Due to ongoing workload issues I am sticking with a 3-way split.  Despite a high level of work-related stressors, it is working quite well.  My most recent workout was the legs/abs portion:  Hammer Plate Load Calf Machine, Leg Extension, Leg Curl, Barbell Squat, Hammer Clam-shell abdominal (all done at Fike).

The other two parts of the split are as follows:

Chest/Back:  Nautilus Pullover, SS Pulldown, MedX Chest Press, MedX Compound Row with SS cam, SS Systems Neck Flex/Ext

Shoulders/Arms: Rear Delt/simple row, MedX Overhead Press, Nautilus Plate Load Biceps with SS cam, Nautilus Plate Load Triceps with SS cam, EZ reverse Curl

One thing that has really stood out about this 3-way split is that for two nights after the most recent workout, I feel growth in the groups worked in the prior workout.  For instance, my legs and abs were sore from my most recent workout, but I felt (and could see in the mirror) my response to the shoulders/arms workout that had occurred previously.  While John Little and I are both notorious for poking fun at split workouts by saying “every day is kidney day”; there really does seem to be systemic and local recovery.  It is my theory that this split works well during times of stress because it preserves the localized depth of inroad while limiting the systemic fatigue.  The other stressors of life seem to affect systemic recovery to the extent that they can prevent recovery from a full body onslaught.

I think this may tie in to myokines.  The workout itself is an acute inflammatory event that triggers an anti-inflammatory response from the working skeletal muscle, largely as a protective reflex.  The stress of the workout acutely releases inflammatory cytokines and the muscle responds by releasing anti-inflammatory myokines.  It has long been a personal theory of mine that fibromyalgia and chronic fatigue were a state where the cytokine response was intact, but the myokine resoponse was attenuated or lacking.  Now recent literature is suggesting that this might be exactly the case.  Check out the link to the PubMed abstract below.  It in turn has a link to the full-text article if you really want to geek out.


If this is the case, than such split routines may be a way of rehabilitating the fibromyalgia patient.  By limiting the area of involvement, and using a strict form that limits “outroading” (bracing, use of extrinsic muscle groups, and heaving) one can limit the cytokine response to one that can be handled by an attenuated myokine response.  As myokine response improves with training (there is evidence that this occurs), then the split can become less subdivided, until a full-body routine can be accomplished.  That is, one could go from a 5-way split, to a 3-way split, to a 2-way split and finally a whole body routine.  This would be a real therapy, as opposed to the retreaded anti-depressants that are currently being offered in the medical realm.


I have been very busy with ER work and other projects, so I am back to a 3-way split to conserve recovery.  My workout today after I finish this post will be:

Nautilus Pullover with SS retrofits, MedX Chest Press, MedX Row with SS Systems cam, SS Systems Neck flex/extension.

My previous workout was  at Fike:

Calf Raise on Hammer Plate Load Calf (great machine), Leg Extension, Leg Curl, Barbell Squat

Recently I was at another blog where comments were being made about me.   One recurring theme is a reference to an article that I wrote a long while back, describing the workout of one of our most advanced clients and how the workout was so intense that we induced carpet time with just 3 movements.  The comment that followed was something to the effect of “yeah…bragging about putting a subject in shock…and coming from a medical doctor”.  What always seems to get lost is that I wrote that article and gave that anecdote as a means of illustrating that it is NOT necessary to train so hard that you have to lay on the carpet, vomit or go into shock ( a notion that was reinforced in the HIT books of the day).  That, indeed, to do so is counterproductive at best and potentially harmful at worst. At a time when everyone was still trumpeting that harder is always better and that you are not truly training productively unless you go to these extremes, I made the point that not only do volume and frequency need to be modulated to the minimum amount necessary, but intensity also needed to be limited to that minimal effective dose.  So for the record, I want to offer the relevant section of that article written 16 years ago.
Stasis Versus Dynamism Part III:
Roadblocks at the Advanced Level and Blasphemous Experiments

by Doug McGuff, MD, © 1999

Dateline 1984: High Intensity Bodybuilding by Ellington Darden PhD…on pages 117-120 Dr. Darden gives a dramatic description of Sergio Oliva’s thigh training in 1971. The routine was a double pre-exhaust series involving leg press/leg extension/squat with no rest between sets. At the conclusion of this routine Sergio collapsed on the floor. Dr. Darden describes what happened 20 minutes later…. “I walked over to where Sergio was lying on his back. I knelt down and tapped him on the shoulder. There was no response. His body felt cold and clammy. ‘Arthur, he looks dead to me,’ I said.”

Dateline 1984: The Nautilus Advanced Bodybuilding Book by Ellington Darden PhD…on page 11-12 Dr. Darden describes Ray Mentzer’s Arthur Jones-supervised workout of January 5, 1983. “Suddenly Ray’s face contorted in pain. A scream burst from him as he rolled from the machine and collapsed on the floor. His legs resembled two great vibrating machines twitching in unison. You could actually see blood pumping furiously to them…The men pulled Ray from the floor his face still twisted in a grimace. They measured his pulse rate at an astonishing 204 beats per minute-60 seconds after he’d finished the movement.”

Both of these examples describe the training of very advanced, genetically gifted bodybuilders, probably two of the most genetically blessed men that ever lived. Some guys who followed more traditional programs always felt “If only I trained more I too could be a champion”. Being a H.I.T. disciple I reasoned “If only I trained that hard, I too could make great progress”. As Arthur Jones Said to Ray Mentzer… “the key to reaching your potential is figuring out ways to make your training harder, but briefer”. At Ultimate Exercise we have been devoted to standardizing the workout in such a way that we can systematically make our workouts harder, briefer and less frequent. Standardization and good record keeping has caused us to re-examine the Holy Grail of H.I.T.

The Blasphemy Begins

Dateline February 1999: Our most advanced client performs the following workout: Med-X Leg Press 928lbs, SuperSlow Systems Pulldown 242.25lbs, Chest Press 414lbs. All TUL’s were around 1:20-1:30. At the conclusion of the workout he became very pale, and for the first time ever, appeared to shrink before our eyes, when usually, he would appear massively pumped. Remembering the dramatic descriptions above, I immediately went to check the subject’s pulse. Maybe it was above 200, maybe we had delivered a legendary workout a-la Arthur Jones! When I grabbed his wrist to feel his radial pulse, I could not find a pulse at all. Reassuringly I could feel his heart beating in his chest and he did have a weak carotid pulse. It takes a systolic blood pressure of at least 90mm Hg to produce a radial pulse. A systolic blood pressure of less than 90 is defined as cardiovascular shock. This brief workout of just 3 exercises had put this subject in shock! We were so proud. The next workout was the first time in 15 months that this subject failed to progress on every set of every exercise. This experience has been repeated in several subjects so far.

To Arthur Jones’ credit, he actually wrote that such severe intensity is neither desirable or necessary. He advised that one should feel capable of repeating the workout within 20 minutes. But having read such dramatic descriptions of intensity, I assumed that more intensity is always better. What we are discovering at Ultimate Exercise is that intensity is just like volume and frequency…it should be used in the minimum amount necessary. More is NOT better.

As we discussed in the first article, we believe the relative contributions of inroad, metabolic effect and weight progression change over time. As you become more advanced, you are able to bring about a degree of inroad and metabolic effect that can inhibit weight progression. Without weight progression you will not get stronger or bigger. As previously discussed I theorize that a certain degree of intensity produces GH/IGF-1 release. Weight exposure increases IGF-1 receptors. At some point, I believe, excess intensity seems to stimulate IGF-1 production but at the same time the stress hormones released down regulate IGF-1 receptors. With too few receptors to bind to, IGF-1 cannot exert is muscle-building effect. We now believe that as you progress, you don’t only need to control your volume and frequency, you also need to control your intensity.

At Ultimate Exercise we have always standardized 10 seconds of deep inroad technique (attempting continued movement after failure occurs). We chose 10 seconds at least somewhat arbitrarily; it is long enough to ensure bona-fide failure but not so long that it will drive off clients or encourage them to fake failure. We are now beginning an experiment that will involve changing our protocol. Beginning clients on the 5 set routine will continue the 10 second deep inroad technique. When the client becomes advanced enough to require a decrease to our 3 set routine, we will change to a 5 second deep inroad technique. When a client becomes advanced enough to do the 3 set routine every 10 days, we will stop the set at the point of failure. Very advanced clients will be handled very carefully. We will not use more than 1 large compound movement per exercise. We will instead use routines composed of one of the “big 3″ compound movements and 2 or 3 small movements. This will decrease the mechanical workload of the workout and therefore should thus limit the metabolic workload that the subject must deal with. Most importantly, we will terminate their sets just short of failure. Most likely, we will choose some TUL that is a fraction of their customary TUL to failure (such as 90%). Hopefully, this will allow continued weight progression and strength increases. Understand, we have collected no meaningful data to substantiate this theory. The logic we have proposed seems to be supported by observational experience, so we will proceed. We will update our readers in future articles.


Over time, we learned that weight progression was not a linear process and that it was not directly correlated with improvements in muscular size.  It simply took enough time and experience to run up against the limits of the equipment’s mechanics and a trainee’s ability to optimize skill and motor unit recruitment patterns. It seems that in all realms enough is enough, and more is not better.   However, These early experiences and thought experiments are always fun to revisit.  Even if it is to refute the comments of some internet doofus.

Keep an eye out for the articles section of the blog, as I will slowly migrate over the original articles from the UE website.

Post your WOW’s and your thoughts.

This was a busy weekend.  I had a full day seminar on Saturday that was an absolute blast.  It was great to teach the theoretical fundamentals of exercise, then the practical application of the protocol and, finally, how to offer what has been learned in a successful and meaningful business.  After spending the day teaching my clients, and putting them through their workouts, I treated myself to the following:

Lumbar Extension on the SuperSlow Systems Pulldown

Nautilus Pullover with SuperSlow retrofits

MedX Chest Press

MedX Compound Row with SuperSlow cam

MedX Leg Press

SuperSlow Systems Neck Flex/Ext

This is the time of year when New Year’s resolutions are made, and many of those resolutions focus on losing body fat.  For some, it is the promise to finally get “ripped”.  The thing is, when it comes to getting ripped, the solution is quite simple…but the application is hard as hell.  Sometimes, we may need direction from someone who has applied the solution and succeeded.  Well, as it turns out, Drew Baye sent me a copy of just that…a detailed guide of the process he used to get down to 4% body fat.  The same process he has used numerous times over his 20 year career to help his clients get lean.   I will let Drew tell it himself, directly from his site at www.baye.com.

From Getting Ripped: A short guide to training and eating to maximize fat loss while maintaining or gaining muscle,

“During the spring of 1995 I was working as a personal trainer for Gold’s Gym in Green Bay, WI, (now Titletown Fitness) and was involved in a feud in the editorial section of The Green Bay Press Gazette with fitness columnist Jane Bodilly, who I frequently criticized for her erroneous and often contradictory advice in letters to the editor. This frequently involved telling people to “forget aerobics” and focus on proper strength training and diet instead.

These arguments caught the attention of a local news network which interviewed Bodilly and me for a segment on exercise and fat loss. I explained that aerobics was not only not necessary but potentially counterproductive for fat loss and other fitness goals and that you could become as lean as possible without it, doing only brief, infrequent, high intensity strength training and reducing your calorie intake.
Talk is cheap though, so I decided to prove it by getting ripped and competing in the NGA Midwest Bodybuilding Classic being held in Wisconsin Rapids, WI in June with only very brief and infrequent high intensity strength training and calorie restriction. Fortunately I was already moderately lean at this time so I did not have far to go. I had been following a typical bodybuilding diet – lots of grilled skinless chicken breasts with sweet potatoes or other vegetables, canned tuna with rice, a lot of milk, etc. – and already had good definition.

In eight weeks between mid April and mid June under the instruction of head trainer Mike Moran I was able to reduce my body fat to between three and four percent (based on multiple measurements performed with skinfold calipers, bioelectrical impedance, and Futrex infrared). During these eight weeks my total workout time averaged less than twelve minutes per week, and I did no so-called “cardio” or any other physically demanding activity. I also did not use any drugs or so-called “fat burning” supplements.

There is nothing unusual or particularly special about achieving this degree of leanness. Competitive bodybuilders do it all the time. What is unusual is that I did it using an approach that is nearly the opposite of what most bodybuilders do when contest dieting. The typical approach is to increase workout volume and frequency, often focusing more on simple exercises for “shaping”, and to perform “cardio” once or twice daily to burn more calories. I reduced my workout volume and frequency to extremely low levels, and did no “cardio” at all, creating a calorie deficit by restricting food intake instead. My total workout time for the entire eight weeks leading up to the contest was under two hours.

Although this was done to reduce an already low bodyfat percentage to competition levels, the same general approach is effective for people with more fat to lose. It has worked for every person I have trained over the past twenty years who was consistent with both their workouts and diet, and it will work for you, too.”

Topics covered include original workouts, pace, warming-up, abdominal, neck, and grip and forearm exercises, updated and expanded workouts, repetition methods and ranges/TUL, body part specialization, how to determine the calorie intake that will allow you to lose fat as fast as possible while still maintaining or gaining muscle, considerations and modifications for the obese, macronutrients, meal frequency and timing, meal planning, and supplements. The guide, which is available as an ebook, also comes with a printable worksheet for the formulas in the book.


To order your copy go to:  http:/baye.com/store/getting-ripped/

I did my WOW this past Friday, and my previous WOW was on the Saturday before that.  Wendy worked out Sunday 12/21 after I got off work and met her at UE.

Doug 12/13-Chin, MedX Chest Press, Nautilus Pullover with SS retrofits, MedX Row with SS cam, MedX Leg Press, Neck Flex/Ext on SS Systems Neck

Doug 12/19- Rear Delt Fly, MedX Overhead Press, EZ barbell curl, Triceps Press on SS Systems Pulldown, EZ reverse curl, Formulator Flex/Ext, MedX Leg Press.

Wend 12/21-Chin, MedX Overhead Press, MedX Row with SS cam, MedX Chest Press, MedX Leg Press, TSC Neck Flex/Ext

This week I want to provide a direct link to James Steele’s most recent publication as it makes a major assertion of BBS principles: that intense effort that maximally stimulates anaerobic pathways also maximally stimulates the aerobic pathways.  Acknowledging that the aerobic metabolic system receives its substrate from anaerobic glycolysis shows that the best way to entrain aerobic adaptations is to perform the kind of intense work that delivers substrate at a maximal level.  Once you appreciate this physiologic fact, you have destroyed the artificial dichotomy between aerobic and anaerobic conditioning that has existed in the field of exercise physiology for decades.

This doesn’t just upset the apple cart of the marathon-running physiology professor, it somewhat upsets us HIT geeks that feel we have found a holy grail in a particular protocol or type of equipment.  What our argument for high intensity training establishes is that perceived effort is the real physiologic common denominator that we have been looking for.  This is born out in studies where interval cycling done to failure produced maximal metabolic improvements as well as significant hypertrophy.  This is not to say that we should be protocol egalitarians.  Some things are definitely more efficient and safer than others.  However, we cannot pretend that a single optimized protocol will produce results superior to all other protocols.  Nor will a given piece of equipment (remember when Arthur told us the pullover would produce lats wider than our shoulders?…didn’t happen) provide results that can’t be obtained with standard technology.

What I have found in my own training is that there is a continuum of intensity/volume/frequency that entrains meaningful results. What you can see in my WOW postings over the course of months/years is that I slide up and down this continuum as a means of accounting for recovery issues brought on by other aspects of my life, as well as a way to dupe adaptation and staleness.  Very minimal changes within a protocol that obey the needs of efficiency and safety seem to be perceived as relatively drastic perturbations to the adaptive mechanism.  This is why I feel the posting of everyone’s workouts are useful.  It shows the significant variations that can exist within an approach that focuses on high quality effort that produces safe and efficient adaptations.  Seeing how someone does it with the equipment and lifestyle they have at hand may be very useful for someone trying to find their way.  When you see someone’s workout that seems to fit, you may have saved years of trial and error.  When you want to alter your program, you may find a variation you want to try.

I just finished a phone consult with someone who lives in Seattle.  Even though this person has an established gym to work out at, and he travels frequently, I still recommended he go over to Ideal Exercise and have some supervised workouts.  Even if he does not end up training there on a full-time basis, he will have the invaluable experience of getting a benchmark for what his workouts should be like.  Once you have such a benchmark, then you will develop an internal “pop-up timer” that you can use as a barometer of the appropriate level of perceived exertion that you can bring to any workout conducted in any environment.

With this in mind, I offer the link to James’ article.  Also, I want to give you a link to Bill DeSimone’s new blog.



Post your WOW’s and your thoughts

Wendy and I squeezed in workouts this weekend.  Things are getting hectic during the Holiday season! Wendy:  Negative Only Chins, MedX Overhead Press, Lumbar Extension on SS Systems Pulldown, MedX Chest Press, MedX Leg Press, TSC Neck Flex/Ext (see photos on Instagram: ultimate_exercise_). Doug: MedX Overhead Press, EZ Barbell Curl, Nautilus Plate Load Triceps, Reverse Curl with EZ bar, Thick Bar Wrist Flexion, MedX Leg Press (photos also on Instagram). I wanted to use this post to promote some of the folks that have promoted me by having me on their podcasts.  Ben Greenfield interviewed me this Summer in preparation for a big online event called Rev Yourself that starts up this week. It features over 25 interviews with experts in the fields of health and fitness (including yours truly).  My participation will be available on December the 15th and can be found at: www.entheos.com/REV-Yourself/entheos. Lawrence Neal over at Corporate Warrior (CorpWarrior.com) has a new ebook out called How to Lose a Stone In Under 30 Days and Keep it Off which can be found at www.booksbylawrence.com Dave Asprey, who has hosted me twice on his podcast is releasing his new book this week. His book is titled The Bulletproof Diet and is available at www.orderbulletproofdietbook.com. These guys have been instrumental in giving me and John a platform to promote BBS and the benefits of high-intensity/time efficient training, so I want to return the favor by letting everyone know about their products here on BBS. As Thoreau said “How many a man has dated a new era in his life from the reading of a book!”.  Even if you don’t think you agree with the content, Thoreau also said “It is the mark of an educated mind to be able to entertain a thought without accepting it”.  So if you need to give or get a good Christmas present, please consider supporting those who have supported us. Post your WOW’s and your thoughts.

Last week I did the following workout with Chest/Back emphasis: Chin-up, Chest Press, Neck Flexion, Pullover, Neck Extension, MedX Row, MedX Leg Press.

I was working over the weekend, so on Saturday 11/22 I set up Wendy’s machines before I went in to work.  She went down later in the day and worked out while my daughter was at dance rehearsal.  My son supervised her through a Big 4 workout:  MedX Chest Press, SS Systems Pulldown, MedX Overhead Press and MedX Leg Press.

Today after work I did the following workout: Rear Delt Fly, MedX Overhead Press, EZ barbell curl, Nautilus Plate Load Triceps, EZ reverse curl, Calf Press on MedX Leg Press, MedX Leg Press.

It is with great sadness that I inform the BBS and UE community that one of our most venerable clients, Jim Monroe Davis, passed away on November 17, 2014 at the age of 90.  Jim and his wife of 55 years, Betty, were long-standing clients of UE.  Jim was an inspiration for all of us at UE.  He showed up every week 10-15 minutes before his appointment and would sit quietly while he prepared mentally for his workout.  Once he walked into the training area, it was all business.  He brought incredible focus and intensity to his workouts and developed great strength.  We (as well as Jim) were very proud of the fact that he was significantly stronger than many male clients in their 20′s and 30′s.  At several points in time, Jim’s leg press weights exceeded mine.  Jim was determined to show continuous improvement and did so until he left to live with family in Tennessee a couple of years ago.  When he left, Ed Garbe traveled to his new hometown to help set up his workout program so he could continue working out.  Jim would still come to UE every 4-6 weeks to workout and to keep track of his strength levels.

Jim was a WWII veteran and acquired a degree in Electrical Engineering.  He worked for General Electric and was deeply involved in the Apollo Space Program.  In retirement he became a Certified Clockmaker with the American Watchmakers Institute and NAWCC.  He was a Mason and a member of the Shrine.  He was involved in the Adopt-a-Highway program and kept things spotless, like only an engineer can.  He was a Scoutmaster for the Boy Scouts of America and led numerous 50 mile hikes on the Appalachian Trail.  His strength earned him the name “Super Grandpa”.

Jim has always been an inspiration to all of us at UE.  He was tough as nails and never complained.  When his beloved wife died, I remember being impressed with his depth of grief, but his refusal to wallow in self-pity.  It was one of the most impressive acts of Stoicism I have ever witnessed.  I can only hope that I live as long and as well as Jim Davis did.  The fact that UE is mentioned in his obituary brings me more pride than you can ever imagine.  I am sure the entire UE team feels that pride as well. If Greg Anderson is listening, I would like to pass on my favorite client to you.  Take good care of him.  Jim Davis is the embodiment of UE’s mission.  RIP Jim Davis…we love and miss you.

Wendy:  3 x 3 workout.  Chin-up, Push-up, Leg Press.  On the final two rounds, she did Goblet squats instead of Leg Press.  The first round of leg press made the goblet squats plenty hard.

Doug: MedX Overhead Press, Infimetric Rear Delt, EZ Barbell Curl, Triceps pushdown on SS Systems Pulldown, EZ reverse Curl, Formulator, Leg Press.










I searched Pubmed and the internet for an interesting topic.  I came up with nothing worth sharing this time.  The only thing that I can share this week is that even after doing this repeatedly since I was about 14 years old…I still love it.  Even after writing something down here for going on 6 years…I still love it.  Even when I am sick of balancing the books, keeping up with taxes, dealing with the crab-bucket of the HIT world, and fitting in workouts around a psycho schedule…I still love it.  When I was 14 and thought of how I might be when I was 52, this is pretty much what I was shooting for, and that is why…I still love it.

Post your WOW’s…and why you still love it.

I have not done a workout in 2 weeks.   In order to “make room” in my schedule to speak at the 21 Convention I had to stack up shifts before and after the trip.  As usual Anthony did a very professional job and treated everyone in attendance like royalty.  I got to see Anthony, Skyler Tanner, Bill DeSimone, Eric Daniels,  and James Steele.  I arrived late Friday and had to leave early Sunday, so I missed seeing Drew Baye and Ellington Darden.

Since I do not (yet) have a workout to post, I wanted to put something up to reboot the discussion.  Of all the clients we train at UE, probably the most marked improvements have been seen in clients with neurodegenerative diseases, especially Parkinson’s disease.  My own father died of the complications of Parkinson’s disease in 2004.  He was diagnosed when he was my age and remained fairly robust into his 70′s and only showed rapid decline in his 80′s.  Nonetheless, it did have marked effects on his physical abilities as time went by.  I wish I had known earlier what a difference strength training would have made for him.  I was deeply involved in HIT ever since the early days of his diagnosis, but never once considered that it was something I should get him to try.  Perhaps he gave me the “vibe” that he was not interested, but it was much more likely that I was simply a self-absorbed teenager (and later, a self-absorbed adult).  All I can say is that now having seen what strength training does for people with Parkinson’s, I can say that not bringing it to my “Pop” stands as one of my biggest regrets.  I was deluded to think that some people may have lost to much ground to strength train, when in fact those that have lost the most ground are the ones who stand to gain the most.

As a demonstration of this fact, I offer the following study on high intensity exercise in Parkinson’s patients.  In particular, pay attention to the incredible percentage increases in performance across multiple domains.  How many studies ever demonstrate this kind of improvement?

J Appl Physiol (1985). 2014 Mar 1;116(5):582-92. doi: 10.1152/japplphysiol.01277.2013. Epub 2014 Jan 9.
Novel, high-intensity exercise prescription improves muscle mass, mitochondrial function, and physical capacity in individuals with Parkinson’s disease.
Kelly NA1, Ford MP, Standaert DG, Watts RL, Bickel CS, Moellering DR, Tuggle SC, Williams JY, Lieb L, Windham ST, Bamman MM.
Author information

We conducted, in persons with Parkinson’s disease (PD), a thorough assessment of neuromotor function and performance in conjunction with phenotypic analyses of skeletal muscle tissue, and further tested the adaptability of PD muscle to high-intensity exercise training. Fifteen participants with PD (Hoehn and Yahr stage 2-3) completed 16 wk of high-intensity exercise training designed to simultaneously challenge strength, power, endurance, balance, and mobility function. Skeletal muscle adaptations (P < 0.05) to exercise training in PD included myofiber hypertrophy (type I: +14%, type II: +36%), shift to less fatigable myofiber type profile, and increased mitochondrial complex activity in both subsarcolemmal and intermyofibrillar fractions (I: +45-56%, IV: +39-54%). These adaptations were accompanied by a host of functional and clinical improvements (P < 0.05): total body strength (+30-56%); leg power (+42%); single leg balance (+34%); sit-to-stand motor unit activation requirement (-30%); 6-min walk (+43 m), Parkinson’s Disease Quality of Life Scale (PDQ-39, -7.8pts); Unified Parkinson’s Disease Rating Scale (UPDRS) total (-5.7 pts) and motor (-2.7 pts); and fatigue severity (-17%). Additionally, PD subjects in the pretraining state were compared with a group of matched, non-PD controls (CON; did not exercise). A combined assessment of muscle tissue phenotype and neuromuscular function revealed a higher distribution and larger cross-sectional area of type I myofibers and greater type II myofiber size heterogeneity in PD vs. CON (P < 0.05). In conclusion, persons with moderately advanced PD adapt to high-intensity exercise training with favorable changes in skeletal muscle at the cellular and subcellular levels that are associated with improvements in motor function, physical capacity, and fatigue perception

Post Your WOW’s and your thoughts.


The family and I went down to UE on Sunday for our workouts.  They were as follows:

Doug:  Chin-up, MedX Chest Press, Nautilus Pullover with SS retrofits, MedX Leg Press

Wendy:  Chin-up, Bench dips, EZ bar biceps curl, Infimetric lateral raise, Barbell Squat

Things have been very busy lately, so I will simply provide some updates.  My podcast with Dave Asprey comes out October 21st at www.bulletproofexec.com.  I also gave a long podcast/interview with Ben Greenfield that will be part of his Rev Yourself event November 17-21, 2014 (www.entheos.com/REV-Yourself/Doug-Mcguff).  Finally, I will be speaking at the 21 Convention in Tampa on Saturday October 25th (www.the21convention.com).  My lecture this year will not focus on physical training, diet or medical economics.  This year my lecture will focus on cognitive techniques for functioning and thriving in high stress environments.  It is a bit of a stretch, and I hope the attendees like it, but I felt that 25 years in high acuity ER’s have given me some unique insights, many of which have been passed on to me by the best in my field.

Post your WOW’s and your thoughts.

I went down to UE after closing to do payroll.  I was unable to workout on the weekend due to work at the ER and Monday was too booked up to get in during the day.  It is very rare for me to work out in the evening, so this was a unique experience.  This was a solo mission, so no instagram photos of this workout.

Nautilus Pullover with SS retrofits, MedX Chest Press, MedX Compound Row with SS cam, SS Systems Neck Flex/Ext, MedX Leg Press

Being the end of the month, I had a lot of errands to run throughout the day.  While sitting at an intersection, I noticed the traffic cameras sitting above the traffic light.  Later at the gas station I noticed the fish-eye lens on the gas pump and then the multiple domes in the ceiling of the store covering the cameras that watched me from every angle.  Next, a trip to the bank to make a deposit revealed a surveillance camera pointing directly at me.  Even when I dropped by a Starbuck’s for an Americano I was under the watchful eyes of several ceiling cameras.  I am fairly certain that my entire day could be reconstructed with the use of surveillance footage.

As I was setting up for my workout, I realized this was the only place I had been all day where I was not being spied upon.  I am proud of many things in my business.  We have helped enumerable clients to live stronger, healthier a longer lives.  What I never thought about until now was that Ultimate Exercise is a refuge where our clients can come and know that they are not being watched on hidden camera.  Further, my employees are not recorded or monitored and they are not subjected to drug screens or background checks.  I generally believe that if respect people’s privacy, they will reward you by being worthy of your trust.  Building an entire society around a lowest common denominator makes the bad worse, and the good resentful.  I am happy that my business is one of the last places where Big Brother is not watching.

Post your WOW’s and your thoughts.

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