In the last article we discussed the top three side effects of anabolic steroids that I see among patients. In this installment, we will continue with the next tier-- the next most common side effects from gear that I encounter in my medical practice.
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MET-RX PROTEIN REVOLUTION…QUALITY, TASTE & CONVENIENCE
Q&A with Dr Rick Silverman: Botox and Tummy Tucks!
 I’ve thought about a tummy tuck since I had my second child, who left me with a C-section scar, a bunch of stretch marks, and a wider mid-line between my rectus muscles, but I was warned as a female bodybuilder that I might not like the results. Why is that?Women bodybuilders can benefit from tummy tuck (abdominoplasty) surgery, but there are a few considerations that surgeons must be aware of that are less important in many women who have this procedure. A tummy tuck usually does two things. First, it removes extra skin and stretch marks, generally including the skin between the lower abdomen (where you may find a scar from a C-section) and the belly button. To accomplish this, the skin is lifted off of the underlying muscles, exposing the rectus abdominus muscles and their overlying fascia. This allows the skin to be pulled down toward the feet, and the extra can be cut off. A mini-tummy tuck won’t remove as much skin, since it doesn’t usually do anything (or very little) for the area above the belly button. Satellite Cells, Myonuclear Domains, And a la Carte Regulatory Factors for Muscle Growth-- Part 2
 Muscle damage following resistance exercise is characterized by a loss in plasma membrane integrity, release of intracellular constituents, and myofiber degradation. As described by Dr Connelly in his interview with Heavy Muscle Radio, a localized source of functionally-competent stem cells called satellite cells, restore myofiber formation and muscle architecture through a highly-regulated process. Toward this end, growth factors released from injured fibers, connective tissue, and infiltrating immune cells engage a diverse array of receptors located at the surface of satellite cells. This process promotes an ordered process of satellite cell activation (release from a quiescent state), migration to sites of damage, and fusion with each other to form new myofibers. As the ratio of myonuclei/sarcoplasmic volume is fixed, this process of satellite cell fusion re-establishes the myonuclear domain in growing myofibers.
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If you've been lifting weights in any form for any length of time, you have undoubtedly encountered injuries or setbacks. It's possible that you've been very lucky, or might even possess superhero qualities, but most of us have had to deal with setbacks or injuries at some point. As a competitive bodybuilder, contest prep coach, and Sports Medicine physician, I see them daily. My office is next to the gym and lifters make up 75% of my clientele. I am a primary care physician and non-surgical sports medicine physician. In the future, we will discuss many of the most common musculoskeletal injuries or biomechanical issues common to bodybuilders, but today I want to address the most common issues I encounter in bodybuilders