Order of Exercises Does not Matter if you Train Upper Body & Lower Body in One Session - Testosterone & Cortisol Response Identical

You will probably remember my post on the effect of leg training on biceps size!? Well, although it is necessary that you train your legs, if you want to grow, a recent study by Jason D. Miller (Miller. 2011) indicates that hormonally it does not make a difference which part of your body you train first; or, in other words, you will get the same hormonal response (measured as testosterone (T) to cortisol (C) ratio) if you bench press (BP) first and do leg presses (LP) as your second exercise (both at 73.5% of 1RM for 4 sets), as you will get if you start with the leg press and finish your workout on the bench.

There does not appear to be an affect of resistance the exercise order of LP [leg press] and BP [bench press] on T [testosterone] and C [cortisol]. The exercise orders resulted in the same exercise volume and lactate responses which in turn resulted in no interaction in T and C between the UB-LB and LB-UB exercise orders.

Miller does yet speculate that a higher volume and or other/supplemental exercises may have changed the picture. But let's be honest: Do you really think it would be wise to do squats, leg presses and deadlifts, followed by bench presses, dips and flys? Probably not.

Life-Long Endurance Exercise and Myocardial Fibrosis - A Potential Danger for Endurance Athletes

Habitual aerobic exercise has long been the cornerstone of what was considered a "healthy" lifestyle. Yet, lately, scientists are not only questioning the time-efficacy of these training regimens (there are studies showing that one can achieve similar metabolic adaptations with short high intensity interval training), there is also cumulative evidence that indicates that life-long engagement in endurance exercises may even be detrimental to your health.

In a recent study by Wilson et al. (Wilson. 2011)  "twelve lifelong veteran male endurance athletes (mean ± SD [range] age: 56 ± 6 yr [50-67]), 20 age-matched veteran controls (60 ± 5 y; [52 - 69]) and 17 younger male endurance athletes (31 ± 5 years [26-40]) without significant co-morbidities underwent cardiac magnetic resonance (CMR) imaging to assess cardiac morphology and function." The results of the CMR were disquieting - to say the least:

In 6 (50%) of the veteran athletes LGE [late gadolinium enhancement, short LGE indicates the presence of fibroses as a consequence of minor tissue ruptures] of CMR indicated the presence of myocardial fibrosis (4 veteran athletes with LGE of non-specific cause, 1 probable previous myocarditis and 1 probable previous silent myocardial infarction). There was no LGE in the veteran controls or young athletes. The prevalence of LGE in veteran athletes was not associated with age, height, weight or BSA (p>0.05), but was significantly associated with the number of years spent training (p<0.001), number of competitive marathons (p<0.001) and ultra-endurance (>50 miles) marathons (p<0.007) completed.

In fact, this study is only part of the accumulating evidence against the health benefits of (ultra-)endurance and or excessive aerobic training. Weight lifting and intense, but short sprint-intervals, on the other hand, turn out to be a healthier and much more effective way of keeping lean and healthy up into the older ages.

Want Bigger Guns? Train Legs Before Arms!

It is quite obvious that an elevation of testosterone and growth hormone facilitates muscle gains by jacking up protein synthesis and ameliorating protein breakdown. Now, intense leg training is famous for increasing both, testosterone as well as growth hormone levels of trainees. It is thus quite logical that Ronnestad et al. found (Ronnestad. 2011) that your arms grow faster, if you train them right after your legs.

The study design the scientists used is quite awkward, but clever. They had 9 (unfortunately) untrained subjects perform 4 workouts per week. On two of the occasions the subjects trained legs + one arm (L + A) on the other two occasions they only trained the other arm. Thus, Ronnestad et al. made sure that "both conditions have the same nutritional and genetic environment".

Figure 1: Plasma testosterone and growth hormone  measured before the strength training session (T-0), immediately after the leg exercises in the L ? A session (T-1), immediately after the arm exercises for both the L + A and A session (T-2), and 30 min after the arm exercises in both L + A and A session (T-3). (Ronnestad. 2011)

As can be seen in figure 1, only leg + arm, but not arm training alone produced measurable elevations of testosterone and growth hormone. Yet, although the cross sectional surface area (CSA, measured by MRA) of the biceps increased in both conditions, the major finding of the study was that...

only L + A increased the elbow flexors’ CSA at the two middle sections where the CSA of elbow flexors was largest.

In other words, the peak of your biceps, this hallmark, every bodybuilder is looking for, comes from training your legs (prior to your biceps).

Tune in Today @ 9:00AM AM/12:00PM ET - ProfDrAndro (Me) Live on Super Human Radio

Just in case you got nothing else to do: Tune in live and listen to some more (probably Carl) or less (probably me ;-) intelligent Supp-Talk on Carl Lenore's Super Human Radio!

Listen live @ 9:00AM AM/12:00PM ET

Edit: Show is available for download now:  

Super Human Radio Episode 676 with ProfDrAndro
ProfDr Andro brought his best game and endowed us with ALL the required info on Omega 3's and fish oil. PLUS he discussed a recent study that links hypothyroidism to soy consumption.

From Subclinical to Full-Blown Hypothyroidism by Soy Supplementation. 3-Fold Risk with Just 15mg Soy Phytoestrogens per Day.

"Soy is healthy!" At least the majority of women in the western hemisphere still seems to believe this. Interestingly, it is this group of individuals who is most susceptible to subclinical and clinical hypothyroidism. A recent study may reveal why...

A group of scientists from the UK (Sathaypalan. 2011) investigated the effect an 8 weeks dietary intervention with "high-dose phytoestrogens (30 g soy protein with 16mg phytoestrogens, representative of a vegetarian diet)" on thyroid function in sixty patients with subclinical hypothyroidism. The results were unequivocal - high dose phytoestrogens put your thyroid over the edge:

Six patients (10%) developed overt hypothyroidism after high-dose phytoestrogen, and none after low-dose phytoestrogen supplementation. [...] All six subjects were diagnosed as having overt hyothyroidism during their end-of-study visit after the 8-wk high-dose phytoestrogen supplementation period, when they were found to have raised TSH of more than 10 mU/liter and a low fT4 of less than 9 pmol/liter, i.e. overt hypothyroidism.

Even in view of the fact that some "health markers" such as insulin resistance, hsCRP, and blood pressure improved in the 16mg (high dose) phytoestrogen group, the question remains, whether lifelong levothyroxin medication and the possible subsequent damage due to hypothyrodism (even with "adequate" medication, cf. stopthethyroidmadness.com) is worth it!?

Low Fat Dairy no more! Milk Fat Protects Women from Myocardial Infarction.

Do you like your 0.1% yogurt? No? Well, what if I told you that it ain't even healthy? A recent study from Sweden (Warensjö. 2011) shows that milk fat is heart healthy! Particularly in women.

The study population comprised roughly 1000 Swedish men and women, whose anthropometric, biomarker fatty acid, physical activity, and dietary data were collected and comparisons were made between people with previous myocardial infarctions (cases) and healthy age-mates (controls).

In women, proportions of milk fat biomarkers in plasma phospholipids were significantly higher (P < 0.05) in controls [i.e. healthy individuals] than in cases and were, in general, negatively, albeit weakly, correlated with risk factors for metabolic syndrome. [...] After multivariable adjustment for confounders, the inverse association remained in both sexes and was significant in women. In agreement with biomarker data, quartiles of reported intake of cheese (men and women) and fermented milk products (men) were inversely related to a first MI [myocardial infarction] (P for trend < 0.05 for all).

So, you better ditch your low fat diary products and grab some full-fat cheese and yogurt (preferably from grass-fed cows). Believe me, they also taste much better!

Licorice for Diabetes!? Licorice Extract Reverses (!) Diabetic Nephropathy in Rats

Diabetes is the big "D" in the metabolic synDrome and probably the most destructive of the various faces of the plague of the century. Now researchers from the United Arabian Emirates have found that licorice may ameliorate the destructive effects of high blood glucose levels on your kidneys.

In a rat experiment, Kataya et al. (Kataya. 2011) found that...

... oral ingestion (1 g/kg body weight) of licorice extract for 60 days after the onset of diabetes reversed the adverse effect of diabetes on rats. Licorice extract alleviated blood glucose levels, restored renal function, and attenuated body-weight loss. In addition, licorice extract modulated the adverse effect of diabetes on renal malondialdehyde, glutathione, superoxide dismutase, and catalase activity. Further, licorice extract restored the total antioxidant capacity of diabetic rat kidneys.

What I find most intriguing is that licorice ingestion at a dosage that would amount to roughly 12g for an average male human being could reverse, i.e. not only ameliorate, diabetic nephropathy. Yet, the sheer amount of extract you would have to consume raises the question if there would not be other complications / unwanted side effects of this protocol. According to Isbrucker & Burdock (Isbrucker. 2006), the "acceptable daily intake" of licorice is "0.015-0.229 mg glycyrrhizin/kg body weight/day" - depending on the concentration of the extract the scientists used, 12g may well exceed this critical limit (high cortisol, high BP, water retention could be the consequences).