Welcome back to the Barbell Medicine Podcast where we bring Modern Medicine to

Strength and Strength of Conditioning to Modern Medicine. I'm your

host Dr. Jordan Feigenbaum. This is episode 313. We're going to talk about excess

cortisol or hyper-cortizolism. And to help us do that, we have the second most handsome doctor in

North America. That's Dr. Austin Baraki. What's going on man?

Hey doing all right and another hospital stretch and had an exciting day taking care of

I think 17 sick inpatients and did a lot of teaching, did some ultrasound, did a whole bunch of cool stuff today.

So if you had to predict your cortisol levels right now, we had to estimate them.

Do you think they're like baseline? You think they're elevated? Do you think you're turned up? Like what's going on?

Well, not terribly elevated. I did just finish a bit of a workout so whatever effect that might have it's also late

afternoon early evening so that has a little bit of a dip to it so you know probably

all comes out in the wash and doesn't really matter. I mean honestly yeah let's just

shut down the podcast that's it that's all you need to know. How long since you

finished your workout I could predict this? About 20 minutes.

Right now it's probably still above baseline when you like prior to thinking about starting

although he's thought about starting it you know exercise it went up but about 90 minutes you're going to be back to baseline.

And then tonight, here's the cool part, we'll talk about this more.

When we talk about exercise, this effect on cortisol, it's going to be lower than if you were a insufficiently active individual.

It's like a compensatory response in those who are well trained and I think we can all agree

that you're well trained so, you know, make sure you do that next time on teaching rounds when you get somebody with the cortisol

aberration. Before we get into this podcast, we do have a mystery case. I wanted to make a few announcements.

First up is a new offering that we have. Now, if you

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