Episode #371: Q/A- Optimal Fitness Standards, GLP-1s, "Race-Based" health metrics, and More!
Episode #371: Q/A- Optimal Fitness Standards, GLP-1s, "Race-Based" health metrics, and More!  
Podcast: Barbell Medicine Podcast
Published On: Tue Oct 21 2025
Description: This episode features the full Q&A from our first live seminar in over a year, recorded at Watchdog Strength in San Antonio. We field questions from the audience on a wide range of topics in health and fitness.Listen in as we discuss the "optimal" metrics for strength, cardiorespiratory fitness, and body composition; whether osteoporosis can be reversed with exercise alone; and the physiological downsides of "grazing" (constant eating) on muscle protein synthesis and insulin resistance.We also dive into how GLP-1 agonist medications interact with diet and exercise, practical strategies for learning motivational interviewing , how to navigate challenging clients who present with "learned helplessness", and the critical distinction between knowing enough to coach movement versus giving dangerous medical advice. Finally, we tackle the complex discussion around "race-based" medicine and how it applies to waist circumference and BMI cut-offs.Become a Barbell Medicine Plus Member TodayTimestamps:(00:40) Q1: Is there an optimum balance of strength, cardio capacity, and body composition?(07:46) Q2: Can older adults reverse bone loss (osteoporosis) with exercise alone?(13:05) Q3: Why is "grazing" (frequent eating) bad?(22:31) Q5: How do you teach a coach motivational interviewing (MI)?(30:59) Q6: How do you handle clients with "learned helplessness" or a "diagnosis identity"?(35:42) Q7: When do I "know enough" to start coaching others?(40:49) Q8: How long does someone need to be in the "maintenance phase" until their risk of relapse is eliminated?(44:46) Q9: How should we view "race-based" differences in waist circumference cutoffs?ResourcesResources Page: https://www.barbellmedicine.com/resources/Template Quiz: https://www.barbellmedicine.com/template-quiz/Got pain and need a professional who understands you lift? Or, do you need an experienced coach to help you get the most out of your training? Contact us at support@barbellmedicine.comOur Sponsors:* Check out Factor: https://factormeals.com/bbm50off* Check out Quince: https://quince.com/BBMSupport this podcast at — https://redcircle.com/barbell-medicine-podcast/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy