Bodybuilding and Med School?

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What Whey do you guys use? I use Muscle Milk on my bulk, because it has a ton of calories, but i'm not a fan of it's saturated fat content. I also use MetRX whey, which is pure protein and little of anything else. I have used On's protein also, which is similar to MetRX, pure quality protein.

BTW, masterofmonkeys is spot on about creatine. And yeah, that stuff does make you look real pretty by swelling up your muscles with water.



Muscle milk isn't a terrible thing to use at times OTHER than pre/post-workout. When I feel like tossing in the money to get some, I use it later at night.

Before and after your workout you should generally be minimizing fats to a certain degree, and focus on carbohydrates (a common "periworkout" diet would consist of complex carbs + protein before workout, simple carbs + protein post workout, complex carbs + protein 1-2 hours after that).

Something like Muscle Milk isn't terrible (especially for hard-gainers) to take later at night (I used to take it before heading to bed, since you generally want some solid fat content in your last meal to delay gastric emptying). But I see people chugging Muscle Milk before a workout at the gym and I just scratch my head.
 
Not saying you aren't dedicated, but you have managed almost 20,000 posts since Dec, 2004. That is over 4,000 posts per year, or over 10 posts a day. I would say it takes maybe 5 minutes per post to read a thread, assimilate, type, and submit the reply. I am sure most of the posts were made during easier times, but still....


Point is, you can bodybuild + do well in med school if you are dedicated to working out + studying. I have done it and know several other students who have.


Um, not so much. If you go to a place which takes advantage of the fact that med students don't have an 80 hour/week limitation during some rotations, and you have any sort of commute, and still have to spend a little time preparing presentations or studying for the shelf, you can kiss a lot of what you describe goodbye. Most people will lose the TV and workout first before the gf and dog. It has nothing to do with dedication. It has to do with the number of hours in the day and the fact that between logging crazy hours in the wards, studying/preparing, and sleeping 5 hours per day, you have very few left over, if any. You can absolutely have weeks where you are going flat out with no time to work out. Zero. Nada. Not an issue of "making time" -- there is simply no way to do so without violating the laws of physics. For many of us, there were weeks during 3rd year where on the non-call days, we were getting in at 5 am and not getting home until 10-11 at night, and still had some studying/presentation work to do. Guess what? No TV, no gf/dog, no workout those weeks. Nothing to do with dedication.

By contrast, in other months, you will have time to work out a ton. But you won't have the consistency in 3rd year because each rotation is going to be different.

I think you and a prior poster are taking your own, comfortable schedule and extrapolating it to other places. But in fact whether it is "doable" depends. It very well may not be "doable" during some weeks in some rotations at some schools. And I suspect there are even worse schedules than what I described. In which case you do what you can, but it may not be much, or even anything. That's all I'm saying.
 
Something like Muscle Milk isn't terrible (especially for hard-gainers) to take later at night (I used to take it before heading to bed, since you generally want some solid fat content in your last meal to delay gastric emptying). But I see people chugging Muscle Milk before a workout at the gym and I just scratch my head.

Agreed. One thing is for certain, Muscle Milk tastes great. And that high calorie content helps to bulk.

About there saturated fat content, they claim it is mostly short and medium chain fats with are preferentially metabolized for energy rather than stored like long chain. I don't know how much stock to put into that claim.
 
the MCT evidence is largely preliminary and in some cases conflicting. Same for CLA (another popular fat that may make you lose weight).

Law2Doc. i dont' want to get into a pissing match about the issue of time, etc. For some, I'll admit, it may actually defy the laws of physics to find the time to workout. But I've found that most of the people who say that are FOC. I hear it a lot from people at my school, who have the same schedule demands I do (they are admittedly not as bad as yours).
 
Not saying you aren't dedicated, but you have managed almost 20,000 posts since Dec, 2004. That is over 4,000 posts per year, or over 10 posts a day. I would say it takes maybe 5 minutes per post to read a thread, assimilate, type, and submit the reply. I am sure most of the posts were made during easier times, but still....
...

Those posts span from being a premed and through the first couple of years of med school. The posts were pretty nominal during the heavier 3rd year rotations. And you can still post at times when you cannot leave the hospital. And no, it sure isn't 5 minutes a post. It's more like a minute or two a post.
 
Hey Guys,

I am entering med school in the upcoming year, and I want to figure a few things out so I can lift more effectively throughout.

I have been lifting 3x a week for about a year now (building weight and whatnot) but I have been having difficulty gaining as much mass as I would like (I am 6 foot 0.5 inch, 174lb). I eat before and after workouts (whey shake + carb after) and I eat protein at every meal (4-5 per day)...what should I add to this to bulk up a bit more? Should I drink a protein shake before bed or something?

I am starting a Creatine regimen on monday, but aside from that, is there anything I can be doing? Also, can anyone lend some insights into exercises that build arms well? I have been switching it up, since my arms are build-resistant, but I do seated curls (40lb weights) Isometric curls (70lb barbell), preacher curls (55lb full extension), and hammer curls(45lb per arm) + skullcrushers (60lb), machine pushdowns, dips...

Basically I really want to build some bulk, specifically in my arms, which have been lagging behind...

thanks
 
...
Law2Doc. i dont' want to get into a pissing match about the issue of time, etc. For some, I'll admit, it may actually defy the laws of physics to find the time to workout. But I've found that most of the people who say that are FOC. I hear it a lot from people at my school, who have the same schedule demands I do (they are admittedly not as bad as yours).

I agree that that personality exists in abundance. All I can say is you have to prioritize, and if that means a couple of months during a rough rotation you don't make it to the gym, that's the way it ends up. You are only FOC if you don't get right back into the gym the minute the rotation ends.
 
You can always work out a little bit at home. Nothing too hardcore, but push ups, and train with dumbells before you go to sleep.

Absolutely, but the OP indicated he really wanted to bulk up, and what you describe won't do much. It's better than nothing, but will never get you to the same kind of size as squats, bench presses and dead lifts (or, less ideally, the cable machine versions of these).
 
There are a lot of good routines on this site:
http://www.wannabebig.com/forums/

Here is where you will find some more great advice:
http://www.amazon.com/New-Encyclopedia-Modern-Bodybuilding-Updated/dp/0684857219#


Hey Guys,

I am entering med school in the upcoming year, and I want to figure a few things out so I can lift more effectively throughout.

I have been lifting 3x a week for about a year now (building weight and whatnot) but I have been having difficulty gaining as much mass as I would like (I am 6 foot 0.5 inch, 174lb). I eat before and after workouts (whey shake + carb after) and I eat protein at every meal (4-5 per day)...what should I add to this to bulk up a bit more? Should I drink a protein shake before bed or something?

I am starting a Creatine regimen on monday, but aside from that, is there anything I can be doing? Also, can anyone lend some insights into exercises that build arms well? I have been switching it up, since my arms are build-resistant, but I do seated curls (40lb weights) Isometric curls (70lb barbell), preacher curls (55lb full extension), and hammer curls(45lb per arm) + skullcrushers (60lb), machine pushdowns, dips...

Basically I really want to build some bulk, specifically in my arms, which have been lagging behind...

thanks
 
If you're getting enough protein (I think 80-100g is plenty but a lot will disagree), it probably has to do with what you're doing in the gym more than anything.

Get a night-time casein protein shake in you before you go to bed.

The arms mentality has run amok. Here's the thing though. Anabolic stimulus (in terms of hormone status) is determined by nutrition, total amount of muscle used, and how its used (i.e. what kind of rep schemes you're doing and explosive versus measured, etc.)

Compound movements will give you the most bang for your buck in terms of total body anabolism. Bench press, overhead press, pullups, bent over rows, squats, and deadlifts should be the cornerstones of ANYONE's workout.

The next thing to remember is that your body likes balance. Your upper body will stop growing if you don't work your lower body. Your biceps will stop growing if you don't work your triceps.

Another thing is that your triceps are 2/3 of your arm mass. And they should be significantly stronger than your biceps. Right off the bat I can tell you that you're not doing enough triceps work if you can curl 40s but are skullcrushing with a 60lb barbell.

I would work on more benching (i cannot believe I just said that) and overhead pressing. Without strong shoulders and triceps, your biceps will simply not respond well. Because you're out of balance.

The decline close grip bench is probably the most phenomenal triceps builder in existence, next to heavy weighted dips (with a dip belt). Put your pinkies inside the rings and go to town on this exercise.

And functionally, biceps are mainly there to help your upper and mid-back muscles. They are not an important muscle functionally on their own. Do pullups (with a weighted belt if you can) and bent over rows. They'll give a much greater total weight stimulus to your biceps than curls will. Not to mention build a thick upper back and that v-taper everyone loves. If you've ever watched World's Strongest Man on ESPN you've noticed how big those guys biceps are. Here's the thing, the vast majority of them NEVER do ANY isolation work for their biceps. They do do a ton of back work though.

Finally, here is the original anabolic workout:

The 20 rep squat routine.
http://startingstrength.wikia.com/wiki/20_Rep_Squats

Old standby and still one of the best training routines you can do for adding size and strength ALL OVER your body.

The squat has been shown to be the most anabolic exercise (increasing GH and testosterone) and everyone who does this program finds they get stronger and bigger EVERYWHERE.

Good luck.
 
If you're getting enough protein (I think 80-100g is plenty but a lot will disagree), it probably has to do with what you're doing in the gym more than anything.

Get a night-time casein protein shake in you before you go to bed.

The arms mentality has run amok. Here's the thing though. Anabolic stimulus (in terms of hormone status) is determined by nutrition, total amount of muscle used, and how its used (i.e. what kind of rep schemes you're doing and explosive versus measured, etc.)

Compound movements will give you the most bang for your buck in terms of total body anabolism. Bench press, overhead press, pullups, bent over rows, squats, and deadlifts should be the cornerstones of ANYONE's workout.

The next thing to remember is that your body likes balance. Your upper body will stop growing if you don't work your lower body. Your biceps will stop growing if you don't work your triceps.

Another thing is that your triceps are 2/3 of your arm mass. And they should be significantly stronger than your biceps. Right off the bat I can tell you that you're not doing enough triceps work if you can curl 40s but are skullcrushing with a 60lb barbell.

I would work on more benching (i cannot believe I just said that) and overhead pressing. Without strong shoulders and triceps, your biceps will simply not respond well. Because you're out of balance.

The decline close grip bench is probably the most phenomenal triceps builder in existence, next to heavy weighted dips (with a dip belt). Put your pinkies inside the rings and go to town on this exercise.

And functionally, biceps are mainly there to help your upper and mid-back muscles. They are not an important muscle functionally on their own. Do pullups (with a weighted belt if you can) and bent over rows. They'll give a much greater total weight stimulus to your biceps than curls will. Not to mention build a thick upper back and that v-taper everyone loves. If you've ever watched World's Strongest Man on ESPN you've noticed how big those guys biceps are. Here's the thing, the vast majority of them NEVER do ANY isolation work for their biceps. They do do a ton of back work though.

Finally, here is the original anabolic workout:

The 20 rep squat routine.
http://startingstrength.wikia.com/wiki/20_Rep_Squats

Old standby and still one of the best training routines you can do for adding size and strength ALL OVER your body.

The squat has been shown to be the most anabolic exercise (increasing GH and testosterone) and everyone who does this program finds they get stronger and bigger EVERYWHERE.

Good luck.


👍👍👍

Just to add to the protein, I believe rule of thumb is 1.3 grams of protein per pound of body weight a day? If I remember correctly anyways.

But I agree with everything overall, and don't forget to work out the long head of your tricep! Standard benching/incline/decline does not work the long head, which is what gives you that massive look from behind. Close grip benching works it, and so do some other isolation exercises that are impossible to explain, so just look them up online 😀
 
everything that needs to be said has been said. eat a lot/right, lift heavy, and rest often.
 
I've heard all sorts of crazy things regarding protein consumption. The 'official' guideline of .6g/kg is garbage I can tell you that much. Like a lot of guidelines, it's not actually based on any kind of science anywhere. But I haven't seen any really good evidence for the 1g/lb guideline either. It's doubtful you could really digest all that much protein anyway.

I tend to compromise and say .5-.75g/lb is a good amount to shoot for. Again, no direct evidence on this, but it seems to match pretty well to studies of what our intestines are actually capable of absorbing and our livers are actually capable of processing.

Something also to note for the 'omg high protein = dead kidneys!!!' people is that there is ZERO evidence for diets higher than the .6g/kg protein recommondation having a harmful effect on healthy people. Obviously in someone with already impaired kidneys or liver function, forcing these organs to do more work won't be a good thing, but we actually have no evidence that so-called 'high protein' diets are actually 'high protein' let alone that they stress the capacity of our livers and kidneys to deal with them.

Again, I get 24g of protein in the morning, 20g post-workout, and 24g at night. At a bodyweight of 195. Plus whatever is in my food (not actually a whole lot more since i don't eat a ton of meat). And I am confident that I'm a) not hurting my body and b) not limiting my strength gains.
 
How important is eating protein before bed? I have never really heard this before but it seems to be the prevailing wisdom in this thread.
-Roy
 
How important is eating protein before bed? I have never really heard this before but it seems to be the prevailing wisdom in this thread.
-Roy

well the logic most people use is that you are going to sleep for 8 hours (or less, depending on when your exams are) and you wont have any protein going into your body for the whole time. so most people just eat something small (like a spoon of peanut butter) before they go to bed.

.75g/kg seems ok. ive always heard 1-1.5g/kg. i dont know. ill let you decide after reading through the interweb
 
How much sleep do you guys typically get. I know that third year changes everything, but for the first two years do you guys get a good night's rest?

Have you guys seen gains during medical school?
 
There isn't any reason to be sleep-deprived M1/2 unless you procrastinated for some reason.

I haven't personally, but some people I know have made pretty phenomenal gains. It's all a matter of how dedicated you want to be to the lifestyle.

I had a friend, pretty athletic, that started up about 9 mo. ago. His diet was already top-notch from being a competitive cyclist previously so all he needed was some coaching.

His big 3 is something like 225 bp, 275 sq, 365 dl at ~190lb now. Not bad for never having lifted before. You can make incredible gains if you've got a decent base, some good coaching, and dedication.

On the other hand, I've really cut back on how hardcore I used to lift and just end up maintaining or fluctuating depending on how much I go out or procrastinate in a given month. The summer before I started school I was around 315 bp, 385 sq, 455 dl raw at 195lb. Now, 2 years later, I'm probably at 275/335/405 comfortably at 170-175lb. Really, the only lift that's gone up for me are cleans because I've finally nailed the technique (long time huh). Dedication makes a huge difference.
 
Hey Guys,

I am entering med school in the upcoming year, and I want to figure a few things out so I can lift more effectively throughout.

I have been lifting 3x a week for about a year now (building weight and whatnot) but I have been having difficulty gaining as much mass as I would like (I am 6 foot 0.5 inch, 174lb). I eat before and after workouts (whey shake + carb after) and I eat protein at every meal (4-5 per day)...what should I add to this to bulk up a bit more? Should I drink a protein shake before bed or something?

I am starting a Creatine regimen on monday, but aside from that, is there anything I can be doing? Also, can anyone lend some insights into exercises that build arms well? I have been switching it up, since my arms are build-resistant, but I do seated curls (40lb weights) Isometric curls (70lb barbell), preacher curls (55lb full extension), and hammer curls(45lb per arm) + skullcrushers (60lb), machine pushdowns, dips...

Basically I really want to build some bulk, specifically in my arms, which have been lagging behind...

thanks

if you're not gaining weight, it means you're not eating enough - just experiment with it and increase your calories by 100/day or so and see how that works for you after a month

do heavy compound movements with presses and pulls
 
does anyone know if your muscles come back more quickly after youve lost them (due to not working out for a while) vs gaining new muscle mass

i put up 305lbs bench press a few years back... stopped for a year, came back and could barely put up 225lbs. had a solid regimen for 2 months and put up 335lbs. that is the biggest gains i have ever had on my bench but since then, gains have been unbearably slow. so i just wanted to know if i really just gained 30lbs or the full 110lbs.
 
How much sleep do you guys typically get. I know that third year changes everything, but for the first two years do you guys get a good night's rest?

Have you guys seen gains during medical school?

First two years you should be able to get 7-8 hours of sleep a night if it's needed, although plenty of people choose to get by with a bit less for a little bit of TV or socializing. (Obviously you might sleep less and study more as exams approach) Third year in the rough rotations you may be making do with 5 hours of sleep a lot of nights in a row.
 
well the logic most people use is that you are going to sleep for 8 hours (or less, depending on when your exams are) and you wont have any protein going into your body for the whole time. so most people just eat something small (like a spoon of peanut butter) before they go to bed.

.75g/kg seems ok. ive always heard 1-1.5g/kg. i dont know. ill let you decide after reading through the interweb

Something much more basic than not eating for 8h, although that's a consideration as well.

When does our body rebuild? At night. That's when our neurotransmitters and various metabolic hormones do their thing. GH is mostly released in deep sleep. Our catecholamine supplies replenish during deep sleep. Sleep is necessary for cortisol replenishment (as we know, both high and low cortisol states are bad...and sleep deprivation can cause both as well as increased sensitivity to cortisol). Decreased sleep leads to diminished testosterone levels.

And when do you actually 'gain' muscle? Not during the workout. Then you're breaking down proteins and causing micro-tears. You gain your muscle during periods of rest as your muscles compensate for the increased demand by increasing their capacity. Whether it's glycogen replenishment (more important for bodybuilders but needed for proper muscle function in anyone) or myofibrillar hypertrophy (important for strength and size), muscle protein and glycogen synthesis is highest at night.

Your protein ABSORPTIOn capacity is highest in the morning (highest cortisol levels) and post-workout (insulin responsivity plus cortisol plus increased blood flow to muscle tissue etc etc etc), but your protein SYNTHESIS capacity is highest at night.

Casein, as a slow-digesting protein, can provide nice stable blood levels that help convince muscle that yeah, there's enough protein in my blood, I can go ahead and build more muscle.
 
You want to get into the sport of bodybuilding, or you want to just start working out?

If you want to get into the sport, then you never will, not as a med student. 6 hours in the weight room a day and lots and lots of food + steroids for a few years probably still won't be enough, since genetics plays a big role, and most bodybuilders were freaks of nature even when they were young. When Arnold was 19 he was already carrying multiple bikini-clad women on his back and posing for cameras. Then they went away for some group fun. Also, the sport has changed and is just about brute mass now, rather than proportions and aesthetics. Now they're pumping up with GH and synthol and all kinds of nasty stuff, looking like absolute monsters, freaks of nature. It's an awful sport. I guess they have natty contests too, though, but those guys don't get any attention.
 
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You want to get into the sport of bodybuilding, or you want to just start working out?

If you want to get into the sport, then you never will, not as a med student. 6 hours in the weight room a day and lots and lots of food + steroids for a few years probably still won't be enough, since genetics plays a big role, and most bodybuilders were freaks of nature even when they were young. When Arnold was 19 he was already carrying multiple bikini-clad women on his back and posing for cameras. Then they went away for some group fun. Also, the sport has changed and is just about brute mass now, rather than proportions and aesthetics. Now they're pumping up with GH and synthol and all kinds of nasty stuff, looking like absolute monsters, freaks of nature. It's an awful sport. I guess they have natty contests too, though, but those guys don't get any attention.

So true, Ronnie Coleman and Jay Cutler are monsters. Ronnie's thighs are nasty. Arnold at least had a proportional body in his heyday.
 
First two years you should be able to get 7-8 hours of sleep a night if it's needed, although plenty of people choose to get by with a bit less for a little bit of TV or socializing. (Obviously you might sleep less and study more as exams approach) Third year in the rough rotations you may be making do with 5 hours of sleep a lot of nights in a row.

Always so negative. 5 hours of sleep nights in a row? I average 6.5-7.5 and even during surgery was getting at least 6 a night (outside of overnight calls)
 
Google Dr. Warren Willey. He is a physician that I shadowed that has, and currently still does, compete in bodybuilding. He writes articles for Muscle and Fitness magazine and has also written some books about bodybuilding and fitness....."What Does Your Doctor Look Like Naked" and "Better than Steriods". This guy is unbelievably built. He's like 5'6" ish, 220 lbs, 4% bodyfat. I'm also a certified personal trainer and can say that Dr. Willey definitely knows his stuff.
 
You want to get into the sport of bodybuilding, or you want to just start working out?

If you want to get into the sport, then you never will, not as a med student. 6 hours in the weight room a day and lots and lots of food + steroids for a few years probably still won't be enough, since genetics plays a big role, and most bodybuilders were freaks of nature even when they were young. When Arnold was 19 he was already carrying multiple bikini-clad women on his back and posing for cameras. Then they went away for some group fun. Also, the sport has changed and is just about brute mass now, rather than proportions and aesthetics. Now they're pumping up with GH and synthol and all kinds of nasty stuff, looking like absolute monsters, freaks of nature. It's an awful sport. I guess they have natty contests too, though, but those guys don't get any attention.

You don't necessarily have to compete with guys like Ronnie and Jay. There are plenty of local, natural bodybuilding competitions. Also, it is possible to train for bodybuilding while in med school. It just takes a lot of time management skills. See my previous reply to your post. Dr. Warren Willey pulled it off during med school.
 
Best book I've read on weight lifting is Extreme Muscle Enhancement by Dr. Colker. It has some good routines and goes through all the different supplements. A quick word on creatine: be sure to really up your intake on water throughout the day when you start creatine. I made the mistake of just drinking a little bit more and had issues with bad headaches while lifting.
 
Um, not so much. If you go to a place which takes advantage of the fact that med students don't have an 80 hour/week limitation during some rotations, and you have any sort of commute, and still have to spend a little time preparing presentations or studying for the shelf, you can kiss a lot of what you describe goodbye. Most people will lose the TV and workout first before the gf and dog. It has nothing to do with dedication. It has to do with the number of hours in the day and the fact that between logging crazy hours in the wards, studying/preparing, and sleeping 5 hours per day, you have very few left over, if any. You can absolutely have weeks where you are going flat out with no time to work out. Zero. Nada. Not an issue of "making time" -- there is simply no way to do so without violating the laws of physics. For many of us, there were weeks during 3rd year where on the non-call days, we were getting in at 5 am and not getting home until 10-11 at night, and still had some studying/presentation work to do. Guess what? No TV, no gf/dog, no workout those weeks. Nothing to do with dedication.

By contrast, in other months, you will have time to work out a ton. But you won't have the consistency in 3rd year because each rotation is going to be different.

I think you and a prior poster are taking your own, comfortable schedule and extrapolating it to other places. But in fact whether it is "doable" depends. It very well may not be "doable" during some weeks in some rotations at some schools. And I suspect there are even worse schedules than what I described. In which case you do what you can, but it may not be much, or even anything. That's all I'm saying.

There is always time for the gym. Always. I have worked 100 hr weeks and working out every day is a must, I don't see how this could not be possible with any schedule. Any workout you are doing you can study during. I still study between sets and read on the treadmill. No time is wasted time here. Your posts by and large have a very negative tone.

and... You are saying there were times where you literally slept 2 hrs a night for "weeks" (factoring in the work you had to do when you got home, waking up, commuting). I don't buy it.
 
If this is about aesthetics, then go take a serious look at Michelangelo's "David." If it is about health and fitness, become a runner, swimmer, or cyclist. Frankly, most people think that serious body builders look pretty creepy.
 
If this is about aesthetics, then go take a serious look at Michelangelo's "David." If it is about health and fitness, become a runner, swimmer, or cyclist. Frankly, most people think that serious body builders look pretty creepy.

Lightweight spotted.

What was the point of your post? Firstly, "David" isn't even proportionally correct. Secondly, health and fitness have plenty to do with resistance training. Thirdly, since when did serious bodybuilders give two ****s about what "most people" think.
 
Heh my understanding of creatine (from biochemistry) was that its a phosphorus source for ADP (higher phosphorylation potential) so that it supplementary recharges your ATP thus giving you better short-term endurance (like Basupran said, a few more reps). I often here that there are quite a number of negative side effects with creatine, is that a legitimate concern?
-Roy
It is used to store high energy phosphate bonds for transfer to ADP to form ATP.

There potentially could be some kidney effects, but that is mainly because creatine pulls water into muscle cells creating less extracellular fluid if you don't drink extra water, which could potentially lead to a prerenal azotemia. This is a very, very extreme example though. This is also why people say that they gained 5lbs a week after taking creatine and why people always say that when you stop taking creatine you lose all that muscle you put on. You don't actually lose any muscle, you just pee off that 5 lbs of water that you gained when you first started taking it. Personally, I think creatine monohydrate makes people look bloated. I recommend CEE which does not require the insulin spike that monohydrate requires to enter cells and it also does not cause the water retention of monohydrate. It has all the positive effects of creatine monohydrate without the negatives.
 
Lightweight spotted.

What was the point of your post? Firstly, "David" isn't even proportionally correct. Secondly, health and fitness have plenty to do with resistance training. Thirdly, since when did serious bodybuilders give two ****s about what "most people" think.

I plead guilty to not being a body builder. I agree that resistance training should be incorporated into a fitness regime with running or swimming or cycling. I lift weights and do alot of running. However, most people who do resistance training for fitness are not body builders. And you are correct that most people who are extreme body builders don't care that they look like freaks. Just like the folks who tatoo their entire face and head and have a few hundred body piercings. Not most peoples cup of tea, but whatever floats your boat.
 
Hey Guys,

I am entering med school in the upcoming year, and I want to figure a few things out so I can lift more effectively throughout.

I have been lifting 3x a week for about a year now (building weight and whatnot) but I have been having difficulty gaining as much mass as I would like (I am 6 foot 0.5 inch, 174lb). I eat before and after workouts (whey shake + carb after) and I eat protein at every meal (4-5 per day)...what should I add to this to bulk up a bit more? Should I drink a protein shake before bed or something?

I am starting a Creatine regimen on monday, but aside from that, is there anything I can be doing? Also, can anyone lend some insights into exercises that build arms well? I have been switching it up, since my arms are build-resistant, but I do seated curls (40lb weights) Isometric curls (70lb barbell), preacher curls (55lb full extension), and hammer curls(45lb per arm) + skullcrushers (60lb), machine pushdowns, dips...

Basically I really want to build some bulk, specifically in my arms, which have been lagging behind...

thanks
Add some peanut butter and steel cut oats to all your shakes. Carry a large bag of nuts around with you at all times. Eat pretty much anything, just try to stay away from the saturated fats for health reasons. As far as gaining weight, as long as you get enough protein eating anything else to get enough calories will be just fine.
 
I plead guilty to not being a body builder. I agree that resistance training should be incorporated into a fitness regime with running or swimming or cycling. I lift weights and do alot of running. However, most people who do resistance training for fitness are not body builders. And you are correct that most people who are extreme body builders don't care that they look like freaks. Just like the folks who tatoo their entire face and head and have a few hundred body piercings. Not most peoples cup of tea, but whatever floats your boat.

Lean body mass matters. Doctors are just now waking up to its importance, mostly because of a few studies in the past year shining light on how stupid BMI is, and the so-called 'paradoxical' finding that in many respects the 'overweight' according to BMI do better long-term in a variety of aspects than do either the 'normal' or 'obese' categories. Not so paradoxical when we really look and see that, especially in men, the overweigth differ from the normal weight not in terms of body fat but in terms of lean body mass.

In addition to boosting metabolism, higher lean body mass is associated with better cancer survival, decreased dementia, and better heart health.

And then there's the purely functional aspect. Structural and motion integrity is a combination of passive (joints) and active (muscles) function.

Whether it's the importance of a strong and active vastus medialis for patellar tracking, gluteal muscles in back health, hamstrings for hip health, the trapezius in lower cervical angle and stress, or the upper back muscles in shoulder and neck health, our muscles are vitally important for long-term health and function. Ever take a look at how we're setting as far as cervical, lumbar, and shoulder health? It's not pretty and only getting worse. Some of it of course is just being too fat. Some of it comes from simply sitting too much. But a lot of it is a failure to maintain healthy levels of muscle free of imbalances.

And I'm sick and tired of the myth that weight training doesn't improve cardiovascular fitness. You're right weight-lifting is NOT an aerobic activity. It's anaerobic. But in the process of anaerobic activity, we incur an oxygen debt. That oxygen debt is paid back...by the heart. The more you lift, and the higher the frequency of your lifting in a session, the more work your heart has to do to keep up.

In a typical deadlift session, I'll lift 150kg 1 meter 40 times in about 5 minutes. For those of us who are physically challenged, that's about 60 Calories (60 kcal). My total workout is an hour long or longer, and I move right from deadlifting to the next exercise. Which means my heart has to be capable of providing enough oxygen to burn 60 calories in 5 minutes. Which isn't much different from swimming.

As for blood pressure, as a chronic adaptation to weight training you develop more calories and your arteries and veins actually expand. Reducing SVR. Every time you weight lift, provided you're bringing enough intensity to the table, you get a suppression of sympathetic tone for up to 24h afterward (natural alpha and beta blockade much?) and on a more short term basis, all of those metabolites result in a vasodilation in your skeletal muscle.

Don't get me wrong, steady state cardio is good in its own right. But it doesn't improve your cardiovacsular fitness as much as HIIT even when done for much shorter amounts of time. All that impact (for you runners) is TERRIBLE for your joints. And once a workout session goes longer than 45 minutes or so, you basically become a cortisol factory. Not to mention that steady-state cardio has limited post-exercise oxygen consumption, and doesn't even hold a candle to weight-lifting, let alone HIIT. As far as BMR, lifting weights causes an increase, HIIT can cause an increase, but steady-state cardio for long periods of time (>30 min) actually leads to a LOWER BMR. Which isn't particularly good for weight loss. It also doesn't improve insulin sensitivity nearly as much as either lifting weights (with intensity, not the garbage routines that MDs use in their studies) or HIIT.

If you love running, do your thing. But don't pretend it's the greatest thing ever for fat loss and fitness. I'm a powerlifter myself. I love it. It's what I do. But I don't tell the people I train to only powerlift. That's stupid. No, an approach blending HIIT and moderate weight training is the best. The right thing is usually moderation, in all things, including exercise.

I do no cardio (not saying that's a good thing). I get 3000-4000 calories a day. Not going to lie, I do get some vegies and fruits in my diet, more than most, but a LOT of it is junk food. I don't go a single day without eating some form of junk food or another. My heart rate is in the 50s, my BP is in the 110s, over high 70s, my HDL is 50+ and my LDL is less than 100. And my joints feel better than ever. I should add that metabolic syndrome is the norm in my family, not the exception.

So umm, yeah don't know what else to say except put down the friggin kool aid.
 
masterofmonkeys - I see that you go from lift to lift, and powerlifting is your thing. Have you ever done CrossFit? There is some running in it and not much bench, but it hits on big muscle groups and short rest times.
 
Hey Fellow Med Students,
I'm getting to the end of my second year and have my boards coming up so I know at this immediate time is not the best to start bodybuilding. However has anyone ever started bodybuilding while in med school? Its a life time goal of mine to get into the sport and i feel like I'm only going to get older and its going to be more and more difficult if I don't start soon. Any tips on how you managed to do it? Also I would really like some tips on training. I go to the gym as much as I can (4-6 days/wk depending on the week) but I've never been able to really bulk up beyond what I think is my genetic potential. I'm also a runner but I try to only run 1 day/week so I don't get too skinny.
I'm not in medical school yet, but I'm positive it's doable. You'll have to pre-prepare massive amounts of food and that'll be the key. FYI, you don't need 5-6 days/wk to get big. Depending on your body type, too many days may even hurt you. Anyway, you can get PLENTY of size on 3 days/wk + good nutrition.

I've gotten really lazy for the last few years and stopped lifting, but at my biggest point I was ~14% bodyfat, 240lbs at 5'10" benching 400+, deadlifting 500+, etc. And, I did it on 3 days/wk. I personally loved the 3 day thing because I always felt well-rested on my lifting days. The only problem was that when you only lift 3x/wk it's easy to fall out of the "groove".

Remember, nutrition = #1. Best of luck.
 
Hey, Monkey guy,

I am not denigrating weight training or power lifting. Definitely there are health benefits to weight training. I do it myself. My comments are directed at autoerotic body building. I watch the summer Olympics and I always watch the power lifters. Those guys are incredible athletes. But the power lifters are not body builders, they are incredible strong, but they just look big strong men. They don't shave all of the hair off of their bodies (and don't mention swimmers, there is a reason swimmers shave), and put baby oil all over themselves or whatever oil those guys use. Sorry, great respect for athletes, but the extreme body builders, yeah, a little too creepy for me. Extreme body building is all about male aesthetics of weird subculture, personally, I like the Olympic divers.
 
masterofmonkeys - I see that you go from lift to lift, and powerlifting is your thing. Have you ever done CrossFit? There is some running in it and not much bench, but it hits on big muscle groups and short rest times.

I think crossfit is fantastic. but as Mark Rippetoe (a great powerlifter and great powerlifting educator in his own right) will be the first to tell you that crossfit will work at cross purposes to the goal of maximal strength.

That said, it's short, to the point, and combines the best aspects of HIIT and lifting weights. It is one of the--if not the--ultimate methods of the pursuit of health and body composition goals for the vast majority of the population.

I take issue with doing cleans for more than 5 reps at a time, mainly because of failure of form, but other than that there's not much they do that I don't like.
 
Hey, Monkey guy,

I am not denigrating weight training or power lifting. Definitely there are health benefits to weight training. I do it myself. My comments are directed at autoerotic body building. I watch the summer Olympics and I always watch the power lifters. Those guys are incredible athletes. But the power lifters are not body builders, they are incredible strong, but they just look big strong men. They don't shave all of the hair off of their bodies (and don't mention swimmers, there is a reason swimmers shave), and put baby oil all over themselves or whatever oil those guys use. Sorry, great respect for athletes, but the extreme body builders, yeah, a little too creepy for me. Extreme body building is all about male aesthetics of weird subculture, personally, I like the Olympic divers.

Oh i'm not a fan of bodybuilding either. Now the bodybuilders back in the day DID look good. And they were strong as sin too. Almost every one of them was both a strength athlete and a physique perfectionist, before arnold. Heck, the crowds in venice beach didn't come just to see how good these guys looked in speedos; feats of strength (such as bikini-chick tossing and lifting) were a staple of what they did. Back in the day bodybuilders were athletes and health nuts who wanted to look graceful and aesthetic to anyone. Today, not so much.

But I find a lot of people--especially medical people--denigrate the importance of lifting and its benefits for health. THey are vast and largely underappreciated. They also tend to follow in Dr. Cooper's dogmatic footsteps and tout steady-state cardio as the be all end all of health.
 
Finally, here is the original anabolic workout:

The 20 rep squat routine.
http://startingstrength.wikia.com/wiki/20_Rep_Squats

Old standby and still one of the best training routines you can do for adding size and strength ALL OVER your body.

The squat has been shown to be the most anabolic exercise (increasing GH and testosterone) and everyone who does this program finds they get stronger and bigger EVERYWHERE.

These are a damn killer. If anyone can do a single set of those without breaking a sweat with 135, I'll personally give them a cookie. They wear me out every time.

EDIT: I didn't realize the original program had other lifts for other muscle groups. I typically alternate leg days thusly: one day a modified 5x5 (1x10, 3x5) ending with one set of 20, and the other day a 4x10.
 
These are a damn killer. If anyone can do a single set of those without breaking a sweat with 135, I'll personally give them a cookie. They wear me out every time.

EDIT: I didn't realize the original program had other lifts for other muscle groups. I typically alternate leg days thusly: one day a modified 5x5 (1x10, 3x5) ending with one set of 20, and the other day a 4x10.

widowmakers are not for the lighthearted. I tried something like that and I failed miserably.
 
Trenbolone works for me, personally.
 
My comments are directed at autoerotic body building.

Most people agree that's what bodybuilding is all about. I am actually collecting data on the "sport" and its relationship to the Adonis Complex (a well recognized syndrome). A bunch of men who live to check each others bodies, admire the size of their pecs, biceps and have to shave, tan and oil in the process to look better is undeniably narcissistic. And you all know about Narcissus. From autoeroticism to homoeroticism there is a very fine line. But that's a different story.
 
Hey, Monkey guy,

I am not denigrating weight training or power lifting. Definitely there are health benefits to weight training. I do it myself. My comments are directed at autoerotic body building. I watch the summer Olympics and I always watch the power lifters. Those guys are incredible athletes. But the power lifters are not body builders, they are incredible strong, but they just look big strong men. They don't shave all of the hair off of their bodies (and don't mention swimmers, there is a reason swimmers shave), and put baby oil all over themselves or whatever oil those guys use. Sorry, great respect for athletes, but the extreme body builders, yeah, a little too creepy for me. Extreme body building is all about male aesthetics of weird subculture, personally, I like the Olympic divers.
Bodybuilding is cool because it is interesting to see what the body can reach at the extremes of pharmacological therapy. I would never want to be 290lbs @ <4% body fat, but that doesn't mean it isn't cool to watch. It is also cool to watch world's strongest man, but that doesn't mean I would want to look like any of them (except Mariusz of course 🙂 )
 
Most people agree that's what bodybuilding is all about. I am actually collecting data on the "sport" and its relationship to the Adonis Complex (a well recognized syndrome). A bunch of men who live to check each others bodies, admire the size of their pecs, biceps and have to shave, tan and oil in the process to look better is undeniably narcissistic. And you all know about Narcissus. From autoeroticism to homoeroticism there is a very fine line. But that's a different story.

Have you posted in the prostate exam thread yet?
 
Hey, Monkey guy,

I am not denigrating weight training or power lifting. Definitely there are health benefits to weight training. I do it myself. My comments are directed at autoerotic body building. I watch the summer Olympics and I always watch the power lifters. Those guys are incredible athletes. But the power lifters are not body builders, they are incredible strong, but they just look big strong men. They don't shave all of the hair off of their bodies (and don't mention swimmers, there is a reason swimmers shave), and put baby oil all over themselves or whatever oil those guys use. Sorry, great respect for athletes, but the extreme body builders, yeah, a little too creepy for me. Extreme body building is all about male aesthetics of weird subculture, personally, I like the Olympic divers.


sounds like to me you are gay.
 
To the OP: it's great you're going to try to maximize your potential for muscular hypertrophy, but third yr of med school is certainly not optimal for it. That said, it doesn't mean you can't try. Clearly your issue is, and will continue to be, getting enough quality calories to sustain muscle growth. You will need to prep enough food each day so you will never feel hungry during the day at the hospital. It's useful to make food once a week, then parcel it out for each meal for each day of the week. You may want to buy some weight gainer powders and carry them in shaker bottles for emergencies, or bars. Often times you won't have much time to eat, so you'll have to cram whatever you can into your mouth when you can. Bottom line is, never allow yourself to get hungry, and don't eat too much junk food if you can help it.

Regarding training, you've gotten a lot of decent advice above. Generally, I prefer higher volume training, but everyone responds to different training regimens differently. Obviously stick w/ squats, deads, bench, shoulder press, and pullups/rows as the basis of your routine. If you are short on time, keep the weight up, but cut the volume. I would also suggest doing 1-2 sets of multiple exercises rather than doing 1 exercise for 4-5 sets then calling it quits for a particular muscle group. (For example, do incline db bench, flat bench, decline bench each for 1 set rather than do 4 sets of flat bench).

I don't know how much you care about doing this bodybuilding thing vs. doing well enough in your core rotations, but obviously there have to be some tradeoffs, unless all you do is eat, train, and go to the hospital. Only you can decide how to apportion your time. Just know that in 4th yr, you will have all kinds of time to pursue this activity, and your grades won't matter.
 
persoanly I am planning getting down to about 165 and single digit bf. I'm 6'1 and 185 and 20% bf now. Mainly because less weight + less need for energry + less time spent eating = more time for studying. something like that. :laugh:
 
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