# Medical Q&A \[Moderated\] **URL:** https://forum.barbellmedicine.com/c/medical-q-a-with-dr-jordan-feigenbaum-and-dr-austin-baraki/5.md?page=4 [Latest](https://forum.barbellmedicine.com/latest.md) · [Categories](https://forum.barbellmedicine.com/categories.md) · [Tags](https://forum.barbellmedicine.com/tags.md) **Page:** 5 --- ## [Lost a ton of weight on Semaglutide and am having some issues now.](https://forum.barbellmedicine.com/t/lost-a-ton-of-weight-on-semaglutide-and-am-having-some-issues-now/18352)
**Author:** [@GLGoltz](https://forum.barbellmedicine.com/u/GLGoltz)\ **Replies:** 13\ **Last updated:** [August 19, 2025, 2:15am UTC](https://forum.barbellmedicine.com/t/lost-a-ton-of-weight-on-semaglutide-and-am-having-some-issues-now/18352 "2025-08-19T02:15:08Z")
Two years ago I was put on Semaglutide (Wegovy specifically) for weight loss. At the time I weighed 260 pounds at 5’9; I believe I even made a thread about it here. Anyway I’m now down to 160 pounds (and on Tirzepatide i… --- ## [LDL-C/ApoB/LP(a) - When to consider a statin and/or lifestyle changes](https://forum.barbellmedicine.com/t/ldl-c-apob-lp-a-when-to-consider-a-statin-and-or-lifestyle-changes/18920)
**Author:** [@JM1981](https://forum.barbellmedicine.com/u/JM1981)\ **Replies:** 2\ **Last updated:** [August 17, 2025, 7:17pm UTC](https://forum.barbellmedicine.com/t/ldl-c-apob-lp-a-when-to-consider-a-statin-and-or-lifestyle-changes/18920 "2025-08-17T19:17:43Z")
Hi all, My LDL-C averages 100-125 with a low of 87 in 2019. ApoB was measured once at 99 Lp(a) was. measured twice (70 and 77) 43 - 190lbs at 5’10” and no family history of heart attacks. I don’t smoke, blood pressu… --- ## [Mito or myotonia. Yet I'm exercising. ](https://forum.barbellmedicine.com/t/mito-or-myotonia-yet-im-exercising/18755)
**Author:** [@Summerfield](https://forum.barbellmedicine.com/u/Summerfield)\ **Replies:** 4\ **Last updated:** [August 6, 2025, 8:25pm UTC](https://forum.barbellmedicine.com/t/mito-or-myotonia-yet-im-exercising/18755 "2025-08-06T20:25:33Z")
Hi guys, I came here via this old thread: Mitochondrial Myopathy and resistance training I also have a congenital muscle disease. Differentials are either a very untypical non-dystrophic myotonia or mito. Previous lab … --- ## [To statin or not to statin, that is the question ](https://forum.barbellmedicine.com/t/to-statin-or-not-to-statin-that-is-the-question/18776)
**Author:** [@JCalvin](https://forum.barbellmedicine.com/u/JCalvin)\ **Replies:** 2\ **Last updated:** [August 5, 2025, 2:40pm UTC](https://forum.barbellmedicine.com/t/to-statin-or-not-to-statin-that-is-the-question/18776 "2025-08-05T14:40:10Z")
I’m 40. 10 year ASCVD risk 0.6%. My ldl-c was 130. Based on my risk I don’t need lipid lowering therapy. However, I’m pulling all the lifestyle levers that I can ie; low saturated fat (almost none), 30-40 grams fiber dai… --- ## [Overtraining Syndrome? No other diagnosis fits](https://forum.barbellmedicine.com/t/overtraining-syndrome-no-other-diagnosis-fits/14750)
**Author:** [@GnomeChomsky](https://forum.barbellmedicine.com/u/GnomeChomsky)\ **Replies:** 12\ **Last updated:** [August 3, 2025, 1:30pm UTC](https://forum.barbellmedicine.com/t/overtraining-syndrome-no-other-diagnosis-fits/14750 "2025-08-03T13:30:31Z")
About 5 years ago I had a lot of life stressors, which precipitated multiple systems showing signs of stress/distress. Symptoms: extreme fatigue variability (from house bound to okay enough to run/lift without restri… --- ## [Hexavalent chromium (chromium6) in Canvas bags. Can it cause cancer?](https://forum.barbellmedicine.com/t/hexavalent-chromium-chromium6-in-canvas-bags-can-it-cause-cancer/18663)
**Author:** [@peter.byrne](https://forum.barbellmedicine.com/u/peter.byrne)\ **Replies:** 1\ **Last updated:** [July 29, 2025, 1:38am UTC](https://forum.barbellmedicine.com/t/hexavalent-chromium-chromium6-in-canvas-bags-can-it-cause-cancer/18663 "2025-07-29T01:38:51Z")
I hope this isn’t seen as a silly question and a waste of time. I am thinking of buying a this duffel bag here Duluth Pack: Zippered Round Duffel. Under the youtube link on the page it says " This product can expose you … --- ## [Low Heart Rate and Weightloss](https://forum.barbellmedicine.com/t/low-heart-rate-and-weightloss/18662)
**Author:** [@eaellertson](https://forum.barbellmedicine.com/u/eaellertson)\ **Replies:** 1\ **Last updated:** [July 29, 2025, 1:38am UTC](https://forum.barbellmedicine.com/t/low-heart-rate-and-weightloss/18662 "2025-07-29T01:38:02Z")
First I have top apologize if there is a post or show regarding this but I couldnt find anything specifically related to this. I am a 39yr old male, been fairly active in my late 20s - Present day and have recently drop… --- ## [Should I get checked for rhabdo?](https://forum.barbellmedicine.com/t/should-i-get-checked-for-rhabdo/18576)
**Author:** [@Crockett](https://forum.barbellmedicine.com/u/Crockett)\ **Replies:** 1\ **Last updated:** [July 23, 2025, 11:59am UTC](https://forum.barbellmedicine.com/t/should-i-get-checked-for-rhabdo/18576 "2025-07-23T11:59:15Z")
Hi Jordan, Austin - This is a new account, but I used to post periodically here and on the SS forum under this name, and Jordan, you used to do my training diet (back in 2013-14). Anyway, I’m debating whether to get ev… --- ## [Should I go in for an annual checkup?](https://forum.barbellmedicine.com/t/should-i-go-in-for-an-annual-checkup/18564)
**Author:** [@David\_Oswald](https://forum.barbellmedicine.com/u/David_Oswald)\ **Replies:** 1\ **Last updated:** [July 22, 2025, 1:47pm UTC](https://forum.barbellmedicine.com/t/should-i-go-in-for-an-annual-checkup/18564 "2025-07-22T13:47:37Z")
I’m turning 40 in December. I have not had a physical since highschool sports. I’m 6’1" and currently weigh about 206 with a waist circumference of 38", and have been losing weight consistently at a slow rate since March… --- ## [Elevated LDL in Young People](https://forum.barbellmedicine.com/t/elevated-ldl-in-young-people/18558)
**Author:** [@ClintMShannon](https://forum.barbellmedicine.com/u/ClintMShannon)\ **Replies:** 1\ **Last updated:** [July 21, 2025, 8:07pm UTC](https://forum.barbellmedicine.com/t/elevated-ldl-in-young-people/18558 "2025-07-21T20:07:42Z")
Hi, I asked my PCP doctor if I could have my cholesterol checked and to have a one-time Lp(a) screening. He said okay to the cholesterol and no to the Lp(a) because it’s something that he only does if someone has a fami… --- ## [Pain in forearm](https://forum.barbellmedicine.com/t/pain-in-forearm/16515)
**Author:** [@Susanna](https://forum.barbellmedicine.com/u/Susanna)\ **Replies:** 15\ **Last updated:** [July 21, 2025, 2:46pm UTC](https://forum.barbellmedicine.com/t/pain-in-forearm/16515 "2025-07-21T14:46:46Z")
Dear Doctores, first of all, I listen to your podcast all the time, I love it! Austin, I love your profile picture! I just started working out in the gym and at home (rower and Kettlebells) last September. But I do ha… --- ## [Training after nasal cauterization](https://forum.barbellmedicine.com/t/training-after-nasal-cauterization/18541)
**Author:** [@JoeyD](https://forum.barbellmedicine.com/u/JoeyD)\ **Replies:** 2\ **Last updated:** [July 19, 2025, 7:33pm UTC](https://forum.barbellmedicine.com/t/training-after-nasal-cauterization/18541 "2025-07-19T19:33:39Z")
Hey docs, First of all, thanks for all you do and the info you put out! My question is regarding training after a nasal cauterization (chemically cauterized) to address frequent nosebleeds. The doctor warned about swim… --- ## [Iron deficiency/ anemia](https://forum.barbellmedicine.com/t/iron-deficiency-anemia/18529)
**Author:** [@Susanna](https://forum.barbellmedicine.com/u/Susanna)\ **Replies:** 1\ **Last updated:** [July 18, 2025, 6:40pm UTC](https://forum.barbellmedicine.com/t/iron-deficiency-anemia/18529 "2025-07-18T18:40:25Z")
Hi Doctors, Just listened to your podcast episode on anemia and wanted to quickly share that I can totally relate to what you say about wrong cutoffs etc. A year ago I had ferritin measured as part of a routine lab (fir… --- ## [Occassional dizziness on heavy back squats](https://forum.barbellmedicine.com/t/occassional-dizziness-on-heavy-back-squats/18511)
**Author:** [@jchioles](https://forum.barbellmedicine.com/u/jchioles)\ **Replies:** 1\ **Last updated:** [July 17, 2025, 2:12pm UTC](https://forum.barbellmedicine.com/t/occassional-dizziness-on-heavy-back-squats/18511 "2025-07-17T14:12:22Z")
Occasionally, I experience dizziness on completing a heavy back squat set. I have experimented with taking high-bp meds before or after a morning workout. Losartan I have started taking at night and it seems to help. Aml… --- ## [GI Issues/abdominal discomfort for 3+ months and loss of 30lbs with nothing showing on labs or testing](https://forum.barbellmedicine.com/t/gi-issues-abdominal-discomfort-for-3-months-and-loss-of-30lbs-with-nothing-showing-on-labs-or-testing/18453)
**Author:** [@jakeeisenhauer](https://forum.barbellmedicine.com/u/jakeeisenhauer)\ **Replies:** 2\ **Last updated:** [July 11, 2025, 12:54am UTC](https://forum.barbellmedicine.com/t/gi-issues-abdominal-discomfort-for-3-months-and-loss-of-30lbs-with-nothing-showing-on-labs-or-testing/18453 "2025-07-11T00:54:41Z")
Hello doctors, For the past few months I’ve been dealing with some abdominal/GI issues that happened suddenly and so far my doctors have been unsuccessful in determining a cause or solution so I thought I’d try here as … --- ## [Vitamin D and health outcomes](https://forum.barbellmedicine.com/t/vitamin-d-and-health-outcomes/18456)
**Author:** [@JCalvin](https://forum.barbellmedicine.com/u/JCalvin)\ **Replies:** 2\ **Last updated:** [July 10, 2025, 11:43pm UTC](https://forum.barbellmedicine.com/t/vitamin-d-and-health-outcomes/18456 "2025-07-10T23:43:53Z")
what are the clear clinical indications for vitamin d supplementation outside of CKD? If the evidence says supplementation, even at very low serum vitamin d levels doesn’t change any outcome, why is it ever appropriate … --- ## [PD Warrior Exercises](https://forum.barbellmedicine.com/t/pd-warrior-exercises/18452)
**Author:** [@HaydonRees](https://forum.barbellmedicine.com/u/HaydonRees)\ **Replies:** 1\ **Last updated:** [July 10, 2025, 1:55pm UTC](https://forum.barbellmedicine.com/t/pd-warrior-exercises/18452 "2025-07-10T13:55:20Z")
Hi BBM, I’m an Exercise Physiologist and currently work with several clients living with Parkinson’s Disease. I’m curious to know if you’ve come across the PD Warrior program and whether you’d recommend using it with an… --- ## [Compensated primary hypogonadism - what do?](https://forum.barbellmedicine.com/t/compensated-primary-hypogonadism-what-do/18439)
**Author:** [@swilk](https://forum.barbellmedicine.com/u/swilk)\ **Replies:** 3\ **Last updated:** [July 9, 2025, 2:05pm UTC](https://forum.barbellmedicine.com/t/compensated-primary-hypogonadism-what-do/18439 "2025-07-09T14:05:32Z")
Hi BBM Drs, First time posting here, but I’ve been following your work for some time and have read/listened to everything that you have put out on this topic, which has been immensely helpful. The trigger for finally po… --- ## [Mental health](https://forum.barbellmedicine.com/t/mental-health/12979)
**Author:** [@Jobolander](https://forum.barbellmedicine.com/u/Jobolander)\ **Replies:** 7\ **Last updated:** [July 7, 2025, 8:24am UTC](https://forum.barbellmedicine.com/t/mental-health/12979 "2025-07-07T08:24:17Z")
Hey Doc, I’m in a extremely bad mood(depression and suicidal). I’m very active: I ride my bike 7x a week, 4x Strength training and I have 15000 Steps every day. I feel lost. I feel stuck. How do I fight my depression? C… --- ## [Training without valsava?](https://forum.barbellmedicine.com/t/training-without-valsava/18395)
**Author:** [@timl](https://forum.barbellmedicine.com/u/timl)\ **Replies:** 1\ **Last updated:** [July 4, 2025, 2:54pm UTC](https://forum.barbellmedicine.com/t/training-without-valsava/18395 "2025-07-04T14:54:35Z")
Hello - I was just diagnosed with a posterior vitreous detachment in my right eye. Symptoms are mild but Opthalmologist recommending “doing more reps with lighter weight” when I said I lift seriously five days a week. I … --- ## [Elevated Fasting Glycohemoglobin but Highly Active?](https://forum.barbellmedicine.com/t/elevated-fasting-glycohemoglobin-but-highly-active/18390)
**Author:** [@Josh\_B](https://forum.barbellmedicine.com/u/Josh_B)\ **Replies:** 1\ **Last updated:** [July 4, 2025, 12:13am UTC](https://forum.barbellmedicine.com/t/elevated-fasting-glycohemoglobin-but-highly-active/18390 "2025-07-04T00:13:03Z")
Recently had fasting lab-work and debriefed with my new doctor. It showed elevated Glycohemoglobin (6.1, range 4.0-5.6) and the doc warned that this is pre-diabetic. My problem is this is the first time Ive shown increa… --- ## [Actually asking for a friend.. Female hormone replacement therapy.](https://forum.barbellmedicine.com/t/actually-asking-for-a-friend-female-hormone-replacement-therapy/18385)
**Author:** [@Dave\_E](https://forum.barbellmedicine.com/u/Dave_E)\ **Replies:** 2\ **Last updated:** [July 3, 2025, 10:26pm UTC](https://forum.barbellmedicine.com/t/actually-asking-for-a-friend-female-hormone-replacement-therapy/18385 "2025-07-03T22:26:48Z")
He guys. My sister-in-law is currently waiting for test results to help support her doc’s diagnosis that she may be perimenopausal. She’s considering MHT/HRT, so I’m wondering if you could steer me toward some resource… --- ## [clean and jerk with Dupuytren's](https://forum.barbellmedicine.com/t/clean-and-jerk-with-dupuytrens/13997)
**Author:** [@01-techs.abashed](https://forum.barbellmedicine.com/u/01-techs.abashed)\ **Replies:** 3\ **Last updated:** [July 3, 2025, 2:42am UTC](https://forum.barbellmedicine.com/t/clean-and-jerk-with-dupuytrens/13997 "2025-07-03T02:42:29Z")
Hello BBM, Re-posting from the Rehab forum, hopefully someone will have some advice on this: I have Dupuytren’s contracture on one hand. Currently I can still press most/all of my palm against a surface. One difficulty… --- ## [Mendelian Randomization](https://forum.barbellmedicine.com/t/mendelian-randomization/18358)
**Author:** [@JCalvin](https://forum.barbellmedicine.com/u/JCalvin)\ **Replies:** 1\ **Last updated:** [June 30, 2025, 11:42pm UTC](https://forum.barbellmedicine.com/t/mendelian-randomization/18358 "2025-06-30T23:42:40Z")
I’m trying to wrap my head around how data are collected for Mendelian randomization. I understand the concept of the GWAS database, but I’m not quite getting where that information originates. Is it just from individual… --- ## [8 years after meniscus injury](https://forum.barbellmedicine.com/t/8-years-after-meniscus-injury/18306)
**Author:** [@Kneepain123](https://forum.barbellmedicine.com/u/Kneepain123)\ **Replies:** 2\ **Last updated:** [June 28, 2025, 8:21pm UTC](https://forum.barbellmedicine.com/t/8-years-after-meniscus-injury/18306 "2025-06-28T20:21:39Z")
Hello, I have torn my meniscus at April 2017, when I was 25 years old (male). The MRI exam said it’s a complex lateral meniscus tear, involving the body and anterior horn. The ortho said I need a surgery but I didn’t w… --- ## [Discordance between Non HDL and Triglycerides ](https://forum.barbellmedicine.com/t/discordance-between-non-hdl-and-triglycerides/18260)
**Author:** [@adammc1922](https://forum.barbellmedicine.com/u/adammc1922)\ **Replies:** 3\ **Last updated:** [June 24, 2025, 5:59pm UTC](https://forum.barbellmedicine.com/t/discordance-between-non-hdl-and-triglycerides/18260 "2025-06-24T17:59:25Z")
What could be a potential underlying reason for normal non HDL (135) but high Triglycerides (290) assuming a lean individual? Would you have any further recommend reading or listening? --- ## [Vegan Supplementation](https://forum.barbellmedicine.com/t/vegan-supplementation/18226)
**Author:** [@NombreDeUsuario1](https://forum.barbellmedicine.com/u/NombreDeUsuario1)\ **Replies:** 2\ **Last updated:** [June 17, 2025, 9:09am UTC](https://forum.barbellmedicine.com/t/vegan-supplementation/18226 "2025-06-17T09:09:56Z")
Hi Austin, I know you guys generally don’t recommend supplementation, but as vegans don’t get much DHA/EPA, would you recommend they take an algae oil supplement to ensure adequate amounts? I can’t seem to find a conse… --- ## [My hiatal hernia has gotten bigger, should I stop lifting?](https://forum.barbellmedicine.com/t/my-hiatal-hernia-has-gotten-bigger-should-i-stop-lifting/13070)
**Author:** [@VJJK](https://forum.barbellmedicine.com/u/VJJK)\ **Replies:** 21\ **Last updated:** [June 5, 2025, 1:58pm UTC](https://forum.barbellmedicine.com/t/my-hiatal-hernia-has-gotten-bigger-should-i-stop-lifting/13070 "2025-06-05T13:58:36Z")
I’ve suffered from GERD all my adult life, but I’ve always managed to control it with PPI medication. Six years ago I went to gastroscopy and I was diagnosed with a small (\<1cm) hiatal hernia. About two years after this… --- ## [Community Acquired Pneumonia](https://forum.barbellmedicine.com/t/community-acquired-pneumonia/18064)
**Author:** [@JCalvin](https://forum.barbellmedicine.com/u/JCalvin)\ **Replies:** 2\ **Last updated:** [June 3, 2025, 5:20pm UTC](https://forum.barbellmedicine.com/t/community-acquired-pneumonia/18064 "2025-06-03T17:20:59Z")
Doing some pneumonia CME and had a quick question. Why is a specific pathogen often not isolated/identified in the hospitalized patient with community acquired pneumonia? I was thinking maybe the amount and diversity of … --- ## [Aspartame and anxiety](https://forum.barbellmedicine.com/t/aspartame-and-anxiety/18047)
**Author:** [@JCalvin](https://forum.barbellmedicine.com/u/JCalvin)\ **Replies:** 2\ **Last updated:** [June 3, 2025, 12:52pm UTC](https://forum.barbellmedicine.com/t/aspartame-and-anxiety/18047 "2025-06-03T12:52:49Z")
I’ve been peeping the available literature myself, but what’s the current consensus on the link between aspartame and anxiety? [Previous page](https://forum.barbellmedicine.com/c/medical-q-a-with-dr-jordan-feigenbaum-and-dr-austin-baraki/5.md?page=3) [Next page](https://forum.barbellmedicine.com/c/medical-q-a-with-dr-jordan-feigenbaum-and-dr-austin-baraki/5.md?page=5)