The Tim Ferriss Show

#797: Dr. Keith Baar, UC Davis — Simple Exercises That Can Repair Tendons (Tennis Elbow, etc.), Collagen Fact vs. Fiction, Isometrics vs. Eccentrics, JAK Inhibitors, Growth Hormone vs. IGF-1, The Anti-RICE Protocol, and How to Use Load as an Anti-Inflamma


Listen Later

Dr. Keith Baar is a Professor at the University of California, Davis in the Department of Physiology and Membrane Biology. During his Ph.D. studies, his research revealed that mechanical strain on muscle fibers activates the mammalian target of rapamycin (mTOR) signaling pathway, a crucial regulator of muscular hypertrophy. Subsequently, he studied the molecular dynamics of skeletal muscle adaptation to endurance training under the guidance of Dr. John Holloszy, a legend in the field of exercise physiology, considered the father of modern exercise biochemistry. Building on all of this experience, he conducted research into tendon health and the potential for engineering ligaments, which could have implications for treatment and recovery from injuries.

Sponsors:

Cresset prestigious family office for CEOs, founders, and entrepreneurs: https://cressetcapital.com/tim (book a call today)

AG1 all-in-one nutritional supplement: https://DrinkAG1.com/Tim (1-year supply of Vitamin D (and 5 free AG1 travel packs) with your first subscription purchase.)

Shopify global commerce platform, providing tools to start, grow, market, and manage a retail business: https://shopify.com/tim (one-dollar-per-month trial period)

*

Links to everything discussed: https://tim.blog/2025/02/26/dr-keith-baar/

Timestamps:

[00:00:00] Start

[00:07:12] How I discovered Keith’s work through a tweet about tennis elbow and rock climbing.

[00:07:54] Emil Abrahamsson’s hangboard training protocol.

[00:09:20] The fundamental principles of strength training and connective tissue adaptation.

[00:10:36] mTOR complex 1 and its role in muscle growth.

[00:12:06] Engineered ligaments and the discovery of minimal effective doses for tendon adaptation.

[00:13:50] The refractory period between optimal tendon loading sessions.

[00:16:42] Rapamycin’s effects on muscle hypertrophy.

[00:18:49] Protocols for tennis elbow rehabilitation.

[00:20:28] Why isometrics work better than eccentrics for tendon healing.

[00:22:14] Stress shielding and how load distribution affects tendon healing.

[00:29:07] The misconception about eccentric loading for tendon injuries and why velocity matters.

[00:29:58] Ideal duration for isometric holds (10-30 seconds) based on injury status.

[00:33:50] My elbow issues and current rehab approach.

[00:36:02] Overcoming vs. yielding isometrics and optimal loading strategies.

[00:47:11] Dr. Barr’s movement prescription for my tennis elbow.

[00:52:18] Loading timing post-surgery and RICE protocol criticism.

[00:56:58] Achilles tendon rehabilitation after surgery.

[01:00:18] Critique of orthopedic suturing techniques and recommendation for resorbable sutures.

[01:04:02] Multiple position isometrics for tennis elbow rehabilitation.

[01:07:26] Collagen synthesis, supplementation, and vitamin C timing.

[01:12:59] Critique of BPC-157 and other injectable peptides for tendon healing.

[01:18:19] Evaluation of orthobiologics’ (PRP, prolotherapy, stem cells) effectiveness.

[01:21:37] JAK-STAT inhibitor drugs and their effects on tendon growth.

[01:25:35] Drugs that increase risk of tendon ruptures (fluoroquinolones, AT-1 receptor drugs).

[01:29:33] How estrogen affects tendon stiffness and injury risk in women.

[01:32:48] Testosterone’s opposite effects on tendon compared to estrogen.

[01:35:31] Protein intake recommendations and timing.

[01:40:11] Ketogenic diet effects on mitochondrial biogenesis and longevity.

[01:41:57] Comparison of ketogenic diet, low protein diet, and rapamycin for longevity.

[01:47:19] Inflammation’s role in adaptation and when to reduce it.

[01:51:17] Timing of ice baths relative to training for optimal recovery.

[01:52:33] Parting thoughts.

*

For show notes and past guests on The Tim Ferriss Show, please visit tim.blog/podcast.

For deals from sponsors of The Tim Ferriss Showplease visit tim.blog/podcast-sponsors

Sign up for Tim’s email newsletter (5-Bullet Friday) at tim.blog/friday.

For transcripts of episodes, go to tim.blog/transcripts.

Discover Tim’s books: tim.blog/books.

Follow Tim:

Twittertwitter.com/tferriss 

Instagraminstagram.com/timferriss

YouTubeyoutube.com/timferriss

Facebookfacebook.com/timferriss 

LinkedIn: linkedin.com/in/timferriss

Past guests on The Tim Ferriss Show include Jerry SeinfeldHugh JackmanDr. Jane GoodallLeBron JamesKevin HartDoris Kearns GoodwinJamie FoxxMatthew McConaugheyEsther PerelElizabeth GilbertTerry CrewsSiaYuval Noah HarariMalcolm GladwellMadeleine AlbrightCheryl StrayedJim CollinsMary Karr, Maria PopovaSam HarrisMichael PhelpsBob IgerEdward NortonArnold SchwarzeneggerNeil StraussKen BurnsMaria SharapovaMarc AndreessenNeil GaimanNeil de Grasse TysonJocko WillinkDaniel EkKelly SlaterDr. Peter AttiaSeth GodinHoward MarksDr. Brené BrownEric SchmidtMichael LewisJoe GebbiaMichael PollanDr. Jordan PetersonVince VaughnBrian KoppelmanRamit SethiDax ShepardTony RobbinsJim DethmerDan HarrisRay DalioNaval RavikantVitalik ButerinElizabeth LesserAmanda PalmerKatie HaunSir Richard BransonChuck PalahniukArianna HuffingtonReid HoffmanBill BurrWhitney CummingsRick RubinDr. Vivek MurthyDarren AronofskyMargaret AtwoodMark ZuckerbergPeter ThielDr. Gabor MatéAnne LamottSarah SilvermanDr. Andrew Huberman, and many more.

See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

...more
View all episodesView all episodes
Download on the App Store

The Tim Ferriss ShowBy Tim Ferriss: Bestselling Author, Human Guinea Pig

  • 4.6
  • 4.6
  • 4.6
  • 4.6
  • 4.6

4.6

15,639 ratings


More shows like The Tim Ferriss Show

View all
The Kevin Rose Show by Kevin Rose

The Kevin Rose Show

1,881 Listeners

Founders by David Senra

Founders

1,754 Listeners

Invest Like the Best with Patrick O'Shaughnessy by Colossus | Investing & Business Podcasts

Invest Like the Best with Patrick O'Shaughnessy

2,329 Listeners

Tom Bilyeu's Impact Theory by Impact Theory

Tom Bilyeu's Impact Theory

4,717 Listeners

Masters of Scale by WaitWhat

Masters of Scale

3,986 Listeners

Tribe of Mentors by Tim Ferriss

Tribe of Mentors

1,219 Listeners

Akimbo: A Podcast from Seth Godin by Seth Godin

Akimbo: A Podcast from Seth Godin

1,760 Listeners

Modern Wisdom by Chris Williamson

Modern Wisdom

3,560 Listeners

The Peter Attia Drive by Peter Attia, MD

The Peter Attia Drive

7,776 Listeners

The Daily Stoic by Daily Stoic | Wondery

The Daily Stoic

4,736 Listeners

Naval by Naval

Naval

2,084 Listeners

My First Million by Hubspot Media

My First Million

2,616 Listeners

All-In with Chamath, Jason, Sacks & Friedberg by All-In Podcast, LLC

All-In with Chamath, Jason, Sacks & Friedberg

8,349 Listeners

The Greg McKeown Podcast by Greg McKeown

The Greg McKeown Podcast

989 Listeners

Tools of Titans: The Tactics, Routines, and Habits of World-Class Performers by Tim Ferriss

Tools of Titans: The Tactics, Routines, and Habits of World-Class Performers

296 Listeners

Deep Questions with Cal Newport by Cal Newport

Deep Questions with Cal Newport

1,266 Listeners

Huberman Lab by Scicomm Media

Huberman Lab

28,143 Listeners

CØCKPUNCH by Tim Ferriss

CØCKPUNCH

257 Listeners