Podcasts > The Peter Attia Drive > #335 ‒ The science of resistance training, building muscle, and anabolic steroid use in bodybuilding | Mike Israetel, Ph.D.

#335 ‒ The science of resistance training, building muscle, and anabolic steroid use in bodybuilding | Mike Israetel, Ph.D.

By Peter Attia, MD

In this episode of The Peter Attia Drive, Mike Israetel shares his expertise on resistance training, muscle growth, and anabolic steroid use. Israetel emphasizes the importance of efficient compound exercises, gradual intensity increases, and recovery periods for achieving optimal results in resistance training. He also delves into the science behind building muscle and strength, discussing factors like genetics, age, and lifestyle that influence muscle development potential.

The conversation then turns to Israetel's personal experiences with anabolic steroids, exploring the potential muscle gains and psychological effects, as well as the potential health risks and strategies for mitigating them. Israetel candidly reflects on the delicate balance between enhancing muscle growth and preserving long-term well-being, ultimately aiming to make informed decisions that align with his goals.

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#335 ‒ The science of resistance training, building muscle, and anabolic steroid use in bodybuilding | Mike Israetel, Ph.D.

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#335 ‒ The science of resistance training, building muscle, and anabolic steroid use in bodybuilding | Mike Israetel, Ph.D.

1-Page Summary

Resistance Training Principles and Programming

Experts like Mike Israetel and Peter Attia emphasize efficient compound exercises, gradual intensity increases, and recovery periods to optimize resistance training for health, longevity, and aesthetics. Israetel stresses using exercises like squats, deadlifts, and pull-ups to target multiple muscle groups simultaneously. He advises starting with low weights to master technique before increasing intensity. For efficiency, Israetel suggests pairing exercises for opposing muscle groups.

Science and Experience of Building Muscle and Strength

Factors Affecting Muscle Growth

Israetel highlights genetics as the primary factor, outside of exercise, that dictates muscle development potential. Age and lifestyle elements like stress and sleep also impact muscle-building capacity. Israetel contrasts muscle gain in a 20-year-old versus a 60-year-old to illustrate declining progress due to age.

Strategies for Hypertrophy

For optimal growth, Israetel recommends 10-20 weekly sets per muscle group. He advocates balancing intensity by training near, but not to, failure to manage fatigue. A calorie surplus and 1g protein per pound of bodyweight are crucial for muscle growth.

Anabolic Steroids: Effects and Risks

Boosting Muscle Gains

Israetel shares how anabolic steroids allowed him to surpass natural limits, gaining 30lbs of muscle over 13 years. Increased aggression and sex drive are psychological effects he experienced.

Health Risks and Mitigation

However, Israetel expresses concern over likely cardiovascular, hormonal, and fertility damage from chronic steroid use. Managing estrogen and side effects like high blood pressure can mitigate some risks.

Balancing Goals

Israetel contemplates using smaller doses while weighing the pros of muscle enhancement against potential health issues. He aims to limit use while preserving long-term well-being.

1-Page Summary

Additional Materials

Counterarguments

  • Compound exercises are effective, but isolation exercises also have a place in a balanced resistance training program, especially for addressing specific muscle weaknesses or imbalances.
  • Starting with low weights is generally good advice, but some individuals may benefit from a more aggressive approach if they have prior training experience and can maintain proper form.
  • Pairing exercises for opposing muscle groups can be efficient, but it may not be the best approach for everyone, as some individuals may prefer or benefit from focusing on one muscle group per session.
  • While genetics play a significant role in muscle growth, the impact of other factors like nutrition, training consistency, and effort should not be underestimated.
  • The recommendation of 10-20 weekly sets per muscle group may not be ideal for everyone; some may require more or fewer sets depending on their training experience, recovery ability, and goals.
  • Training near failure is a common strategy, but some research suggests that training to failure on occasion can be beneficial for experienced lifters.
  • A calorie surplus and 1g protein per pound of bodyweight are general guidelines, but individual needs can vary based on metabolism, activity level, and specific goals.
  • The use of anabolic steroids is a controversial topic, and while they can enhance muscle gains, the long-term health consequences may not be worth the short-term benefits for many individuals.
  • The psychological effects of anabolic steroids, such as increased aggression and sex drive, can be negative and impact personal relationships and mental health.
  • While managing estrogen and side effects can mitigate some risks of steroid use, it does not eliminate the potential for long-term health consequences.
  • The idea of using smaller doses of steroids to balance goals may reduce some risks, but it does not address the ethical and legal issues surrounding non-medical steroid use.

Actionables

  • You can track your workout progress with a digital journal to ensure you're gradually increasing intensity without overtraining. Use a simple app or spreadsheet to log your exercises, weights, sets, and reps, and note how you feel after each session. This will help you identify when it's time to increase the weight or when you might need an extra recovery day.
  • Create a personalized meal plan that aligns with your muscle-building goals by calculating your daily caloric needs and protein requirements. Use online calculators to determine your maintenance calories, then add a surplus as needed for muscle growth. Plan meals that deliver approximately 1g of protein per pound of your bodyweight, incorporating a variety of protein sources to keep things interesting.
  • Develop a balanced workout routine by selecting exercises for opposing muscle groups and scheduling them throughout the week. For example, if you work on chest with push-ups on Monday, plan for back exercises like rows on Tuesday. This approach not only promotes efficiency but also ensures you're giving muscle groups adequate time to recover between sessions.

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#335 ‒ The science of resistance training, building muscle, and anabolic steroid use in bodybuilding | Mike Israetel, Ph.D.

Resistance Training Principles and Programming

Resistance training is a critical component of fitness that supports health, longevity, and aesthetics. Developed and discussed at length by experts like Mike Israetel and Peter Attia, the principles of resistance training focus on optimizing workouts and tailoring programs to individual needs and goals.

Optimizing Resistance Training For Health, Longevity, and Aesthetics

When optimizing resistance training, several key factors improve the efficacy of a workout routine.

Efficient Compound Exercises for Large Muscle Groups

Israetel and Attia concur that the best way to train every major muscle group in each session is by focusing on compound movements. These exercises, including pull-ups, barbell squats, deadlifts, and overhead presses, engage multiple large muscle groups simultaneously, making them time efficient and beneficial for muscle mass development. These multi-joint movements, which work various muscles like the quadriceps, glutes, hamstrings, back, chest, shoulders, and arms, are particularly effective for busy individuals who may have limited time for training.

Israetel promotes exercises such as hack squats, leg presses, or barbell squats, which train all the lower body muscles sufficiently. He also mentions how compound exercises like stiff-legged deadlifts and Romanian deadlifts are crucial for the training of the spinal erector musculature, which is vital for aging healthily.

Progress Requires Gradual Intensity and Volume Increase

It's implied that progress in training involves not just consistent effort but also strategic increases in knowledge over time. For instance, one might realize their trainer's efficacy only as they learn more about resistance training themselves. Israetel advocates for starting with low weights and gradually increasing intensity to ensure safe and effective resistance training.

Workout Recovery Is Crucial to Avoid Overtraining

Recovery is integral to prevent overtraining. Israetel notes that the peripheral nervous system and local musculature require time to recover from an intense workout—sometimes several days before an individual can perform another vigorous session for the same muscle group. He stresses that each session contributes significantly to one's physiology, thus requiring a considerable recovery period to avoid cumulative fatigue. To counter this fatigue, Israetel recommends taking regular breaks from the gym and engaging in active but less intense activities.

Tailoring Training To Individual Goals and Ability

Each individual has unique training goals and physical abilities that dictate the specifics of their resistance training program.

Master Technique With Low Weights Before Increasing Intensity

For beginners, mastering the technique of compound movements is a priority before intensifying workouts. Israetel insists that no movement is inherently risky when unloaded and emp ...

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Resistance Training Principles and Programming

Additional Materials

Counterarguments

  • Compound exercises may not always be suitable for individuals with specific injuries or limitations, and isolation exercises might be necessary for rehabilitation or targeted muscle development.
  • While compound exercises are time-efficient, they may not always provide the necessary focus on smaller muscle groups that can be achieved through isolation exercises.
  • The emphasis on compound exercises might lead some individuals to neglect the importance of balance and symmetry in their training, potentially leading to muscular imbalances.
  • The idea that progress requires gradual intensity and volume increase may not account for alternative periodization models that involve varying intensity and volume in different patterns for continued progress.
  • Recovery strategies are highly individual, and what works for one person may not be as effective for another; some individuals may require more or less recovery time than others.
  • The recommendation to start with low weights and gradually increase intensity may not apply to all training methodologies, such as plyometrics or speed training, which rely on different principles.
  • The use of personal trainers or video demonstrations for correct technique may not be accessible or affordable for everyone, and some individuals may need to rely on other resources.
  • Pairing opposing muscle groups for efficiency may not be the best strategy for everyone, as some individuals may benefit from focusing on one muscle group ...

Actionables

  • Create a "compound exercise challenge" with friends to stay motivated and accountable for incorporating compound exercises into your routine. Set up a group chat or a shared document where each participant logs their workouts, including the compound exercises they performed, the weight used, and the number of sets and reps. This not only encourages consistency but also allows you to share progress and tips on technique and recovery strategies.
  • Design a "muscle pairing menu" for your workouts to streamline your exercise routine. Write down a list of compound exercises that work opposing or unrelated muscle groups, such as squats paired with overhead presses, and pull-ups paired with deadlifts. Rotate through these pairings each workout to ensure you're working different muscle groups efficiently and giving others time to recover.
  • Implement a "progressive micro-loading ...

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#335 ‒ The science of resistance training, building muscle, and anabolic steroid use in bodybuilding | Mike Israetel, Ph.D.

Science and Experience of Building Muscle and Strength

The conversation with Mike Israetel and Peter Attia delves into the nuances of building muscle and strength, focusing on genetic factors, age, lifestyle, and training strategies that optimize muscle hypertrophy.

Factors That Influence Muscle Growth and Strength Gains

Genetics Play a Role in Muscle Development Potential

Mike Israetel does not shy away from discussing the crucial role of genetics in muscle development and physical appearance. He argues that genetics is the most critical factor, other than time spent exercising, in dictating how muscular and lean one can become. Israetel's experience as someone with elite genetics, highlighted by his naturally well-developed masseter muscles even before taking steroids, serves as a personal testament to the power of genetic predisposition in bodybuilding. Furthermore, Israetel advises against choosing trainers based solely on appearance since their condition is largely influenced by genetics. He even references individuals like his jujitsu coach, Mr. Will Starks, who can maintain a lean and muscular physique with minimal diet restrictions due to his genetic advantages.

Age and Lifestyle Factors Impact Muscle-Building Capacity

Israetel also discusses the profound impact of age on muscle-building, explaining that progress will drastically slow for someone in their 60s compared to a 20-year-old. He emphasizes managing expectations around age, noting that one cannot expect to look like younger gym-goers if they are significantly older. He draws attention to how systemic abilities to recover from workouts decline with age due to cellular and organ wear and tear. Further compounding this effect, Israetel points to lifestyle factors such as stress and sleep deprivation, which can hinder muscle gains. He contrasts the experiences of a 56-year-old corporate CTO with a younger bikini competitor to illustrate the difference in muscle-building capacities between stressed individuals and those with ample recovery time.

Strategies For Optimizing Muscle Hypertrophy

Exercise selection, technique, intensity, and volume all play roles in achieving muscle growth. Israetel emphasizes the importance of including isolation work for specific muscle areas and the necessity of deep stretches and high force positions during exercises for effective muscle stimulation.

Effective Training: 10-20 Sets per Muscle Group Weekly

Israetel contends that performing between 10 and 20 sets per muscle group on a weekly basis is recommended for optimal growth. He suggests starting at lower volumes for beginners and increasing the number of sets as one adapts to the training stimulus. Factors such as muscle soreness, fatigue, and strength progression should guide the volume of work sets. Additionally, the application of pulsatile training with ade ...

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Science and Experience of Building Muscle and Strength

Additional Materials

Counterarguments

  • Genetics do play a significant role in muscle development, but they are not the sole determinant; consistent training, diet, and lifestyle choices can also greatly influence one's ability to build muscle and strength.
  • While age can slow muscle-building capacity, older individuals can still make significant strength and hypertrophy gains with appropriate training and nutrition strategies.
  • Stress and sleep are important, but individual responses to these factors can vary, and some people may be more resilient to their negative effects on muscle building.
  • The recommendation of 10-20 sets per muscle group weekly is a general guideline, and optimal volume can vary greatly between individuals based on their training experience, recovery abilities, and other factors.
  • Training close to but not reaching muscular ...

Actionables

  • You can track your genetic predispositions by using a direct-to-consumer genetic testing kit to better understand your muscle development potential. By analyzing your genetic markers related to muscle growth, you can tailor your fitness goals and expectations to your unique profile. For example, if your results indicate a lower potential for hypertrophy, you might focus more on strength and endurance training rather than solely on muscle size.
  • Create a sleep and stress management routine to support muscle gains by incorporating mindfulness meditation and a strict sleep schedule. Start with a 10-minute meditation session each day to reduce stress levels and aim for 7-9 hours of sleep per night, establishing a consistent bedtime and wake-up time to improve sleep quality. This can help mitigate the negative effects of stress and sleep deprivation on muscle recovery and growth.
  • Use a fitness app that allows you to log your workouts, including exercise selection, techniqu ...

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#335 ‒ The science of resistance training, building muscle, and anabolic steroid use in bodybuilding | Mike Israetel, Ph.D.

Anabolic Steroids: Physiological and Psychological Effects

An exploration of anabolic steroids, discussing their profound impact on muscle growth and the substantial risks they pose to health, as shared through the personal experiences of Mike Israetel and Peter Attia.

Steroids and Their Impact on Muscle Growth

Anabolic steroids, which are derivatives of [restricted term], boost muscle gains significantly, surpassing natural limits. Mike Israetel and Peter Attia acknowledge the role of steroids in augmenting muscle mass and increasing body weight.

Steroid Use Boosts Muscle Gains Beyond Natural Limits

Mike Israetel, sharing his personal experience, notes that steroids have allowed him to achieve significantly higher muscle mass than what would have been possible naturally. He gained about 30 pounds of muscle over 13 years of using steroids, and he maintains that the advantage in muscularity obtained from steroids is likely permanent.

Steroids Affect Psychological Traits Like Aggression and Sex Drive

Israetel also addresses the spectrum of psychological experiences due to steroid use, varying from heightened aggression and libido to changes in communicative abilities. He cites increased aggression and sexual thoughts as common psychological traits influenced by increased [restricted term] levels. However, Israetel emphasizes the need to manage estrogen levels as [restricted term] tends to aromatize into estrogen, which has diverse impacts on psychological and physical health.

Health Risks and Considerations With Anabolic Steroid Use

Chronic steroid use is not without severe risks to cardiovascular, hormonal, and reproductive health. Israetel expresses concern about permanent damage to his body, including potential cardiovascular harm and effects on brain health.

Long-Term Use Harms Cardiovascular, Hormone, and Fertility Health

Israetel reveals the permanent impact of steroids on his body, acknowledging likely damage to his left ventricular wall and potentially his prostate. He understands the risks to fertility health and speaks about the harm caused by long-term anabolic steroid use.

Managing Estrogen Levels and Side Effects Mitigates Risks

To mitigate this, Israetel stresses the importance of managing side effects, particularly estrogen levels. He discusses a "safer-use model" involving the careful balancing of [restricted term] and estrogen levels through the use of exogenous drugs and the combination of different anabolic steroids to optimize health outcomes. In managing side effects, Israet ...

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Anabolic Steroids: Physiological and Psychological Effects

Additional Materials

Counterarguments

  • While anabolic steroids can indeed boost muscle gains, the extent of these gains can vary widely among individuals, and not all users will experience the same level of muscle growth.
  • The psychological effects of steroids, such as aggression and libido changes, are not uniform across all users and can be influenced by individual psychological predispositions and other factors.
  • The process of [restricted term] aromatizing into estrogen is a natural one, and while it can have negative effects, it is also a necessary process for maintaining certain aspects of health; thus, the management of estrogen levels should be nuanced and personalized.
  • The severity of health risks associated with chronic steroid use can be influenced by factors such as dosage, duration of use, individual health status, and genetic predispositions, meaning not all users will experience the same level of risk.
  • The concept of a "safer-use model" is controversial, as some medical professionals argue that there is no truly safe way to use anabolic steroids for non-medical purposes.
  • The idea that careful planning and management of dosage can balance muscle enhancement with preser ...

Actionables

  • You can create a balanced fitness plan that emphasizes natural muscle growth by incorporating resistance training, proper nutrition, and adequate rest. Start by setting realistic fitness goals based on your body type and fitness level. Then, develop a workout routine that includes a variety of exercises targeting all major muscle groups, focusing on progressive overload to stimulate muscle growth. Complement your workouts with a diet rich in protein, healthy fats, and complex carbohydrates, and ensure you get at least 7-9 hours of sleep per night to facilitate recovery and muscle repair.
  • Develop a risk assessment chart to visually weigh the potential benefits of muscle gains against the health risks associated with anabolic steroids. Use a simple two-column format where you list the benefits of increased muscle mass and strength on one side and the potential health risks, such as cardiovascular issues and hormonal imbalances, on the other. This visual tool can help you make informed decisions about your bodybuilding journey by clearly presenting the trade-offs and encouraging a more holistic approach to fitness.
  • Engage in a mindfulness practice to become more aware of yo ...

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