Real Bodybuilding Podcast

GLP's, CPAP, BLOOD PRESSURE, MITIGATING RISKS | Stan Efferding | RBP #202

Dec 15, 2025
Stan Efferding, a renowned bodybuilder and coach, dives into vital health topics for athletes. He discusses the importance of monitoring blood pressure and screening for sleep apnea, especially for larger individuals. Stan emphasizes protein needs and dietary adherence while addressing risks like elevated cholesterol and blood sugar levels. He also offers insights on effective GLP-1 treatments for weight management and shares tips for making CPAP therapy more tolerable. His expertise shines through as he merges performance goals with health optimization.
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ADVICE

Use Cardioprotective Drugs Smartly

  • If lifestyle changes aren't enough, favor ARBs like telmisartan for BP control because they also protect the heart and reverse LV hypertrophy.
  • Consider microdosing multiple BP drugs at low doses to reduce side effects while maintaining efficacy.
ADVICE

Get A Comprehensive Athlete Blood Panel

  • Order a comprehensive blood panel that includes CBC, ferritin, lipids, fasting insulin, and creatinine to detect risks early.
  • Use services like Merrick Health or Stan Efferding's prepackaged panel for athlete‑focused testing.
ADVICE

Manage High Hemoglobin Carefully

  • Manage elevated hemoglobin/hematocrit by lowering testosterone dose, consider switching to masteron and/or periodic phlebotomy.
  • Check ferritin and platelets before repeated donations to avoid causing iron‑deficiency anemia.
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