IF YOU JUST WANT THE TAKEAWAYS, JUMP STRAIGHT TO THE 43:35 MARK!

Dr. Zach Guiser and John trace the evolution of dry needling from ancient Eastern acupuncture to modern Western "trigger point" therapy, examining whether the practice is truly safe and effective for athletes.

• 00:00 – Introduction and the history of Acupuncture, "Chi," and Meridians
• 02:31 – Wet Needling vs. Dry Needling: JFK’s physician and trigger points
• 04:13 – The TJ Watt Black Swan Event: A punctured lung in the NFL
• 05:06 – Defining Trigger Points and Proposed Mechanisms of Action
• 11:30 – Study #1: Efficacy for chronic low back pain (Short-term vs. Long-term)
• 14:11 – How "Sham" Dry Needling works in research
• 17:40 – Study #2: Dry needling for musculoskeletal conditions (Meta-analysis)
• 27:24 – Study #3: Dry Needling vs. Manual Therapy (Head-to-Head)
• 30:14 – Study #4: Dry Needling in Sports and Performance (The 2025 Evidence Gap Map)
• 33:27 – Study #5: Safety Data and Adverse Events (Minor vs. Major)
• 41:12 – The Philosophy of Risk: Fat-Tailed Risks and Black Swans
• 43:35 – Summary, Zach’s Final Stance, and Attia Categories
• 46:00 – The Legality of Dry Needling: Ohio vs. Pennsylvania vs. the UK

Everything in these newsletters, podcasts, social media, and on our website is for educational purposes only and should not be taken as medical advice for you or your athlete. Consult directly with a healthcare professional.

Use the swing planner for free at gtperformance.co/swingplanner.

Dr. Zach Guiser addresses the disproportionately high rate of preventable low back injuries in softball by explaining the concept of Acute to Chronic Workload Ratio (ACWR). He highlights a dangerous volume discrepancy where athletes take up to five times more swings in a single practice or lesson than they do on game day, often leading to a spike in injury risk during early-season ramp-ups. To solve this, he introduces a free digital swing planner that helps athletes gradually increase their workload within the "sweet spot" of 0.8 to 1.3 to ensure safe and durable athletic development.

• 00:00 – Introduction: The Problem with "More"
• 01:05 – The Softball Back Pain Epidemic
• 01:46 – Three Factors Driving Back Injuries
• 02:30 – Understanding Acute to Chronic Workload Ratio (ACWR)
• 03:59 – The Volume Gap: Game Day vs. Practice Swings
• 05:10 – How to Build an Intentional Ramp-Up Period
• 06:20 – The Free Swing Planner Tool
• 07:47 – Special Considerations for Softball Pitchers
• 08:43 – Softball vs. Baseball: Why the Injury Rates Differ
• 10:00 – TLDR: The Sweet Spot for Performance

Everything in these newsletters, podcasts, social media, and on our website is for educational purposes only and should not be taken as medical advice for you or your athlete. Consult directly with a healthcare professional.

Dr. Zach Guiser addresses the overwhelming "noise" of modern nutrition advice by introducing a structured six-level checklist designed to help athletes build near-automatic competency in their fueling habits.

The progression begins with foundational habits like meal frequency, protein intake, and hydration before advancing to more technical strategies such as nutrient timing, AI tracking, and precision weighing.

Guiser encourages athletes to be proactive by managing their pantry environment and meal planning, while ultimately maintaining that an athlete's worth is independent of their performance on the field or in the kitchen

• 00:00 – Introduction: The Commitment Gap
• 00:46 – Level 1: Frequency, Protein, and Hydration
• 01:41 – Level 2: Fruits, Veggies, and Liquid Calories
• 02:11 – Level 3: Processing, Supplements, and Timing
• 04:15 – Level 4: Caloric Targets and AI Tracking
• 04:41 – Level 5: Manual Weighing and Measuring
• 05:10 – Level 6: Advanced Blood Work and Imaging
• 05:53 – Strategies for Proactive Success
• 06:47 – Final Thoughts: Worth vs. Performance

Creatine Info:

• https://gtperformance.co/creatine/
• https://www.youtube.com/watch?v=xdQRMYsZZac

Dr. Zach Guiser introduces Jesse Itzler’s framework of "Misogis" and "Mini-Adventures," providing a structured way to build toughness and meaningful memories through one massive annual challenge and six scheduled life-enriching experiences . He then details Peter Attia’s Centenarian Decathlon, a goal-setting method that shifts the focus of physical training toward maintaining ten specific, high-value tasks during the final decade of one’s life.

Finally, Guiser explores the concept of "time-limited potency," urging listeners to audit their current lives and prioritize relationships or physical pursuits that may not be as accessible or meaningful in five to ten years.

• 00:32 – Introduction: The Importance of Small Habits
• 00:43 – Jesse Itzler’s Framework: Misogis and Mini-Adventures
• 01:05 – The Two Rules of a Misogi
• 02:18 – Rules and Examples of Mini-Adventures
• 03:22 – Peter Attia’s Centenarian Decathlon: Training for 100
• 03:59 – Real-World Examples of Centenarian Goals
• 05:10 – Time Limits on Potency: Shifting Priorities
• 06:20 – Fact-Checking Your Future: Living Intentionally Now

In this entry of the Athlete Development Journal, Dr. Zach Guiser outlines a six-bucket framework for in-season training designed to maintain maximal speed, power, and compound strength while addressing specific injury risks through isolated exercises . He concludes by discussing the "burden of the reward," emphasizing that high-level success requires an acceptance of the specific struggles and trade-offs that accompany it.

Everything in these newsletters, podcasts, social media, and on our website is for educational purposes only and should not be taken as medical advice for you or your athlete. Consult directly with a healthcare professional .

IN THIS EPISODE:

• 00:00 – Introduction: Struggle as an Opportunity
• 01:05 – Six Buckets for In-Season Training
• 01:14 – Bucket 1: Compound Strength
• 01:46 – Bucket 2: Maximal Speed
• 02:30 – Bucket 3: Maximal Jumping
• 02:59 – Bucket 4: Isolated Strength
• 04:15 – Bucket 5: Proprioception & Vestibular System
• 05:10 – Bucket 6: Mobility & Soft Tissue
• 05:43 – The Burden of the Reward: Avoiding Jealousy

In this entry of the Athlete Development Journal, Dr. Zach Guiser introduces three powerful mental models to improve athletic performance and perspective.

He begins with Occam's Razor, urging athletes to avoid unnecessary complexity in training and rehab, noting that the simplest explanation is usually the correct one.

Next, he introduces his own concept, "Zach's Law" (The Law of Mechanical Idiopathy), which states that the more obscure and confusing an injury's cause is, the faster it typically self-resolves; provided it is mechanically reproducible.

Finally, he applies Hanlon's Razor to sports and life, reminding listeners to never attribute to malice what can be adequately explained by ignorance or stupidity.

Everything in these newsletters, podcasts, social media, and on our website is for educational purposes only and should not be taken as medical advice for you or your athlete. Consult directly with a healthcare professional.

IN THIS EPISODE:

• 00:00 - Introduction
• 00:16 - Occam's Razor (The Simplest Explanation is Usually Correct)
• 00:43 - Examples of Occam's Razor in Sports & Rehab
• 01:14 - Introducing "Zach's Law" (The Law of Mechanical Idiopathy)
• 01:34 - Why Obscure Injuries Tend to Heal Faster
• 01:51 - The "Soccer Player vs. Cow" Story (Strange vs. Obscure)
• 02:30 - The Important Caveat: Mechanical Reproducibility
• 02:45 - Hanlon's Razor (Stupidity vs. Malice)

In this entry of the Athlete Development Journal, Dr. Zach Guiser helps you train your mind, build your body, and fuel your soul.

First, he tackles Training Your Mind by distinguishing between process and outcome. He explains that in a complex world, you can do the wrong thing and get a good outcome (or vice versa), but you shouldn't confuse luck with a good strategy . He warns against "history revisionism"—assuming that just because an athlete played year-round or did fancy footwork drills and succeeded, those methods were the cause of their success . Instead, he encourages athletes to think probabilistically: good processes enhance your odds, even if they don't guarantee results.

Next, he dives into Building Your Body by challenging the popular obsession with mobility. He argues that mobility is not a "more is always better" quality. While you need enough mobility to get into required positions, having passive flexibility that you cannot actively control can actually cause your injury risk to skyrocket. Finally, he Fuels Your Soul by breaking down the equation: Happiness = Reality - Expectations. He discusses the tension between chasing excellence (which requires high belief) and being happy. The solution? Keep insanely high expectations for the process (your daily habits) but release your expectations for the outcomes (things you cannot control, like scholarships).

Everything in these newsletters, podcasts, social media, and on our website is for educational purposes only and should not be taken as medical advice for you or your athlete. Consult directly with a healthcare professional.

IN THIS EPISODE:

• 00:00 - Introduction
• 00:02 - Train Your Mind: Good Things Can Happen to "Bad" Processes
• 00:36 - The Danger of "History Revisionism" (The Susie, Johnny, & Kyle Examples)
• 01:13 - Thinking Probabilistically: Enhancing Odds vs. Guarantees
• 01:41 - Build Your Body: Knocking Mobility Off Its High Horse
• 02:08 - When Too Much Mobility Becomes Detrimental
• 02:45 - Fuel Your Soul: The Happiness Equation
• 03:22 - High Expectations for Process vs. Outcome

Here's the hypermobility article.

In this entry of the Athlete Development Journal, Dr. Zach Guiser helps you train your mind, build your body, and fuel your soul, specifically addressing the athlete who thinks they are "too busy" for in-season training.

First, he tackles Training Your Mind by reframing "busyness" not as a negative, but as a necessary stressor to build work capacity. He uses the analogy of a waitress in a small town versus a busy New York City restaurant to illustrate how high-volume work eventually becomes manageable through adaptation. He explains that students who stretch themselves in high school often thrive in college because they have built a higher capacity for work .

Next, he dives into Building Your Body by analyzing the dangers of stopping training during the season. He outlines three main benefits of continuing: staying healthier (carrying your "shield"), performing better in the playoffs, and achieving better long-term progress . He cites Patriots wide receiver Matthew Slater, noting that the team was squatting 80% of their maxes during Super Bowl week. Dr. Guiser describes a graph showing that stopping training is like taking "two steps forward and one step back," whereas continuous training leads to exponential compound growth . Finally, he Fuels Your Soul with a quote from economist Thomas Sowell: "There are no solutions, only trade-offs" . He encourages listeners to accept that every choice—whether chasing excellence or choosing family time—comes with a cost, and avoiding the "what ifs" is the ultimate goal.

Everything in these newsletters, podcasts, social media, and on our website is for educational purposes only and should not be taken as medical advice for you or your athlete. Consult directly with a healthcare professional .

IN THIS EPISODE:

• 00:00 - Introduction
• 00:46 - Train Your Mind: The Waitress Analogy & Building Work Capacity
• 02:51 - Build Your Body: Why In-Season Training prevents "One Step Back"
• 04:12 - The Matthew Slater Example: Squatting Heavy on Super Bowl Week
• 05:21 - The Graph: Visualizing Long-Term Progress vs. Stagnation
• 06:29 - How to Make It Work: Individualized, Tiered, and Flexible Training
• 08:12 - Fuel Your Soul: "There Are No Solutions, Only Trade-Offs"