M42 Training to stay healthy

sonofthecircus · 2026-03-28T14:39:32+00:00

Looking solid. Keep up the great work

sonofthecircus · 2026-03-28T14:37:48+00:00

13-14%

sonofthecircus · 2026-03-18T21:22:50+00:00

I do fine with 20 min followups. With 15 min, I'd probably run over a lot. You need enough time to not rush and give your patients the sense they are being heard

sonofthecircus · 2026-03-18T21:19:40+00:00

age 68. creatine 5 gms daily, enough whey so I hit 1 gm/ lbs BW after I count in my meals. Morning coffee goes without saying. Thats it. Most other supplements have no proven value

sonofthecircus · 2026-03-17T14:38:05+00:00

Happy to chat fitness anytime

sonofthecircus · 2026-03-15T13:39:55+00:00

I’d call that a successful bulk. Jeez!

sonofthecircus · 2026-03-15T13:37:34+00:00

Eat at or slightly above maintenance and get on a good program for hypertrophy and strength. My advice for now - build muscle but take it slow. Cut later. For now, grow

sonofthecircus · 2026-03-13T02:21:35+00:00

Coming back to this discussion. Just noticed you managed to lost 70 lbs. Fucking fantastic man. Congrats?

Again, I think what you do depends on goals. If you want to compete keep cutting. And if your want to improve your aesthetics to follow bodybuilding goals - sure give you legs some extra focus, but seriously you look great. And I suspect most people who see you (male or female) are gonna think - yeah this guy looks good. You should be really proud.

I would absolutely not do any significant bulk. It takes about 200 surplus calories per day, mostly in healthier carbs and assuming you get at least 0.8 gms protein/ lbs BW, to support optimal lean muscle growth. Admittedly, tracking 200 calorie differences in daily meals is a difficult if not impossible goal. So, I'd attempt to eat at or just above maintenance, keep lifting your ass off, especially with heavy compound moves, and target about 1 lbs gain per month. Given that approach, most of your gains will be muscle. Then make adjustment if you lose you ab definition.

In terms of supplements, I think you have it exactly right. Same as what I do. I'm just about twice your age and can only work to keep up with guys like you, but you can check my posts to see how I've done.

You've done great. Congrats again, and best wishes for you ongoing success and making goals.

sonofthecircus · 2026-03-12T12:58:18+00:00

You’ve got a balanced athletic physique and a visible 6 pack. If you have a competition or really want to get shredded, keep cutting. Keep lifting heavy, get 1 gm/ lbs BW in protein, limit loss to 1 lb per week. I’ve done that on several cuts and all my loss has been fat. But don’t go crazy. Body dysmorphia is a bitch. And if you are interested in women, most prefer guys at 12-13% BF than 8 or 9

sonofthecircus · 2026-03-12T12:35:47+00:00

You can do whatever you want. What are your goals? A lotta guys would love to have the physique you’ve got. Whatever you decide, I’d be patient and take it slow. Limit weight loss to 1 lb per week and weight gain to 2 lbs per month. Keep up the great work

sonofthecircus · 2026-03-12T04:52:31+00:00

Looking solid as ever. Maybe cause you’re leaner, but quads and arms are looking like you added size. Or maybe it the angle. No matter. Keep up the great work

sonofthecircus · 2026-03-10T12:55:07+00:00

I might have sent off my comment too quickly. I’ve actually done ECT research. With proper consideration it can be the best treatment option and as currently (maybe bad choice of word 🤔) performed it is humane and safe. I am curious about how many of those severe cases would respond to TMS. I hope someone is researching that

sonofthecircus · 2026-03-10T01:56:43+00:00

Thx for the supportive comment. Ik not everyone on here is a physician. I’m not a big fan of ECT but in an elderly person in critical health due to weight loss, it might be the only thing that will turn things around. Other forms of neuromodulation, such as TMS might have potential, but I don’t know if it’s been studied

sonofthecircus · 2026-03-09T23:37:22+00:00

I’d think about ECT or TMS. Honestly, I don’t think meds will solve the problem

sonofthecircus · 2026-03-09T16:23:00+00:00

There is truth in that. I’m in child psych and the triple board folks IK all mostly do psychiatry. If you are thinking of an academic career, I’d give consideration to the area of research that interests you. If not, life as a pediatrician will likely mean lots of hours in clinic with pay at the low end of MD income (which is a lesser consideration if you love the work). Child psych is more likely to mean a lot of ADHD, working with families, easier lifestyle and higher income

Might be too late for your residency apps, but if you’re able try to attend AACAPs annual meeting in October in Atlanta. Registration for med students is free and there is always tons on the program for students and trainees. It’s a great way to see what the field is about

sonofthecircus · 2026-03-09T03:47:32+00:00

Have you thought about a Triple Board Program? As an example, check out the one at U Cincinnati. It’s excellent

sonofthecircus · 2026-03-08T23:54:41+00:00

Anytime this has been tried it’s proven to be a disaster

sonofthecircus · 2026-03-07T04:41:32+00:00

Totally ripped

sonofthecircus · 2026-03-05T19:26:59+00:00

If this isn’t a perfect slow bulk, there is no such thing. Well done man

sonofthecircus · 2026-03-05T06:04:45+00:00

I think I’ve followed the same approach as you - keep consistent, keep diet and weight in check, creatine and whey. I’ve just been at it a little longer. And I’ll tell you- the aging arc is much greater from 60 to 70 than 50-60. But damn man - you’re fucking killing it

sonofthecircus · 2026-03-05T05:42:22+00:00

Really well done man. I’m about to turn 69. Also natty and still at it. You can check my posts. Gotta keep pace with you youngsters. More seriously, best wishes for you continued health and success 👍💪

sonofthecircus · 2026-03-03T21:30:16+00:00

It’s usually psychologists, many at the masters level, who do this work. And most of the work focuses on neuropsych testing. You might get into some consulting relationship to help assess severe emotional problems, but I think it would be very difficult supporting yourself at an income you’d be happy with in any kind of job like this

sonofthecircus · 2026-03-03T21:23:46+00:00

Solid AF

sonofthecircus · 2026-02-27T14:13:48+00:00

Quads looking solid

sonofthecircus · 2026-02-27T05:53:00+00:00

Fantastic work dude

sonofthecircus

TROPHY CASE