Dr. Jim Stray-Gunderson
I did my first interview about KAATSU, or also known as Blood Flow Restriction Training in 2006. Dr. Stray-Gunderson first appeared on SHR in 2015 to further the discussion. The body of work on blood flow restriction training has grown further. The cumulative take-away is it works at building muscle faster. So why aren't you using it?
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SHR # 2432 :: If Blood Flow Restriction Works Why Aren't You Using It
Show Notes:
[3:30] BFR can be misused.
- It is hard to find a product that combines safety, efficiency, and the right price.
[5:17] Better local results from BFR than steroids for pure growth.
[6:28] Restricts blood flow out of limbs but also causes a buildup in shoulders, glutes, etc.
- There is a pre-fatigue effect. I.e. arms fatigue faster on bench, forcing the chest to take over.
- There can even be an added anabolic effect from doing occluded cardio.
- This system allows instant overload of stimulus in an otherwise normal training session.
[9:37] Why can’t you go heavy with BFR?
- You actually can.
- The goal, however, is to get higher metabolic buildup. This is better accomplished through higher reps.
[10:48] Metabolic buildup.
- Intramusclular buildup of IGF-1, GH, lactic acid, etc.
- This comes from a relative hypoxia.
- This causes an increase in the cell membrane surface area, protein synthesis, and an overall switch to an anaerobic state.
- The IGF-1 amplifies effect of everything you are doing.
[13:45] This system has taken performance up a level in higher level athletes.
- Even worked in marathon runners.
[15:15] BFR decreases the cost of absolute workload.
- Maximizes metabolic stress to give a preferential stimulus to fatigue ratio.
- Can be used with HIIT.
[17:31] Cardiovascular benefits.
- Endothelium gets stretched from occlusion of blood.
- TF1:A, NO synthase, VEGF-1 are increased.
[19:20] If blood flow is restricted >70%, damage could be done.
- Bstrong’s product is an elastic system.
- It is safer and more effective than most systems.
- It accommodates the increase in cross-sectional area of the muscle.
- The width of the band is also a variable at play.
[24:10] Current research on BFR.
- Walking on a treadmill with elastic system vs rigid vs no BFR.
- Sarcopenia mitigation benefits.
- The other study was in adjunct to yoga.
[28:12] B strong makes quality training possible for mony over the age of 65.
[29:05] Two aspects to consider.
- Put the band on firmly.
- ~50mm Hg should register when you first put it on.
- The pump will only go up to 500mm Hg.
- The bladders also run parallel to the muscle instead of perpendicular.
- This system is nearly idiot-proof.
[36:59] Always leave the gym with a pump.
- The longer that you can maintain a pump after training, the quicker you will recover and the faster you will grow.
- 90% of the adaptation from BFR comes from a single fatigue signal.
[39:12] What makes BStrong different?
- Safety and efficiency.
- It is an elastic and controllable system.
[41:15] The IGF-1 and GH release is systemic from BStrong.
- This gives a rise in lipolysis and protein synthesis.
- Increases anabolic receptor sensitivity.
[43:30] Is the hormonal response on scale with the size of the muscle trained?
- It is correlated with whole body fatigue.
- Big lifts and HIIT are ideal.
- Complete vascular occlusion can cause necrosis.
- Bstrong is a much safer method.
[59;15] these bands are right in the ballpark of Oura rings, heart rate monitors, etc.
- If you are spending a boatload of money and not getting results, these bands should be your go-to.
- They allow you to reach an intense, unique stimulus that would be impossible otherwise.
[1:01:50] You shouldn’t be doing cardio without these bands.
- You get the benefit of an added anabolic stimulus.
- Regular use can increase VO2 max.
- Whole body splits are optimal.
- These can be in the form of metcons on active recovery days.
- If you are already an avid exerciser, just incorporate these for the last 20-30 minutes of your sessions.
[1:05:20] BStrong online app.
Show Transcript SHR # 2432 :: If Blood Flow Restriction Works Why Aren't You Using It

