Barbell Medicine Podcast

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Is Creatine Causing Your Shin Pain? + Splitting Training, Endometriosis for Lifters | Direct Line · May 2026
This is the free preview of the May 2026 Direct Line, our monthly AMA for Barbell Medicine Plus subscribers. Three reader questions answered in full.We open with a mid-30s woman with bilateral shin pain and exertional foot numbnes
What’s Actually Driving Your Testosterone Down? | Signal Ep 3
 Most cases of low testosterone in modern men are not a problem with the testes. The number is downstream of body composition, sleep, and energy availability. The wellness-clinic algorithm walks past every one of them.<b
Bonus Episode: Can Your Cholesterol Be TOO Low? Why Starting is Hard, & Your Cardio Time-Hack
This episode tackles major debates in health and performance! We resolve the question of whether your cholesterol (LDL/ApoB) can ever be "too low" by examining genetic and clinical trial evidence. We dive into the psychology of starting—
Episode #370: Dr. Sohee Carpenter on High-Intensity Circuits vs. Traditional Lifting, New Research, and Coaching Her Mom
In this special episode of the Barbell Medicine Podcast, Dr. Jordan Feigenbaum welcomes back friend of the show, Dr. Sohee Carpenter, PhD, to share her latest insights following the completion of her PhD in Sports Science from the Auckla
Bonus Episode: Dr. Feigenbaum on Volume vs. Intensity, Training Frequency, Peptides, and More!
In this episode, Dr. Jordan Feigenbaum hosts a live "Ask Me Anything" session, tackling a wide range of questions on health, fitness, nutrition, and training philosophy. <a href="https://barbellmedicine.supercast.com/" r
Episode #369: The 2025 Blood Pressure Update
The old rules for blood pressure are changing. In this episode, we break down the critical 2025 updates that are reshaping how we diagnose and manage hypertension. We move beyond the simple 120/80 cutoff to explore a new risk-based appro
Episode #371: Q/A- Optimal Fitness Standards, GLP-1s, "Race-Based" health metrics, and More!
This episode features the full Q&A from our first live seminar in over a year, recorded at Watchdog Strength in San Antonio. We field questions from the audience on a wide range of topics in health and fitness.Listen in as we disc
Progressive Loading Part 3: Why the Novice / Intermediate / Advanced Framework Doesn't Work, and What to Do Instead
Three weeks of stalled squats. The conventional answer is to switch programs because you've crossed into intermediate territory. The data says something else. In Part 3 of the Progressive Loading series, Dr. Jordan Feigenbaum and Dr. Aus
Is Your Testosterone Actually Low? Why Higher Testosterone Doesn't Do What You Think | Signal Ep 2
Out of 32 symptoms commonly attributed to low testosterone, only 3 actually correlate with it. All three are sexual. The other 29 — fatigue, brain fog, low mood, weight you can't lose, feeling not quite like yourself — are real, but they
Direct Line April 2026: Stopping Ozempic and Lifting With Osteopenia
Stop a GLP-1 and about two thirds of the weight loss comes back within a year. Three randomized withdrawal trials (SURMOUNT-4, STEP 1 extension, STEP 4) and a new BMJ 2026 systematic review of 37 RCTs and nearly 10,000 adults all land on
Is the Testosterone Crisis Real? The Numbers Behind the Headlines | Signal Ep 1
Every week there's a new headline saying men are losing testosterone. A quarter of men now start testosterone replacement therapy without ever getting their blood tested. The supplement aisle is full of boosters that either do nothing or
Medical Mystery: The Man Who Got Weaker When He Started Training
A 43-year-old man starts exercising and ends up in the ER with a CK over 100x the upper limit of normal. His doctor says it’s from training. We don’t think so. In this episode, Dr. Jordan Feigenbaum and Dr. Austin Baraki walk through the
Overtraining Syndrome: Causes, Diagnosis, and What's Actually Going On
In 2022, researchers conducted the most rigorous systematic review ever performed on overtraining syndrome — looking specifically for controlled studies that documented a human transitioning from a healthy training state to an overtraine
Direct Line (Free): GLP-1 Muscle Loss and Creatine, Bulking vs Cutting, One-Hour Training, & Detraining
Once a month we answer Barbell Medicine Plus subscribers’ questions on the Direct Line. This is a free look at June’s episode. We start with GLP-1 drugs and muscle: why DEXA overstates the loss, what resistance training actually does, an
Menopause Part 4: Training, Protein, Cortisol, Hormone Therapy, & Bone Density
 Is there really a “menopause-specific” way to train, eat, and supplement — or is most of it marketing? In the finale of our 4-part menopause series, Drs. Jordan Feigenbaum and Austin Baraki go straight to the evidence on build
Menopause Part 3: Body Composition, Bone, Brain, & the Fitness Changes (The Data vs the Influencers)
Most women in 2026 are told menopause affects everything, the weight, the belly fat, the bones, the heart, the brain, and that the fix is hormones, supplements, and a proprietary protocol. The data tell a different story. Menopause does
Menopause, Part 2: The 2,000-Year-Old Lie About Women and Exercise
The story goes that hard exercise is risky for women, and that the idea is ancient. Both halves fall apart on contact. In this solo episode, Dr. Jordan Feigenbaum follows the claim that physical effort harms the female body across twenty
Menopause, Part 1: What It Actually Is and the 24-Year WHI Correction
In 1889 a French physiologist injected himself with guinea pig and dog testicle extract and published a claim of self-rejuvenation in The Lancet. That announcement kicked off a 200-year medicalization of menopause that ran through leeche
Sunday Morning Protocol 2049: A Halloween Story About Optimization
A Halloween story about a man who does every wellness protocol, then an honest grading of each one. Dr. Jordan Feigenbaum tells the story of Dale Mercer, Unit 4471, who lives through a fully optimized Sunday in the year 2049: morning lig
Do You Need a Calorie Surplus to Build Muscle? | Dr. Eric Helms
Most lifters have been told they need to eat in a Calorie surplus to build muscle. That rule has always come with a list of exceptions: unless you're new, unless you're carrying extra body fat, unless you're coming back from time off. Dr
Is Obesity A Muscle Problem?
Muscle is where most of the glucose goes, and muscle insulin resistance is the first thing that breaks on the road to type 2 diabetes. Both of those are true, and neither one means that building more muscle is the treatment for obesity.
Who Needs Testosterone, and Who's Not Getting It I Signal Episode 4
Most men who start testosterone never needed it, and some who genuinely do never get treated. In the final episode of the Signal series, Dr. Jordan Feigenbaum and Dr. Austin Baraki work through who actually needs testosterone replacement
Your Fat Has a Storage Limit
In 2004 a surgeon removed about ten kilograms of fat from fifteen women and measured everything that mattered. Nothing improved. Four years later, it still hadn't. That result should have ended an argument about body fat
Lifting and longevity: is 1 hour a week really the limit? Plus GLP1s and mood, training with ME/CFS, and Protein vs. Calories
A popular paper claimed the longevity benefit of lifting disappears once you train more than an hour a week. It's a real paper, but the claim is a misread. This is the free cut of this month's Direct Line, where Drs. Feigenbaum and Barak
The FDA Voted for 6 Peptides. Its Own Scientists Said No
An FDA advisory committee just voted to open a legal compounding supply line for six of seven peptides, including BPC-157 and TB-500, over the objection of the FDA's own scientists, who recommended against all seven. Dr. Jordan Feigenbau
The Man Who Couldn’t Stop Gaining Weight | A Medical Mystery
A previously healthy 21-year-old shows up with seven months of headaches and 30-plus pounds of weight gain he can’t explain. He’s eating the same and training more, and the scale climbs anyway. We hand the case to Dr. Austin Baraki cold
The Protein Scaries: What the Research Says About Your Kidneys, Cancer, Bones, and Body Fat
Every couple of years a new headline warns that the protein you eat is quietly hurting you. This year the target is your kidneys. Before that it was cancer, then your bones, then the claim that your body can only use twenty or thirty gra
Is It Really Just Calories In, Calories Out? Metabolism, Insulin, Hormones and Why Counting Fails
Is weight loss really just Calories in, Calories out? The equation is true, but "just count your Calories" is bad advice for most people, and almost every objection to it is pointing at something real. In part two of our energy balance s
Is Obesity a Willpower Problem? The Biology of Weight, Diets, and GLP-1s
Obesity roughly tripled in about 60 years, and the genes didn't change in that time. So if body weight isn't a willpower problem, what is it? Dr. Jordan Feigenbaum and Dr. Austin Baraki walk through what actually sets your weight: the ad
How Much Cardio Should You Do? How Much is Too Much?
How much cardio should you do, and does more of it ever become harmful? Cardiorespiratory fitness keeps improving with training load and nobody has found a ceiling. Getting fitter keeps lowering mortality risk as far out as anyone has me

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