was doing this presentation for perform better.
I was writing it up. One of the things is, you know, pickle ball players aren't athletes.
Okay. Like people that are adult recreational athletes, they're not athletes because if they get hurt, like you said, you get hurt at 50 or 60, it's really debilitating.
You don't heal. Even the rate of healing, you're seeing that now. The rate of healing is totally different.
I look at my son and his friends, they'll get hurt and two days later, they'll be like, "I'm fine.
" >> And I look at them and think, >> "I'd be six months crippled if I did what you did." And people don't see I always say life is this gradual transition of filetmenan to beef jerky right and I'm in the beef jerky stage of life firmly in the beef >> jerk I'm thinking I'm at a New York strip at the moment just getting a little firmer >> but you know you think like you're getting crustier and a little bit more salinated and just you're you're not you're not what you used to be and I actually posted a thing on Instagram they say the number one cause of injury in old men is thinking they are young men and that's why when you get into should They squatch it to death.
I always say no because I wrote down ego.
The problem with that is when you start letting people do these things, you then have to become the ring master in the circus.
So for us, we just eliminate the the events.
Like, nope, we're not doing those events because I'm not going to be able to figure out, well, you can squat and deadlift, you can't squat and deadlift, you can. It's like, no, if nobody squats and deadlifts in our adult program, then we're we're just better off.
And again, our by professional athletes, I had one guy in the Red Sox who squatted, insisted to me after I I really fought with everybody about it.
Every single guy except one.
>> What position?
>> Pitcher.
>> A pitcher.
>> And but a real like a real heester.
He was a I mean, he looks like a linebacker.
He looked like Brian Erlacer, but he he was like, "No, I have to do this." The rest of the guys were like, "Oh, I'll do the whatever.
I'll do split squats. I'll do whatever you want me to do." And but in that situation, I was like, "Okay, our college kids who have to squat squat." So if you came in, someone came in the gym the other day and they were like, "That kid's squatting.
" They were like looking like, "Oh my god, like so you know, there's a defector in in our midst here." And I was like, "No, he has to squat.
He's got to go back to college. He's got to go to his college weight room in his college program.
Those kids squat because we want them to be able to to go back to school and be able to participate in the program the way they're supposed to participate.
" >> I feel like people don't appreciate the nuance of what you're saying. I I feel like it can easily be sort of turned into Mike thinks no one should squat and what you're saying is no, there's a threshold.
There's a riskreward trade-off and it it I I completely agree with you.
This idea like if you're not getting paid to play a sport, you have to reconsider how you're treating that sport.
>> It it's also not as if that the alternatives are sacrifices in terms of what they're delivering. That is the problem.
Like I always talk about people get on me because I have what I call the iron graveyard, right? There's a few exercises that just belong in there.
And one of them for me is the upright row.
It's a garbage exercise. It's And you could tell me no, there's no bad exercises.
That's a bad exercise.
And talk about it.
>> Well, it knows what it is.
>> So the upright row is when is, you know, done the way that people, you know, old school taught how to do the lift.
You hold the barbell and you lift it up here up up under your chin. Your elbows are much higher than your wrists are.
You've got lots of weight usually on the exercise.
So more fully pushing your arms down to internal rotation.
The funny thing about that is that that that position is literally the test as a physical therapist that we would put somebody in to try to see if they have impingement in their shoulder.
We put them in this position, push down.
If it gets a lot of pain in there, likely something's getting pinched, super spinatus tendon, something. Why am I doing that exercise when? Not because I dislike the I never got hurt on it.
I never did. I've did it for years.
I've done it for 40 years. There's always the outliers like we talked about before.
But when I can just simply tell you, I just want you to drop your elbows lower than your wrist. I want you to do something called a high pull. I want you to go this way. By doing that now, instead of internally rotating the shoulder, I'm externally rotating the shoulder.
I'm still working my delts.
I'm still working my traps. I get zero sacrifice of what I'm trying to do the exercise for in the first place.
And I eliminate the part that I don't like, that I don't care if you haven't gotten hurt this time, but ultimately doing it over and over and over again can potentially cause a problem down the road.
Even just the potential of it.
Not saying that you can't get injured on any exercise, you can. But on on this exercise, I'm lowering the risk and not sacrificing the benefit. I think when when Mike talks about squatting, the fact is if you can do something that's giving you a better or even equal benefit and it takes away some of those down downsides to the exercise, especially as the population who's performing it is less appropriate to be performing the exercise and more appropriate to be doing the alternative.
What what's what's the whole point?
You know, it makes me think about how do we re-educate people because we've all suffered from these narratives of you have to squat, you have to deadlift, and it's just similar to nutrition.
Do you think that there's a way, if I can ask, do you think there's a way that we re-educate getting to our youth potentially, so the younger that we can educate, the less likely we're going to have adults in their 50s having to have serious injuries.
And then Mike, you won't have to have this conversation about no more squatting.
>> No, I think we're doing it right now, actually.
I mean, these things are really the our the ability to mass-produce this and to have people hear it and see it is something that we weren't really able to do before.
I I talk about the fact when I was a kid coming up, I had to wait for the new Strength and Health to come out to the news stand.
And I I mean, I waited I visited the news stand by these mags absolutely I waited for Strength and Health and Iron Man. I would walk into the store and I would say, "Did those magazines come in?" The guy would be like, "Nope, they're not in yet.
" Cuz that was our only connection to the training world.
>> And now you think, you know, you've got 14 million subscribers or something like that on YouTube. And I had someone ask one time, say, "What's the greatest thing you've seen or the greatest change in strength and conditioning?" And I was like, "The computer." And they were like, "What do you mean?" I was like, "There was no computer.
" >> Such a good point. And and so you start thinking we've got this ability now, podcasts, YouTube, we can educate people, but our problem is that we copy dumb people.
There's too many dummies on the internet and not enough people.
I've taken a little bit more in my old age to kind of calling out the [ __ ] Sometimes I'll just say on Twitter that's a bad that's a bad take because if you don't then people get to establish themselves as experts because this is the loudest voice situation now in terms of who's going to who's going to influence and now there's a lot of AI like if you look at Twitter's got all these AI things going that are showing people and sometimes I'll just write total garbage and I'll just click and send the reply and because I'm like it's total garbage this is [ __ ] like it it shouldn't be on the internet it shouldn't be anywhere And uh so but I'm going to be that I guess I'm going to probably >> we need that.
>> I mean close to the grumpy old man stage like you when your grandfather would say inappropriate things at meals.
I'm I'm like I'm I'm inches away.
>> Um Jeff, give us a couple more things in the graveyard.
>> Oh, what else do I have in the U um Cuban press for the same reason, which is when the elbows, you know, the arms come down and then press from there.
It's kind of an unnecessary adaptation that we don't need.
Um, what else do I have in the graveyard?
Um, I'm drawing a blank. I had at least five or six in the Oh, the chest fly. I I put the unsupported bench fly in the graveyard simply because probably because of my history working with with pitchers and knowing how susceptible the the shoulder capsule can become from chronic overstretching.
And then we apply a load in that position at the same time.
And even our >> whereas a fly machine would be safer because you're not load much safer and and and um and or we'll do like a we'll do a floor fly. So the floor fly we're getting the eentric overload.
Matter of fact, the benefit of a floor fly is that you're going to have the safety net of about here on the floor and I could use a heavier weight. So if I if I'm doing the exercise because I like the eccentric overload I get on it. Um I can actually apply a little bit more weight, a little bit more eentric stress to the chest because the benefit of the exercise is the stretch of the exercise.
So I can apply a heavier load but in a much safer and and again my shoulders aren't going to be vulnerable there too.
Um, but again that's a because it's an Arnold favorite and it's an Arnold Classic and I believe he tore his pack once on the fly. So, it's like, you know, it was his favorite, but it did have repercussions for him, too.
It's just not a uh it's it's not something that I believe you can't reproduce the benefits of in other ways.
Again, I nothing is in my graveyard that doesn't have an alternative that's equally good.
The only reason why I would ever throw an exercise into that category is because there's something that could be done that just eliminates some of that risk that's just as good in terms of delivering what it's supposed to deliver.
So, um yeah, I mean it's not an extensive graveyard, but people are very vocal about their favorites when one finds their way into that graveyard and you have to sort of explain your way out of it.
>> I want to talk a little bit about kids.
So, um I have three kids. They all love playing sports.
Um, but one of them in particular has has taken a real love of baseball, the youngest. So, he just turned eight about a month ago.
And I I grew up never playing baseball.
It's not It just wasn't a sport that was particularly popular where I grew up.
I have to say it. I have become obsessed with baseball.
I can really fully understand how people can get obsessed with this sport. It's not just the numbers and the data.
There's just there's so much art in nuance in like learning about all these different pitches and how they hold the ball and all this kind of stuff. Okay.
But, you know, we live in we live in a world now, it seems, where uh coaches want kids to specialize earlier and earlier.
And I was a little bit surprised at the end of his seven-year-old seat. Like, you know, they're playing three seasons a year, by the way, in baseball right now, right?
So you've got fall ball, spring ball, and then like there's this like little summer ball tournament.
And the kids are playing one position now.
Um, and most of the kids have a coach, an a coach outside of like a position coach outside of the team.
Now, my intuition is that just doesn't make sense. So So what what tell me what you guys think of that.
Do you have a soap box available um for for me to jump up on? Absolutely.
One, I always say follow the money, right?
If you look at most of these people that are telling you that kids need year- round sports are people who are making their living from year- round sports.
If you look at what most professional athletes are doing, they're not doing that with their kids. If you look at what most coaches are doing, they're not doing that with their kids.
What you usually find is some entrepreneur who has developed Joe's baseball and he needs income year round because he doesn't have Joe's baseball and lacrosse.
He just has Joe's baseball.
So as a result they're they start telling you they start giving you that early specialization myth like hey you got to get started early and if you get started early you do better and if you you get seen early I just saw somebody Twitter the other day somebody said that you know scouting starts now at 10U.
This was a woman who runs uh a softball development program.
And I just I literally I typed it.
I said, "No, that's that's absolutely bad information.
" It's they start using words like development and exposure. The reality is if you said, "I have an 8-year-old who really likes baseball." The number one thing I would tell you is make him do something else besides baseball.
My daughter was a full scholarship ice hockey player.
Very, very good.
Played a year in the women's professional league.
Had a scholarship when she was 15 years old.
I didn't let her play in a summer tournament until she was 13.
And people would say all the time, can Michaela play in this tournament? Can she play in that tournament?
I'm like, nope.
And they were like, what is what's she doing?
Said she's going to go to the lake.
She's going to water ski.
She's going to be on the swim team.
She took up diving one summer because they needed a diver.
And she became the U12 diver because she the guy started throwing herself off the diving board and said, "Oh, she's fearless. I'll teach her to dive.
" And I was like, "How many hours will you take her for?" And he's like, "Oh, a couple hours a week." I was like, "Awesome.
" But so I we made her do that.
We made her play soccer. She did judo.
She was state judo champion when she was 12.
The kids that are better athletes do better in the long run. You end up with there's a whole early succeeder phenomenon that we deal with. And early succeeders generally they won the uh the genetic Olympics.
They generally tend to be from uh from groups that that develop earlier and they will tend to be ahead when they for us from in my years it was the Greeks and the Italian kids.
They always mature. They they were the ones that were shaving in junior high school and they were much better in junior high at football than the rest of us were because they weighed 190 lbs and we weighed 130 lbs. And you just look at that and think that's not going to have any bearing on the end. You have to look this is the literal marathon versus sprint argument in terms of you've got to look at this and think no this is a this is a developmental marathon and the kids who sample tend to do better like your kid loves baseball now but you don't necessarily know that that will be my son loved hockey he's playing college lacrosse he was playing baseball and lacrosse at the same time and eventually we realized >> and do you feel this way even if the kid is themselves wanting to play all the time would you sort of force the kid >> yeah I forced my daughter my daughter was hockey only she That's all I want to do.
And I said, I don't care.
>> So, she was not thrilled about the idea that you weren't letting her play in a summer tournament.
>> Yep. Angry at times with me, fights about why can't I do this?
Because she knew she could go and be the best player.
And I said, I don't care if you're the best player when you're 12.
I care if you're the best player when you're 18.
Uh, and so being the best player at 12, I'm not getting any ego gratification by going to this tournament and realizing that you made the 12-year-old allstars or something like that.
So, yeah, we had fights.
We had fights about soccer. I made her play her view 14 years soccer and I did.
But the specialization thing I always think up to 12 broadest sampling possible.
The more things they can possibly do, the better.
The more because we're trying to develop general athletic attributes.
You'll see the kids in hockey that played soccer because they're kids that can pick up pucks in their feet.
My son picked up lacrosse really fast because he played baseball and he played hockey and he understood the whole idea.
Oh, we score. There's a net. I can catch things extended.
All that stuff made perfect sense to him when he went to lacrosse and lacrosse ended up coming together.
But if you weren't sampling, you don't know.
You just think I always say, this is a terrible analogy, but I'm going to use it anyway. I said, if your son came to you and said, "I really like cocaine at this point. It's the only thing that I want to do." You would be like, "No, we're not going to do that." Right?
But suddenly, because you >> you have to do a little heroin.
You have to do a little I would like you to drink a few beers. I just don't want you to be But you know what I If you substitute just because they want to do it.
>> You substitute that for baseball.
You think you you like I'm I like absurd analogies, but I think there you see the absurdity of that and you think, yeah, you love baseball, that's great, but hey, you really should, you know, you should learn to swim and you really should learn to do some sort of, you know, sport that involves your feet.
You know, you should play soccer.
You should I think, you know, kids should do I think some sort of combative sport is really good for kids because you should learn what it's like. Like it's really funny.
My took my daughter to the instructors when my daughter was doing judo were Ronda Rousey and Kayla Harrison which like what are the odds that you go to the best judo school in America that is 15 minutes from your house and that's who's teaching the classes in judo. So my daughter can still say that you know she was taught by Ronda Rousey and Kayla Harrison.
But having to go out on a mat and fight another kid I fight's the word I guess right is really good for a 12-year-old girl.
And that feeling I remember her looking at me the first time like you know and I'm like sorry I can't come out like you're on you're on your own you better figure it out and she did.
So I just you sampling is the key and specialist specialization if we can think of the worst possible thing you can do for your kid it is to let them specialize even if it gets to the point where they think dad I don't like you you're mean you're you're not a good person because you're not letting me do what I want to do. You've got to look at them and think that's why I'm the parent.
That's why I'm in charge.
Sorry, soap box. Uh, soap box down.
I'll let somebody else talk.
>> I will say that our kids are both in gymnastics and jiu-jitsu.
My daughter hates jiu-jitsu and she excels in gymnastics.
And we chose gymnastics because it allows for her fine motor skills, all of this development very young, and also the development of her musculature.
She's and again, she loves it.
And we know that the healthier, fitter, and more active these kids are, the greater their metabolic health as adults is.
But um to your point, what we see is I think in the US we see a lot more injuries than in other places because of this always having a season and um from a standpoint of longevity definitely again make our kids do the same thing.
I don't know why we haven't stopped and questioned it a little bit sooner because it's not like injury rates are going down. So, we're playing more and getting injured more.
Like that's what we've seen um across all levels of sport. Mike and I were discussing the Achilles tendons and the rash of Achilles tendon injuries or at least it seems to be in prominent players.
Um but a lot of it has to go back to just the the the repetitions and the mileage.
One thing that Mike brought up that I thought was really interesting was the way the style that the game is played now, let's say basketball, there's so much more because it's really come down, chuck up a three, go down, chuck up a three, come down, check.
There's a lot a lot less of that inside game going on. The game is faster and they run more and there's a lot more mileage.
How many miles extra was it?
>> 200 more miles a year per team, >> right?
Just because just the way the style of the game is played >> and they're not all linear miles.
They're start, stop, start, stop, start, stop.
So there's a lot of cumulative stress on the Achilles tendon doing that that can you know again on top of the fact that that as as as teenagers they were playing all year long too not like it used to be when Larry Bird was playing when he played his season and he probably went home and and did something completely different.
Um I or just just shot around a little bit. So the we need to start looking at these extensive seasons and these multiple seasons per year because it's not changing.
It's not helping. If it if it was helping, we wouldn't have all these athletes being injured.
Things are worse now than they've ever been.
>> Same more about the Achilles.
That that is the injury I personally fear the most at this point.
Um because um when you're, you know, I play with my kids a ton, right? So, it's usually soccer and baseball that we're playing.
Uh, and especially with soccer, I'm always worried like, is this going to be the day when despite all of the training I do, despite all the jumping, despite all the multilateral training I'm always doing, I don't know what it is.
I think I've just seen so many of them.
It's the injury that keeps me up at night is like I'm just literally diving for a soccer ball and >> it's the beef jerky injury, right?
I mean that's >> what What is the protocol? How do you how do you think about maximizing the odds of survival?
Um, >> rolling and stretching one. I I'm a huge foam roll and stretch person.
I think everybody should be rolling.
Everybody should be stretching.
Everybody should be doing >> so specifically talking about the solus.
You're talking about rolling all the way down onto the tendon.
>> Okay. So, you're talking about calf >> calf and then doing, you know, just ankle mobility work, basic ankle rocks.
And then now the it's really interesting because this way you talk about dogma, right?
All of a sudden, the front foot elevated stuff is becoming popular.
And when you think about from a preventative standpoint, it makes perfect sense.
We were always told, you have to have your whole foot on the ground.
Like that's the correct technique. If you're on your feet, >> you say front foot elevated. Do you mean like toe on a >> plate?
Like toe on a plate kind of thing.
But >> but initially when I first saw that, I was like, I don't get it. And then a physical therapist friend of mine, David Gray, was like, yeah, well, if you want to get your foot engaged and you want to get your gastrock engaged, it just makes sense to put your foot on there.
And that's where some of the stuff it always goes back to. I when I wrote functional training for sports and they asked me to define it, I said functional training is training that makes sense when you think about things.
So that's why when you were talking about flies like flies don't make any sense to me.
I said unless you're a professional face slapper, I don't know why you would do flies.
So like we don't do >> still probably better on the pack deck.
>> We don't we don't do that. Like I look and think I don't know why you would do that.
Maybe if you were like, you know, if you went to University of Florida, like if there was there are certain things where you might be required to perform that action, but you have to look at stuff.
>> But from a hypertrophy standpoint, there's a lot of reasons to do it, right?
I mean, it adds it there's a there's a there's something you must be getting out of that movement uh that you can't get out of just that movement.
Correct.
>> Yeah. Well, I mean, you look at the the amount of abduction that you're getting.
So, any press, any dip, any push-up, it's all limited to about this range of motion.
But if I can actually open it up even further and get more stretch, we know the benefit hypertrophy wise of of applying stretch to a muscle.
But that's a that's an exercise where you are also entertaining end range shoulder mobility and then again excess stress on the anterior capsule.
So like >> so it's like if you're a bodybuilder, if you're a if you're a if you're a wrestler, like if you're in certain sports where the aesthetic >> matters, it could be right. It could be the difference between first and second place if you're a competitive bodybuilder.
Um, but that's not that's not my world. And and I think that at least educating people about what those risks might be um is at least an important first step to having the discussion of whether they should do it or not.
And again, if I if I can provide an alternative for them where I think you could get additional benefits without the risk, then then why do it?
>> What what else do you think is important in the playbook of minimizing the risk of the Achilles injury? I I was when Mike said mobility, I think ankle mobility is something that we don't no one pays attention to their ankles.
We don't we don't try to mobilize our ankles at all. I think that um tight calves are are common in people and they don't really ever address them and and it all starts at the ground.
Everything starts at the ground. If you have any compensation, if you lack ankle mobility, um your knee is going to pay the price for sure cuz the knee, I always say the knee is like that consequential joint in between the hip and the foot. And it's just reacting to what's happening above and below.
And the poor knee, my knees in in particular, like they got beat up and they never really were to blame.
Um all they were trying to do is just hinge back and forth and they couldn't do a good job because they were being betrayed by flat feet and weak hips.
Um, but I think if people pay more attention to strengthening their hips and to mobilizing their ankles, um, you can feed that chain up and down. And if your calf isn't tight or if your mo your ankle is more mobile, then there's less of that tension being put placed down through the tendon itself, um, you're already doing a big to take a step forward in terms of decreasing your risk of actually snapping that thing.
And in terms of strengthening the calf, do we think the soius or the gastro plays a greater role?
Do you need both?
Do you need to have both knee bent and knee straight?
>> We always we always focus on both.
And like a lot of people will always talk about the the gastro specific strengthening with the knee straight just because it's like the one that gives you the the the the better contraction, right?
But um I think we don't I don't care about that.
I care about making sure that all the muscles in the body are strengthened.
So, we'll do equal amounts of seated versus standing calf raises. So, if you're doing three sets in a day of standing, you're doing three sets seated as well.
So, every time we program calf training, it's seated and standing together.
Um, but I don't think one versus the other is more responsible for for the tears.
I think as a as a group together the our ankles are lacking mobility and because the ankles are lacking mo we've talked about like in sleeping and sleeping at night you know your feet are down and especially if you have like if you keep those those those blankets tight at the end of your bed they're down quite a bit and you're spending six seven eight hours in that position like you're not doing yourself any favor in terms of you know encouraging mobility at the ankle and mo and flexibility through calves.
So, it just needs to have we need to be much more aware of those of those areas and do more work towards that.
And again, that's part that's more work that people have to do. And when you're talking about from the very beginning when we're saying, "What do I have to do to be in shape or what do I have to do?
" Sometimes you have to own little mini parts of your program because specific to you, they're they're important.
So, for you, this big fear of that Achilles tendon tear, which I I I'm right there with you.
I think it's a it's just a a devastating injury that will take you out for quite a while.
um that would be part of your program that you have to add another five minutes of mobility work for your ankle and and and do that three four times a week to make sure that you're you're you're doing something about it.
That starts to add up and people start making choices and their choices.
Okay, I'm cutting all the little stuff because that's not going to really no one's going to see my ankle development.
So, they're they want to see my my arms or my chest or something. So, they're going to do more work there. But when you make those decisions to cut those little parts of the program, those are the ones that usually keep you injury-free.
>> Speaking of single leg, you know, the difference between doing um uh calf raises with two feet versus single leg.
That that was one of the most profound eye openeners for me was the the difference in in strength and how much less weight you could do one leg at a time.
It's not half the weight.
Like there's some sort of interesting compensation when you're doing it two legs at a time. And we find we started that adding that back into our adult program.
We never put calf work in and then suddenly we started thinking I remember trying to do some calf raises and I was so sore and I thought my god.
But again you realize that it's kind of a use it and lose it or use it or lose it scenario where if you're no longer sprinting and jumping then that the the flexibility that you know the the mobility of that complex and the ability of that thing to absorb force.
But the other two things, one, uh, if avoid doing it if your calves are sore because if you look at both Tatum and Hellbertton had previous calf strains that they were playing with and ended up with Achilles tendon tears and I think sometimes um, again I'm a I'm a meme guy.
There was a great meme yesterday and the guy said the doctor was like, "How much does that hurt?" And he said, "Oh, the usual amount." And the doctor said, "The usual amount is zero." Right?
So, you've got to be able to look at that and realize that like it shouldn't hurt at all. If you're thinking, "Oh, my my calves, my shins, they're sore.
" That's indicating to you that you were doing something that wasn't kind and that now you've got to give that enough time to recover so that that's not sore anymore.
And I think sometimes we get into the kind of I don't know the the hard guy stuff in terms of you got to like I never I tell everybody I I wrote an article one time called Does it hurt?
And I said it's all about the idea that does it hurt is a yes no question.
And if I ask you, does it hurt? You can only answer yes or no. And any equivocation is yes.
When you well, after I warm up, yes or only yes. And I always do that with people when they start qualifying.
I'm like, yeah, that's a yes.
So how much does it hurt? You know, people bench press after I warm up.
It doesn't hurt at all. I'm like, well, that means it hurts.
It's you can't. And so we're like for us, we don't do anything.
>> You're using that then as a sign that says I need to understand why it hurts.
It's not you don't train. It's we need to figure out what's going wrong.
What's your movement pattern >> and figure out what you know Jeff was alluding to like you know upright rows and rotator cuff like what is it >> that's making your shoulders sore >> what's the movement that's aggravating and for some people like we find that standing you know people it's functional standing cable pressing is the one thing that everybody can do that doesn't hurt so if we have people with shoulder pain they standing cable press because it's the one thing they can do that doesn't hurt and I don't care whether people think functional, non-functional, you can label it any way you want to label it, but I just know I can get you to press painf free.
And my goal, that's my goal all the time. I want to be able, you can look at me and say, I can do that and it doesn't hurt at all. Then I think, okay, we can build off that.
>> What people don't understand, too, is that it's okay to go through periods of restriction to a single movement like that, right?
A standing cable press to actually allow the shoulder to heal to a point where you actually could get back to doing other variants of the press if that was your desire. Um, I told you a story myself where I had a I have a labor room tear and I had a inability to do any type of pressing. I had to restrict myself simply to a variation of a of a crossover that um it wasn't even a pure crossover but just something that I could do where I could actually pull in a little bit and then cross over my body cuz that was the only thing I could do pain free but I could still work my chest in a way that you know allowed me to do to do something. I also knew that I could do something completely different.
Like I could I could horizontal row.
By doing that, I'm getting shoulder movement in a way that was different, right? It's almost like the specialization in sport, like not just doing all chest stuff, but trying to actually attack the chest through a different way by still looking at the shoulder joint.
And I would do a lot a lot of rowing, which probably was good just posturally to balance out some of the the imbalance I had in the shoulder, but also to just give me more joint range of motion in the shoulder.
I'm getting all this extension.
But the combination of those two things got me to a point where my shoulder doesn't I got to knock on wood now, but my shoulder doesn't hurt. I can actually be able to go and and go back to pressing again in a smart way with dumbbells.
I don't I don't barbell bench press, but I do it with dumbbells. And I have none of the pain that I had years ago when that was going on. So, it's okay to to understand that this is a long game and you might want to take a step back and and stay with the exercises that don't cause pain and allow yourself a chance to be actively mobile to still recover at the same time um instead of sitting on the sidelines like you said, which is not a a preferred choice.
That's not going to turn out well. want to pivot and talk a little bit about um strength training women across kind of the transition from pmenopause into menopause.
Do you have any experience with that?
I'm guessing you do.
And Mike, you must just by the fact that they're coming in your So start with you Gabriel.
What what do you what are you noticing is the most important things as women are making the transition from pmenopause straight on into menopause?
The first thing is to don't don't wait until they start to feel that their body composition is changing. The fitter they are going into pmenopause and menopause, the better they're going to be both metabolically and just activities of daily life, everything. Those women seem to suffer much less. When hormones are changing, I think what I end up seeing is that maybe sleep is poor, their tendons, you know, one of the signs of menopause is this frozen shoulder.
So if someone is a candidate for HRT, we do certainly believe in that or um menopause u therapy. When it comes to training in the literature, I haven't seen huge evidence or a variation evidence that good training doesn't incl.
There is not something specific for women that needs to happen rather than following good foundational principles of strength training, hypertrophy and cardiovascular activity.
>> So you don't say, "Hey, now that you're making this transition, we have to alter your periodization or change the way change the amount of time you're spending doing one form of training, say cardio versus resistance, or even the number of reps you would do.
We're not changing any of that stuff." I don't um one of the things that we do look at though is if they are at risk for injury for tendons or joints because we do see that that changes but then once we treat them um I do not see a reason to change.
Good programming is good programming.
Progressive stimulus is progressive stimulus.
>> No. No, it was great cuz when I read your book, it was very reinforcing for me cuz where I'm getting that question more and more now from our female clients just because because of people like you who are talking about it more, people are more comfortable then talking to us about it. And it's exactly that.
It's the whole thing I I always come back it always comes back to strength and conditioning, right?
Get stronger, get in better shape, get them to challenge themselves more with weights and not be content. The females are very I always think there's there's an ego component that's absent in females that is very present in in males.
Like males will look at, you know, if I looked at what Jeff did, I might think, "Oh, I'm going to try that." Females just don't have that.
They're just very internally driven and sometimes that will cause them to underachieve in the weight room because they're not they're not worried about being top dog. They're not worried about who lifted the most weight.
It just isn't >> makes them better snipers, you know.
>> I believe it. It makes them better clients.
Trust me. If I could I would do nothing.
I have a lot of really elite females like that are great hockey players and lacrosse players and stuff and they're the best people to train by far because they don't have a lot of the kind of extra baggage sometimes that the guys have.
They're just way more compliant.
They just listen to what you say.
They don't argue with you.
They don't again they're not worried about what Jeff is doing. But just encouraging them to continually get stronger and encouraging them to continue to and we would look at it as conditioning versus cardiovascular work.
That's just kind of how we always use the term, but pushing them to to do more intervals.
Pushing them to do I want more >> aggressive intervals. So, you know, you want to call it a V2 max workout, but >> I want to get that like I loved Andy Galpin's idea like Andy Galpin's thing was like, hey, you just want to get your heart rate up really high once a week.
>> I think that's a really good concept.
And starting to just get people to think, hey, get your heart rate up.
Wear a heart rate monitor. Don't be afraid to push your heart rate to uh to X, you know, whatever that is. And don't be afraid to be, you know, out of breath or get off the bike and feel like you want to land on the floor kind of thing cuz we're big assault bike aerodyine people because it's just the I think it's the most efficient way to to hit your cardiovascular system with what I would call no orthopedic cost. Like I can kill you on the bike and nothing bad is going to happen.
>> Even like you were saying with the hamstring, I'm going to bet you can going to be able to bike with that ham.
planning on trying it later today.
>> And then you'll be perfectly fine because you're non you're nonweightbearing and you're not getting a lot of aggressive hip extension and a lot of aggressive hip flexion and you can probably torture yourself on there for a long time without having any negative effects.
But the biggest thing, like I said, with women is just getting them over that I'm going to get big so I don't push myself kind of thing. And so it's funny, I film a lot of my women and ask them to talk about how much they weigh and how much weight they've haven't gained because I have I have two of the best lacrosse attackers on our US team that are in their mid20s now and they've been here for 5 years and they've gained no weight.
They're stronger, they're faster.
But females gaining lean mass is really difficult.
You have to really be a super responder.
>> And usually I always say apples end up like apples, oranges end up like oranges.
It's not like suddenly one day the apple is going to wake up and the the next day going to be an orange.
Like you're going to be if you're an ectomorph, you're an ectomorph.
You will get the occasional really messorphic female where you do think, "Oh, wow.
She really does respond to weights.
" But they're rare.
They're super rare.
>> So Jeeoff, what about you? What are you seeing in women specifically that you're training, especially during that transition uh through menopause?
>> I I think as Gabriel pointed out, like the training specifics are are pretty much the same. what applies and what is good smart training for for men is equally uh applicable to women.
Um the only thing that I would say from a a PT standpoint biomechanically there are some differences in terms of something called the Q angle, right? The the the angle of the hip or the femur coming down to the knee. It does create a lot more VGUS at the knee for for women than than uh than it does for for men.
So I think you just have to be aware of those things.
So when you're doing certain activities, you want to be able to coach better in terms of being aware of positioning.
So like the tendency for a lot of women when they jump is to land in a in a much more vgous knee state, which could put more and more stress.
And even if it's not like we're not fearful of them blowing out in a training session, but as we talked about before, that cumulative stress of every time you land, you're getting more and more stress on the MCL or the ACL.
That would be something that you'd want to coach around and make them aware of because you could strengthen that.
You could work on biomechan biomechanically improving those things. You know, you put a band around their knees and have them jump that way and land that way.
They're they're learning how to activate their abductors and their hip.
Um that is probably something that isn't even really a require. We all men could benefit from that, but it's not an additional requirement because we're not dealing with the same biomechanical angles.
Also um because of of hormones, women will have more laxity of hormones at different times of the month that will be make them susceptible to different stresses.
So I think you just have to be aware of the education side of it and and coaching through that.
But as far as the exercises, the programming, um, we also found that, you know, women just tend to be much stronger than men in terms of their their their output pound-forpound and and given the the differences in sex, they're able to proportionally push more weight, especially with their lower body, than men can.
>> So interesting. Yeah, very strong.
Much much stronger. Have you found that, too, Mike?
the the women are are incredibly strong in terms of their their their output and strength comparative to to men.
When you >> I really thought about it in terms of pound-for-pound.
The one thing we found is that they're much stronger in their upper body than they think they are.
That's the one thing that we've seen is that we got more We've got women doing >> weighted chins with set, you know, 45 lbs for five >> and >> what?
>> Oh, yeah. Our best one is the 45 for seven is the best I've seen.
>> 45 lbs wrapped around her waist and she's doing seven chin-ups.
Carpenter who's >> how many men can do that?
>> Uh every in our gym we we really emphasize it like most of ours.
>> Wow.
>> My son's did 90 for two the other day.
He weighs 180. A bunch of kids on his team.
We really pushed we push pulling.
That doesn't sound right.
But we emphasize pulling.
>> We like to push pulling.
>> Yes. We like to Yeah. That I'm leading the league in redundancy.
>> I want to come back to something you said at the outset, Mike.
You were talking about kids. The youngest you train is 11. You drew a hard line in the sand.
How come? I always say I don't want to be in the childhood stealing business.
And I think there's some people in our industry that are in the childhood stealing business. I want I think kids should be kids and they don't need a strength and conditioning coach when they're 7 8 9 10 years old.
They probably need a playground and a bike and a swing set and a slide.
There's a lot of things that kids could be doing that are way more fun than being in my gym.
So we we actually drew the line at 12 initially, but the sports brackets are 1112.
So when we realized that we drew the line at 12, people then started coming and wanted to bring a team and suddenly it was kind of like, well, take Peter, but Jeff can't come because he's 11.
So eventually we kind of >> bumped it down and then we just resisted bumping it down more >> because I don't want to run a a kinder gym kind of program. I don't want people running around.
I don't want birthday parties.
That's not what I'm looking to do.
So we just said 11. I think at 11 you're going into middle school.
you can start to understand that there may be some commitment involved in terms of hey if I want to make a team I'm going to probably have to learn to work at this thing and I'm going to have to learn to train and it's a very good if you kind of look at the um long-term athletic development models that 112 is a good learn to train age to get kids in and get them kind of oriented to hey here's how you do the exercises and we're very learn to train oriented at that stage I tell our coaches all the time I don't care if any of these kids get stronger I could care less I really care that they're good lifters If they've been here 10 weeks and by the end I can look at them and think, "Wow, they can go squat and they can sumo deadlift and they can do a clean and they can do a chin-up and they can do a push-up.
" Then >> missioning. I mean, all of that is is fantastic, right?
And again, it still flies in the face of what many people would think, which is, "Oh my god, an 11year-old lifting weights, it's going to stunt their growth. Mike, aren't you crazy?
" >> And that's the be that's what that really I literally wrote that down.
It's funny you hit That was in my notes in the beginning, but the misconception stuff.
We're still dealing with the stunted growth thing. And you'd brought up New York Times, but New York Times did an article where they tried to to pull the string on that. Where did the stunted growth thing come from?
And it actually came from a study.
The only study they could find was on Japanese forced child labor. The kids who were forced into child labor tended to be smaller than their age matched peers >> who were malnourished.
>> Right. Exactly. Malnourished and not working at eight in a factory. and as a result but that was sort of but yet you still have doctors people will say I don't you know they talk about growth plate stuff there's no growth plate damage evidence there's none of those things are there and then you talked about gymnastics Gabrielle I always tell people figure skating and gymnastics are 10,000 times more aggressive than anything that we would do in the gym I look at and I I'll get myself in trouble but I always say organized child abuse right I mean it's not even good for kids when you look at what they're trying to do with these young bodies because you need I always think you need little people that rotate, right?
I mean, that's the key to those sports.
And you look at that and then you think what we're doing in the gym, okay, hold 10 lbs, squat up and down, and that's going to be bad for you, but spin around three times and land is okay. That just that's physics denying, science denying where you look and think, no, I can show you the physics of that is way, way worse.
>> So, so what are the things u and this is a question for all of you because y'all have kids.
So, um, my my we haven't pushed our boys into we haven't pushed any of our kids. Our daughter just decided at some point she wanted to start lifting weights, so that was great.
Um, but our boys kind of like to come in the gym with us. Um, and we just sort of play goofy games with them.
So, you're I know you're friends with Joo and Leif and they have this fun little card game that they play where you you get Have you seen this game?
It's it's basically like you designate what you know what is uh what's a spade, what's a heart, what's a diamond, etc. Like you pick like this is a push-up, this is a burpee, this is a situp, >> and then obviously if you flip it and you get a 10 of that thing, you do 10 of them.
If you get a seven, you do seven of them and blah blah.
>> So we'll just usually they'll just come in the gym with us and play that game.
They really see they and this is the problem with boys.
>> They want to oneup each other.
So, you know, once one of them goblet squats this amount of weight, the next guy wants to go to the heavier kettle bell, and the next guy wants to go to the heavy kettle bell. And actually, I do get a little worried cuz I see their form deteriorate, right? They go into what I call turtle back, right?
So, they go from lumbar extension, they start getting into lumbar flexion, and I'm like, "Guys, enough." So, so what what advice would you have for trying to help little boys who want to start lifting?
Um, but but just you just want them to develop the form. I think it's really funny because if you were to ask them to do to to jump onto something or to or to um even to do like to to walk upstairs two steps at a time, their form usually is going to look quite good when it's just a naturally occurring activity that they're doing in in their life.
When you then say, "Hey, let's do this as an exercise.
Let's do something called a step-up where we step up onto a box or let's even do a push-up." Right?
the push-up, if they were to get themselves off the floor, it would probably look a lot prettier than it does when they ask them to do a push-up. Their their ass is up in the air, their shoulders are wide, they're kind of moving in all different kinds of segments. So, to me, it's this disconnect.
It's not that they lack the athletic skills or the strength to do what it is you're asking them to do.
They lack the awareness of what it is you're asking them to do. So, they don't like when it's packaged as an exercise, they're sort of like not really sure what that is. So it's it's our responsibility to kind of make it seem easy to understand and tell them where they're supposed to be feeling it.
You know the number one question that people ask when they are we're starting out an exercise program not just kids anybody when they do an exercise surprisingly because this is what we all do and we are so passionate about it. What am I supposed to work? What am I feeling here?
When am I supposed to feel this?
And to me like well where do you feel it?
You know, but that's they want to know cuz they want to know where okay cuz if I'm not feeling it there, what do I have to do to get it to feel to feel it there.
Kids need to learn the the proper form and biomechanics of how to do the exercise. Again, I think they possess a lot more athletic skill and natural abilities than we give them credit for.
And when we just have them start doing exercises, it breaks down.
So, take the time, do the exercises, right?
Who cares about the weight that's in their hand first? start with body weight and then have them learn the mechanics of that. As I said before with that little drop squat, the drop squat will actually is is where they can actually add weight and and learn better than it could be if they were trying to learn a bodyweight squat. In this case, that that actual implement would assist them in learning how to do it properly because it's just going to take their their center mass straight down.
So, the form is everything when it comes to kids.
When we've worked with kids in in the 11 to 12 year old bracket, that's what we try to focus on is learn the movement.
Go slow, right?
Don't speed through it. Go slow. Speed is something that usually breaks down any good any attempt at good form. So, learn the movements and then we could always speed them up and we could always add weight.
But if you don't learn the form, you're gonna basically set up a foundation that's going to ultimately crack.
Especially if they get away with that for their teen years and now they're in their 20s and then really now all that competition starts to to kick in and you know competing with your buddies and then things get really ugly.
>> And are either of you guys doing sports specific training for these 12y olds?
For example, if you got a 12-year-old who's a pitcher versus a 12-year-old who's a basketball player, are you having them do different exercises?
>> No, nothing. I don't I think sports specific training I always I always say sports specific training is [ __ ] It's absolutely nonsense.
Baseball is sports specific training. Like if you want to go get better at baseball then go play baseball. If you come to the weight room I mean I've trained guys in every major professional sport.
And it's at most 8020 probably 9010. Like 90% of what we do is the same 10% of what we do is different.
And that 10% is totally irrelevant to a 8 n 10 11 12y old.
It makes absolutely no difference.
It could it >> that's really counterintuitive.
I would thought that I mean god if you're a pitcher you've got to be taking more care of the rotator cuff than maybe the guy who's you know than you know the hockey player for example, >> right?
And that's that would be the 10% literally like the 10% with baseball would be that shoulder care stuff that you might not really worry about with your hockey players or your football players.
So there's going to be that's where your difference in programming would be like that one spot.
>> Mhm.
>> Rotator cuff. But with kids like I always look at and think you shouldn't be a pitcher. You're not a pitcher.
You're a baseball player and you might end up being a catcher. You might end up being a shortstop cuz again I've had so many Nomar Garcia par. No Garcia par went to Georgia Tech and tried to kick on the football team >> and and he Yeah. And he loves soccer.
He married me a ham. He's a huge soccer fan.
He told me one time I used to train him.
said, "I would absolutely be playing soccer if I didn't live in the United States.
" He said, "But I realized the best kind of the best use use of my athleticism was Major League Baseball and that playing in the MLS would never have, you know, given me the type of career that I would have had in Major League Baseball.
But most every great athlete that I've seen was a great multisport athlete.
But we've got this self-fulfilling prophecy now of specialization where people can now point and they'll they'll point to Tiger Woods or somebody and say, "Oh, Tiger Woods specialize.
" And it's like yeah there's a you can find me one specialist I can find you a thousand generalists who all have achieved and but you'll continue to use the specialist as the example because that's what you want to believe.
We as achievementoriented people, like for you to be a great doctor, for you to be a great doctor, for you to be great at YouTube, that's what you got to do.
Kids, it's the polar opposite.
For them to be great at something down the road, they probably need this super broad-based skill set that's going to eventually allow them, you know, the the base of the pyramid versus the height of the pyramid.
The bigger the base, the larger the height. You know, if you build an obelisk out of the gate, you're probably not going to accomplish much.
So, >> you mentioned Carl Crawford, like he didn't he didn't get those scholarship offers for three different sports because he started playing at 18 or 17.
He obviously was playing all those sports at a at a young age and getting in developing all those athletic skills to where he could select the one that was most appropriate for him either financially or and he was just the best.
Some of this is genetic lottery.
Carl Crawford could do a standing backflip at 230 lbs.
you I've never seen he's still the most the most athletic person I've ever seen but he would have been that in any number of sports I don't think you know just the fact that he chose baseball and that's what's interesting in terms of people say oh you look at the Europeans you know they specialize in soccer and it's like yeah cuz they don't have the choices that we have over here we've got a lot of opportunities that maybe aren't present in other countries so people will kind of people cherrypick because they want to support their their thesis >> but to me the more important certain thing is like virtually no kid is going to be a professional athlete, right?
So, so it it you know my interest is in how do you use the interest in sports first to fuel the spark that says lifelong activity is an important pillar of health.
Second, how do I make sure that when you are done playing sports, which for most people is the end of high school, then there's a narrow subset that'll say, well, actually it's the end of college.
And then there's virtually nobody who's playing sports after that because to your point, pickle ball with your buddies on Sunday, that ain't sports.
So, we all stopped playing sports pretty young and yet we are going to need to train for the rest of our lives.
And um I think that's the thing that I'm still trying to better understand is how do we use youth sports as a tool to set you up to be an athlete for life where the sport changes to life?
And I think that's the difference in terms of using it to teach life lessons.
You know, they say sports can build character or can build characters.
You have to use it uh to to build the kids character.
And sometimes that may be saying you're not just going to get what you want.
I I get it that you just like baseball, but we're going to play soccer in the spring because we think you need to be exposed to more things.
and the kid learns that lesson like because sometimes they they just learn this kind of micro focus really early on and then later on when they don't achieve they think oh if I I wish I'd done more things I wish I'd sampled more I wish I'd explored more I think the it's just it's looking at the real body of evidence versus looking at the evidence that's presented to you by the person who's trying to get your money which is what usually happens now sadly >> the issue I think though is that where we're going off track is that the coaches and the parents of these children are overemphasizing the importance of what it is they're actually competing in to the point where they that why do you think we have you said because of money that we have all these additional leagues throughout the year but it's also because everyone thinks their kid's going to be a pro when they're not >> and they don't want their kid to be left behind >> that too and it's there's all these social pressures behind this you know and I think that is what's feeding that is what's feeding the problems that we see and also taking away from the the fact that this is introducing lifelong habits to them to the point where is it's degenerating something that should be very positive into something that becomes at worst destructive because you're you're you're over you're overdoing something and you're actually a lot of times also making a lot of these kids hate athletics by the time they're 17 18 19. Yeah, that that's another issue which is I can't tell you the number of people I met who grew up collegiate swimming who cannot stand swimming and it's such a shame because swimming is I mean while it's not good for bone density it's pretty much good for everything else. So, by itself, I would say it's not the only exercise you should do, but boy, if I think about if there's one exercise I could insert into everybody's life, it would be some amount of swimming. And uh yeah, somebody who swam through high school and college, they'll they're like, I just I could never do it again.
>> It was my best sport. I went to the first swimming meeting at Springfield College, and the coach, I still remember, read Sylvia, famous division three coach, the first words out of his mouth were the first practice is at.
And I was thinking, he's talking per day here right now. They p they're swimming twice a day. They're swimming before school and after school. And I sat politely through the whole meeting like this and nodded and went to the football meeting and tried over freshman football cuz I was like there is no way I'm going in the pool twice a day. It was the end of my swimming career. And I now I terrible shoulders.
I don't even I can't stand swimming because it hurts.
You know, I think uh when you're talking about becoming a lifelong athlete that for us, so again, our kids are four and five.
They train with us.
They might not be doing the same lifts, but we let them play with a um you know, kettle bell, pick things up, put them down, and we let them run. We let them do things that they would physically be able to do without a lot of queuing. And as I just think about some of the data on tendon health, we know that the earlier people start, the better and more resilient those tendons are because they're not starting later in life, not getting injured.
Um, and I just think again it's just a great place to start.
The earlier the better, which is a bit counterintuitive because we've heard all of this information how kids shouldn't lift weights or train. And maybe it's not a standardized training program, but they're in there. They're doing stuff with us like every day. So, I want to ask you guys each the same question.
Um, if you think back to um the last five years, you're obviously all in a constant state of learning. Um, is there something you have changed your mind on?
Something significant that you've changed your mind on? And not just changed your mind on, but it's changed the way you behave, the way you help other people.
I'll start with you, Gabrielle.
>> This is a big one. I don't think body fat percentage is nearly as important as we think it is.
I think that it is going to be somewhat of an outdated metric.
I believe that interuscular atapost tissue this IMAT is going to be much more predictive of disease and this came from I interviewed on my podcast Melanie Cree and we were talking about PCOS and I'm thinking metabolic PCOS what is the body fat percentage that's going to change the outcome and she looked at me she goes Gabrielle it has nothing to do with body fat percent it had to do with their interuscular atapost tissue And that I think is going to be an upcoming theme. It's much more specific to insulin resistance and these metabolic outcomes that we care about.
>> And commercially obviously it can be measured quite easily with CT scans and with MRIs.
Um to my knowledge it's very difficult for DEXA to approximate it.
So >> that's right.
>> So how how is ultrasound viable?
Obviously, you wouldn't be able to get whole body, but you could sample the quads, which is where it would be most that would probably be the canary in the coal mine is if you're accumulating muscle in your quads.
>> Yes. And I think it's also very difficult accumulating fat.
>> Yeah. Very difficult to test.
MRI seems to be where a lot of the data is.
We're not there to measure it, but this is something that I think we are going to see so much more of. And you know, it we're all focused on a musclecentric approach.
And for the last 50 years, it's been all about obesity. And this is the same thing. It's almost that um we're looking where it's obvious, but it doesn't mean that that's where it's effective.
I >> I really agree with you actually.
And I think pharmarmacologically, for what it's worth, I think that's the next frontier, right?
So I think what the GLP1 agonists have done over the past 5 years um with the introduction of the the third and fourth generations of those drugs, the first two were largely failures, but because of how successful the third and fourth generations were, um we're really at a point where I think people can see that you can address the uh crisis of overabundance from a nutrition standpoint, but what people realize the new problem that is yet to be unressed is sarcopenia. And when I'm looking at what's at the leading edge in the frontier of biotech right now, it's all around anti-arcopenia drugs.
Now, of course, we have another great drug that works against sarcopenia. Uh it involves holding iron um and eating certain types of foods.
Um, but you know, if if if if where billions of dollars are being invested is any indication of what people realize is the next frontier, I think people are waking up to the idea that it's not enough to solve the atapostity problem.
You must address the sarcopenic problem.
>> Yes, I couldn't agree more.
>> What about you, Mike? What have you changed your mind on in the last five years?
>> This one I I'm glad you gave me a head start to think about this.
You know something? Digestive health. I had a bowel resection done nine months ago.
So, they took a foot of my colon out and uh and I realized I actually did a really good presentation for our staff called You Don't Know [ __ ] And um it because I think that's the most neglected area of health right now because we don't want to talk about it.
And people it's uncomfortable and until you experience it firsthand, you don't realize how important fiber is, how important water is. how badly like most of us are chronic dehydration seems like a oh it's a big deal but it's really not a big deal but it suddenly is a big deal I I liken it to it's like you have a dumpster your whole life that's out in the back of your house and it just gets emptied all the time and then suddenly one day you realize they can't empty the dumpster anymore like I'm I'm in trouble and that's us like we we're worried about our muscular system we're worried about our nervous system we're worried about our endocrine system and our digestive system is just this thing that's supposed to be this dependable system that's just going to take care of us forever and then suddenly in our 50s and 60s it starts to fail and we don't want to talk about it and I mean I ended up I was in like I was in the hospital I like I was sick and the guy was like yeah we got to you know this is major surgery we got to take foot of your colon out and put you back together again I won't go into the the real gory specifics but it made me realize that I mean I take a fiber supplement all the time I put fiber you know fiber in my shakes all the time now I look at how much fiber is in everything that I eat now, but you talk about protein numbers.
Look at the fiber numbers.
Our people are way more fiber deficient than protein deficient, but they're not.
They're going to suffer the effects way down the road and it'll be too late for them to realize. So, if I would say to anybody, I'd be like, "Drink more water, eat more fiber because uh you don't want a bottle resection.
" >> All right. What about you, Jeff?
>> I'm breaking the rules. have a couple, but you personally I think um I have two twin nine-year-old boys and so in the last 5 years they've gone from four to nine which for a dad is sort of where the the phase where they where mom was definitely the favorite for the first four years and then you know I I sort of step in and become the fun guy.
So I've realized through their interactivity with me number one to appreciate things I didn't appreciate before. I I think in in the first half of my adult life, I was so focused on professionally achieving whatever I could, whether it be working for the Mets or then starting this business and really going, you know, all hours of the night to try to build a business. Not that I just still don't do that, but I really have learned to better prioritize my time with my kids to the point where it's difficult for me to make travels out out to do podcasts because I really try to be around them and and I've learned to appreciate because of they they're on the spectrum, I've learned to appreciate their their their wins every day, right?
So, it's like, wow. You know, I I don't take anything for granted. That's a a thing that I am so grateful for that I've been able to benefit from because if I if I don't think if it if the situation was different, I probably would just continue to work work work the way I did. But I think from a professional standpoint, kind of oddly, um one of the things that I think is really overlooked is um uh balance training.
And I think that it's an area that people are going to probably have to spend a little bit more time focusing on because it's like like we just talked about digestive health. like it's it's another one of those things that's going to get worse as you get older for a number of reasons. Number one, your reaction times will get worse.
Number two, your propriceptive sense is going to get worse, which is essentially your sense of body position.
Um, number three, your strength is going to get worse as we talked about inevitably decade by decade. When we consider what all that leads to ultimately falling, we talked about these fears. Um, I don't have the fear of falling right now.
I'm sure you don't have the fear of falling right now.
We have the Achilles tendon stage right now, but 20 years from now, 30 years from now, our biggest fear should be falling because when you do, you're likely going to live a pretty um uh difficult end of your life and it might lead uh lead to a much faster end of life.
And um I think that actually training balance is another one of those things that's going to have to get kind of, you know, sectioned into that five minutes of extra work that you're going to want to have to do for yourself.
And the most important thing when you're training your balance, even if it's just simple standing on one leg and drawing an alphabet with your other foot, is to close your eyes. Because I think that when you don't close your eyes, you're actually unid like just one-dimensionally create creating an environment that's not actually what we're going to face. Most people fall in the dark because they don't have that visual feedback to correct. By the time you send that signal down to your ankle to make an adaptation, it's too late.
you know, and again, if our if our reaction times are delayed, too, it's going to be even worse. So, it's just a thing that I think people that are already older should start working on because as a skill, you can improve it.
And as somebody who is, you know, looking down the line here and seeing things change, including my eyesight, which used to be so perfect up close, you know, that that changes. I know all these things are happening under the hood.
and uh making a dedicated effort is something I think people should probably um invest some time into cuz it's well worth the investment for that long range safety.
>> Yeah. I mean, I think I think the theme here is um I I think we would all agree in the gravitational pull of aging, I just despite the fact of, you know, what what some of the popular biohackers might have you believe, we're not none of us are getting out of this alive.
And um I think I I I would bet each of us can remember what it was be like what it was like to be 10 years younger regardless of whatever age we are today.
But this idea if if I could take what you're all saying and impart one thing to a listener it would be you do have a choice at the rate at which this glider is going to come down. The glider will come down.
Gravity always wins.
But you can train to reduce the rate of decline.
You can train to reduce the rate of decline.
It won't happen by accident.
Uh the the training you have to do has to be specific, right? It's not obvious or intuitive um that you should do some of these exercises.
A lot of the things that you guys have talked about today are exercises.
I just love the the front foot um on a plate on a 45 lb plate.
putting the front foot up there, going into a um a lunge, taking a plate, and doing little twists. The amount of stress that that puts on the propriceptive capacity of that front foot is insane. What a dumb looking, unsexy exercise that never shows up in the mirror.
And yet, what a phenomenal exercise.
I'm with you 100% on all of these sorts of balance uh drills with eyes shut.
And they're frustrating.
It is frustrating to be on one foot with your eyes shut trying and then add the third layer is turn your head when you're doing that. Oh my god. I mean you the the the you know the way you feel and and you don't want to do things you suck at.
>> Um but you kind of have to do this and and I I I guess um I don't know.
I just hope that people realize that ignoring it won't make it less likely.
Um and there is it's a relatively small price to pay.
You're not asking people to be in the gym 12 hours a week, right?
Right.
>> Last I checked.
>> Yeah.
>> Um some of us choose to be in the gym or exercise 12 hours a week, but that's probably because we're weird and we do that just like other people might enjoy watching TV.
Um but yeah, if someone could give two great hours a week, um it breaks my heart that pe that that there are people who don't do it for whatever reason, for whatever belief system that says it's too late or it's too hard or I'll do it tomorrow.
So guys, I really really appreciate this.
I don't know where the time went.
Um because we didn't actually cover a single thing I had written down.
Um which is okay because you know I had good stuff written down but I thought we talked about good stuff. So um I'm incredibly grateful for all of you making the trip out here. Um and uh I only wish we had another 3 hours although we'd have to take another bathroom break or something.
So thank you all for coming.
>> Thank you. This is a pleasure.
Honestly pleasure to get to meet you guys.
this guy already knew. But, uh, I could do this all day.
>> Thanks, guys.
>> Thanks.
>> Thank you.
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