To be anemic is to be 'without sufficient' RBC's'. Incidentally, the prelude of this, anemia has been described as a prerequisite for cardiomyopathy. Iron deficiency without anemia defers from iron deficiency with anemia. Coincidentally, the pendulum swings both ways when discussing cardiovascular health.
As for exercise induced anemia, it's more prevalent in menstruating females athletes whom are more than likely undernourished without substantial Fe intake. Yes I'll agree there's suggestive evidence through etiological and mechanical attributes that are theorized to be associated with exercise induced anemia. Although in the bodybuilding community, I don't see this profoundly concerning. Especially, for those exposed to erythropoietic stimulus.
As for HIIT vs steady state, I really don't have an opinion which is better than the other. Personally, I'll periodically do both depending on my mood at the time
I should have stated, I don't agree with HIIT cardio being ideal in most cases UNLESS someone is already doing steady state. If you are doing steady state and aren't concerned about limiting recovery, then maybe HIIT can be beneficial.
HIIT training isn't as special as the studies show, these are people who are getting great results from HIIT training in studies aren't doing any additional anaerobic threshold training like bodybuilders are.
HIIT training is essentially just anaerobic threshold training regardless of how it's dressed up.
I was just referencing exercise-induced anemia to make a point: cardiovascular exercise increases blood volume, in my experience, significantly.
HIIT training may increase blood volume but also is very demanding on the CNS. Steady-state effectively increases blood volume with minimal effects on recovery.
I believe the vast majority of all this "too many RBCs" in bodybuilders is from constant anaerobic threshold training in the form of weight training, which increases RBCs but not blood volume, and not doing enough cardiovascular exercise to increase blood volume.
How I think about it is simple, HIIT training and bodybuilding, is forcing the body to work anaerobically with rest periods between, the aerobic metabolic system isn't working at full capacity. The "trick" to cardio, in my opinion, is to get the aerobic system working maximally while not going anaerobic.
Of course, if someone wasn't already doing anaerobic training, then doing HIIT would give them more advantage than doing aerobic cardio alone.
New generation cardioselective beta blockers such as Nebivolol have barely any side effects if you are not already hypotensive.
Also, I believe that the cost/benefit ratio of daily low dose aspirin is favorable in anyone with high cardiovascular risk, and unfortunately that includes heavy AAS users. As pointed out above, AAS use increases thromboxane A2 expression, which increases the risk for thrombosis (Coronary thrombosis =heart attack). Taking low dose Aspirin in principle would merely bring thromboxane activity back to normal.
**broken link removed**Background:
Whether the benefits of aspirin for the primary prevention of cardiovascular disease (CVD) outweigh its bleeding harms in some patients is unclear.
Objective:
To identify persons without CVD for whom aspirin would probably result in a net benefit.
Design:
Individualized benefit–harm analysis based on sex-specific risk scores and estimates of the proportional effect of aspirin on CVD and major bleeding from a 2019 meta-analysis.
Setting:
New Zealand primary care.
Participants:
245 028 persons (43.6% women) aged 30 to 79 years without established CVD who had their CVD risk assessed between 2012 and 2016.
Measurements:
The net effect of aspirin was calculated for each participant by subtracting the number of CVD events likely to be prevented (CVD risk score × proportional effect of aspirin on CVD risk) from the number of major bleeds likely to be caused (major bleed risk score × proportional effect of aspirin on major bleeding risk) over 5 years.
Results:
2.5% of women and 12.1% of men were likely to have a net benefit from aspirin treatment for 5 years if 1 CVD event was assumed to be equivalent in severity to 1 major bleed, increasing to 21.4% of women and 40.7% of men if 1 CVD event was assumed to be equivalent to 2 major bleeds. Net benefit subgroups had higher baseline CVD risk, higher levels of most established CVD risk factors, and lower levels of bleeding-specific risk factors than net harm subgroups.
Limitations:
Risk scores and effect estimates were uncertain. Effects of aspirin on cancer outcomes were not considered. Applicability to non–New Zealand populations was not assessed.
Conclusion:
For some persons without CVD, aspirin is likely to result in net benefit.
However, if that same bodybuilder deviates from TRT doses and instead blasts 1 gram of gear for a 6 month cycle, then the (moderate to large) reduction in cardiovascular risk outweighs the (moderately) increased risk of internal bleeding. 81mg Aspirin for him.
Clopidogrel (brand name Plavix). Talk with your doctor before taking it (or Aspirin for that matter).Are there any good alternatives to aspirin - I'm allergic unfortunately.
I'd say no personally.So how about a 51 y/o male now on low dose TRT but with a history of large AAS doses over 30 years with diverticulosis and moderately controlled BP (160mg Valsartan/daily). 81mg baby aspirin ok?
Pretty much any ARB or ACEi will do the trick. Telmisartan just has some unique PPA receptor activity which confers (small) additional benefits. But for the purposes of blood pressure control and counteracting increased angiotensin II action from AAS, other drugs like Valsartan do the job as well.I was on 80mg Telmisartan but CVS doesn't always stock it. Something about their "buyer" not always being able to aquire it? Valsartan is their 'go to' when they don't have it available. Is this a good substitute or should I demand the Telmisartan?
Is there a combo Micardis/Bystolic BP med out there?
I don't think there's such a combination product on the market.Is there a combo Micardis/Bystolic BP med out there?
Is there a combo Micardis/Bystolic BP med out there?
HIIT training is essentially just anaerobic threshold training regardless of how it's dressed up.
I was just referencing exercise-induced anemia to make a point: cardiovascular exercise increases blood volume, in my experience, significantly.
HIIT training may increase blood volume but also is very demanding on the CNS. Steady-state effectively increases blood volume with minimal effects on recovery.
I believe the vast majority of all this "too many RBCs" in bodybuilders is from constant anaerobic threshold training in the form of weight training, which increases RBCs but not blood volume, and not doing enough cardiovascular exercise to increase blood volume.
How I think about it is simple, HIIT training and bodybuilding, is forcing the body to work anaerobically with rest periods between, the aerobic metabolic system isn't working at full capacity. The "trick" to cardio, in my opinion, is to get the aerobic system working maximally while not going anaerobic.
Of course, if someone wasn't already doing anaerobic training, then doing HIIT would give them more advantage than doing aerobic cardio alone.
This makes sense. Heavy cardio creates a volume overload on the heart. Heavy powerlifting creates a pressure overload.
If someone is slightly hypotensive, and wants to rebuild LV wall thickness, they might want to consider powerlifting and using HITT.
If someone is slightly hypertensive, and wants to reduce LV wall thickness, consider more steady state cardio.
I'd say no personally.
Pretty much any ARB or ACEi will do the trick. Telmisartan just has some unique PPA receptor activity which confers (small) additional benefits. But for the purposes of blood pressure control and counteracting increased angiotensin II action from AAS, other drugs like Valsartan do the job as well.
I don't think there's such a combination product on the market.
I use both separately. My insurance denied them when I got a cardiologist to prescribe me so I just get them from alldaychemist
This makes sense. Heavy cardio creates a volume overload on the heart. Heavy powerlifting creates a pressure overload.
If someone is slightly hypotensive, and wants to rebuild LV wall thickness, they might want to consider powerlifting and using HITT.
If someone is slightly hypertensive, and wants to reduce LV wall thickness, consider more steady state cardio.