Podcast · 79 episodes
Barbell Medicine Podcast
by Barbell Medicine · English
Podcast by Barbell Medicine
Latest episodes
Is It Safe to Train When the Air Is Full of Wildfire Smoke?Whether exercise is safe when wildfire smoke makes PM2.5 high; how to interpret “effective reps” (RIR/hard sets/fractional sets) for hypertrophy and strength.24 Sep 2026 · 37 min
Do You Need a Calorie Surplus to Build Muscle? | Dr. Eric HelmsWhether building muscle requires a calorie surplus, and how “surplus/deficit” should be understood as net reliance on body energy stores vs food energy.17 Sep 2026 · 2 h 2 min
Is Obesity A Muscle Problem?Whether obesity is primarily a muscle problem. The host argues that metabolic dysfunction is driven more by how actively muscle (and other tissues) handle incoming fuel (“flux”) and by fat…4 Sep 2026 · 1 h 18 min
All episodes
Is It Safe to Train When the Air Is Full of Wildfire Smoke?Whether exercise is safe when wildfire smoke makes PM2.5 high; how to interpret “effective reps” (RIR/hard sets/fractional sets) for hypertrophy and strength.24 Sep 2026 · 37 min · 20 chapters
Do You Need a Calorie Surplus to Build Muscle? | Dr. Eric HelmsWhether building muscle requires a calorie surplus, and how “surplus/deficit” should be understood as net reliance on body energy stores vs food energy.17 Sep 2026 · 2 h 2 min · 49 chapters
Is Obesity A Muscle Problem?Whether obesity is primarily a muscle problem. The host argues that metabolic dysfunction is driven more by how actively muscle (and other tissues) handle incoming fuel (“flux”) and by fat…4 Sep 2026 · 1 h 18 min · 30 chapters
Who Needs Testosterone, and Who's Not Getting It I Signal Episode 4Treatment and appropriate use of testosterone replacement therapy (TRT): who truly needs it, how to diagnose deficiency, and why many men are either overprescribed or undertreated.27 Aug 2026 · 1 h 27 min · 28 chapters
Your Fat Has a Storage LimitThe episode argues that the health risks linked to obesity come less from total body fat and more from where fat accumulates and whether the body’s “storage system” (fat tissue) can safely store…20 Aug 2026 · 49 min · 19 chapters
Lifting and longevity: is 1 hour a week really the limit? Plus GLP1s and mood, training with ME/CFS, and Protein vs. CaloriesDebunks a 2022 British Journal of Sports Medicine headline claiming resistance training’s longevity benefit disappears after ~60 minutes/week; discusses GLP-1s’ effects on mood/motivation; addresses…12 Aug 2026 · 46 min · 11 chapters
The FDA Voted for 6 Peptides. Its Own Scientists Said NoThe Barbell Medicine Podcast episode argues that an FDA advisory committee vote (8-6) to open a legal compounding supply pathway for peptides—specifically including BPC-157—was based on insufficient…7 Aug 2026 · 1 h 6 min · 21 chapters
The Man Who Couldn’t Stop Gaining Weight | A Medical MysteryA 21-year-old previously healthy man develops progressive headaches (worse mornings, with nausea; worse bending/coughing/straining) and rapid, unexplained weight gain (~35–40 lb in ~1.5 years).31 Jul 2026 · 1 h 10 min · 25 chapters
The Protein Scaries: What the Research Says About Your Kidneys, Cancer, Bones, and Body FatThe episode argues that common “protein scares” (kidney damage, cancer, bone loss, and a 20–30g-per-meal limit) are largely misread mechanistic theories or weak evidence, and that protein’s real…24 Jul 2026 · 33 min · 10 chapters
Is It Really Just Calories In, Calories Out? Metabolism, Insulin, Hormones and Why Counting FailsArgues that “calories in, calories out” is thermodynamically true, and that common “it’s not calories” claims (metabolism, thyroid, cortisol, PCOS/PMOS, menopause, food type, insulin) are real…17 Jul 2026 · 31 min · 11 chapters
Is Obesity a Willpower Problem? The Biology of Weight, Diets, and GLP-1sWhether obesity is mainly a willpower/self-control problem versus a biology-and-environment problem, including defended weight “guardrails,” appetite and metabolic adaptation after dieting, and how…10 Jul 2026 · 1 h 43 min · 35 chapters
Direct Line (Free): GLP-1 Muscle Loss and Creatine, Bulking vs Cutting, One-Hour Training, & DetrainingGLP-1 drugs and resistance training effects on muscle/lean mass; whether creatine helps during GLP-1 weight loss; bulking vs cutting vs “main gaining”; training when only 1 hour/week; and how fast…3 Jul 2026 · 50 min · 14 chapters
Menopause Part 4: Training, Protein, Cortisol, Hormone Therapy, & Bone DensityMenopause Part 4 argues that menopause doesn’t require a “special” training program; resistance training and conditioning work similarly before vs after menopause, with key differences mainly driven…26 Jun 2026 · 1 h 44 min · 43 chapters
Menopause Part 3: Body Composition, Bone, Brain, & the Fitness Changes (The Data vs the Influencers)What menopause changes in the body (body composition, fat distribution, metabolism, and cardiometabolic risk) versus what “menopause influencers” claim; emphasizes data from major studies and when…12 Jun 2026 · 1 h 44 min · 36 chapters
Menopause, Part 2: The 2,000-Year-Old Lie About Women and ExerciseMenopause Part 2 argues that long-standing bans on women’s hard exercise were based on fabricated or misinterpreted claims, and that modern menopause “don’t lift heavy” advice (often…5 Jun 2026 · 32 min · 10 chapters
Menopause, Part 1: What It Actually Is and the 24-Year WHI CorrectionMenopause Part 1 explains what menopause/perimenopause is physiologically, why common lab tests (especially FSH) are often misleading, how long hot flashes last, and how the Women’s Health Initiative…29 May 2026 · 1 h 27 min · 32 chapters
Is Creatine Causing Your Shin Pain? + Splitting Training, Endometriosis for Lifters | Direct Line · May 2026Q&A on (1) whether creatine can cause shin pain/possible chronic exertional compartment syndrome, (2) whether splitting resistance training across the day affects strength/hypertrophy, and (3)…19 May 2026 · 34 min · 16 chapters
What’s Actually Driving Your Testosterone Down? | Signal Ep 3Low testosterone in adult men is usually “secondary” and driven by modifiable factors upstream of the testes—primarily excess body fat (MOSH: Male Obesity Related Secondary Hypogonadism), plus poor…12 May 2026 · 59 min · 21 chapters
Progressive Loading Part 3: Why the Novice / Intermediate / Advanced Framework Doesn't Work, and What to Do InsteadBarbell Medicine Podcast episode argues that the “novice/intermediate/advanced” framework mainly reflects a measurement window (how long until adaptations show up), not fundamentally different…5 May 2026 · 1 h 51 min · 45 chapters
Is Your Testosterone Actually Low? Why Higher Testosterone Doesn't Do What You Think | Signal Ep 2Testosterone deficiency (hypogonadism) diagnosis and why “higher testosterone” isn’t automatically better.28 Apr 2026 · 1 h 2 min · 23 chapters
Direct Line April 2026: Stopping Ozempic and Lifting With OsteopeniaThis Barbell Medicine “Direct Line” episode covers two listener questions: (1) what happens after stopping GLP-1s, and (2) how to lift with osteopenia.21 Apr 2026 · 39 min · 11 chapters
Is the Testosterone Crisis Real? The Numbers Behind the Headlines | Signal Ep 1Whether the “testosterone crisis” is real, and why headlines mislead—covering broken TRT prescribing, ineffective/unsafe supplements, unreliable diagnosis from single labs, and how population…14 Apr 2026 · 41 min · 18 chapters
Medical Mystery: The Man Who Got Weaker When He Started TrainingA 43-year-old warehouse worker with obesity, high blood pressure, impaired fasting glucose, and high triglycerides/low HDL starts home dumbbell training.7 Apr 2026 · 1 h 16 min · 32 chapters
Overtraining Syndrome: Causes, Diagnosis, and What's Actually Going OnThe episode argues that “overtraining syndrome” is a confusing, poorly evidenced concept and that athletes’ symptoms are often misattributed to training load alone.31 Mar 2026 · 1 h 36 min · 37 chapters