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Medical Sports Nutrition

Dr A Matheson MRCP CISSN

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A review of the Sports Nutrition literature with Dr Andy Matheson. Dr Matheson is practicing Family Doctor and ISSN certified Sports Nutritionist. Dr Matheson discusses which breakthroughs will give us that edge we are looking for, and which will be a waste of precious time and money. The podcast covers the new developments in the field of Sports Nutrition and how these might impact our health and performance. It demonstrates how a medical professional will review articles to assess if the d ...
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Send us a Text Message. In this episode we look at the results in Nature Medicine of the Zoe study and think about what might have made it a stronger paper and what questions are still not answered. We talk about an antibiotic cream that may prevent viral infections and finally a Nutri-sante cohort study that shows the potential dangers of emulsifi…
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Send us a Text Message. What difference will 500m make to the ideal physiology for a rower. When should you go for cold immersion and when hot. Is training harder if you are on the hormonal contraceptive pill. Could that be a good thing. We skip through these and other questions trying to see if anything is clear or as muddy as a cold tub after a r…
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Send us a Text Message. In this episode we review a mix of sleep and menstrual cycle articles. We look at the impact of sleep on viral infections, the right length of naps and the impact of sharing rooms. Then studies looking at injuries in different stages of the cycle and confirmation that it is still not something that is discussed as openly as …
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Send us a Text Message. In this episode we review an article by a group of dieticians saying that youtube videos by non-dieticans are of poor quality, look into the world of the Alkaline diet, and get an update on an exciting biomarker for the Med Diet. Podcast 36 Kiss A, Soós S, Temesi Á, Unger-Plasek B, Lakner Z, Tompa O. Evaluation of the reliab…
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Send us a Text Message. In this episode we run through at a small but interesting study of the impact of the menstrual cycle on the fuels the body uses. We question if we should be going to Industry funded research for our articles on benefits of carbohydrates and we then finish with a article on probiotics improving protein absorption and muscle g…
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Send us a Text Message. We run through a selection of interesting articles, all of which demonstrate key flaws that we keep seeing in nutrition research. Testing at the wrong time, wrong timeframe to followup for that testing, competing interests that blow the mind. Articles that demonstrate the researchers deeply held beliefs rather than take the …
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Send us a Text Message. In this episode I review some practical changes to the way we can prescribe/recommend our athletes take iron supplements. I then sit on the sidelines and enjoy the fighting between factions on the sides of the Ultra Processed Food safety/blame war and am very glad not to be in the line of fire and feel some empathy for those…
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Send us a Text Message. This episode we review a couple of articles that challenge the common perceptions for coffee and fasting, and decide if they will change our practice. We look at the useful points from the new IOC REDS consensus and enjoy an interesting Fish Oil Supplement article. Podcast 32 Svart M, Nielsen MM, Rittig N, Hansen M, Møller N…
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Send us a Text Message. We start with a look at a article providing further evidence BMI is unhelpful, moving onto the effect of low carb diets on bowel inflammation and then a time restricted eating study. The main player this week is the WHO sweetener review...spoiler they don't think they are good for you long term and are pushing back against t…
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Send us a Text Message. This week we look at a recent BMJ paper on sweeteners vs sugar for health of diabetic patients and compare to some of the past papers we have studied in this area. We enjoy an excellent short intervention study on the impact of pre-meal almonds and wait for the larger studies to follow. Finally a look at the impact of Heat o…
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Send us a Text Message. A slightly noisey podcast due to nearby building work. My favourite this month was a superb Australian article proving how poor labeling is in supplements - the industry must do better than this. A review through some interesting options for pre race optimisation such as coffee mouth rinsing, defecation, topical bicarbonate,…
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Send us a Text Message. In this episode we enjoy a article that clarifies why your performance should not dip on a high fat low carb diet although we are still waiting for the proof and why the answer to your fatigue and unusual symptoms may still be 'covid' even a year post infection. In a more cheerful papers, a year of hard training is still hel…
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Send us a Text Message. In this episode we look at an excellent review that attempts to help us understand nitrates. We get frustrated by studies jumping into the 'fasting vs exercise' debate and the 'plant vs fish' debate with very selective use of their data. References: Podcast 27 Gibbons TD, Cotter JD, Ainslie PN, Abraham WC, Mockett BG, Campbe…
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Send us a Text Message. Firsty a smattering of proof that flavonoids are great for managing ageing changes, but still no good evidence they help our athletes perform any better. Then a nice microbiome paper that tells us why some mice seem to be lazier than others. Can we stretch this to human athletes? Also we ask where can we shoehorn in continuo…
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Send us a Text Message. In short - no. But we review a series of recent articles trying to pick away at the inner workings of these markers. We try and avoid the pitfalls of black and white answers and steer around the icebergs of simplification. In addition, beetroot and blood pressure, water use and ibuprofen on the intestine. References: Lundy B…
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Send us a Text Message. This week we will dip a toe into Lipidomics, the direction of cholesterol tests in the future; not just looking at lipid blood levels but using the lipid tests as a reflection of changes within our cell membranes. We then look at a state of play article for current available lipid blood tests and how to interpret panels, a k…
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Send us a Text Message. In this podcast we cover the evolving evidence that low carbohydrate diets are not going to kill you in the ways that we keep getting told. We also look at the 1 year impact of even mild covid and look at what form your carbohydrate needs to be in mid race (spoiler - it does not really matter as long as you can tolerate it).…
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Send us a Text Message. In this review of the current nutrition literature we look at some articles highlighting the dangers of our processed food dependency, look at a rare bird in nutrition - a well designed RCT, and discuss a LEA case report. This podcast is a lighthearted review of the medical literature and Dr Matheson has enormous respect for…
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Send us a Text Message. We balance the tea/coffee debate with a large tea cohort paper review. Then a exploration through recent articles on the reduced VO2 post covid, the importance of our mitochondria in health and neurodegenerative disease and why sweeteners are evil. This podcast is a lighthearted review of the medical literature and Dr Mathes…
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Send us a Text Message. This weeks review covers a fascinating case study on ApoE4 and dementia and the negative impact of long term steroid use. In addition a look at antibiotics and their effect on the immune system, and one article highlights how hard it is to get good translatable science from the lab to the gym. This podcast is a lighthearted …
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Send us a Text Message. More on the discordance between what is healthy for us and what gets the best performance. If seems to be very good for our health, but performance improvements are mixed at best. Fructose added to our drinks is great for getting sugars in during a race, but terrible for our insulin sensitivity and triglyceride levels. Also …
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Send us a Text Message. Lots of articles to run through this episode. Impact of sleep on health, best pattern to do your training, some disappointing UEFA guidelines, and a nice protein review. My search for good Hemp protein data continues. Enjoy! This podcast is a lighthearted review of the medical literature and Dr Matheson has enormous respect …
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Send us a Text Message. In this episode we catch up with some recent articles covering topics from vitamin C killing ITU patients, to the benefits of bariatric surgery. We focus on a super editorial that reminds us of how 'adults in the room' talk when discussing nutritional science - a breath of fresh air compared to twitter wars and simplificatio…
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Send us a Text Message. The impact of Covid on the brains structure - what does it mean for the future. We also cover a recent large Spanish diet study for prevention of further heart disease, and finally some sports related papers - effect of cooling on training adaptations, usefulness of a REDS questionnaire and are reminded of the gulf between r…
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Send us a Text Message. What is the state of play with Circadian medicine and is the science good enough to translate to our day to day work. We review a lovely summary article and look at how some supplements may impact the circadian cycles. We ask if Sarcopaenia should be labelled a disease, or just a reason to ratchet up the protein recommendati…
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Send us a Text Message. This week's pick of the articles are focussed on REDS and sleep. How are dieticians managing REDS on the ground - is everyone following the new guidelines or still managing as a female athlete triad but calling it REDS? Do athletes bodies and minds ever fully recover from chronic REDS - a questionnaire study of lightweight r…
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Send us a Text Message. Looking at the questions that some articles have asked over the last 2 weeks. Is algae the next big thing for athletes? Why do vaccines work better in High income countries and what does this mean for my athletes? Why does vitamin D not work in Australians? What is the virome, and do I need to care. Why will probiotic compan…
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Send us a Text Message. Firstly a look at the impact of paracetamol on training. Then some advice for anyone that struggles with weight and sleeps less than 6.5hrs a night. We then wade through a confusing/confused article looking at high vs low carb training on inflammation and finish on a favourite article looking at how never quitting your diet …
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Send us a Text Message. A look through some articles. Some helpful - more proof that low carbohydrate diets are not bad for your renal function. Others less helpful - interesting studies that leave us disappointed, wishing for bigger and better - menstrual cycle impact on treadmill times and religious fasting impacting on health. This podcast is a …
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Send us a Text Message. What impact do our choices today have on our athletes in the future. Can genetic testing provide us the answers. We look at some papers on dementia risk and a popular test for future risk. How should we advise patients who have already undergone genetic testing? Also a paper finally provides definitions for our athlete types…
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Send us a Text Message. Firstly a look at a sleep low, train low article that has a program that actually looks achievable. We then dive into the murky waters of exercise immunology. Using a recent(ish) debate paper we have a think through the impact of exercise on the immune system; trying not to fall for the usual dangers of assuming all training…
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Send us a Text Message. This episode we will be looking at how a Military team adjusted from their traditional views to a higher fat diet for cold weather work, why vitamin D levels cause palpitations and panic attacks in Biochemists, and how new guidelines justify extra slices of cake in time for Xmas. We also look at the effect of a gut polypepti…
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Send us a Text Message. All the supplements we give out to our athletes are full of sweeteners. Which then trash our athletes microbiota (along with their small vessels in their brains). We then run around trying to find probiotics to reduce the inflammation in the athlete's guts. We look at some articles that sit at different points in this conund…
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Send us a Text Message. A review of some of the recent articles on the mortality benefits of different omega 3s. A meander through the confused and confusing history of fish oils. How do these articles impact our advice to athletes. As ever, knocking our head against the oversimplified door of labelling anything proinflammatory or antiinflammatory,…
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Send us a Text Message. We look at how a good idea on head injury protection turns into poor publication after falling into a surrogate endpoint trap, how a football keto diet study does not tell us if the players were better or worse at football, and remind ourselves that our patients/clients all secretly smoke and drink when we are not looking. T…
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Send us a Text Message. Are we making it harder for our female athletes than it needs to be. Firstly a look at the contraceptive choices in female soccer players and how the data shows we do not do a good enough job educating on the impact of contraceptive options and performance. Then a deeper dive into Testosterone replacement in the menopause. I…
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Send us a Text Message. In this episode I discuss why it is so difficult to give our patients certainties when they ask about probiotics. We take a brief tour through the history of microbiome research and how the journey so far explains why there are still so many unanswered questions. We look at two recent studies looking at the impact of 'good' …
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Send us a Text Message. A review of the Sports Nutrition literature with Dr Andy Matheson. A peek at some papers looking at the FODMAP foods in common sport supplements and the impact of meat on our health; followed with a loving gaze at the DIRECT study and some thoughts on the implications for older athletes and ex-athletes. This podcast is a lig…
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Send us a Text Message. Our first podcast covering papers from the sports nutrition literature. This episode includes glycogen utilisation in women, beetroot juice as an aid to beat those early starting events and why a diagnosis of overtraining syndrome may mean your doctor does not know exactly what is wrong with you. With Dr Andy Matheson. Artic…
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