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November 20, 2025 • 28 mins

Episode Summary

This is a preview of our subscriber-only Ask Us Anything episode, where Dr. Jordan Feigenbaum and Dr. Austin Baraki tackle the most persistent problems in training and nutrition. Hear the science behind managing pain in the gym—determining the threshold for acceptable discomfort versus a true programming error. They also analyze why short-term study findings often fail in the real world, cover the science of pre-exhaust training, and give practical advice on the psychology of managing dietary cravings when transitioning to a healthier diet.

Takeaways

  • Pain Threshold: Learn the 3/10 rule for pain in training: low-level, self-limiting discomfort is common, but anything more should be addressed.
  • Programming Fix: Recurrent pain (e.g., every 5-6 weeks) is often a programming issue caused by a lack of training tolerance, not a technique fault. The solution is modifying the total load, not just changing your form.
  • Training Philosophy: Stop "pushing" harder every session. The best way to progress is to wait for fitness to show up (the lift feels easier) before increasing the load.
  • Pre-Exhaust Science: Find out why techniques like leg extensions before squats are suboptimal for both strength and hypertrophy because they compromise the necessary total training load.
  • Cravings Are Transient: The intense difficulty experienced when switching from ultra-processed, hyper-palatable foods to home-cooked meals is normal (hedonic adaptation) and transient. Understanding that this discomfort will fade is key to long-term adherence.


⏱️ Preview Timestamps

  • 00:00 Introduction & Plus Subscriber Offer
  • 00:40 How Often Should I Feel Pain in Training? (Pain Threshold & Training Tolerance)
  • 09:31 The Science of Pre-Exhaust Training (Why it compromises total load)
  • 16:54 Managing Dietary Cravings When Switching Habits (Hedonic Adaptation)
  • 27:49 Conclusion: Barbell Medicine Plus Offer


🔓 Unlock the Full Episode & Exclusive Benefits

The topics above are only a fraction of what's covered in the full Ask Us Anything episode, which also includes:

  • How to structure high-intensity conditioning intervals and why heart rate is often a poor metric.
  • The science behind Powerlifting peaking and tapering for non-elite athletes.
  • The latest, large-scale meta-analysis on Vitamin D and respiratory infections and why the real-world benefit is highly modest.
  • A full discussion on the discrepancy between short-term studies and real-world results in diet and exercise.


Subscribe Today to Barbell Medicine Plus

When you join Barbell Medicine Plus, you get the full ad-free episode, access to our bonus content library, and major discounts:

  • 25% off all courses and seminars
  • 15% off consultations
  • 10% off all our programs


Want to support the show and get early, ad-free access to all episodes plus exclusive bonus content? Subscribe to Barbell Medicine Plus and get ad-free listening, product discounts, and more. Try it free for 30-days.

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For media, support, or general questions, please contact us at support@barbellmedicine.com

Resources


Pain

It is normal and acceptable for lifters to experience low-level, self-limiting discomfort during training. The threshold for acceptable pain is generally considered to be less than 3/10 on the pain scale, provided the discomfort is not sharp, does not cause fear, and is gone within 24 to 48 hours.


The real warning sign is recurrent pain—when the same tweak flares up every 5 to 6 weeks. This is typically not a technique fault but a programming issue—the lifter is demanding more from their body than their current training tolerance allows. The solution is usually to reduce the overall training load, modify the volume/intensity, and rebuild capacity gradually.


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