The TOP FOODS That Melt Fat, Build Muscle & Prevent CHRONIC DISEASE! | Stan Efferding
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Stan Efferding emphasizes that while six out of seven people lose weight on a diet, adherence is the primary challenge, with 90% regaining lost weight within three years; however, for individuals who are significantly overweight or obese (BMI over 30-35), nearly all health benefits stem directly from weight loss itself rather than specific dietary choices. Efferding argues that building body composition and strength requires a mindset shift toward long-term consistency in the gym to prove change is possible physically. He highlights critical developmental windows, particularly during puberty when bone mineral density is accumulated; restricting calories or protein for athletes like wrestlers or runners during this finite period can lead to osteoporosis later in life. Consequently, he advises parents to focus on coordination, speed (specifically sprinting), and fundamental movements rather than early specialization or heavy weightlifting before the onset of testosterone-driven muscle growth. Regarding training methodology, Efferding advocates for a volume-based approach that prioritizes mechanical tension over excessive fatigue. He suggests performing 10 to 20 sets per body part weekly with most volume concentrated in the mid-range rep spectrum (8-15 reps), supplemented by heavy low-rep work and high-repetition finishers to target different muscle fibers without inducing unnecessary damage or delaying recovery. Rest periods should range from 90 seconds to three minutes, ideally utilizing antagonistic training pairs like dips followed immediately by chin-ups to ensure adequate recovery between sets for the primary movement. He also debunks myths about slow negatives, noting that controlled eccentric movements of two to five seconds are sufficient and that excessive time under load can increase muscle damage without adding hypertrophy benefits. The core philosophy behind Efferding's "Vertical Diet" is a 30-30-40 macronutrient split: approximately 30% protein, 30% fat, and 40% carbohydrates. He recommends consuming about one gram of protein per pound of body weight to maximize satiety, control blood sugar spikes (postprandial glycemia), and preserve lean mass during a caloric deficit. While he acknowledges that various diets work if strictly adhered to in a calorie deficit, his preferred approach involves red meat and white rice as primary food sources due to their nutrient density compared to the restrictive "bro-science" of egg whites and tilapia often promoted by bodybuilding gurus. He stresses that for those with metabolic issues like fatty liver or insulin resistance, high protein intake is crucial because it has a higher thermic effect and improves blood sugar control more effectively than carbohydrates alone. Efferding identifies hyperinsulinemia as the root cause of many chronic diseases, including type 2 diabetes, hypertension, and obesity, making glycemic control the most important metric for long-term health. His "quick fix" strategies focus on losing weight to reduce systolic blood pressure by roughly one point per pound lost, managing sleep apnea with CPAP devices which can lower blood pressure significantly, and ensuring adequate intake of potassium (over 4,000 mg daily), magnesium, calcium, and vitamin D. He specifically advises against relying solely on salt reduction for the general population but notes that eliminating fructose-rich beverages like beer is essential to lowering uric acid levels. Furthermore, he recommends eating a large protein meal at breakfast and prioritizing resistance training over excessive cardio, supplemented by brisk 10-minute walks after meals which can lower post-meal glucose spikes more effectively than medication like metformin.
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Six out of seven people who go on a diet
lose weight.
It's pretty simple. It's not easy.
People don't adhere long-term to diet.
About 90 plus percent of people
gain the weight back within 3 years.
Having said all of that,
if you're overweight, significantly
overweight, obese, probably a BMI
exceeding 30, 35,
95% of the health benefits that you'll
realize
are strictly from the weight loss
itself, irrespective of the diet.
Stan Efferding, welcome to the show.
Thank you for having me. I appreciate
it. I'm really excited. So,
changing your body composition is one of
the most difficult things I've ever done
in my life. It's also, when I think
about mindset and I think about
entrepreneurship,
if I could give anybody the gift, it
would be to get them to go into the gym
to change their body, because you really
realize in a super tactile way that
change is possible, because the mind is
so invisible that if you've never gone
through a body transformation, it's I
think difficult for people to believe in
the depth of change that's possible.
Tell me a little bit about your
background. Did you start Obviously, I
know the punchline, but did you start
big? Did you start small? Like, how did
you get to the the muscle mass we see
today?
I wrestled 98 lb in high school. As a
freshman, sophomore, I was 106 as a
junior, 115
106 as a junior? As a senior, I weighed
115. Oh, how tall were you?
I was almost 6 ft. I was reasonably
close to Yeah, I don't think I gained
about another inch or 2 my senior year.
I had a
late uh
onset puberty.
I was eating terrible. I was working at
7-Eleven the whole time I was 12 years
old, and so my food choices consisted of
the hot dogs and the the nachos with the
pump cheese and soda pop.
And that's what I was happening. on the
same diet. I'm excited.
it didn't help me much for I I think
that was probably the primary driver of
the delayed onset puberty was the fact
that I wasn't sleeping very well cuz I
was working a swing shift and getting up
in the morning going to school.
Probably put in you know
till midnight or so before I got home.
And then eating like that. So I didn't
have the foundation for my body even to
to grow.
A lot of folks consider that to be just
a matter of
of timing of genetics but I think that
your body has to have the
the right substrate. But if you're
a a lean athlete that is trying to
continue continuously year round cut
weight to meet the lighter weight class
such as in the case of wrestlers like we
mentioned in the case of distance
runners
even gymna- gymnasts, ballerinas those
kinds of sport that that put a high
priority on on weight loss
especially through puberty
the time at which you should be
accumulating the most bone mineral
density
which is a a finite time. It's not like
you can you can continue to do that. It
generally your bone mineral density the
bulk of it is acquired through your teen
years. Dude, childhood freaks me out
because it is so
there are mistakes that you can make
that are either impossible to unwind or
nearly impossible to unwind whether
that's psychological which is what I
spend a lot of time thinking about or
physiological.
That's pretty terrifying. We were
talking before we started rolling camera
about the bifurcation between men and
women. Is there a bigger Do you have a
bigger concern for either sex in terms
of puberty and weight loss or is it sort
of universal just be careful?
Women tend to suffer from
the osteoporosis at a greater rate. So
to rob them of calories is more likely
to have bone density issues. It's not
just calcium like you said it's calories
it's protein and it's resistance
training that those
that those together will optimize the
accumulation of bone mineral density.
Because you need need put the bones
under stress in order to get that
formation. And have protein as well. And
there's some other micronutrients, you
know, that help with accumulation of
bone mineral density. And there's a
finite period under which that is
is the bone mineral density is
accumulated.
And then it kind of just
deteriorates over time as you age. And
and then the idea would be that you
would maintain it as long as possible.
And if if you're starting with that kind
of foundation,
uh
particularly with the say the distance
runners or the the wrestlers, uh then
you'll have less you'll have accumulated
less and so that
earlier in your adult years, you'll you
may experience some problems associated
with osteoporosis.
So, I'm looking at you. You weren't huge
in high school. You've obviously not
only gotten massive, but incredibly
strong, known as the strongest
bodybuilder, um
set insane records for physical
strength.
How much do you think though that one,
when did you start lifting? And how much
as kids should we be laying down like
the tendon strength, the ligament
strength so that we can build the big
muscle? Or cuz I didn't start lifting
until I was in my 20s. And I do worry
sometimes that um as much as that has
been beneficial because now I can add
muscle quite quickly. Like if I'm really
focused for 3 weeks, the difference in
my physique is crazy. Um whereas
somebody who didn't spend their 20s
lifting as much as I did, they're
probably going to struggle more. But do
you think that
I have done myself dirty by not starting
even younger? I don't think so at all.
Now, if you're going to compete in
athletics, it's good to have a as a
teenager in high school and college,
it's good to have a foundation. Uh the
foundation would be
uh mostly in
uh in the kind of coordination
movements, uh say dips, chin-ups,
sprinting. It's not just weight
training. Strength is an important
component, speed is an important
component. I think sprinting's probably
the single best exercise for a youth.
Hm. The single best
more than I would believe squats and
this is coming from a powerlifter who
who thinks squats is the best thing.
Uh well, because it's so dynamic to
begin with. It also increases your
nervous system's ability uh cuz
sports performance isn't just strength,
it's speed strength.
Okay, it's velocity.
And
that's really what helps when you have
kids sprinting that helps them with
neural adaptation and recruitment and
coordination and every time you sprint,
you got to remember that you got
rotation and anti-rotation going on in
your torso, which is fantastic for your
core, which is, you know, hundreds of
muscles that act like guidelines for a
tower that are intended to resist
movements, not necessarily bend and
flex. Uh so, you're building all of
that. Coordination, uh that the speed I
think is is huge. Plus, running is very
dynamic. And again, I mentioned the the
force production from landing, the
decelerating force from landing when
sprinting, if you look at pounds per
square inch, is extraordinary. Uh but at
the ankle, at the knee, so you're you're
putting the kind of stress
that is going to force them to adapt and
start to develop, you know, stronger
joints, muscles, obviously. Uh so, I I
just think it's a probably the single
best movement if you were going to pick
one.
Uh and then other than that,
uh you know, coordination and balance.
Although some of that is suggested you
probably
you have acquired by the time you're six
or younger.
Uh so, that's little kids who do
skateboards and uh and snowboarding
uh tend to have such great balance as
they get older because it's something
that's harder and harder to train as you
age. And some people suggest that once
you get past 10, 12 years old, you
really can't do much with your balance
and coordination.
Really? See, that's what I'm talking
about. Like that that really bothers me.
I don't like that answer, Stan, that so
much of this comes down to really doing
things when we're young.
So, all right, as a parent, as somebody
who's just absolutely radically
transformed your own physique, and you
think about, okay, sprinting is the
single most important thing if we're
only going to do one thing, but as you
look at your kids on balance,
I know you believe in sleep hugely, so
we'll set that aside for a second. We'll
just assume that your kids are eating a
healthy diet. What are the things like
that you think about
laying down the foundations so that
later they can really do something
extraordinary. Is it focusing on hitting
a certain level, like being able to
bench press twice your body weight by
the time you're 18? Like, are there any
sort of things like that that you think
set people up for success? I don't think
so,
especially for young boys, primarily
because until they have achieved puberty
and start to have an increase in
testosterone, they're not going to get a
significant improvement in lean muscle
mass.
Uh they're they're going to have, you
know, certainly some growth, but it's
not going to be as significant as it was
through puberty. So, I'm working on
things like coordination, speed, maybe
just going through those movements,
having them learn the basics of a
push-up, of a chin-up, uh
of a squat. You know, there's your push,
pull, legs right there, and that's and
that's really what the foundation would
be. The big thing is is the consistency
at that point, and building the habits
uh because,
you know, as they get older, generally
what happens is is is they may be
uninterested, uh or not have the
discipline or the consistency that's
needed to to be able to progress,
because the progression isn't about any
one workout or a week or a month even.
It's about consistently doing this
year-round.
The big piece, uh
I think, for for kids is to make it fun.
And
I'm opposed to specializing at an early
age, uh meaning having them do one thing
year-round. You can get some repetitive
strain injuries. We see this in
gymnasts in particular with the, you
know, tendon surgeries and the carpal
tunnels. We see it even in 10-year-old
badminton players who blow out lateral
collateral ligaments just from
repetitive strain from doing the same
thing over and over again. And And so,
continue to involve them year-round in
sporting activities. And now they're
staying active. They're They're
continuing to get stronger, more
coordinated, uh better habits, better
conditioning, you know, it's another
piece of this uh this whole thing is is
to make sure that their their
cardiovascular fitness is is continually
supported throughout the year. And so,
the kids that participate in sports
year-round, you pick different sports,
you know, they can do gymnastics or
track or play soccer or football, but
there's no off-season per se because you
keep them involved in something.
Uh and that
will help them progress.
I think also in
the 10,000-hour rule they talked about
at what age do kids get involved with
more time in sports and better coaching.
We looked at that in terms of hockey
players born in January and February
seem to bring up, you know,
consist of the bulk of your pro hockey
players in Canada. Explain that cuz when
I read that, that made all the sense in
the world to me. I think it's utterly
fascinating. Well,
kids can't start playing hockey in
Canada until they're 6 years old. Well,
are they 6 years old or they 6 years and
11 months old? Right.
And
chronological age and physiological age
is is very different, especially at that
age. A kid that's 6 years 11 months may
be physiologically far ahead of a kid
that's just 6 years old.
And so, that kid's going to get
recruited first because he's bigger,
stronger, faster than the younger kid.
And then that kid is going to be able to
play on the teams that have more ice
time,
better coaches, more practices than the
other kids. And so, what you find is is
then again, as in the other examples,
that compounds over time.
Just more hours, better coaching, better
facilities, etc. And so that by the time
they're 10, 11, 12 years old, they're
way ahead of the ones who were
you know, playing part-time. And And so
that's
to me. It's a year-round thing.
And it it doesn't have to be these balls
to the wall workouts. You know, you're
coming in
it's access to the coaches like you
said. And then also there's the
psychological component of
I'm bigger, I'm stronger cuz they don't
get it, right? They don't think about,
"Oh, wait, yeah, I guess I am 11 months
older." They just know I'm better. And
then they start getting more attention.
And that the confidence that builds from
that. This episode is sponsored by
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the episode.
And in fact, I'll What was it? So, for
the gains that you've had, which are
just utterly extraordinary,
what made you so interested that you
kept pushing? And what do you think has
been the key to your success other than
consistency? Let's take that off the
table. Yeah.
Well, first and foremost, I fell in love
with the sport of bodybuilding. I I was
140-lb
18-year-old freshman in college. And I I
really, you know, I picked up a magazine
and I I'd always wanted to be bigger,
stronger,
uh and have a a better physique. It just
you saw it and you responded.
Yeah, my soccer coach asked me to go
lift weights that summer because I was a
little light for the team. I was
undersized for a soccer player, for a
collegiate soccer player. And I just
fell in love with it. I really liked
lifting. I liked the way it made me
feel. I liked seeing the little gains.
More than anything, I liked seeing the
weight progress. We use that
intentionally as coaches with our
clients. If we can get them in and find
something measurable that they can
progress at in a very rapid pace of
time, which happens mostly from
neurological adaptation, as you know.
Somebody just begins to learn a
deadlift, they'll get stronger at it
every single week. You know, you
deadlift them two, three times a week.
They get stronger every single workout.
Do they get stronger or do they get
better at the movement, more
coordinated, more skilled? We call
neural adaptation. They learn to recruit
the muscles and fire.
That is how we lock people in to the
passion of weightlifting is by showing
them progress.
And we use that strategically
better than say a Metcon. You know,
they're going to go in and do battle
ropes and jump around and breathe hard,
which is not a terribly effective way to
lose Do you think that's because
psychologically we're wired to get
turned on by strength? I don't know
what it is, but I see it like even in
CrossFitters
who who either switch over or often on
the side will compete in powerlifting.
And it's something about that feeling so
powerful and the progression. This this
week I did 200 lb and next week I did
210, next week I did 230. I'm going to
try 240 next time.
It never ends. It's coming from a
powerlifter competed for over 30 years.
You know, what's next? It never ends.
Whatever your total was or whatever your
lift was, it's like
you're thinking about can I get this?
What headspace do you go into when
you're doing like a just a brutal lift?
You know, I look at everything
in terms of repeating the same
movements. I do the exact thing that I
did in practice. So for you it's
clinical. You're not like in rage mode,
I'm going to [ __ ] tear these weights
apart. You're not imagining anything.
It's just
some evidence that smiling as opposed to
frowning can actually have an adverse
impact on your strength output and
clenching your fists.
There is some evidence to suggest that
that those kinds of behaviors or making
a loud noise.
for sure you were going to say the
opposite and I was like, "Oh my god,
that's so contrary to how it feels to
me." But I never hyped myself up for a
particular lift. Yeah, I I just I've
always been
OCD my whole life. ADHD as a kid.
And so I I used to count my steps and
have ticks and
you know,
I did things repetitively my whole life.
And so when I got into bodybuilding
it was perfect for me.
Sets and reps and workouts and and
all these different blocks
the meals, the timing of everything, you
know, eat every 3 hours, prep your
meals, go to the gym at the same time,
you're doing everything's all mapped
out, the reps times sets times weight,
the progression over time.
you the consistency is the superpower.
magic for me because it it preoccupied
my my OCD behaviors. It it it gave me an
outlet to do things repetitively that
that I could you know, progress with
over time.
to channel rage. Like for me in the
beginning the only way I could motivate
myself to lift because whatever the
dopamine rushes that people get from
either exercise or lifting, I don't get
it.
But
to imagine somebody attacking my wife
and not being able to stop them was
insanely motivating. And so my wife and
I would go lift at the same time and I
would literally just stare at her and
think about protecting her and having to
be strong enough to defend her. And of
course I probably would have been way
better off putting all that time and
energy into learning jujitsu or
something like that, but it
worked. And so learning to capture
anger, to foment it, to channel it and
then to your point about progress, 100%.
Like when you see yourself getting
stronger, like it's really cool. There's
something super addictive and this feels
very sad saying to you, but
at my height I was deadlifting 385 lb.
And I remember thinking, I can bend over
and pick up almost 400 lb. Like that's
crazy. Like that felt so cool. And so
for me deadlifting was like the most fun
thing I ever did. Um
and that sense of being strong is really
cool. Yeah. You said something
interesting there. You talked about
channeling that same kind of behavior
into business.
And I said before when people ask me
about my success in business, I've said
that
anybody who has been very successful in
say bodybuilding or powerlifting or some
sport with the the discipline, the
consistency, and the time management
that's involved in that, if they applied
that same amount of time, and effort,
and consistency, and time management
into any income producing
Like when I look at Schwarzenegger
and what he accomplished, and you hear
him talk about exactly what you're
saying. Like, "Well, this is exactly
what I was doing in the gym, and that
was the thing that made me good, and you
understand you can change, and that you
have to be insanely consistent, and work
way harder than you ever think you're
going to have to." And then you watch
him channel that into a gazillion areas,
and it's like, "Why aren't more people
doing that?" I think it's the goal. I
think it's harder to see, you know, if
you say you my goal is I want to make a
million dollars.
It's not specific enough. It's hard to
break that down. Uh
there are setbacks, obviously. It always
takes longer and costs more than you
ever anticipate that it will. I mean,
you can make an Excel spreadsheet say
anything, and it would be like, "Oh,
this is awesome."
Uh
the goals in bodybuilding and
powerlifting, etc., are shorter term.
I'm going to compete in this event 3
months from now.
Very measurable, easy to break that
down, go to the gym, creates a sense of
urgency because you told everybody
you're going to compete, and you certain
numbers that you want to achieve.
And then as soon as you do that, there's
you set another one.
And so I'm not sure that people
identify a specific enough goal, and
then break down the steps to get to that
goal that are in achievable chunks
because people are looking at the finish
line instead of the journey. And I think
that is probably what impairs people's
ability to to
to progress in business.
Uh that and obviously there's a lot of
unknowns there. This is pretty
we pretty well know
uh
now in bodybuilding powerlifting what
you know, is required to progress.
And your progression is is only going to
really be limited by your genetic
predisposition.
Um
not
you know, by doing things wrong.
Cuz it's it's pretty simple
pattern.
Get into a business. Give us the
pattern. We'll come back to business,
which I'm very intrigued by how much
you've been successful at both. But what
is that sort of base set? If somebody
wants to really get big and strong, what
do they have to do?
Well,
I said that the caveat being is we know
now.
I've always said if I knew then what I
know now. In 1985 when I started
bodybuilding,
we didn't have all the science we have
today. I used to think because we didn't
have the internet back in 1985, I went
to the gym and the guy behind the
counter was jacked and he was getting
ready for a bodybuilding show and he he
was eating tuna fish out of a can and
some rice cakes.
So, ding ding ding, I'm
you know, let me take this one step
back. I'm this 115-lb kid and and as a
senior in high school and I go out to my
uncle's farm in Pennsylvania that
winter. And uh I was eating at 7-Eleven
every day and all of a sudden the
neighbors got a uh a dairy farm and I'm
going down and I'm getting bottles of of
raw milk with cream on the top like this
that you have to shake. And they're
making every single day my uncle is
making steak and my grand and my aunt is
cooking bacon in lard and I'm eating,
you know, potatoes and steak and bacon
and eggs and and raw milk. Next thing
you know, I'm 140.
135. I put on like 20 lb, went through
puberty during that time frame because I
gave my body what it needed. More sleep.
Uh it was winter time, got dark, we
worked uh in the fields on his farm
during the day, and then at night I
would sleep. I would sleep longer hours
and more soundly than ever before. Sleep
in, you know, until I woke up rather
than on my alarm to get up for school at
6:00 a.m.
Uh and I grew for the first time
uh significantly, put on 20 lb. Wow. So,
I get to college after eating steaks and
raw milk and eggs and and potatoes every
day.
And I see these guys eating tuna fish
and rice cakes. I switch to tuna fish
and rice cakes cuz this guy's a
bodybuilder and I want to be a
bodybuilder.
And then I get Arnold Schwarzenegger's
Encyclopedia of Bodybuilding and I start
training 2 hours a day, 7 days a week,
you know, every single exercise you can
imagine that's in that encyclopedia. So,
I'm overtraining and I'm undereating.
I also thought that the stronger I got,
the bigger I would get, which now we
have plenty of evidence to suggest that
that's also not the case. Uh that the
amount of weight you lift is not nearly
as important as a as a host of other
factors. We call volume load, sets times
reps times weight, then the range of
motion. It's also a critical component.
And so, I had everything ass-backwards
for about 2 years. I went from about 140
lb to 158 lb in 2 full years. And I
competed in my first bodybuilding show
at 158 lb at 6 ft tall. That's not a big
guy. Right. Yeah, that's certainly not
anywhere near my goal of trying to
become a pro bodybuilder, which at 6 ft
I would need to be 240, 250
in order to accomplish that goal. So, I
was a long way off and I of course at
every turn had people laughing and
telling me that that was a ridiculous
goal.
Uh and so, I spent, you know, the next
10 years uh gradually growing, but
fortunately after that first show, the
promoter was also a gym owner and a
competitor, and he said, "Look, you need
to flip the script. You need to train
less and eat more."
So, what we know now is that you
obviously need to be in a calorie
surplus. You have to get a sufficient
amount of protein, generally about a
gram of protein per pound of body
weight.
Uh and the training students
Per body weight or lean ideal lean
muscle mass? As ideally goal weight or
lean weight, particularly for, you know,
people who are significantly have a BMI
over 30, that would be sufficient in
order to maintain lean body mass when
dieting, etc. But if you're athletic
individual, you know, if you're a high
school athlete and and you've got, you
know, at least four pack,
shoot for a gram of protein per pound of
body weight. Just shoot for it. Uh,
I I think that that you can go up to as
high as, say, 1.2
and still see, although it's kind of
gradually tapers off,
uh, an improvement in in lean mass
accretion uh, from what most of the
research has shown us. Uh, more recently
2 years, I did 2
g per pound
of lean body mass. It was hateful.
Yeah, it's hard to
like chicken.
Oh god, it was so horrible.
It's hard. Uh,
Dr. Jose Antonio from the International
Society of Sports Nutrition has done a
lot of protein overfeeding studies.
And he had the dropout rates for people
trying to eat 2 g of protein per pound
of body weight is there's hardly anybody
stays in the program. And they have to
be down in protein shakes to your
sick of eating. It's unbelievable. It's
actually a strategy that we utilize to
help people with weight loss. The more
protein you want to eat, eat all you
want. Eat all the chicken breast and top
sirloin steak and lean meats that you
want. If you're hungry, are you hungry
or are you bored or are you stressed?
Because if you have to sit down and eat
40 g of protein, uh,
are you still hungry? Yeah. Real fast,
you're not.
Yes. Has a high thermic effect of food.
It has a very, uh, high satiety effect.
And so, we push protein first with
weight loss for those very reasons. It's
a strategy that we utilize to help
people with hunger and primarily.
Also very beneficial for blood sugar
control, as we were talking earlier to
your assistant. Um, one of the primary
things you do to try and control blood
sugars is get at least 30% of your daily
intake with protein.
Uh, and then you the protein first in
the meal. It has a ameliorating effect
on uh, postprandial glycemia, which is
the elevation of blood sugars after a
meal. And there's some other strategies
and we get too far off of the side with
that, but so we do have
uh, with respect to hypertrophy, a
pretty good Hypertrophy is getting big
muscles. Getting big muscles.
We do know you need to be in a calorie
surplus. You need to get sufficient
protein. And then you need to start
going down this list of evidence-based
hypertrophy guidelines that uh, that we
we see in the research.
You want to train everybody part twice a
week.
You want to get about 10 to 20 sets per
body part per week. That's kind of a
minimum effective volume and a maximum
recovery volume.
You want to
generally train in the
You can get just as big training heavy
at five reps as you can training
moderately at 10 to 12 reps as you can
training with light weights at 20 reps,
presuming you take each set to within a
rep or two of failure.
Having said that
don't buy into like that you have to go
all the way to failure. No, you don't.
The research has shown us that now, too,
that that there's a stimulus to fatigue
ratio. You know, if you go to failure,
you're going to have more fatigue. You
might have a little more stimulus, but
you'll have more fatigue, which might
delay recovery and that's going to
affect total volume.
And volume is a superior driver than
fatigue than muscle damage. And so what
we find in that 10 to 12 range, I I was
saying that that you can grow just as
well in the five rep, 12 rep, and 20 rep
ranges.
The fives are going to be a lot heavier.
You're going to build up accumulate more
fatigue. The 20s as well. You accumulate
more fatigue.
And so the bulk of your volume, although
we like to get a variety, the bulk of
your volume in like in that mid range,
eight to 15 reps, kind of the bulk of
your 80% of your volume or so. And then
throw in a a heavy set of five once a
week and throw in a an AMRAP at the end
of your workout with a set of 20 if
you'd like.
An AMRAP?
Uh, as many reps as possible. Yeah, I'm
learning these things, too. I thought
that was a breakfast burrito when
somebody mentioned it years ago. We
always just called it failure.
Uh but
it's nice to train in each of the rep
ranges to to hit some different muscle
fibers. You got slow twitch, fast twitch
fibers. So,
but the bulk of your training in that
mid-range because it affords you the
opportunity to do more volume and then
to recover at a at a faster rate.
Uh
that covers intensity as well or effort,
which is within a rep or two of failure.
And then we get down into some, you
know, less important things such as
maybe the um
uh the rest periods. We like to see
those between 90 seconds and 3 minutes.
People who go in and do a set and 30
seconds later do another set,
that's probably better for muscular
endurance, not for hypertrophy. So, it's
kind of hard for some folks though that
are really active in the gym to wait 2
minutes.
For busy individuals and people that
like to move a little faster or get a
better cardiovascular benefit from the
workout, now I start combining
uh antagonistic body parts. I'll do a
a back and a chest workout together.
I'll have them do a dip, rest 1 minute,
do a chin-up, rest 1 minute, and go back
and do the dip. The reason being is is
because then you've had at least 2
minutes between the dip sets. Each
subsequent set on dips should be
relatively close to the number of reps
you got the first set.
Uh because that shows that your muscles
have recovered to the point where you
can then stress them again. And then the
limiting factor doesn't become your
cardiovascular fitness or your lactate
clearing capacity. It The limiting
factor becomes did your muscles get
stressed? Did they adequately recover to
get stressed again? And so, your your
repetitions, you might be able to do 15
reps the first time, 15 reps the second,
and then 14, and then 12. That's
sufficient to stay within uh the loading
necessary to to give you a good
hypertrophy stimulus. The speed of the
repetition is on this list. Uh
you don't want to go too fast on the way
down. You want to have under control.
But doing a 10-second negative doesn't
uh impart any better hypertrophy
benefits than doing a a 2-to-5 second
negative or each section.
time under load, which is something this
idea that you hear a lot about. And when
you were giving us the multiplier
earlier, I was I may have filled in a
gap that you didn't actually say with
with that you do want to go slow on the
negative, but no?
You want to go under control. You want
to be under control on the negative, but
they've looked at a 2-second negative
and a 10-second negative and there's no
difference. There's no difference. It
does There's no added benefit in the
of time in the gym standing doing these
real slow negatives.
and there was a phase there and you
know, there's always been a lot of
phases. I've been the business for over
30 years. I've seen all of the the fads
and phases. I've tried them all. Uh
but now we have research that that is
pretty definitively showing us that that
there's kind of an ideal range there in
terms of time of 2 to 5 seconds and then
on the negative. One of the reasons
being is is that that eccentric load
causes more muscle damage, but you're
also stronger on the eccentric and
that's another
you know, fatigue ratio
issue. Uh stimulate to fatigue ratio
issue to where if you're doing a lot of
eccentric loading, it's going to take
you longer to recover. It's going to
affect your total volume for the week
and the volume's the primary driver. You
know, mechanical tension first and then
the volume and frequency after that. So,
there's some smaller things. I think the
split is really not that important
whether you train your whole body Monday
and whole body Friday or whether you do
a
an upper body Monday and a lower body
Tuesday and then an upper body Thursday
and lower body Friday or you do a push
pull legs Monday, Tuesday, Wednesday and
then repeat it or take a day off and
then repeat it. It doesn't seem to
matter. Your body adapts to the stimulus
provided.
If that stimulus doesn't increase over
time, the body has no incentive to
continue to adapt
and get stronger or bigger.
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All right, so let's shift gears into
diet. So,
one of the core tenants of your diet
that I like a lot is that you're looking
at the idea of what's easy to digest.
Gut health is going to be hugely
important.
Mhm. As I was saying, when I was on the
seafood diet, as uh we jokingly called
it, if you see food, eat it. Uh just
trying to get in that caloric surplus.
At one point, I was doing shots of olive
oil. Yeah. Just trying to get calories.
Oh, it was so hateful. I absolutely
hated that phase, but I put on a ton of
muscle. And
if I had to do it over, though, I would
do it so differently. Yeah.
What are the core tenants of the
vertical diet?
Why does it work so well?
Well, the vertical diet is everything
that I want my clients to do.
It's not just diet. It's sleep
optimization. It's hydration. Obviously,
it's it's nutrition, macros and micros.
Um
uh it's uh
injury prevention and rehabilitation.
It's blood testing. It's blood pressure
uh control, blood sugar control. uh So
it's hypertrophy training as we just
discussed, strength training. So and and
cardiovascular training. So it's
everything that I want them to do. And
so if I want to talk just about
nutrition
in the vertical diet
uh
again, sleep and exercise being
inseparable from from from nutrition.
The vertical diet
was intended to be more inclusive of
what historically I had seen as over
restrictive.
Cuz I come from the bodybuilding figure
physique bikini industry.
And those folks, they get a guru
and the guru tells them
don't eat red meat
don't eat dairy
don't eat fruit
don't eat the egg yolk
and don't salt your food.
All the things I lead with now.
Because what I saw
in the guru diet industry and almost
anybody that that
that goes to a dietitian uh or a guru
dieter to lose weight, particularly if
you're getting ready for competition,
they walk out of there with the same
diet plan. It's egg whites tilapia, some
chicken breast and a and a just a ton of
broccoli. I remember it well.
And maybe a dollop of peanut butter.
Right?
And and and some avocado.
And not that any of those foods are bad
foods. This isn't a good food bad food
conversation.
But they pale in comparison to the list
that I just made.
Red meat, whole eggs, fruit, dairy,
sodium. Those are the things your body
needs for
Those are the things that are going to
kill me.
Yeah, that's what people have have
presumed.
Equating for calories, and I'll jump
into the going to kill you.
Equating for calories and protein
where you put carbohydrates and fats
does not matter in terms of weight loss,
in terms of glycemic control, it doesn't
matter if you're in a calorie deficit.
Okay.
And this was born out in many
randomized control trials and
meta-analysis.
strictly from the position of you are
losing fat because it drives me crazy
when people talk about that what you eat
doesn't matter. Now, maybe if you're
just talking about like losing fat,
maybe. Although even that I think is
questionable. I'm going to take you one
more step that you're going to hate,
too. Love it. Take me.
We'll start here. We'll start with and
this is the diet fits trial. It was a
year long at a Stanford. It had over 600
people and and even Gary Taubes was was
part of the
the promoters of the of the study itself
and
because obviously he's a keto
researcher.
If you control for calories and protein,
where you move carbs and fats don't seem
to matter for weight loss and you get
similar weight loss outcomes. So, the
best diet's the one you'll follow.
There's many paths to the same
destination. It's all a matter of
personal preference at that point. And
personal preference can include how you
respond to carbohydrates or fats. And I
have clients that that that do both. So,
I don't respond well to these
carbohydrates very well.
What does respond well mean? Meaning
maybe you have adverse
glycemic responses to a certain type or
quantity of carbohydrate or maybe
your when your fats go up, you have
difficult with bile and soft stool.
So, you may not be able to metabolize
one or the other as efficiently and it
may more comfortable for you.
And so, I'm
when I talk about the vertical diet, I
make some very specific recommendations
in terms of the macronutrients because
that's what my customers Your macro
breakdown is maybe the most startling
and I love it, by the way.
Maybe the most startling thing in the
book. It's two things. Yeah.
Red meat, white rice.
Yeah.
That's it. Yeah, that's what
And I was like,
"Well, that's amazing." That's what
that's what folks presume to think
because that's the most obvious. It's
right on the front page of the book, red
meat and white rice.
We can get there.
I'm going to go one step further first
in terms of of you talked about
calories or or
uh fats and and carbohydrates.
All diets work when they're strictly
adhered to.
Okay, six out of seven people
If you're in a caloric deficit.
If you're in a caloric deficit. And they
all work the same way. There's no all
you can eat diet, whether you're keto,
whether you're intermittent fasting,
whether you're paleo, whether you're
vertical, they all work for the same
reason, you're in a calorie deficit. In
order to lose weight, you have to be in
a calorie deficit.
All diets work when they're strictly
adhered to. Six out of seven people who
go on a diet lose weight.
It's pretty simple. It's not easy.
People don't adhere long-term to diets.
About 90 plus percent of people
gain the weight back within 3 years.
Having said all of that,
if you're overweight, significantly
overweight, obese probably BMI BMI
exceeding 30, 35,
95% of the health benefits that you'll
realize
are strictly from the weight loss itself
irrespective of the diet.
So, I'm going to say, and the studies
have been done, the McDonald's diet,
a guy went ate at McDonald's, had his
students track everything.
1,850 calories a day. They measured
everything that he ate, but everything
he ate was off the McDonald's menu. Big
Macs, French fries,
uh ice cream, whatever fit, you know,
presuming he got sufficient protein. And
he walked for 40 minutes a day. And then
if he lost 30 lb,
his blood pressure improved, his blood
sugars improved, his cholesterol
improved. All of those things improved
simply from the weight loss itself.
The Twinkie diet also got the same
result.
for a second and ask a question? Do we
know what his diet was like before that?
I would presume standard American diet
if he's
Because let me if he's 30-40 lbs
overweight.
Right.
So, standard American diet for anybody
keeping score is going to be high in
carbohydrates which means it's high in
sugar. 70% of all the processed
and this is where and I I think I'm
right but I'm super open to being wrong.
I just want to put that out there
because one thing I know
like what I believed 10 years ago I do
not believe now so I can only imagine
what I will believe 10 years from now.
But
if he were putting on fat by overeating
red meat let's say
that his blood sugar cuz you can put on
fat absolutely by overeating red meat.
Yeah.
I wouldn't expect in fact I would be
startled if his blood sugar went down if
he were eating 1850 calories of ice
cream.
So, my hypothesis and I haven't tested
this so I don't know but my hypothesis
is even though I would expect him to
lose fat that the blood sugar would go
up. So, my gut instinct is that his
blood sugar wasn't coming down because
of the caloric deficit. His blood sugar
was coming down because he had even more
forms of sugar which we don't think of
as sugar. Could be potatoes, it could be
white rice, it could be God only knows
but all things that turn into glucose in
your bloodstream
um or show up in your bloodstream as
glucose is a better way to say it.
That that is what's causing the drop in
glucose
and then the caloric deficit is what's
causing the loss of fat. Does that ring
true to you or do you think I'm missing
something?
Few things there. One pretty rare that
somebody who's eating uh
you know, that much protein when you say
red meat that much protein
is uh has a BMI of 35.
No, I agree.
It's pretty rare. So, the standard
American diet usually applies to the 70%
of the population that's overweight or
obese that's consuming about 7
saying that I think that his drop in
blood sugar would have more to do with
he was already eating a terrible diet.
Yeah. And now he's eating another
variation of a terrible diet just with
less calories.
which would also mean fewer carbs.
Right. Uh I would say this as well that
when people get a BMI over 35, generally
speaking, they have some degree of fatty
liver.
Which compromises your insulin
sensitivity.
Losing 7% of your body weight.
So you're 300 lb, you got to lose 20 lb.
Will resolve 95% of fatty liver as
tested by biopsy.
Irrespective of how you lost the weight.
And so you become a little more
efficient at metabolizing carbohydrates
simply from the weight loss itself from
the fact that the liver doesn't have
the the the fatty liver. Strain on it
stopping it from
Cuz that elevates triglycerides, you
know, they convert blood sugars and
triglycerides that lipids start
increasing.
So that there's some nuance there. But I
I would want to suggest and I'll you
know, as I as I progress through this,
I'll come back and say that
this applied to the Twinkie diet, it
applied to the 7-Eleven diet, it applied
to the you know, a whole host of
terrible diets which when
uh consumed in a deficit and and
associated with weight loss,
uh people realize an improvement in
their metabolic markers, their blood
tests.
Having said that,
I would never recommend that kind of
diet for a few reasons. One because a 30
or 60-day trial tells us nothing about
long-term in terms of micronutrient
deficiencies. I I kind of
glossed over that when I was talking
about the guru diet with the egg whites
and the broccoli and the tilapia as
compared to whole eggs, steak, and
fruit.
One of the things that happens over time
is that those people on those
restrictive diets start experiencing the
deficiencies associated with just eating
egg whites, you're not getting the
biotin and the avidin in the egg whites
robs the biotin from your body. Well,
that's for skin, hair, and nails. Then
being in a deficit, you're going to
suppress your thyroid function. Next you
know, that dry skin and dry hair starts
falling out. Um
that that gets us back to the metabolic
syndrome when you're just eating egg
whites and tilapia, uh where's your
iron? Especially for women. And now they
they suffer from anemia. So, we start
seeing all of these things manifest over
time. They can get to the show and
compete, and they got lean,
but within a week after the show,
they're at the doctor's office getting
injections for for iron and D3, and
sometimes antidepressants, and sometimes
this this huge rebound of 20 lb of
weight gain in a week.
problems? Uh
it's all the deficiency in the diet.
It's it's these
it's the too much of a deficit and
over-restriction.
Deficiency though in what? Calories
and micronutrients.
Like I mentioned in terms of the iron
deficiency, the biotin deficiency, then
you know, the cause of the usually
iodine deficiency, the hypothyroidism,
the water imbalance from not getting
adequate sodium and potassium, and then
they end up with edema following the
show. I I mean,
really serious, like painful, like I'd
go to the doctor.
Ankles swollen kind of This is what I
was seeing in the late '80s. I started
training women for competition back in
the late '80s and early '90s. And I was
seeing this quite regularly that they
would just torture themselves to get
ready for a show and then have this
enormous rebound. They would gain 20 lb
within a week or two. Unintentionally.
Yeah, unintentionally. Obviously, you
know, they'd have that rebound eating,
but your body gains the fat back much
faster than the muscle. It's a problem
with this uh with this yo-yo dieting is
that you lose a lot of muscle
with the fat if it's done incorrectly,
if it's not done gradually enough
without adequate sleep and resistance
training and protein.
And then when you binge
in you know, to recover from this this
cravings from the dieting, you gain a
significant amount of fat back.
And so, your body composition changes
over the years. That's what gets us that
metabolic adaptation that we saw in The
Biggest Loser studies to show that that
their basal metabolic rates have been
significantly suppressed by somewhere
between 300 and 700 calories a day even
after they gained the weight back. They
had a lower BMR.
So, that I see the same kind of thing
with Well, I talk about like the
McDonald's diet and that kind of thing
is I would not recommend that diet
because it can manifest in in
micronutrient deficiencies long-term.
And I I I've over the years discovered,
"Hey, there's a better way to do this."
And that's kind of why I speak out
against these guru diets uh for both men
and women.
I want to go back to specifically the
vertical diet. So, in the book you say
that the macronutrients are red meat and
white rice. Then under that you get into
micronutrients and you've got a whole
[ __ ] host
of
Let's define macronutrients: proteins,
fats, and carbs. And then we'll attach
foods to those afterwards.
My
macronutrient percentages are 30%
protein as a percentage of total
calories in the diet. That's what I
recommend. It's what I've been
recommending for for a decade. Probably
what I've been eating for 30 years and
what most of the bodybuilding, figure,
physique, bikini industry probably
accepts to be
uh most beneficial for performance and
lean mass retention and and growth.
About a gram of protein per pound of
body weight or, you know, lean weight or
goal weight if you're significantly
uh heavy.
Uh 30% protein.
And that's been studied extensively as
well. We've seen even in a recent study
comparing the Mediterranean diet, which
is lauded as the healthiest diet, right?
The Mediterranean diet only has 18 to
20% protein. So, they put the
Mediterranean diet next to a 30% protein
diet. The 30% protein diet outperformed
the Mediterranean diet for glycemic
control.
And glycemic control is the most
important factor because it it it it's
the most predictive of of long-term
disease, uh hyperinsulinemia, uh type 2
diabetes,
uh far above even blood pressure,
obesity, and lipids way down at the
bottom.
Uh so,
when you're trying to make the most
significant comparison, you want to look
at blood sugars first. And it's a you
know, obviously hugely important and we
keep going back to that. And that is
kind of it's kind of what precipitates
everything else. The the fatty liver and
all the other metabolic syndromes, the
high blood pressure, it's all
the foundation of it is is
hyperinsulinemia. It's high blood
sugars.
Um
so,
I start with 30% protein and very
effective for controlling blood sugars
uh and retaining lean body mass. And
then I about 30% fats in the diet. And I
may make some adjustment on those based
on,
you know, the individual's personal
preference.
But you need fat, obviously. You need
cholesterol. You know, every membrane
cell in the body has a has a lipid
bilayer and you need the ADEK. You need
to be able to move nutrients through the
body. Fat's important. You can't
eliminate fat. It'll affect your
hormones.
Oh, I've tried it. Yeah.
It's terrible. Pain. Yes. It sucked. So,
we need fats in the diet.
Uh and then I put in 40% carbs.
There's a a a big
only work when you're lifting? Or is
would you if somebody weren't going to
lift, would you still recommend
30-30-40? I would bring the carbs down
if they were inactive. But I
again, just like sleep is as important
as diet is exercise. And exercise not so
much in terms of burning calories for
weight loss, but exercise in terms of
cardiovascular health and long-term
weight loss maintenance. Which
is is important both in the step count
throughout the day in terms of
suppressing appetite and
uh doing some sort of resistance work.
The the the the muscle is is the most
important organ in the body, the largest
organ. I know people think it's the
skin, but it's the muscle. It's the
largest organ in the body. It's a sink
Certainly in your body. Uh yeah.
It's a sink for glucose. That's what the
muscle is so effective at, particularly
when you're moving it and working it.
Uh
I mentioned that
post-meal,
if you move your muscles, take a
10-minute ride a recumbent bike, you
know, something like that,
you'll uptake glucose from the
bloodstream without the need of insulin.
And you can reduce
your postprandial glycemia by up to 30%
just with a 10-minute walk post meal.
That's twice as effective as metformin,
the number one prescribed type 2
diabetes medication.
Taking a 10-minute walk after each meal
is twice as effective as metformin for
reversing or preventing type 2 diabetes.
Just from moving the muscles and getting
your your body to do what it's supposed
to do, your your muscles to take up
glucose from the bloodstream without the
need of insulin.
So, I will bring carbs down if people
aren't training, but I mean lifting
weights to me I I come right out of the
gate with that. It's the first thing I
prescribe along with 10-minute walks.
Those are the two things. Above cardio.
It as a priority over cardio. Uh to me,
10-minute walks are cardio. Uh you do
them briskly, you can elevate your heart
rate significantly enough to where it'll
provide you some improvement in VO2 max
sufficient to give you a you know, a
longevity benefit. So, I think that
that's sufficient if you're not
competing in something. But three
10-minute walks a day following meals
and then some weightlifting
two to three times a week would be to me
a minimum prescription if you're really
serious about trying to uh to improve
your general health and body composition
and and long-term weight loss
maintenance and your energy levels.
And so, I like to keep the carbs in
there primarily for performance.
Like you said, and it might be that you
eat a few more carbs around workouts on
the day that you train and a few less on
the days that you don't train if that's
what you prefer, if your energy levels
Yeah, take me back. So, I the vertical
diet
really lines up with how I accidentally
eat. Yeah.
So, minus the I don't eat a lot of rice.
Um
but I eat a metric [ __ ] ton of red meat.
Yeah. That's like my primary source of
calories. Eggs, I eat a lot of eggs,
whole eggs.
Um and then I eat
vegetables, but I don't like go way out
of my way. I probably get 85
80 for sure percent of my calories from
meat and eggs. Yeah.
Why isn't it going to kill me? And
salmon a couple times a week for sure.
I don't [ __ ] with salmon.
Yeah. But
fish, sardines?
Um yes,
sometimes, but I
don't go out of my way for it. Yeah. So
I'm super curious. I know you do.
I'm super curious to know if you think
like that's a big part of your strategy
and that's a real missing part of my
game.
item. It's omega-3s. You can probably
get a sufficient amount from two 5-oz
servings a week. Uh salmon has 200 times
the omega-3s as as beef as ruminant
animals.
I choose beef.
Ruminant animals, bison,
cow, beef,
uh
sheep,
uh deer. I choose beef
because it's a ruminant animal. It has a
four-chambered
stomach digestive system. It can ferment
cellulose, predigests,
provides you with
uh a better omega-6 to omega-3 fatty
acid ratio than say a monogastric like a
chicken or a turkey. Uh three times as
much iron, I think six times as much
B12, nine times as much zinc, carnosine,
creatine, selenium. It's just a more
nutrient dense. And I personally don't
eat chicken. I don't enjoy it. Uh I
don't think it's uh
it's kind of a good better best scenario
where I think that the beef is I get
more bang for my buck. It's more highly
bioavailable and has a lot more nutrient
density.
Um
and so I prefer to eat steak, but I eat
a leaner steak. Mhm. I am somewhat
cautious. And again, this depends
just for calories or are you worried
about saturated fat? Like what's the
concern?
I'm cautious about saturated fat because
I uh have historically when I've been
overweight because I I bulked up to over
300 lb many times throughout my career
and it's part of this
powerlifting bodybuilding thing and the
dirty bulking etc.
Uh and I had some elevated LDLs.
Triglyceride HDL's were always great,
great ratio,
uh you know, everything else looked
really good. Um but my LDLs would be
elevated and one of the
you know, primary drivers of LDL is
saturated fat.
And so I tend to control especially now
being 54 years old, I tend to control my
You look [ __ ] amazing by the way for
54. You look amazing for a lot of ages,
but 54 especially.
Thank you. And and my goal now really
because I don't compete anymore and
haven't since I was 45 is really uh
it is just long-term health maintenance.
Uh I just lift, you know, because I
really love it and I enjoy it, but I'm
focused mostly on my nutrition, my
sleep, my cardiovascular fitness, you
know, all the all the indicators, my my
blood sugars, my blood pressure, my
lipids, I focus on these things. I've
had over 100 blood tests.
Most of them throughout the last 10
years of my uh competitive career from
2006 to 2015 and then about every other
month or every third month since.
So I've you know, I'm kind of a
hypochondriac that way
and I have a lot of clients who are
around my age who aren't as healthy uh
and their blood tests uh you know, show
that and so I I try and help them with a
broad you know, foundational program
like we talk about the vertical diet and
improve their sleep, get a CPAP where
necessary if they've got high blood
pressure and
uh and they've got sleep apnea. Um
uh and then go to work with the high
blood pressure and high blood sugar
quick fix kits that I provide in the
book to show them I kind of put things
I'm a big lists guy and I like to put
things in a hierarchy of most importance
and You you have two quick fixes that I
think are really powerful and I think it
would be helpful if you break them down
for people. So you've got a blood
pressure quick fix and you've got a
glucose blood glucose quick fix.
quick fix kit. Walk people what are the
Show us the diet through the lens of
those two things. Yeah. High blood
pressure quick fix kit.
Probably the most uh uh
Just as an aside, a lot of people
think that cuz I've talked about how I
like to make sure I keep sodium in the
diet. A lot of people think that that
sodium is a major contributor to
cardiovascular disease or high blood
pressure, and it's not. It's very small
and only for hypertensives. It's a small
portion of the population, maybe 25% of
the population
uh is hypertensive, salt sensitive. And
generally, those people are overweight
to begin with, and that's why they have,
you know, a poor reaction.
But reducing salt in those people, even
down
to you know, really small amounts, um
uh
like 2,500 mg a day, only results in 2
to 5 mm of systolic blood pressure
decrease. It's not significant. It It's
not uh
uh It's not nothing, but it's not
significant.
Starting at the very top, losing weight.
You get about a a a millimeter of
systolic blood pressure decrease for
every pound that you lose. You lose 20
lb, you can drop 20 points on your
systolic blood pressure. You go from 150
to 130, just like that. You eliminate
salt, you might go from 150 to 147.
So
not that that salt shouldn't be
considered for hypertensives and salt
sensitive individuals, but I'm just
trying to make the comparison.
Um
The next big one on there
uh
is hypothyroidism.
Can have a significant impact on on
blood pressure.
Underactive thyroid.
Yeah, an underactive thyroid. Uh
especially in women. Can be up to a
20-point difference between normal
thyroid and hypothyroidism between women
and in terms of of blood pressure.
Sleep apnea. It's a monster for high
blood pressure. Uh I I cannot believe
sometimes I'll get people to contact me.
They went to the doctor, and the doctor
gave them blood pressure medications.
And understandably so, they're under
obligation to do so. You walk in there
with high blood pressure, and they don't
prescribe you medicine, and you drop in
the street, and
you know, they're going to get a
lawsuit.
But without mentioning, do you have
sleep apnea? And Is it the lack of
sleep, or is it something about the
constantly waking up? A combination of
both. Holding your breath Mhm. uh has an
effect on it. Uh
the inflammation from that. Um
but it's something that's that's fixable
immediately with a CPAP. It's like a 99%
fix to get a CPAP. I deal with this with
a lot of my clients. Myself, I've used a
CPAP off and on since 1993. Ever since I
got over 240 plus pounds.
do you need it because of all the muscle
mass? It's neck girth. Fat or muscle.
Uh if you get above, say, 17 in for a
male, you're generally going to start to
experience some degree of apnea. Uh
there's a STOP-BANG questionnaire that I
I have in the book that that goes
through and talks to you about, you
know, your neck size, snoring, um
uh waking up tired, did your partner
observe you holding your breath? Uh
those kinds of things.
And
getting a CPAP is a resolution for that.
Has a significant effect. Maybe up to 20
points on your systolic blood pressure.
It's significant. Take brisk 10-minute
walks after meals. That helps with
postprandial glycemia and uh insulin
seems to be a driver of of blood
pressure, hyperinsulinemia.
Uh resistance training is huge. It it
It helps with uh it releases nitric
oxide, which of course vasodilates, and
it also helps with uh uh the blood
vessels uh elasticity. So, lifting
weights has a significant impact on
that. Um
and then we're down to things like
consuming sufficient amounts of
potassium and calcium and magnesium. And
it's hard to do, and most people don't
do it. You want to get over 4,000 mg,
probably closer to 4,500 mg of
potassium. And I have a whole list in
the book that shows you kind of how to
do that. That's why I eat a potato every
day, and I recommend it as part of the
foundation of the of the vertical diet
is because I'm trying to get potassium
in first. And a potato's twice the
potassium as as say, um a banana, even.
Mhm. Wow.
And so, I'm trying to get that 4,700 of
potassium in.
And so uh these are some some key
things. I mentioned thyroid. Uh I
mentioned salt for salt sensitive
people.
Uh vitamin D. Uh avoiding diuretics and
caffeine. Those can Although caffeine is
an acute uh has an acute effect, not a
chronic effect on blood pressure. Uh
might just be something to consider how
you respond to it. Uh and then another
one is uh uric acid. High uric acid can
cause high blood pressure. And a lot of
people think uric acid is related to
meat. It it has a a bigger effect on
uric acid with things like um Trying to
think of the food.
Fructose is the one that I've heard.
Fructose is one. The biggest one is
beer.
Things that are high in RNA and DNA.
Beer, sardines
uh can have a significant effect. So in
your blood test, get your uric acid
tested. If that's elevated, it's
something that you're going to want to
minimize. Uh fructose. But those studies
are on pure fructose, not fruit.
Fruit always has a fructose glucose
combination. Glucose helps with the
digestion of fructose. And the quantity
with the fiber and the water is so low
that fruits aren't going to have a
significant impact on uric acid. Beer
will. Purines in in the RNA and DNA in
beer and sardines is probably the
primary driver.
Second person to talk about that. It's
really interesting. I never considered
uric acid at all until about 2 months
ago. Yeah. Very interesting.
Yeah. It it it's something that you look
at with people who have these
uh these conditions, you know, for high
blood high blood pressure.
Uh and I did mention here lower fructose
intake. That is the high blood pressure
quick fix kit. It's very similar to the
high blood sugar quick fix kit. Uh we
talked a little bit about blood sugars.
These kind of go together because blood
sugar affects hyperinsulinemia affects
blood pressure. And so we're back to
losing weight. We talked about eating
sufficient protein. 30% protein in your
diet has a significant effect on
ameliorating um
uh postprandial glycemia. Also eating
protein earlier in the day.
Uh the bigger protein meal that you have
for breakfast has an effect on the
subsequent meals postprandial glycemia.
Seems to have an an important effect.
And then eating the protein first in the
meal.
Also Interesting. has a huge effect on
on your glycemia. Taking the 10-minute
walks after meals as we were mentioned,
resistance training is important, sleep
obviously is huge for blood sugars.
Uh insulin resistance occurs in like one
night of bad sleep. And so that's a huge
one. Uh getting adequate vitamin D seems
to be important for blood sugars as
well, but you know, potassium,
magnesium, iodine.
Um
I even threw eat carrots in here for a
source of fiber. One of my favorite
sources of fiber because it's low gas.
It's a It's a low FODMAP food which I I
talk about in the diet in terms of
digestibility.
I mentioned eggs in here for choline.
Choline helps prevent and reverse fatty
liver disease.
And you get about 150 mg of choline for
each egg yolk. Uh you want about 1,000
mg a day. That's about six eggs. Your
body can only absorb about 2 or 300 mg
of choline at any given meal, and so I
spread them out. Uh
you know, half and half or a third a
third a third. I get about six eggs a
day. It would seem counterintuitive that
I get a 400-lb guy like Hafthor
Björnsson with metabolic syndrome and
fatty liver and high blood pressure, and
I start feeding him more whole eggs.
Mhm. Uh but it's for the choline and
primarily. Well, is it just for the
choline or is it that a lot of the rap
that eggs have is unwarranted? A lot of
the rap is unwarranted and and uh people
would uh used to assume that the choline
in your diet affected
the cholesterol in your diet affected
the cholesterol in your bloodstream. And
it it doesn't for the vast majority of
people. There's a small percentage of
the population that has
hypercholesterolemia who has to be
cautious about how much cholesterol they
eat, but more importantly, how much
saturated fat because that affects um
cholesterol clearance which seems to be
a bigger
problem than the cholesterol that you're
consuming is that you're just not
clearing it.
And that
is partly because of fatty liver, it's
partly because of inadequate bile
production because a lot of the
cholesterol is sequestered and
and eliminated with through the bile
system. And so those are all things to
consider. And that's when we start to
maybe get into supplementation, which
I'm looking at NAC, N-acetylcysteine,
which is a precursor to glutathione that
can help uh the liver and also something
like TUDCA, which I'm not going to try
and TUDCA? T U D C A. And I'm not going
to try and spell that one out, but it's
a big long name. But TUDCA helps with
inflammation in the liver to allow the
bile that's bound up in the liver to
escape
so that that you don't have bile
formation in the
really interesting about all the
different ways that inflammation ends up
affecting somebody that people don't
necessarily think about. Yeah. It's
really interesting.
Where can people find out more about
you? Everything's Stan Efferding. My
website is stanefferding.com. My
Instagram is @stanefferding. My YouTube,
and I have some
Rhino's Rants on YouTube where I've gone
through a lot of this. It's kind of a
fun little thing where I talk about all
these topics. It's a YouTube's also Stan
Efferding. And then I have
The Vertical Diet Meal Prep Company is a
nationwide meal prep company where we
make low FODMAP meals that are high in
protein. And we deliver those nationwide
door-to-door. And that's
at the verticaldiet.com.
Love it.
Guys, his results speak for themselves.
Highly encourage you guys to check it
out and to try it out for yourself. N of
1 experimentation ultimately is all that
matters when it comes to diet. So it may
work for other people, may not for you,
or something that other people think is
crazy
may work perfectly for you. So
definitely experiment on yourself and
find the things that give you the
results you want. It is so important to
experiment with diet, to take this stuff
seriously. Your health is everything.
Protect it. Experiment. See what works.
Speaking of things that work, if you
haven't already, be sure to subscribe.
And until next time, my friends, be
legendary. Take care, peace.