Ben Greenfield Podcast 189

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Ben Greenfield Podcast 189

  1. 1. Podcast #189 from http://www.bengreenfieldfitness.com/2012/04/episode-189-should-you-eat-carbs-or-protein-before-bed/Introduction: In todays episode, should you eat carbs or protein before bed? Also, being predisposed to heat stroke, shotgun vitamins and high- dosed antioxidants, good swim technique videos, being ketogenic all the time, tendonitis explained why one muscle can be bigger than the one on the other side, and how to blast away belly fats.Brock: Hey everybody! Welcome to another episode of the Ben Greenfield Fitness Podcast, Brock here on a lovely sunny day, ready to record another awesome episode with my good buddy Ben.Ben: Hey, it’s sunny there in Canada, huh?Brock: It sure is, its actually the, weve win in the teens in the Celsius range here.Ben: There are snowflakes the size of like small poodles coming outside my house.Brock: Oh, Im sorry.Ben: No, thats okay I like snow.Brock: Thats good okay. Were both happy then.Ben: Yup! As a matter of fact I have a race coming up. Im going to do that in the snow, its a snowboard-bike-run. You get on your well, Ill be on a snowboard, you can ski as well but you, if they take you up to the top of the mountain and you ski down to wherever the snowline happens to be for that year. You transition to the mountain bike it’s about like, I think seven or eight miles of kind some technical downhill riding and then transition to a five-mile trail run.Brock: Cool!Ben: Yeah! It should be fun.Brock: Yeah! Thats really a good idea.Ben: By the way, I wanted to mention that I just got back from Galveston, Texas, where the 70.3 Triathlon was and took a lot of video down there. People who are triathlon junkies listening in who want to see like Lance Armstrong cross the finish line.Brock: Get scooped by some dude.Ben: Basically, just a bunch of Lance Armstrong videos. I kind of had with me and the camera and I had choices of what I wanted to cover. So, I pretty much just followed Lance around all day and I put all the videos up at EverymanTRI.com. So if you go to EverymanTRI.com, you can see things like Lance Armstrong getting
  2. 2. passed in the last second of the race by some guy who ran up, sprinted up behind him and took him by surprise. Its just kind of funny that he succeeded.Brock: I took everybody by surprise. I was watching the feed and I didnt see where that guy came from. He just all of a sudden came out of nowhere and Lance actually kept his composure, I was expecting him to. If I was him I would have gotten a little more pissed.Ben: He kind of stormed out. I filmed it and then that night ESPN wrote in and they wanted to use my video and so it ended up on ESPN the next day and they were questioning on the video whether or not the guy that passed him should have passed in. I was just sitting there smiling about the fact that my video was on ESPN for a little $89 camera. It was like some good video, you should go watch it EverymanTRI.com. So I’ll quit blabbering about Texas and we can move on.Brock: Alright!News Flashes:Brock: Alright! So you can follow all the latest in nutrition and fitness and all that kind of stuff on Twitter.com/BenGreenfield and you can also find Ben Greenfield Fitness on GooglePlus and in both of those places there have been all kinds of cool stories this week. What do you want to highlight this week?Ben: Few things that came to my attention this week that I think that folks would find interesting and I tweeted a bunch but these were few of the things that kind of stood out. The first was a look at kind of a big study that came out that investigated the way that people live their lives and specifically how they work and this study was called “Sitting Time In All Cause Mortality” and looked at a lot of folks in, specifically Australia and their lifestyle and how much they sat their age group, how fat they were, how much they exercise. Just all of these different variables that could be associated with cardio-vascular disease or diabetes or just mortality and dying early. And regardless of how much people exercised, prolonged sitting specifically sitting for five hours or longer without getting up or doing anything was associated with an increase risk of death. So even in people who were going to the gym for a couple of hours after they finish their all-day job, if you sit for a long period of time what happens is your blood, your lymph fluid collects you just basically have a lot of factors that occur which increase your risk of death and so even if youre really physically active, even if youre training for an Ironman Triathlon if you got a desk job, dude, I recommend you do what I do if youre going to be sitting for a long period of time. For me, it’s usually an airplane or occasionally at the office even though I have a standing work station. I get up if youre ever sitting
  3. 3. for more than an hour, get up. My rule is you get up and I rather do jumping jacks or I do pull-ups on a pull-up bar that is above the door of my office but either way, something. So Brock’s probably had to do jumping jacks now.Brock: Yeah! I actually, for the last few weeks, three times a week Ill set my alarm and it will go off every hour and just like you like doing pull-ups or some eighth tap. Ive been doing push-ups or planking. So every hour the alarm goes off and I have a standing workstation but it just breaks up. Even if youre standing, youre standing still maybe like slouching it breaks up the day so nicely just every hour or so just go and do something like jumping jacks or push-ups or squats or whatever.Ben: Thats a good point. Even if you have a standing workstation, it can give some of those muscles that youre using to stand a little bit of rack.Brock: I get in to some terrible positions even though Im standing and Ive seen other people in standing workstations. They just get all hunched over or leaning on one elbow and standing on one foot. I guess it’s still better than sitting in a lazy boy all day.Ben: Yeah! Thats a good point. So stand more and make sure you have good posture. Stand up straight. Another interesting study looked at the effects of ten weeks of lower body unstable surface training on what that did to your performance. So we’ve all seen Bosu balls that you can stand on at the gym or maybe like these little air pillows that increase your balance requirements while youre exercising. Maybe youre standing on top of them and doing some overhead dumbbell presses or something like that. What they found was that when you train on these balanced devices before looking at healthy-trained athletes, in this case NCAA Division 1 Collegiate Men’s Soccer Team, the training on an unstable surface actually reduced the effectiveness of training sessions, reduced the ability to sprint, reduced the ability to jump and the thought here is that for some of the activities that are explosive activities, powerful activities, activities where you want to recruit as much muscle as possible. If youre doing those on an unstable surface, youre actually decreasing your ability to recruit as many muscles as you can because youre spending time trying to balance and your body kind of automatically protects itself and recruits fewer muscle produces less power. You actually get less benefit from the training session. Now if youre training for ballet or something, maybe some other type of activity where a greater amount of balance is required, perhaps training in an unstable surface does have benefits but for just pure power or strength or sprinting ability or jumping ability, training on these unstable air pillow type of surfaces isnt doing you any favors for those specific training sessions.
  4. 4. Brock: So, if the exercise itself is supposed to be balanced like if youre building up your appropriate reception or you’re building up your stabilizer muscles then obviously its good but if youre just trying to get explosion and strength and stuff that are very interesting.Ben: So dont do any of your explosive, power, strength training, standing on a Bosu ball or using these air pillows or anything like that. They do have a time and a place but it’s not for those types of workouts.Brock: Very cool!Ben: The last thing I wanted to mention was the study that came out that looked at what happens to specifically a hormone that’s produced by your liver after endurance exercise and theres this specific hormone produced by your liver called Hepcidin and hepcidin functions to increase your iron storage, prevents you from losing too much iron. But the other thing that it can do is decrease your actual absorption of iron from dietary supplements or from food and it turns out that this absorption blocking effect is really amplified for about six hours after you do endurance exercise. Now the reason that this is important is because I know theres a lot of folks and especially a lot of female endurance athletes who take iron supplements and the time of day to take an iron supplement based off of this study that showed that hepcidin rose and iron absorption decreases after workout would be kind of like earlier in the day preferably several hours prior to your workout or at least six hours after your workout but don’t time your irons like if you get up in the morning and you go for a run like a five-mile run, you come back and whatever you grab your vitamins and you’re supplementing then you take them before you eat your breakfast. Bad time of the day to take iron. Better would be before bed at least six hours after that workout or if youre working out in the later afternoon or early evening, in the morning. So just want to throw that out there to anybody who is using an iron supplement.Brock: Crazy!Ben: Thats it!Brock: Alright!Special Announcements:Brock: Okay! So it’s time to talk about whats been going on at BenGreenfieldFitness.com.Ben: Special announcements would be first of all, if youve got kids or you yourself are planning on ever partying or having specifically a birthday party, go read the article that I released this week called How to Create a No Guilt Birthday Party Meal for Your Kids or You. In it I not only walk through exactly what we did for our kids’
  5. 5. birthday party and how we kind of set up their eating, their cake, their ice cream, just everything in a way that didnt really affect their gut, their brain but also hackle what you put in to your kids body. Your body affects your brain, your mood, your well-being, your propensity towards hyper activity. Thats basically that kind of gut-brain connection and I linked out to some really good articles as well. I would highly recommend that even if you dont have kids that you review that article because theres a lot of good information there. And then the other thing is that last Friday I released the two-part interview. Did you get chance to listen to that one Brock?Brock: With the Zen of aging?Ben: The Zen of Aging: How to Stay Fit and Look Amazing as You Get Older, and one of the guys that I interviewed on there was Cary Nosler whos 65 and then also Elizabeth Ruiz, an older of kind of like masters female triathlon coach and both of them had some really good tips for how to stay fit and look amazing as you get older so listen to that. I would say thats a really good one.Brock: And they definitely walk the walk too.Ben: They do. They look great and I put some pictures of them up there on the post. Tune in this Friday for a very good interview if you are doing any type of endurance sports, listen to the upcoming interview. We dove deep. I get Doctor Stacy Sampson. We dove deep into what to eat when youre exercising. I mean, we covered stuff that Ive never talked about before on the show. I learned a ton, fantastic interview. That will come out this Friday. And then as far as events, I know we do have some listeners over in Dubai. Im going to be going over there May 11th and 12th. Ill be presenting a conference on How to Become Superhuman, so its an interactive workshop that goes into performance, fat loss, digestion, recovery, sleep, brain performance, sexual health and hormones and I’m just basically going to be doing a 48-hour intensive with folks, teaching everything they need to know about how to get the most out of your body. So I’ll put a link to the PDF in the show notes about how you can register for that. Its open to anybody who’s over in Dubai and stay tuned to this Podcast in BenGreenfieldFitness.com because Ill also be presenting that same seminar in the States a few times this year but the dates havent been picked yet and neither have the locations but I know for any Dubai listeners I will be coming over there, May 11th and May 12th and I will put the details in the show notes.Brock: Is that connected with The Superhuman Coach stuff that youre also doing at SuperHumanCoach.com?Ben: At SuperHumanCoach.com, Im teaching trainers and coach the same type of modules but youre basically, youll be tested on them.
  6. 6. Theres going to be a pass rate thats required to actually get my stamp of approval on having passed those modules. Were having our first teleseminar actually this weekend for anyone who is a member over at SuperHumanCoach.com. So if you havent gotten in yet, go over there but the teleseminar will be going into great detail about how the entire courses work for the year. Well look for that and essentially what it’s going to do is turn you into somebody who I will definitely endorse and send folks to for coaching for you to work with and its really kind of a year-long intensive where youll learn for me using a kind of a mentorship type of program. Well be doing seminars every month and you can learn more of your trainer or nutritionist or coach over at SuperHumanCoach.com.Listener Q and A:Brock: Alright! Weve got a number of really great questions this week and were going to start off with the audio questions like we always do and this question comes from Kelsey.Kelsey: Hi Ben and Brock, Brock and Ben. This is Kelsey. I have a question. I have always heard that if you want to eat before you go to bed, you should keep a lean protein and stay away from carbohydrates but I was going through my e-mail the other day and I got an e-mail from a new nutritional theory Ben and this guy is an Olympic gold medal swimmer whose name is Garret Webber-Gale. And it’s the whole nutrition series and he just has this little link where you could hear parts of it. So I click on the Eating-Before- Bedtime link and he says that he always used to eat lean protein before he went to bed to help build muscles but that his nutritionist told him that if he eats just protein before he goes to bed its going to be stored as fat and not going to help him to build lean muscle and he recommends eating complex carbohydrates with small amount of protein is okay before going to bed to replenish your body. So those just seem contrary and opposite to everything Ive ever heard and in fact I think you mentioned in a fairly recent Podcast that youve read a study about eating protein before bed and how it does indeed help to build muscle but maybe I’m mistaken. So I just want to know the truth and Im hoping that you guys can enlighten me. So thanks a lot, enjoyed the Podcast.Brock: Okay! So carbs or protein or what the heck should we be eating right before bed. If we should be eating before bed at all, really I guess.Ben: Right! Well we can tackle the protein thing first. I actually mentioned this, I think about two weeks ago in the News Flash, that this last month that they did a study where they gave young men in this case who were physically active. Protein supplement prior to bed and they found that during the night that protein supplement
  7. 7. increased the rate of protein synthesis. Now when we talk about protein synthesis, basically what happens is youve got in your genes what’s called Messenger RNA and thats produced by something called transcription in a specific part of your cell. And what happens is that through a series of chemical processes and gene expression that creates amino acids which are used for protein synthesis and by consuming protein at night it turns out that while youre sleeping that protein synthesis increases and it increases significantly by about 22% compared to someone who doesnt eat protein prior to bed and in this case, even just like ten to 20 grams of protein is enough to trigger a response. Now the outcome of doing that would mean that you would be able to either repair your body more quickly, recover more quickly from exercise or if putting on muscle is a goal that you have, youd be able to put on muscle more quickly. If youve had adequate protein throughout the day and youve refueled after your workout adequately theres really no need to eat that type of protein before bed but the protein synthesis would absolutely help you and know that protein is in most cases not going to get converted to fat unless youre in a hypercaloric state and by having protein before bed, youre actually getting more calories than youre burning. In which case if youre not lifting weights, if youre not exercising, youre basically going to do, youre going to put your liver and your kidneys under a lot of stress in terms of metabolizing those unnecessary proteins and ultimately youre going to take on more calories than you need to take on. Youre going to cause a pretty large insulin release because protein can cause a release in insulin and youre not going to be doing yourself any metabolic favors. If youre working out in a later afternoon or early evening, youre trying to put on muscle, trying to improve your bodys ability to repair, recover a little bit of protein before bed is not a big deal at all. And I personally, at night, quite a bit Ill do a scoop or two of protein with some coconut milk.Brock: Okay! So I was going to say that ten to 20 grams of protein what does that look like sort of in a real world situation?Ben: Yeah! In most cases thats like one to two scoops of like protein powder.Brock: More like a couple of eggs?Ben: Yeah! You mean real food not like engineered? I didn’t know that existed. A couple of eggs, you’d be looking at that would be 16, 18 grams of proteins or so. Even like a small to medium sized chicken breast those type of things. But in most cases that are really, if you haven’t had enough protein earlier on in a day or youre trying to put on significant amounts of muscle. But ultimately there are no studies that indicate that protein is going to do metabolic damage unless it is over and above your actual protein needs the rest of the
  8. 8. day or youre putting yourself into a hypercaloric state. Meaning that by eating extra protein youre also eating more calories than youre actually burning and yes that means that the simple calories in, calories out equation does make sense here and theres nothing magical that happens if you are eating protein at night and its more food, more calories than youre actually burning you may gain weight and like I said, also put your liver and kidneys under a little bit stress.Brock: Which has nothing to do with the timing really, it doesnt matter if you’re eating out in the morning or at the night thats just in excess.Ben: Yeah, lunch, breakfast, whatever. Now carbs at night, we found out last year and I announced the study, carbs at night do not make you fat. Specifically the reason that I say that is they studied and this was a study from Israel of a bunch of overweight or obese folks who were eating a lower calorie diet and they compared folks who were getting a high amount of their carbohydrates with dinner versus people who were having their carbohydrates kind of spread out throughout the day. And the people who ate a large amount of carbohydrates at night actually had a greater success at weight loss and better appetite control the next day by eating more carbohydrates for their evening meal. And I went into this in detail actually when the study first came out on a Podcast but there are some biochemical things that take place and an adjustment of your hormones the next day when you have a higher carbohydrate meal in the evening. For one thing that you need to realize is that these people were on a 1,300 – 1,500 calorie diet. They were already eating a low amount of calories and by having extra carbs at night they werent putting themselves into the hypercaloric overfed state. So, to actually cause lipogenesis or formation of fat from carbohydrate, one of the things that have to take place is that carbohydrate feeding at night needs to be overfeeding. It needs to actually put more calories into your body than youve actually burnt the rest of the day. If youre on a hypo calorie state and youre eating, in most cases 1,200 and 1,500 calories from most people is far for your calories and youre actually burning. Your body isnt going to take glucose that you ate at night or carbohydrates that you ate at night and convert it into anything resembling fat. That glucose is just going to stay in the form of glucose and get used as fuel and granted you do get a little bit of an insulin release and it could be that over and over again that insulin release could potentially cause your cells to become insensitive to insulin and maybe increase your risk for diabetes but that’s all hypotheses. Its never been shown in any studies that if you are eating fewer calories than you are actually burning, youre on a low calorie diet and you’re eating carbohydrates at night that the amount of insulin that those carbohydrates release will increase your risk of chronic
  9. 9. disease. There’s actually no research that shows that. So if youre already eating a low calorie diet it doesnt matter if you put your carbohydrates in the morning or in the evening and in some cases its been shown that when you put them in the evening it may actually help you to lose weight. So now we can of course flip out on its head and look at studies that have investigated the effects of carbohydrate to fat ratio on evening meals and what happens in overfeeding people and what has been found in studies like that. There’s specifically one back in 2002 that said some people with high fat diet and some people with high carbohydrate diet at night. In both cases a variety of metabolic changes took place in both people that would potentially increase your risk of chronic disease and put fat on your body. In the people who are eating on a high carbohydrate meal it was more of an issue with glucose and insulin. And people who are eating in a high fat meal it was more of an issue of really high circulating triglycerides and release of fats from adipose tissue. But in both cases there were some metabolic changes that were pretty unfavorable. However, if you look at what they were feeding people in a study like that, we are talking about right around in the range of 3,500 calories for dinner. So when you’re seeing out there articles that say high carbs at night are going to cause damage or large amount of fat at night is going to cause damage, 3,500 calories is what we are looking at as kind of a ballpark figure for overfeeding on carbohydrates or fat at night and to put that in a context, that’s like four huge plates of pasta or from a fat perspective basically like an entire carton of ice cream. So yeah in a case like that, thats where any type of eating at night is going to be an issue but in a hypo caloric state where youre burning more calories than youre eating, carbohydrates are fine in the evening, protein is great because it appears to help with overnight protein synthesis and recovery and with fat levels that again dont put you in to a hyper caloric overfed state, those are also fine. Thats why I personally at night just do a little bit of coconut milk with some protein. Thats really what I have most evenings and if I am going to have a snack in the evening. So, ultimately there is nothing magical that goes on with the whole protein versus carb equation and I think that we worry about it more than we actually need to.Brock: I think it was one of those things that people use that as a strategy to do some weight loss. The rules were put in place and they can sort of spread as a way to control your caloric intake was dont snack after dinner, dont snack before bed kind of thing and thats great if you are actually trying to cut down on your caloric intake and thats one way to sort of reel yourself in but it seems like that idea has just so proliferated and become some sort of one of those hoaxes or myths that you talked about last week.
  10. 10. Ben: Right, exactly and incorporating larger meals in the evening in a weight loss routine, if we’re talking about pure weight loss here, it may actually help you to minimize the loss of fat free mass or to minimize the loss of muscle and so thats another thing to think about as well and that was based on a fairly recent study that looked at how people did when they are losing weight as far as like how much muscle their bodys rave will hold on to versus cannibalizing your only muscle tissue and just because large evening meals can potentially increase the release of growth hormone when youre sleeping and potentially help you to like I mentioned increase your protein synthesis while you’re asleep. If this is just from a weight loss perspective again eating a big dinner theres really not a big issue with that as long as it’s not putting you over the top in terms of calorie consumption. Last thing I wanted to mention here was that for most of us snacking at night does put us over the top in terms of calories. I mean if you really sit down and you write everything down, for most people telling folks to stop eating after eight pm or stop eating after dinner is a great way to not get them to eat too many calories just because eating at night tends to be mindless boredom eating, eating thats done while watching tv, playing on a computer, etc. So there’s certainly some lifestyle implication here too.Brock: Alright! Lets move on to the next audio question from Patrick.Patrick: Hi Ben and Brock! This is Patrick from Dallas. My question today has to do with heat susceptibility. When I was 18, I ended up in a hospital with exhaustion and dehydration and for a couple of IV bags I was relieved but now Im 32 and ever since then Ive been struggling with the heat susceptibility and like Ive said Ive lived in Texas so majority of my training takes place in heat. And I find that I dont believe this has anything to do with dehydration or not taking in enough fluids in during workouts but that it has more to do with just my body temperature. I have found that after a hard hot workout if I run a cold bath and just thinking my chest and my head I submerge instead for ten or 15 minutes where ice bath isnt available Ill get crazy headaches within about 24 hours afterward with each training on back-to-back days, a little tough during the summer. So can you help me out of this? Ill appreciate it. Thanks Ben. Bye!Brock: Wow, he gets crazy headaches.Ben: Yeah! This heat exhaustion is really interesting because if you look at whats going on basically you got these things that your body makes called heat shock proteins and in a situation where youve got a lot of heat shock proteins your body is able to have a greater amount of what’s called thermo tolerance and you have less propensity for heat exhaustion and heat injury. This actually gets
  11. 11. pretty interesting because one mechanism thats related to howthese heat shock proteins actually work is in your GI tract andspecifically what can happen is when youre engaging in strenuousexercise or on hot exercise you get inflammatory release in yourbody what are called cytokines and this elevation in cytokines thathappens when you are actually in a hypothermic or heat producingstate. What can happen to that is it can affect your gut barrier andspecifically your got permeability. And we actually will be talkingabout this more in this upcoming Friday Podcast on nutrition butwhat can happen is that when your intestinal cells become morepermeable they release endotoxins and what happens is when theseendotoxins are released your body essentially almost has anallergenic reaction against these endotoxins in the bloodstreamproduces antibodies and you have this full body inflammatoryresponse and it is one of those things that is associated with heatexhaustions. Its almost like this toxic reaction within your bodyand a big part of that can be based simply on the integrity of yourgut barrier what’s called your epithelial barrier. Now, one of thethings that can influence your susceptibility to not only theendotoxins that are released but also your propensity to produce allthese cytokines that can cause that increase in intestinalpermeability is your genetic predisposition to how many heat shockproteins you have and the effectiveness of those heat shock proteinsbecause as your heat shock protein count goes down, your ability toproduce heat shock protein goes down your reaction to thosecytokines. The production of those cytokines when you are exposedto hot conditions is going to go up. So part of this is genetics, somepeople are simply more susceptible to heat and more likely to getheat exhaustion especially from exercising in the heat. Simplybecause they dont accumulate as many heat shock proteins orproduce as many heat shock proteins. Now thats one side of theequation and thats the side of the equation that you have to dealwith because it probably means that you come from an ancestrythat didnt really have to deal with the heat too much. Maybe like inan urban climate, colder climate whatever Swedish northernEuropean that type of thing where you really didnt genetically havea lot of exposure to heat and exercise in heat. But the other idea,this is the gut permeability issue and interestingly big factor herewith gut permeability is the health of your gut. Not only your gutflora and the presence of good bacteria in your gut but also howyour gut was formed as you were growing. Its kind of hard forpeople to hear because its not like you can hit the rewind buttonand change this but anybody who grew up drinking formula got theshort end of the stick when it comes to the formation and theintegrity of these epithelial membrane in your gut becausecolostrum found in mothers milk is one of the prime componentsvia which your body forms this barrier and so if you grew up
  12. 12. drinking formula rather than being breast fed, you actually will indirectly increase your susceptibility that has some serious issues when it comes to gut permeability from exercising in stressful conditions. This was something I mentioned about a year or so ago on the show was how before like a race in hot conditions something like a triathlon in hot conditions you could actually help yourself out by using something like a colostrum supplement the week of the race or the few weeks going into the race because it will improve your gut health and specifically studies have shown this significantly decrease your gut permeability during exercise which limits those endotoxins that are released, which limits your propensity for heat exhaustion and if you grew up and weren’t breast fed and you were raised on formula, I would recommend you think about taking colostrum year round just to basically really help your body form the gut it was supposed to form when youre a baby. Thats one big thing that I think about and the first thing that comes to mind when it comes to this heat exhaustion issue and at your question. Now because this cytokine release is an inflammatory response and because the body produces antibodies against the endotoxins that are released by these intestinal cells, its possible that by having heat exhaustion once because this is like an allergenic response that youre body could go into a more hypersensitive mode after that first bout of heat exhaustion which may be why you have a harder time now. And again if thats the issue then I would definitely come at this from a limiting endotoxin release standpoint and getting some colostrum and a good dose of probiotics into the system year round.Brock: The other issue here would be that one of the things that really causes a lot of headaches and that type of issue when it comes to exercise in the hot weather is a big drop in blood pressure.Ben: Cold weather exercise, cold exposure that causes an increase in blood pressure. Basically, when you increase blood pressure without having to increase your heart rate, it prevents your body from losing too much heat and it helps to sustain your normal body temperature and so thats why when your body is exposed to bouts of cold it will increase your blood pressure a little bit and just the opposite happens when you’re exposed to exercise in the heat you get basically an increase in the size of blood vessels and you get a decrease in your blood pressure. Your heart doesnt have to work quite as hard in a case like that. Now when you get that drop in blood pressure it can cause headache. This is actually one reason that when it gets warmer outside the number of migraine headaches in people who get migraines actually tends to go up because of that drop in the blood pressure, drop of blood flow to the brain. The thing that could aggravate this drop in blood pressure would be one thing that comes to mind a low carbohydrate diet because I know
  13. 13. thats popular now. I know a lot of folks who are doing the low carb thing or the paleo thing or the ketogenic thing. Your metabolism of salt gets very different when you start into a low carbohydrate diet and specifically your kidneys begin to excrete more sodium and you actually need to increase your daily intake of electrolytes, your daily intake of sodium, and so I would make sure that youre getting adequate sodium even though Patrick mention that hes getting electrolytes in. Just look at your over-all diet especially if you’re on a low-carbohydrate diet and begin to do things like you see salt more frequently. Maybe introduce like a mineral supplement into the diet, like one of these liquid mineral supplements you can get when you’re drinking minerals everyday. And then the other thing that can also cause the same type of issue, same type of drop in blood pressure would be a deficiency in specifically the hormone called aldosterone and low aldosterone causes your kidneys to excrete a bunch of salt that lowers your blood volume and that lowers your blood pressure. Well one of the things that causes you to have an aldosterone deficiency is over training or adrenaline exhaustion and technically that could include like surgical removal of the adrenal glands or something of that nature. But in most cases training too much, inadequate recovery what happens is you get this drop in aldosterone which is associated with the drop in blood pressure and that can cause headaches and really low energy. So you may want to go get tested and look at your testosterone, your cortisol, specifically your testosterone and cortisol ratio. If thats really low it could indicate some type of adrenal problem and that can be addressed through something as simple as rest, taking some time off using some of the Chinese adaptogenic herbs that we talked about on the show few weeks ago and just basically kind of giving your body a break. So that could also be an issue as well but I really suspect that in your case, it’s an issue of the one-time heat exhaustion causing kind of a hyper sensitivity to this endotoxin release in the gut and that is the biggest issue here. I would look at the blood pressure. Maybe do some testing on your blood pressure to see if its really low but also really come at this from the gut health stand point.Brock: And thats the colostrum.Ben: Yeah! Colostrum specifically like that if I were going to go after one thing I would experiment with that one.Brock: Cool! I actually have similar experiences as Patrick so Im listening very closely and I think Im going to try the same thing. Maybe Patrick and I should team, exchange stories in the few weeks.Ben: Yeah! And I interviewed the guy who owns Mt. Capra, not the guy who owns it but the chief scientist from Mt. Capra, Joe Stout, I interviewed him on the Podcast. He talked about that
  14. 14. CapraColostrum stuff and I can put a link to that in the show notes. Thats the stuff I keep around the house again. I take it just a few times a year like before Ironman Hawaii, those types of situations but that is one that Id recommend now I know it was good Colostrum.Brock: Great! There you go. Lets move on to the next audio question from Mike.Mike: Hey Ben, I have a question here for your Podcast. This is Mike. I was wondering if you ever heard of company called Longevity and I was wondering what your thoughts on their products. Also, theres a supplement for triathletes out there called Six for Men. I was wondering if you have any thoughts on that as well. Thanks! Bye.Ben: So this Six for Men triathlete supplements that Mike talks about is not really a triathlete supplement per say just like for anybody I think. But I do know that they market to triathletes. Its one of those shotgun supplements. Its a bunch of different nutrients like Co-enzyme Q10 and Vitamin D, some antioxidants like Astaxanthin, Folic acid, some stuff for sexual health like Saw Palmetto, energy stuff like green tea extract and B Vitamins and then also some greens in there, some ginger roots stuff like that. So its basically a shotgun supplement thats got a bunch of stuff in it. Ive never taken it. I dont really even know how much it cost, honestly. But I dont see any red flags or something like this. I mean it seems to have a decent nutritional profile. The only issue and I think I have mentioned this before, sometimes with shotgun supplements youre getting not enough of certain nutrients and you still got to kind of step up your intake like most supplements like this, they step up Vitamin D to a 1,000 to 2,000 international units. Somebody needs like 8,000 to 10,000 international units. You still got to introduce some other stuff. Ultimately though I mean it’s kind of Gold standard for looking at it if you should be taking kind of a multi- spectrum complex like this is just to get tested and see where youre deficient in and see if it covers your deficiencies. Id never liked the shotgun approach when it comes to stuff like this versus kind of trying to identify via using the type of blood testing that we talked about last week, what your deficient in and what you need and then adjusting accordingly based on that because its so easy these days to customize your supplement profile based off of what you need and if your Vitamin D levels are fine then maybe you dont need 8,000 and 10,000 international units of Vitamin D a day. If youre exercising for a half hour a day, you dont need to dump of bunch of antioxidants in your body. As a matter of fact, my guess about Longevity, Ill talk about that in a second with this whole antioxidant issue but ultimately I dont think that this is a bad product. This Six for Men stuff doesnt have a red flag it’s like
  15. 15. artificial sweeteners and I dont think its got a bunch of nasty fillers in it that I could tell.Brock: I think the biggest danger with taking those and I actually take something that’s similar to this Six for Men is called Seven Systems and I fully recognize them probably creating a little bit of expensive pee when I take the shotgun stuff because there maybe some things that I’m not necessarily getting that I need but theres definitely some stuff Im getting that I probably have enough of and Im just going to be peeing out. But there is that whole convenience factor.Ben: Exactly. Being able to grab a handful of stuff and just kind of cover your basis that way and I agree with something like that for sure. Theyre definitely the convenience factor and I personally dont really use a shotgun supplement per say. I have a few selected supplements that I take based off the testing that Ive done. But if it works for you, go for it if you feel a little better. But like I mentioned I would be kind of careful with the whole antioxidants thing in it, it relates to Mikes question about Longevity supplements and I actually dont know if Mike was referring to a specific brand of supplements called Longevity.Brock: Yes, its hard to tell.Ben: If he was, I’ve never heard of that brand but I mean supplements that are marketed as anti-aging supplements are a dime a dozen and one of the things that most of the supplements contain is high doses of antioxidants and one of the things that concerns me is if you look at how ourselves age those antioxidants might actually not be doing you any favors. Because when you look at your body youve got these mitochondria that are in your cells and mitochondria are your power houses of energy production. Damaged mitochondria or basically like a loss of mitochondria is one of the ways that human’s age. In your mitochondria youve got all of these different structures that are used for what’s called electron transport or the electron chain transport and there are free radicals that are produced when you make energy along these chains and those free radicals can kind of leak out of the mitochondria and they can cause damage to your DNA thats housed in that mitochondria and there are specific parts of the mitochondria closest to your DNA that if those specific parts of the mitochondria leaking a lot of free radicals it can potentially cause your mitochondria to kind of turnover more quickly. So the response by a lot of anti-aging scientists or people making supplements is that they just want to get rid of these free radicals and put as many antioxidants into the body so that we are not getting all of this cellular damage and we can live longer. But one of the things to realize is that even though we’re taught that free radicals are bad for cells, it appears now based off of a study thats
  16. 16. been done on mitochondria and how they produce these free radicals is that free radicals can increase the turnover of mitochondria and cause your body to actually kind of create new mitochondria, new fresh mitochondria that can increase the longevity of the cell. And if youre eating a bunch of antioxidants supplements, high dosed antioxidants supplements they could interfere with that process instead of prolonging your life they could actually cause you to have a decreased life span because youre losing mitochondria more quickly or getting more mitochondrial damage because your body isnt really kind of learning how to protect itself. So when you look at a kind of healthiest, longest living organisms on the planet or even look at like the oak in Allen’s for example, youll find that the mitochondrial density is really high and what you can find when youre completely shutting down free radical formation or introducing really high dose antioxidants into the body is that that can actually cause you to be less able to produce mitochondria or have a higher mitochondrial density so thats why you need to be careful with the antioxidants especially if you don’t need them. Like if youre just producing tons of free radicals if you’re like an Ironman triathlete, I think you should be taking antioxidants because youre creating unnaturally high amount of free radicals and youre body may need a little bit of outside help so to speak. But for somebody whos exercising, 30 minutes a day, five days a week I don’t think you do yourself any favors by taking one of these supplements thats marketed for longevity thats basically high dose antioxidants. Does that kind of make sense?Brock: Yeah for sure! Really like it’s just a balance , your body is such a fine balance if youre producing enough and youre getting enough of the antioxidants in it will take care of itself. You don’t need to be hammering everything out at your body because it’s pretty getting rid of the stuff on its own when it needs to.Ben: Yup! Exactly, so theres a certain amount here that we are trusting the body and allowing it to adapt to the damage that we are putting it through and when we get to the point where were putting excess damage on our body then we may need a little help but day to day life we dont need a bunch of extra antioxidants over and above what we get from healthy amount of vegetables and a little bit of fruit. Now, there are other things that I would use to live longer and if you really want to live longer and we look at the top ten killers from heart disease to cancer to stroke and all of that, we can form a kind of a list of things that can help us to live longer. When I saw Mikes question I kind of wanted to make a little list and so Ill tell you what I kind of came up Brock. Are you ready?Brock: Bring it on!
  17. 17. Ben: Drum roll please! My Top Ten Ways to Live Longer: Number one would be, don’t smoke and avoid second hand smoke.Brock: Really?Ben: So, yeah!Brock: Who knew that was bad?Ben: Seriously, people sometimes tend to forget this kind of stuff. What I mean is that dont hangout in bars that have a lot second hand smoke. Limit your number of Vegas trips over the course of your lifetime where you’re hanging out in the Casinos that have lots of smoking around and be careful around smoke. So number one would be don’t smoke. Number two would be avoid heavy drinking. Interestingly, if you talk to most people who have lived a long time, one of the things that they say is that theyve never had a drink and that doesnt sound very fun to me but you do need to be careful with heavy-drinking. And if youre finding yourself going on a bender every couple of weeks or maybe even doing something, I know people do this, saying you really love red wine and your foodie and youve going through a bottle or two of red wine on the weekends I would certainly be limiting that if you want to live longer. There is definitely evidence that shows that sexual activity activates various hormones that can improve your immune system and decrease your stress levels or reduce the risk of Alzheimer’s and all sort of other good things. So, have sex regularly that would also in addition to not smoking and not drinking heavily would be another way that you could increase your life span.Brock: Unfortunately all three of those things seem to go together really well.Ben: I know! Figure out a way to have more sex without smoking and drinking more and you have unlock the key to long life. Be careful with snacking and calorie consumption, lower amount of calories and even putting in some intermittent fasting like we talked about with Cary Nosler in last weeks podcast, another great way to live longer basically not causing your body to go on to overtime processing calories and instead not being afraid to be a little hungry over once in a while and throw in some intermittent fasting where youre not even half your bed time and having a late breakfast those type of long periods of time between meals can help out a little as well. So throw that in there. Of course, exercise. I think most of the people listen in the show are already exercising but exercise and exercise in moderation. A little bit of aerobics, a little bit of interval training, a little bit of weight training, throw in a long hard workout every now and again to challenge your body and that can definitely help to improve your life span. Don’t sleep too much and make sure you get enough sleep. About anywhere from seven to eight hours of
  18. 18. sleep is ideal so try to get to bed at decent time. Don’t sleep in too long and both of those things had been shown to help to improve your lifespan. Take care of your gut. Specifically, you want to make sure that you keep yourself regular. You don’t want a lot of fecal matter building up in your colon and you want to make sure that you are taking care of your gut flora which is your body is primary way of building up its immune system. So use probiotics, get yourself enough fiber, enough vegetables, a little bit of fruits and if you have a nice bowel movement, one or two times a day, thats a pretty good indication that youre keeping the inside of your body fairly clean, so regular pooing is an important component to living longer, believe it or not. Mental exercises, playing memory games, using the things that challenge your brain introducing yourself to new things like musical instruments, travel, new experiences, thats pretty important in living longer. So throw that in there as well and then my last two most important things would be number one, be grateful. I talked about this a little bit last week but feeling gratitude, I’m actually reading a book about this about kind of the science of stress and what kind of things can decrease stress and gratitude. Finding things to be grateful for and then specifically telling people who you’re grateful for, feeling a way to be thankful for the good things in your life is a really important way to live longer and that goes hand in hand with friendship and hanging out with people and being in social situations, just basically being really grateful for the people around you and making sure that they know it, huge component to living longer and decreasing stress. And then the last thing would be to avoid hospitals. Thats one of the most dangerous places on the place of the planet, a hospital. So hospitals are filled with bacteria and medical airs and youve got a fairly good chance of dying when you go to a hospital or at least increasing your risk of death so be careful there to.Brock: Wow! Im not going to tell my girlfriend that because shes an emergency room nurse. She goes to a hospital every day.Ben: The patients are a much bigger risk due to complications but you do certainly need to be careful in a hospital. If I were your girlfriend I would just make sure that she takes care of her immune system specifically, like I mentioned it earlier the gut, make sure shes on a good probiotic regimen and maybe using some oil, oregano and that can certainly help out.Brock: And that whole gratitude aspect of things, I think it seems to be. Did that book that youre reading just comes out recently?Ben: No it’s been out a little while, the author Im blanking on the actual name of the book, thats a problem when you read books on a kindle nowadays.Brock: Yeah, you never see the cover.
  19. 19. Ben: I noticed that like Ill be reading books and I won’t remember the name of the book because you never see the cover. I think it’s called The New Science of Gratitude, I believe thats the name, I’ll have to look it up and put a link in the show notes.Brock: The only reason I ask is because I noticed that recently especially like on Facebook and Twitter people are talking a lot about gratitude in there and maybe like once a day or every couple of days certain people in my news feed just say “Im grateful for so and so” or “Im grateful for such and such” and I dont think theyre getting it quite right by doing it on Facebook.Ben: Yeah! I mean the way I do I just every night before I put the kids to bed everybody has to go around and say what they are thankful for that day.Brock: Nice!Ben: Thats the way we do it and if you want to really geek out on the science of it, you can get something to test your heart rate variability. You can look at what happens with your heart rate variability, how it becomes more normalized and you can literally train yourself to think thoughts of gratitude and thankfulness and you can watch what happens to your heart rate variability which is associated with stress and recovery and it just normalizes almost immediately. Its called the state of cohesion so thats something that goes above and beyond what we are talking about right now but Ive got this heart rate variability unit called an emWave 2 and I can test myself and basically see how feelings of gratification actually help to relieve stress. So there you go, your key to living longer, you can now turn off the Podcast and never listen again because youre ready to go live 120 to 200 years.Brock: You couldve turned it off after we said dont smoke.Ben: Probably! Yeah.Brock: Okay.Ben: Were just going to change Ben Greenfield Fitness to be a big giant dont smoke sign.Brock: Yeah, DontSmoke.com. Lets move along to our next question, its another audio question from Jared.Jared: Hey Ben, this is Jared from New Orleans. Hey, I had a quick question regarding swimming. I started on my journey to become a triathlete a couple of years ago and I first started with running. Gradually I got built up and so I can run 30 miles without stopping. Then after two years I instituted the bike and Ive been on the bike for about six months and Im up to doing about, well the most I’ve done up today is 81 miles and now its time to institute the swim. So a couple of years ago I mean a couple of weeks ago, I started
  20. 20. instituting swim. So my question is as I dig dipper into technique, are there any specific YouTube videos that you will recommend or prefer more than others that would help me in my techniques. I have had recommended to me some videos on YouTube called The Total Immersion Videos, Prolonged Distance Swimming in Triathlon and so I was going to start checking those out. So, I was wondering if you had any helpful tips with regards to that Ive got a local triathlon coming up here in May and then Ironman Miami in October. Thanks much to both you and Brock. I appreciate your work with the Podcast, both of them every week and I really enjoy them.Ben: So a pretty quick answer to this one for Jared. First of all, Swim Smooth, Ill put a link to Swim Smooth in the show notes but I love their stuff, their videos, their workouts, all their recommendations, their blog, all of that is rock solid. I highly recommend them over the total immersion technique of learning how to swim. Total immersion is really good for beginner swimmers trying to learn good form. But when you start to get in to things like triathlon in open water swimming and you turn on Eurosports or Triathlon.tv and watch these ITU World Championship Athletes out there competing in triathlon, you dont see anything even closely resembling a total immersion swim style which is a swim style that encourages these kind of long beautiful glidy type of strokes out there in the water. You see short powerful choppy swimming, see lots of lunging in wide arms and a lot of stuff that looks messy but that really allows you to swim very fast in open water swimming or triathlon style swimming. The most important thing to consider is that a big part of this comes down to your body type, your limb length, your body fat percentage and thats again one of the reasons that I really like the Swim Smooth method of learning swimming because they actually have six different body types that they break you down into and a specific way to learn swimming and to become a better swimmer based off of your body type. Now full disclosure here, I am personally in anticipation of going pro as a triathlete at the end of this year, working with the guys over there, literally like sending them videos and theyre helping me tweak a little bit of my swimming. Thats how much I trust them and like what they do and Im getting faster, Im shaving literally seconds off how long it takes me to swim 100 meters which is significant. So I highly recommend them and anything youre going to find in their website and Ill put a link to it in the show notes.Brock: They have that animation of Mr. Smooth swimming along there and when the last like six months Im gone from being one of their six types of swimmers, I was a bambino. Ive booked for four to six months ago I think I typed myself as a bambino and once a week before I go to the pool Id watch that animation from some different
  21. 21. angles. Get it really good in my mind so I could see every aspect of the stroke and then while I was swimming any time I’d notice that let’s say my feet were starting to drag or I wondered where my arms were I thought about that animation and just was I actually doing what I saw in that animation. I found that to be incredibly helpful.Ben: Yup and thats something you can download right there off the site as well so well put a link. What Podcast episode is this?Brock: Its 189.Ben: Okay. So go to BenGreenfieldFitness.com, check out Podcast number 189 and well put a link to the stuff right there.Brock: Okay. So our next question comes from Bob.Bob: If I train myself to be ketogenic, is that purely for health and fat burning? What about racing? Do I still eat the gels, etc. before and during a race or is that counter-productive?Ben: First of all, weve talked about ketogenesis on the show before. I wont go into it in a great deal of detail here but basically it means that your limiting the amount of carbohydrates that you consume so that your body is preferentially burning fats and what are called ketones or kind of forms of fatty acids as energy and that can really do things like improve your life span which we talked about earlier and that kind of comes into that no snacking kind of introduce some intermittent fasting approach that I talked about to reducing your risk of chronic disease to turning your body into a machine that preferentially burns fats over glucose and subsequently kind of sparing the amount of carbohydrate that you use, thus increasing the amount of carbohydrate you may be able to draw on during long exercise sessions. Now being in a state of ketosis could potentially mean that youre giving up on some of the finer components of athletic performance in an acute situation. For example, if youre in a state of ketosis burning fatty acids for fuel with limited amounts of carbohydrates on board. If youre going to the track and youre doing a Sprint Rip based workout and youre burning through more than the 400 calories of carbohydrate that are stored in your liver and you’re kind of running into a little bit of woe because your muscle carbohydrate stores a little bit of lower being in a state of ketogenesis. Yeah, your track workout might not be as fast. You also, if youre in a state of ketosis, you may not be able to go out on a 100 mile bike ride quite as fast as you really want to go versus if you had a lot of carbohydrate on board just because when you get down to the nitty gritty of things and were looking at the real pointy end of being fast for long periods of time you do need a little bit more of carbohydrate on board than ketosis is going to give you. But when you look at kind of a trade off, how much you gain in
  22. 22. health, how much you reduce your risk of chronic disease and metabolic syndrome like heart disease, diabetes, cancer, Alzheimer’s, things like that, being in a state of ketosis is a very good place to be restricting sugar, restricting carbohydrate is a good idea. Now the way that I approach this paradox because I do want to be fast, I want to do things like go really fast and be on the podium in Ironman Triathlons or win races. My solution is most of the year I keep myself in a state of ketosis, eating a low carbohydrate diet and really limiting the amount of sugars I take in and really not even using sugars or sports drinks during long rides or long runs or things of that nature. And then during the week of or the few days leading up to my highest priority races during which I know I’m not only going to be really hard but also going for really long period of time and asking my body to burn lots of carbohydrate for long periods of time. During those few days doing that last week I will increase my carbohydrate consumption and sometimes get up to about 80% carbohydrate intake and this is something I write about in my Low Carbohydrate Diet for Triathletes over at LowCarbTriathlete.com. I give race week instructions and the carbohydrate consumption is significantly higher eating a lot more brown rice, white rice, sweet potatoes, yams, things of that nature and really kind of stepping your carb intake but its very acute and it’s not like youre doing that all year for several months during the year just for that short period of time and then during the race youre also taking in a lot of sugars for that period of time and then youre going back into your ketogenic state once that’s kind of over and thats certainly bad for your body. Its certainly not doing your health any favors when youre taking on all those carbohydrates but there’s kind of that trade off between going fast and feeling really good during that race and then also being in a state of optimum health cant have one of the other its impossible. So just that trade off that you make and incidentally, if you want to maximize your performance as much as you possibly can while also being in a state of ketosis, I am going to be releasing an interview next Friday about this. Im going to be talking to a fellow who puts his body through quite a bit of exercise about 20-25 hours a week but pretty much keeps himself in the state of ketosis constantly. Like he doesnt even do what I do, he doesnt carb load during the most important weeks and Ill be talking to him about the strategies that he uses and some of his tips and tricks for burning fat as fuel pretty much year around and getting through a lot of exercise and even doing a lot of intense exercise at the same time so stay tuned for that. But in terms of being in a state of ketosis and balancing that with strategically timed carbohydrate doses during the year, thats how I do it.Brock: Cool! So its slightly counterproductive but not to the point of being really that bad and if you want to be fast, youve got to do it.
  23. 23. Ben: Yeah! Thats the way that I look at it. Its one of those things where to me I don’t do Ironman triathlon because its healthy, I do it because I like it and its probably taking some years off my life but Im going to accept that because Im enjoying it.Brock: Fair enough.Ben: Unlike sex which I also enjoy but apparently is adding years to my life.Brock: Absolutely! Maybe it’ll balance out if you have, never mind. Our next question comes from Stephanie.Stephanie: I need some advice on how to manage my tendonitis in my foot once and for all. In fall 2010, I completed my first marathon. During the end of my training, I start to develop pain in the inside of my left foot. I pushed my way through the race but was left limping for a week. The pain subsided enough to allow me to start running in April 2011. However, by August, I had to cease running due to extreme pain on the outside foot. MRI determined that I had tendonitis and I spent three months in Physical Therapy. My foot’s gotten better but it is still not 100%. What do you suggest in terms of stretching, foam rolling, etc., to enable me to slowly begin a running program again? I’d like to try a marathon in the fall of 2012.Ben: So we get questions like this a lot on the show and I know it can be incredibly frustrating. When youve got these issues with feet, with knees, with legs and we get so many questions like this that I want to step back for a second and look at the big picture here in terms of whats going on with tendonitis and whats going on when you really want to do something kind of push through the pain, so to speak. So let’s look at tendons first just to make sure, go ahead and turn off the podcast if you’re a physician or you’re really familiar with anatomy, but tendons connect muscle to bone. So, the specific structure of a tendon is going to vary from tendon to tendon but the components of the tendon are the same its basically collagen fibers, water and basically like soft tissue substance and its all of the components in that main soft tissue substance of a tendon that give a tendon what’s called viscoelastic properties. What that means is that a tendon can stretch and then it can return to its original shape. So tendons connect muscle to bone and they have the ability to stretch and then return to their original shape. And when a muscle which is attached to the tendon contracts, that tendon straightens out and it becomes tighter. Now, some tendons like the Achilles tendon or the biceps tendon those are wrapped in what are called Synovial Sheaths. And when a tendon is wrapped in the sheath the blood supply for that tendon comes primarily from the sheath that surrounds it and that sheath also contains a little bit of flu adaptor to reduce the friction between the tendon and the
  24. 24. sheath when the tendon lengthens as the muscle contracts. Nowwhether were looking at the tendon like the Achilles tendon thatsgot the sheath around it or a tendon such as like a tendon in thefoot that may not have the synovial sheath, every tendon has thisstructural breaking point and when you have stressed that suppliedto the tendon the tendons going to get longer and if that stress or ifthat force goes above and beyond the strength of a tendon canhandle, the tendon or some of the soft tissue in that tendon willeventually rupture. Some of the fibers can tear. Now there aredifferent grades of tendonitis or basically this type of rupturing ofthe tendon. Weve got like a grade one/two tendonitis which isreally mild. You can usually continue to compete and theres a littlebit of pain with extreme exertion. And then we got a moderatetendonitis which is also called the level three or four tendonitis andthat gives you pain with extreme exertion that pain continues for afew hours after the activity. Its really tough to exercise at highlevels but you can still perform at a decently normal level. And thensevere tendonitis is when its hurting all the time through the daythrough the night even with lower intensity exercise and thatswhen weve got kind of a full blown chronic inflammation. So whenwe get actual tendonitis its always some type of repetitive loadingof that tendon that exceeds the ability of the tendon to handle theload and then we get pain and we get swelling and we get decreasedfunctional ability of whatever joint that that’s occurred around.And multiple things can cause this, increase in your volume tooquickly or too excessively using improper technique, having atraining surface thats too hard, having inappropriate shoes, havingmuscle imbalances, having a previous injury that hasnt had enoughtime to recover. But when we get this inflammation that occurs andtendon becomes painful and it begins to weaken, the tissue beginsto breakdown and there are a lot structural changes that occur inthe tendon when this happens. I mentioned that the Achilles andthe biceps tendons have that synovial sheath that surrounds them,that can get a lot thicker and we get reduced blood flow to thetendon. You get areas of abnormal tissue that are known asfibrosis and those get laid down within the tendon, the connectivetissue in the tendon can really thicken. You get a lot of adhesions orwhat are called scar tissues that are laid down in and around thetendon and the longer you exercise when the tendon is in thatinflamed state, the more this connective tissue thickening and scartissue formation occurs and you get to the point where you areliterally structurally changing the tendon in a way that isirreversible, in a way that makes it less and less likely every time itgets injured to be able to lengthen as the muscle that it attaches tocontracts and in a way that not only makes it more likely to ruptureor produce inflammation in the future but makes it less pliable, lessresistant to stress, more sensitive to pain, have poor circulation so it
  25. 25. heals less quickly. So you got to understand that the body has finite capabilities and when you lay down scar tissue and you increase the thickness of the connective tissue and the thickness of the sheath that surrounds the tendon, this is stuff that doesnt go away so you have to take care of your body and when it starts to hurt you have to be careful not to push through. Now certain things can help to break up scar tissue. Deep tissue massage for example is one thing that can really help. Proteolytic enzymes which I talked about I think last week on the show can decrease the amount of fibrinogen that can build up and cause some of this scar tissue formation. Things that help to increase blood flow like ultrasound, like low level laser light therapy, even injections like prolotherapy, all of these things can help to get more oxygen and nutrient rich blood to tendons help to break up the scar tissue. But ultimately when you exercise on a tendon that has tendonitis present youre still going to increase the amount of scar tissue that forms no matter what youre doing to fight against that. So, what I would be doing is I would be doing as much as possible in your foot to break up scar tissue and help for healing to occur more quickly and that would include like the laser therapy, prolotherapy, massage in the area where the tendonitis was taking place, use of proteolytic enzymes, use of good oral anti-inflammatories like ginger, turmeric things of that nature and then allow the foot to heal. You say your foot has gotten better but its 100%. I say wait until it’s 100% and then in the mean time keep your fitness up with zero impact that would mean basically aqua jogging and then progress that to bicycling and then progress that to elliptical and then progress that to running. But the big thing, the big picture here that I want people to understand is that youre body can get to the point where it simply cant be fixed when youre pushing through these tendon issues and every time you do that over and over again, the weaker and weaker in the last pliable the area becomes so just be freaking careful is what Im trying to say.Brock: Im sure youve got some body parts like this too Ben but when I was a teenager I ripped my hamstring very badly and of course being a teenager I was stupid and then didnt let it heal and just continue to do everything as normal and now Im 40 years old and whenever I go to a new massage therapist and without a fail as soon as they get to my hamstring area theyll sort of pull their hands off in shock and say “what happen to your hamstring?” because they can actually feel like one of them explained to me it feels like a crumpled up paper bag when they run their hands up and down my hamstring. It changed so drastically that now Im almost, like its 25 years later and massage therapists could tell as soon as they touch me.
  26. 26. Ben: And everybody is going to have certain errors to their body that are like this but you find the people who refuse to rest and recover and they’ll just keep pushing through tendonitis theyll have a lot more of these issues.Brock: Alright, so be smart everybody. Okay, so weve got two questions here with very similar sorts of thoughts Rob and Lee. Both talked about having one of them has a bicep is larger than the other, the other one has a peck that’s larger than the other, they both are right handed. They both are using dumbbells and concentrating on trying to keep the effort between the arms equal but theyre still having problem with one side being bigger than the other and they’re both concerned with how theyre going to get that part of the body to catch up, so to speak.Rob: I lift a lot of weights for strength training. I notice one peck is significantly larger than the other. When I train I use dumbbells so I can’t overcompensate with a stronger side. I’m right handed, and my right peck is smaller. Why does something like this typically occur? Could it be related to one side being dominant and used throughout the day? What would be the way to fix this?Lee: I have currently noticed that my left bicep is longer or larger than my right bicep. I am right handed and have always consciously made an effort to work both arms the same amount. Do opposite biceps normally grow at the same rate? My concern now is how to get the right bicep to catch up to the left one.Ben: I saw this and Rob said he has his left peck bigger than his right peck even though his right side is dominant and Lee has kind of a similar issue his left bicep is longer and larger than his right bicep even though he is right side dominant. So this all comes down to a muscle balance issue and especially if you will look good with your shirt off walking down the beach. Symmetry and balance is important thats actually I mean theyve done studies and theyve found specifically in women looking at men, one of the primary things that women judge a guy by in terms of his sex appeal is that symmetry, so in addition to of course having a great personality. But the issue with Rob, so Rob is right side dominant, his right peck is smaller than his left peck. That occurs when you have a right shoulder thats really strong or right deltoid thats really strong cause you do a lot of activities during the day with that deltoid from brushing your teeth to lifting a fork, to just turning the steering wheel more often so you doesnt have to work as hard on your right side. Whereas on the left side the left shoulder is a little bit weaker than the right shoulder and the amount of work done by the left peck is similar to the amount of work done by the left shoulder. So in a situation like this, on whichever side that the peck is bigger, that means that on that side the shoulder is weaker and in the same
  27. 27. vein on the side where the peck is smaller that means that the shoulder is stronger. So, what I would be doing in this case if your right peck is smaller than your left peck is I would be strengthening the left shoulder so that the left peck is doing a little less work and the left shoulder is kind of catching up to the right shoulder in terms of strength and I would also be doing exercises that support your shoulder blades or your scapula because a lot of times when one shoulder is a lot stronger than doing more work than the other it indicates that there are issues going on with the ability of the shoulders specifically to retract. So if youre a guy or in fewer cases a girl listening in and youve got one side of your body specifically one side of your chest thats bigger than the other side of your chest, do a lot of pull-ups, do a lot of seated rows, and then strengthen the shoulder specifically focus on strengthen the shoulder on the side that has the bigger peck and that will help to bring you more into alignment. So Im pulling back here into my body building days, my knowledge from my body building days because you spend time staring yourself in the mirror trying to figure out how to fix things. Similar issue with the left bicep being bigger than the right bicep in this case it is because your right shoulder and your right peck are strong enough to where your right bicep doesn’t have to work quite as much. Hence, on your left side a weaker left peck, weaker left shoulder it means that the bicep has to work more. So in a situation like this I would focus on really strengthening the left shoulder complex and the left peck and you can do these types of things through single side exercises and then you can at the same time do a little bit of extra biceps work for the right side. But generally in any case like this where one muscle part is bigger than the other you generally want to go one level up from that muscle and figure out why that muscle part thats bigger is being forced to work more and typically youre going to find something higher up the chain that is weak and you address that deficiency and then alignment begins to occur. So make sense?Brock: Yeah! And I was just going to throw in that sometimes it’s hard to sort of visualize what body part that might be so that what I find to be really helpful is to actually stand in front of a mirror and in this case with your shirt off and watch your body as you do the motions of your curling, you’re doing bicep curls, stand with sideways, stand front, stand as far back as you can without not being able to see and watch which muscles are being engaged when youre doing that activity and thats a great way to figure out which muscles you might need to concentrate on.Ben: Yep. Cool. So stand in front of the mirror and flex a lot. Put on some good music like Eye of the Tiger.Brock: And invite lots of friends over too because theyll love watching you do that.
  28. 28. Ben: Full body mirrors.Brock: Alright, our last question comes from Gerald.Gerald: I wanted to get your thoughts on the best way to lose fat that accumulates between my waist and my neck. My legs are very strong and have little fat, if any. I seem to accumulate my fat up north. I know you can’t target belly fat loss. However, I thought I heard you mention a good fat loss program for this scenario on one of your podcasts. If you could point me to that podcast or any articles you have I would appreciate it. By the way I’m 38, have a desk job, eat organic food, drinks eight cups of water during the week and raw milk and takes calcium. I also take a great vitamin from Dr. Ron and cod liver oil. I’m a husband with six children and not as active as I want to be.Ben: Alright, cool! So he eats well. He still got the issue with belly fat. The issue here is that belly fat is different than other kinds of fat specifically belly fat is visceral fat. You got this visceral or deep fat that wraps around your inner organs and if you have a big waist or big belly it means you’ve got higher amounts of visceral fat. Visceral fat is kind of the bad stuff, you’ll also hear them called inter abdominal fat but its packed between your stomach, in your liver, in your intestine and your kidneys and visceral fat basically is highly correlated with cardiovascular disease, diabetes, insulin resistance, inflammation and a lot of other issues and thats because it tends to produce hormones and chemicals that can cause these type of issues very highly correlated with a lot of risk factors that can cause you to die faster. The issue with visceral fat is that theyve found that it responds best in terms of being able to get rid of it, to things like higher intensity cardiovascular intervals or frequent weight training. For some reason, that type of stuff does a really good job at helping your body to reduce its formation of visceral fat and this is really important. I mean we started off the show talking about the cytokines that can be produced as a response to heat, early on the show. Visceral fat just pumps out cytokines like theyre going out of style, cytokines like two monochrysis factor and interleukin- 6, both of which are associated with insulin resistance, inflammation and visceral fat is also really close to the portal vein which carries blood from the intestine to the liver. So when the visceral fat is releasing all these things those enter the portal vein, they can travel through the liver and they can influence the livers production of things like low density oxidized cholesterol which increases the risk for heart disease as well as some compounds that can again contribute to insulin resistance. So dont just pat your belly and kind of be proud that youve got a big old belly, theres some serious issues that make belly fat. In my opinion, a lot bigger issue than like arm fat or leg fats. The fact that you’re eating healthy is good but visceral fat is going to respond a lot better to
  29. 29. introducing some good exercise. The exercise protocol I would use would be two to three high intensity interval sessions during the week. I know you got limited time especially you have six kids, you shoot for anywhere from 15-30 minutes on these high intensity interval sessions. Like my book Shape 21 at Shape21.com. Thats got some really good interval training sessions mixed with resistance training sessions in it. I mean that book, that was the first book I ever wrote and honestly I revised it a year and a half ago to make the nutrition recommendations a little bit more in line with what Ive learned since I originally wrote the book but the exercises havent change too much. I mean Ive known for years and ever since Ive wrote that book interval training and weight training are two of the best ways to get your body fit fast and thats what that entire book is based around. And in some cases that two a day, you do a little bit of body weight training in the morning and some interval training in the afternoon. Some cases some weight training instead of body weight training but I would use something like that honestly if you wanted to blast away that belly fat as fast as possible. So understand that the abdominal fat is the serious issue. Its not just the belly. So it goes into a lot more than that in terms of increasing your risk for chronic disease and understand that just eating well doesnt get rid of it. You got to be doing high intensity interval training and weight training to really make a dent in it. The last thing and I dont know how stressed out you are Gerald but stress is highly correlated to visceral fat formation and so getting rid of stresses in your life and finding ways to deal with any type of stressor is super important in reducing your propensity to build that visceral fat.Brock: And I think next time you release the Shape 21 book, you should rename it Blasting Away Belly Fat.Ben: Yeah! I think that may have been taken. Plus its just a lot of words to put on in front of a book.Brock: True Shape 21 is a little more catchy.Ben: That reminds me weve got one month until, heres a mouthful, Guide to Achieving Your Ideal Body Type comes out.Brock: Awesome!Ben: Thats a big book thats a good one so stay tuned for that. It tells you how to identify which body type you are and kind of tweak your exercise and your eating program based on body type.Brock: Very cool!Ben: Stay tuned to this podcast. We’ll kind of let you know when its ready.Brock: That does it for this one.
  30. 30. Ben: It does. So well put links to everything that we talked about in the show notes for this episode, episode number 189, right? Okay, cool. Some handy dandy new donation buttons over there at BenGreenfieldFitness.com that allows you to donate one dollar, five dollars, ten dollars or $20 to the podcast and theyre bright and clickable over at BenGreenfieldFitness.com. So nudge, nudge, wink, wink. Help us out. Help us keep this thing going and those donations are truly appreciated. And then stay tuned, like I mentioned, for a great podcast Ill be releasing this Friday. Possibly Saturday on nutrition, sometimes I release on Saturday because I want to get folks a chance to get through this podcast before we blast on to the next. Yeah! Thats it. For personal nutrition, fitness or triathlon consulting, supplements, books or DVD’s from Ben Greenfield, please visit Pacific Elite Fitness at http://www.pacificfit.net

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