Training with Left Ventricular Hypertrophy

Hi docs,

Pro strongman dx with LVH with hx of PED abuse. I don’t have any specific numbers, just this limited info. His doctors are concerned about him continuing to lift heavy and he has decided to step back from strongman training and wants to pursue training for an Ironman. He contacted the company I work with regarding training and we decided this may be out of our skill set. He’s a freak athlete, even with medical clearance from his docs I would prefer a HCP that understands the PMH and mindset of an individual like this to provide clearance/physical activity recommendations. I’ve recommended he contact the BBM team but are there any peer reviewed resources on this topic you could recommend?

Thank you for your time

Did they mention what their specific concerns are?

Run of the mill LVH (assuming it is not related to hypertrophic obstructive cardiomyopathy) is not a contraindication to resistance exercise.

Hopefully he is off the PEDs at this point.