I definitely could have used this video a few years back when I had a lot of muscular lower back pain from DL and Squats. My then doctor ordered an MRI and discovered mild to moderate arthritis in my neck. No solution for my back pain other than to stop lifting heavy weight of course.
I used to panic over every little shit and thanks to you I stopped paying that much attention to pains and aches that happen to me and just train normally. And it goes away soon enough. So thanks a lot for the words of wisdom😁 I would have been so much weaker if I hadn't followed you on IG😀
I wish I had found you years ago I might have been able to avoid some of permanent muscle damage I have which resulted from nerve damage to my bowels from 5 bouts of gastric flu which caused me to loose 200lb in 9 months. I went 7 years without picking up a barbell as it was deemed not suitable by my doctors. Since I started picking up a barbell again I got off over 23 tablets. P.S. thanks for the comment the other day on dead lifting with a tummy tuck. I went and watched Alan and Austins videos and I managed to get my back flat and my dead lift went up instantly so thank you so much.
Thank you so much Jordan and Austin. Truly appreciate the information. I think that pain is such a central topic for people in the strength training world. It is comforting to hear the methods for assessing pain and working through what we "can" do and a big takeaway for me is to not worry about it so much and realize that most aches/pains from training are just tissue/joint adaptations. Taking time off from doing any type of training and taking pain meds is definitely not the answer and hearing it from 2 doctors I trust is comforting to say the least. Thanks again for taking the time out of your day to provide this type of information to the world. :)
This is good stuff guys. I pulled my lower back a few weeks ago (awful cant bend over or put on sock without sitting down pain) and did no gym activity for about two weeks. Went back when pain had subsided and tried jump back into it and re-aggravated it doing deadlifts. Went back to the gym two days after and have been conservatively rehabbing it doing squats and deadlifts progressively loading each session, so far, so good.
Intense isometric exercise for tendinopathy! That is good to know. I will be using that info. I damaged a proximal adductor tendon - perhaps from not keeping my knees out enough during squats. In my case dropping the weight to 80% my 5RM and keeping the technique correct has helped. I am a scrawny 49 year old and just a few weeks into the novice program. I have been astonished with how much muscle and strength can be gained in such a short time. Great program. Great podcast.
Brilliant podcast guys. Would love an episode about tendinopathy. You touched on it a little here, but maybe talk about "golfer's elbows" vs. "tennis elbow", how you might get these injuries, etc. I selfishly want this video because I have the "golfer's elbow" and I don't even know what I did to cause it. Maybe chin-ups? 🙄
Dude, this. Mysteriously got the golfer's elbow; saw a sports-medicine doc who sent me to a PT; wasn't helping so I quit and went back to "train to tolerance." Eventually, it went away.
Jordon would it be possible for you to make a video on the silliness of 2 to 1 pull/push ratio, functional training, and any other weird non-effective training methods. I know, but having access to a creditable source and taking them all out at once (so to speak) would be greatly appreciated. Oh, and I guess that other guy could join you. :)
I was wondering how awesome would be this part of the world, wellbeing in this case, if doctors and health related people would care to follow people like you or taking their time to learn how to interpret science. Great podcast
most of them in top level european soccer teams. not sure if they are good but they sure as hell are the best paid physios. i know some. and i can tell you they dont know more than these 2 guys. but they are better handling people. imagine 25 self centered arrogant pricks in one locker room. and the coach, sociopahic control freak with IQ of 180.
@barbellrehab guys I loved this and agree so much with the content. With regards to tendinopathy and non specific overuse aches and pains I reckon the work of Tim Gabbot with the acute: chronic workload stuff fits in well here especially with those who went too aggressive in the L.P. What I have found as a super effective way for these is using a protocol similar to Ebony Rio et al for TNT training (basically tempo squats, presses, chins even dead's etc) as it is almost like a programmed deload of the same movement with plenty of time to work on techy if that has contributed but it also ensures that the chronic workload for that lift doesn't drop thereby minimising risk when the comp lift is reintroduced.
There seems to be a lot of suck in the fitness/strength industry, you guys are definitely not apart of that. Keep up the great work, learning a lot from you guys!
Jordan and Austin - Thanks for all the info. You guys do a great job. I came across Rip and Starting Strength and you guys several weeks ago and started lifting again using the SS principles. I had left knee replacement surgery 5 years ago and have issues with scar tissue which hinders full range of motion. I squat as best I can but I cannot get all the way down. My thought is to keep working at it and see if lifting corrects it. Any thoughts or suggestions?
I agree with words being harmful. I've always thought "blow out your back" was really awful. I literally get a picture of someone's lower back exploding.
This was a great video. I've been struggling with injuries and can see how I fell prey to my own nocebo! I convinced myself after a shoulder injury that I needed to rest for weeks on end, essentially quitting lifting altogether for 6 months, and starting everything over from scratch, out of fear of re-injury, not knowing which direction to go in, etc. Doctors, physiotherapists, all say the same thing: stop everything. Question: For people who suffer from repetitive stress injuries due to repetition in work, where no alternative work can be done, what would you recommend the approach be in rehabilitation when a tendinopathy can be attributed to repetitive stress? My situation is that I'm a hardwood flooring contractor. I'm either on my hands and knees, or standing, swinging a mallet, or bent over operating sanding machines. Day in, day out. I've only ever been told to stop working, which is out of the question.
so a good example might be: hey Jordan&Austin, something in my left knee clicks after I squat half way into bottom, right above my tibia or below my patella, this has been happening for a couple of years before I started lifting , but no pain during workout or in life. I do feel pain under the tibia tuberosity, usually after a lot of walking or a pick up basketball game, don't seem to be related though. what's the click about? should I be concerned? additional info: male,mid 20s, 6'0, 235lbs, overweight. That would be a answerable question, right?
With regards to the fatigue factor being a risk factor..... You guys are thinking it's more the intensity (weight %rm) closely correlated to injury risk not volume load (sets X reps X weight %rm) correct? Intensity is more related to central fatigue and volume load to peripheral /tissue fatigue i think I remember so is the suggestion to monitor the intensity and minimise central fatigue as opposed to minimising the volume load (peripheral fatigue) or both? in regards to overuse injury management? Eg. Someone has lateral hip pain in squat withSquats of 3x5 @160kg with a 5rm of 170kg. Therefore 800kg/set X 3 =2400kg@90%rm So therefore this would be an example rehab protocol take him to 5x5 pin squats /tempo squats or normal comp squats etc @ 100kg = 500kg/set X 5 = 2500kg@60%rm. Then just linearly progress the intensity. Even though the volume load is higher coz the intensity is less tissue healing / adaptation should still occur? Maybe periodise in some singles or doubles at the threshold intensity (160kg) Or would you suggest to back off both the volume load and the intensity and progress both so the tissues are subject to less total stress to begin with?
Sounds like tendons are on board with the SRA program. Do ligaments positively respond to stress, or is the idea that muscles and tendons are built up to keep the load off of them?
So let's say one develops tendonopathy symptoms while on SSLP. If intensity appears to be both the cause (with frequency) and the cure would it make sense to back off the working sets for the affected lifts a significant amount and work back up with very small jumps to try and prolong the healing process?
Any suggestions for dealing with sciatica nerve pain? I just attempted a 1rm deadlift under stupid conditions that I shouldn’t have attempted and had a big pop in my lower back. Now I’m dealing with a sore lower back and shooting pains up my left leg and glute, accompanied by numbness in my left foot.
Hey Jordan, Been following you for a long time, love your content! What's your opinion about fasting in combination with strength training? Some say that muscle loss might be less then doing a calorie restricted diet for several months... Would really appreciate if you guys told us what you know/think about that... Cheers!
There is no evidence that fasting produces better outcomes than a calorie matched non-fasting diet. I don't recommend it unless it significantly improves compliance.
Would you say there's a nocebo effect in people who are thaught that bread causes GI discomfort or bread is just bad overall and then actually get a general symptom like GI discomfort?
Possibly, nutrition is a funny world too. But that said, there is emerging research on regular doses of gluten as it pertains to gut and even mental health that is quite compelling. Bread is kind of junky food anyway.
Is it suitable to run a peek program after running the bridge twice? And how do I go about doing that, with a more specific answer than increase intensity and drop volume please
Jordan Feigenbaum Bamboozled by the shekel grubber himself. I'll find the information somewhere else for now, but coaching from barbell medicine is a goal but it's not feasible at this moment. I'll probably reference Alan's channel during the weeks leading up to his meet, but a week of 3's, a week of 2's, and a week of singles at higher RPEs?
At about 18:30 Austin talks about heavy loading for tendinopathy, do you have links to any studies that show this? I've always heard the opposite is true.
What you have heard is not accurate. Look up "HSR" (Heavy slow resistance) protocols for tendinopathy. Freedman 2015, Bohn 2015, Thorpe 2016, Young 2016, etc.
What are your thoughts on using a car buffer to massage the tissue and provide heat therapy? I've tried it for a bit and it seems to help my pain tolerance.
Does Austin's rationale for isolation work after an injury if the lifter is shifting technique to avoid the affected area also apply to non injury situations? For example, if I tend to shift more weight to my right leg in the squat, should I do single left leg work to address that deficiency?
Micah Neely Nope. I never use them in that situation, because single leg work isn’t going to fix your shifting. Even in the context of injury I’m using them for the absolute shortest possible amount of time (maybe only a couple sessions, at most) to facilitate getting them closer to the primary movements again.
Ruddager Matthews I'm no expert, in my uneducated opinion I would say if there is anything you can actively do other than keep your weight healthy is focus and have a strong valsalva maneuver as it will in theory keep your abdominal pressure pushing against your abs back and obliques rather than mostly through the pelvic floor. Again this is entirely conjecture.
You guys never actually said HOW to improve recovery?? you mentioned all those things that you Wouldn't recommend... but how do I improve recovery, specially if you are over 50 and don't tell me "that is an arbitrary number".... Rip has repeatedly talked about moderating volume so instead of 5x5 we do sets of 3x5 or 3x3 but recovery is still a more marked issue for people over 50.... no??
Jordan... pull the mic a bit closer to your face, to get better sound; especially as you speaks a bit too fast. A speech ENUNCIATION class might help slow down and "draw" the words out as you speak, you guys are docs and some of those words are not familiar for most of us... EN-UN-CIA-TION Just compare how you answer rapidly to how you slowed down and spoke at 20:00 - 21:00 ; each of those words is well defined and understood, I know I know you cannot speak like that all the time, but the ENUNCIATION part of it is what I am talking about. PLEASE, don't take this as mean spirited, I love your podcasts, if constructive criticisms like this are bothersome, I rather shut up so you guys keep going with it.
![[TH] VALORANT Champions Seoul - Grand Final - EDG vs TH](http://i.ytimg.com/vi/WvObMc9VelI/mqdefault.jpg)
Imagine a world where doctors like this were commonplace.
I'd have to get a new job, lol. We can only hope!
I definitely could have used this video a few years back when I had a lot of muscular lower back pain from DL and Squats. My then doctor ordered an MRI and discovered mild to moderate arthritis in my neck. No solution for my back pain other than to stop lifting heavy weight of course.
The general public would be yoked
Thanks. Glad alan thrall started mentioning Austin Baraki and barbell medicine. You guys are great.
I used to panic over every little shit and thanks to you I stopped paying that much attention to pains and aches that happen to me and just train normally. And it goes away soon enough. So thanks a lot for the words of wisdom😁 I would have been so much weaker if I hadn't followed you on IG😀
I wish I had found you years ago I might have been able to avoid some of permanent muscle damage I have which resulted from nerve damage to my bowels from 5 bouts of gastric flu which caused me to loose 200lb in 9 months. I went 7 years without picking up a barbell as it was deemed not suitable by my doctors. Since I started picking up a barbell again I got off over 23 tablets. P.S. thanks for the comment the other day on dead lifting with a tummy tuck. I went and watched Alan and Austins videos and I managed to get my back flat and my dead lift went up instantly so thank you so much.
pastrychefbourn wyeqwwqw
If that shirt has Baraki's valsalva face on the front....omg I am so buying one.
Best idea for a t-shirt ever!
I'm glad Alan kept promoting you guys. I've been watching/listening to your podcasts and I'm learning so much!
This video is more useful than 97.9% of TH-cam fitness videos posted on 11/27/17
This video is more useful than 97.9% of TH-cam fitness videos. There, I fixed it for you.
Thank you so much Jordan and Austin. Truly appreciate the information. I think that pain is such a central topic for people in the strength training world. It is comforting to hear the methods for assessing pain and working through what we "can" do and a big takeaway for me is to not worry about it so much and realize that most aches/pains from training are just tissue/joint adaptations. Taking time off from doing any type of training and taking pain meds is definitely not the answer and hearing it from 2 doctors I trust is comforting to say the least. Thanks again for taking the time out of your day to provide this type of information to the world. :)
This is good stuff guys. I pulled my lower back a few weeks ago (awful cant bend over or put on sock without sitting down pain) and did no gym activity for about two weeks. Went back when pain had subsided and tried jump back into it and re-aggravated it doing deadlifts. Went back to the gym two days after and have been conservatively rehabbing it doing squats and deadlifts progressively loading each session, so far, so good.
Keep it up!
Nice upgrade in quality!
If you guys had a university, I’d go to it. Incredible information, thank you.
Thank you Jordan and Austin. I love every podcast you produce and find it all facinating. I hope to be able to come to one of your seminars this year.
Thanks Kathy! We'd love to have you :)
Intense isometric exercise for tendinopathy! That is good to know. I will be using that info. I damaged a proximal adductor tendon - perhaps from not keeping my knees out enough during squats. In my case dropping the weight to 80% my 5RM and keeping the technique correct has helped. I am a scrawny 49 year old and just a few weeks into the novice program. I have been astonished with how much muscle and strength can be gained in such a short time. Great program. Great podcast.
Brilliant podcast guys.
Would love an episode about tendinopathy. You touched on it a little here, but maybe talk about "golfer's elbows" vs. "tennis elbow", how you might get these injuries, etc.
I selfishly want this video because I have the "golfer's elbow" and I don't even know what I did to cause it. Maybe chin-ups? 🙄
Unlikely to be chin ups, but it'll likely go away just as mysteriously as it came on.
Dude, this. Mysteriously got the golfer's elbow; saw a sports-medicine doc who sent me to a PT; wasn't helping so I quit and went back to "train to tolerance." Eventually, it went away.
Did it go away? I get it trying to do the thumb over grip on the squat.
Jordon would it be possible for you to make a video on the silliness of 2 to 1 pull/push ratio, functional training, and any other weird non-effective training methods. I know, but having access to a creditable source and taking them all out at once (so to speak) would be greatly appreciated. Oh, and I guess that other guy could join you. :)
dr Austin is the best coach no doubt
This stuff is pretty nuanced :)
I was wondering how awesome would be this part of the world, wellbeing in this case, if doctors and health related people would care to follow people like you or taking their time to learn how to interpret science. Great podcast
and, for one of the few times I think this is really important to share
everyone should be listening to these guys. please share this
russell de costa Thanks!
Would like to see an episode about patellofemoral pain syndrome ! Can’t make it go away !
As a physio and a trainer i would like to see you speak with one of those good physio you mentioned on the podcast, what modalities they use etc
most of them in top level european soccer teams. not sure if they are good but they sure as hell are the best paid physios. i know some. and i can tell you they dont know more than these 2 guys. but they are better handling people. imagine 25 self centered arrogant pricks in one locker room. and the coach, sociopahic control freak with IQ of 180.
@barbellrehab guys I loved this and agree so much with the content. With regards to tendinopathy and non specific overuse aches and pains I reckon the work of Tim Gabbot with the acute: chronic workload stuff fits in well here especially with those who went too aggressive in the L.P. What I have found as a super effective way for these is using a protocol similar to Ebony Rio et al for TNT training (basically tempo squats, presses, chins even dead's etc) as it is almost like a programmed deload of the same movement with plenty of time to work on techy if that has contributed but it also ensures that the chronic workload for that lift doesn't drop thereby minimising risk when the comp lift is reintroduced.
12 BFIT Agreed!
Great content. Thank you!
Dr. Leonid Rogozov did the self-appendectomy in Antarctica!
You guys are champs. Love your work!
Thanks!
This is knowledge gold. Very useful.
Awesome show, as always.
Great content as always guys, thank you!
There seems to be a lot of suck in the fitness/strength industry, you guys are definitely not apart of that. Keep up the great work, learning a lot from you guys!
Thanks man!
Woohoo - can't wait to hear more details about the Maryland dates! I'm in Southern Maryland. :)
Jordan and Austin - Thanks for all the info. You guys do a great job. I came across Rip and Starting Strength and you guys several weeks ago and started lifting again using the SS principles. I had left knee replacement surgery 5 years ago and have issues with scar tissue which hinders full range of motion. I squat as best I can but I cannot get all the way down. My thought is to keep working at it and see if lifting corrects it. Any thoughts or suggestions?
Amazing info , really well done.
Oooosh perfectly timed for morning commute. Top lad.
Great video! Could you please discuss golfers elbow...what causes it and how to fix it? Thanks!
That's possible!
Yeah finally another video! Good stuff as always just wish they'd be more frequent. Rally your friends to subscribe!
Yessss
I agree with words being harmful. I've always thought "blow out your back" was really awful. I literally get a picture of someone's lower back exploding.
This was a great video. I've been struggling with injuries and can see how I fell prey to my own nocebo! I convinced myself after a shoulder injury that I needed to rest for weeks on end, essentially quitting lifting altogether for 6 months, and starting everything over from scratch, out of fear of re-injury, not knowing which direction to go in, etc. Doctors, physiotherapists, all say the same thing: stop everything.
Question: For people who suffer from repetitive stress injuries due to repetition in work, where no alternative work can be done, what would you recommend the approach be in rehabilitation when a tendinopathy can be attributed to repetitive stress? My situation is that I'm a hardwood flooring contractor. I'm either on my hands and knees, or standing, swinging a mallet, or bent over operating sanding machines. Day in, day out. I've only ever been told to stop working, which is out of the question.
Woah, digging the quality upgrade man! Looks awesome now!
Thanks!
so a good example might be: hey Jordan&Austin, something in my left knee clicks after I squat half way into bottom, right above my tibia or below my patella, this has been happening for a couple of years before I started lifting , but no pain during workout or in life. I do feel pain under the tibia tuberosity, usually after a lot of walking or a pick up basketball game, don't seem to be related though. what's the click about? should I be concerned? additional info: male,mid 20s, 6'0, 235lbs, overweight. That would be a answerable question, right?
Great stuff guys. Podcast on convincing “patients/clients” to strength train?
With regards to the fatigue factor being a risk factor..... You guys are thinking it's more the intensity (weight %rm) closely correlated to injury risk not volume load (sets X reps X weight %rm) correct? Intensity is more related to central fatigue and volume load to peripheral /tissue fatigue i think I remember so is the suggestion to monitor the intensity and minimise central fatigue as opposed to minimising the volume load (peripheral fatigue) or both? in regards to overuse injury management?
Eg. Someone has lateral hip pain in squat withSquats of 3x5 @160kg with a 5rm of 170kg. Therefore 800kg/set X 3 =2400kg@90%rm
So therefore this would be an example rehab protocol take him to 5x5 pin squats /tempo squats or normal comp squats etc @ 100kg = 500kg/set X 5 = 2500kg@60%rm. Then just linearly progress the intensity.
Even though the volume load is higher coz the intensity is less tissue healing / adaptation should still occur? Maybe periodise in some singles or doubles at the threshold intensity (160kg)
Or would you suggest to back off both the volume load and the intensity and progress both so the tissues are subject to less total stress to begin with?
Awesome podcast!
Sounds like tendons are on board with the SRA program. Do ligaments positively respond to stress, or is the idea that muscles and tendons are built up to keep the load off of them?
Everything responds to stress until we die.
So let's say one develops tendonopathy symptoms while on SSLP. If intensity appears to be both the cause (with frequency) and the cure would it make sense to back off the working sets for the affected lifts a significant amount and work back up with very small jumps to try and prolong the healing process?
What's more important for load-management ? Exercise selection or RPE?
Maryland? I must assume you've come across Brian Alsruhe. Super nice dude, any sort of collab would be awesome! Also thanks, great podcast!
Any suggestions for dealing with sciatica nerve pain? I just attempted a 1rm deadlift under stupid conditions that I shouldn’t have attempted and had a big pop in my lower back. Now I’m dealing with a sore lower back and shooting pains up my left leg and glute, accompanied by numbness in my left foot.
Great stuff boys
Hey Jordan,
Been following you for a long time, love your content!
What's your opinion about fasting in combination with strength training? Some say that muscle loss might be less then doing a calorie restricted diet for several months...
Would really appreciate if you guys told us what you know/think about that... Cheers!
There is no evidence that fasting produces better outcomes than a calorie matched non-fasting diet. I don't recommend it unless it significantly improves compliance.
So, can you nix this with understanding that you might be receiving nocebo?
That was a nice small dig at Rip for saying older adults are more volume sensitive
So what's the solution for people with elbow pain from benching?
Thanks.
How about addressing different sports injuries such as achilles pain or sprained/rolled ankles? Something of that nature
Maybe we will.
What is ART???
Would you say there's a nocebo effect in people who are thaught that bread causes GI discomfort or bread is just bad overall and then actually get a general symptom like GI discomfort?
Possibly, nutrition is a funny world too. But that said, there is emerging research on regular doses of gluten as it pertains to gut and even mental health that is quite compelling. Bread is kind of junky food anyway.
I searched for GainZzz Rx on Amazon and it's not there. They showed me "GainZzz by Force Factor," instead.
Pain? Got pain every morning till I get my arse down to the gym and work it out.
Is it suitable to run a peek program after running the bridge twice? And how do I go about doing that, with a more specific answer than increase intensity and drop volume please
I probably wouldn't ever do a prolonged peak (>3 weeks). But, it sounds like you'd benefit from some guided coaching to get some specific advice.
Jordan Feigenbaum Bamboozled by the shekel grubber himself. I'll find the information somewhere else for now, but coaching from barbell medicine is a goal but it's not feasible at this moment. I'll probably reference Alan's channel during the weeks leading up to his meet, but a week of 3's, a week of 2's, and a week of singles at higher RPEs?
At about 18:30 Austin talks about heavy loading for tendinopathy, do you have links to any studies that show this? I've always heard the opposite is true.
What you have heard is not accurate. Look up "HSR" (Heavy slow resistance) protocols for tendinopathy. Freedman 2015, Bohn 2015, Thorpe 2016, Young 2016, etc.
What are your thoughts on using a car buffer to massage the tissue and provide heat therapy? I've tried it for a bit and it seems to help my pain tolerance.
Braving that Jugg lion's den. Would be nice to see some of those gaps get bridged.
I like Chad and Max. It was a fun interview!
Can you post a link for the nocebo article you referenced in the podcast?
jamanetwork.com/journals/jama/fullarticle/2661032
Thank you, I really appreciate the work and information you provide.
TFW GVT was the first ever PL program you did ~ 4 years ago 😥
Lol
Gainzzz Rx doesn’t ship to Canader 😩
Yes it does.
Does Austin's rationale for isolation work after an injury if the lifter is shifting technique to avoid the affected area also apply to non injury situations? For example, if I tend to shift more weight to my right leg in the squat, should I do single left leg work to address that deficiency?
Micah Neely Nope. I never use them in that situation, because single leg work isn’t going to fix your shifting. Even in the context of injury I’m using them for the absolute shortest possible amount of time (maybe only a couple sessions, at most) to facilitate getting them closer to the primary movements again.
Wow what happend to the sound ? Its good now, thank you! A little nois but i dont care. Keep up the good work
Any advice on hernia prevention?
Don't get really obese and have good genetics
I have had inguinal hernias repaired on both sides, so has 3 of my blood relatives. He wasn't joking when he said have good genetics
fred c but do core exercises aid in preventing them at all?
Ruddager Matthews I'm no expert, in my uneducated opinion I would say if there is anything you can actively do other than keep your weight healthy is focus and have a strong valsalva maneuver as it will in theory keep your abdominal pressure pushing against your abs back and obliques rather than mostly through the pelvic floor. Again this is entirely conjecture.
19:41. Lol. That was painful to say.
Sharing this video will not be helpful though. As RIP says it's narrow casting. People and most people won't get this 👌
pranav nair We are not narrow casting.
You sound as bitter as Rip. The more you share it, the more people you'll reach that will benefit from this information.
Sharing the video is indeed helpful. If this is helpful info, sharing this with those who are interested in training is a positive and it’s simple
You guys never actually said HOW to improve recovery?? you mentioned all those things that you Wouldn't recommend... but how do I improve recovery, specially if you are over 50 and don't tell me "that is an arbitrary number"....
Rip has repeatedly talked about moderating volume so instead of 5x5 we do sets of 3x5 or 3x3 but recovery is still a more marked issue for people over 50.... no??
Training more (even if it requires a reduction in average intensity) improves your ability to tolerate more training.
Jordan... pull the mic a bit closer to your face, to get better sound; especially as you speaks a bit too fast. A speech ENUNCIATION class might help slow down and "draw" the words out as you speak, you guys are docs and some of those words are not familiar for most of us... EN-UN-CIA-TION
Just compare how you answer rapidly to how you slowed down and spoke at 20:00 - 21:00 ; each of those words is well defined and understood, I know I know you cannot speak like that all the time, but the ENUNCIATION part of it is what I am talking about.
PLEASE, don't take this as mean spirited, I love your podcasts, if constructive criticisms like this are bothersome, I rather shut up so you guys keep going with it.