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The Anabolic Power of Insulin
An Interview with John Berardi
By Rob Wilkins
First published at www.t-mag.com, Mar 23 2001.
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Recently, Biotest and Testosterone magazine held their very first "No
Holds Barred" bodybuilding workshop in Orlando, Florida. During the
workshop, members of the Testosterone science team provided the audience
with the latest and greatest information related to training, supplements,
and nutrition to help them take their training to the next level.
One of the speakers was John Berardi, who presented a fascinating presentation
on insulin and the insulin index. Insulin is a hormone that regulates
the metabolism of carbohydrates, fats, and starches in the body, and it
promotes muscle uptake of amino acids for making proteins.
Berardi is a scientist and PhD candidate in the area of Exercise and
Nutritional Biochemistry at the University of Western Ontario, Canada.
As an athlete, he's been a successful powerlifter, former NABBA Jr. Mr.
USA bodybuilding champion, and a member of nationally ranked rugby and
track and field teams.
John is highly regarded for his expertise in hormonal regulation of muscle
mass and body composition; the interactions between exercise, diet, and
nutritional supplementation; methods of strength training and conditioning;
and the testing and design of nutritional supplements.
He's currently conducting exercise and nutritional supplement research
with renowned exercise and nutrition researcher Dr. Peter Lemon, one of
the world's leading experts on protein. John's also famous for conducting
experiments on himself and his friends to put his theories to use. Sometimes
they work, and sometimes they go terribly awry, as former friend, Larry
"Two Headed Freak" Dumbrowski can attest.
RW - Thanks for your time John. First off, can you give us a brief
background on yourself and what stimulated your interest in exercise and
supplementation?
JB - Well Rob, I think the introduction you gave was pretty comprehensive.
As you said, I'm currently a researcher but have an extensive background
in competitive athletics. And that's what holds my passion. I love training
and consulting with elite athletes in order to apply my university and
real-world training in order to take their games to superior levels. And
with each new athlete that becomes part of my clientele, I get supercharged
about the new challenges that await us! And that's where the research
ties in. Every research project I've conducted and every nutritional supplement
I've designed has been done with one goal in mind - to figure out how
to make better, stronger, leaner and meaner athletes.
Lately I've been branded by some of my athletes as "the recovery
specialist." This is due to my research that's been focusing on the
recovery of ATP, glycogen, and protein balance, and the prevention of
overtraining. In addition, I've been working on some nutritional programs
and supplements that manage the hormone insulin.
RW - So let's talk about insulin. What is insulin and why should
athletes and those involved in health and fitness care about it?
JB - The current rage in health and fitness is to manage the hormone
insulin. But few people really understand this temperamental hormone.
You see, insulin is an anabolic giant. It's the most anabolic hormone
because it stuffs nutrients like amino acids and carbs into muscle cells
to promote growth. But, while it sounds great, getting aggressive with
it can lead to serious fat gain. For instance, here are some basics:
Insulin is a hormone released into the blood by an internal organ called
the pancreas. Insulin functions in many ways as an anabolic or a storage
hormone; in fact it's been called the most anabolic hormone. When insulin
is released into the bloodstream, it acts to shuttle glucose [carbohydrates],
amino acids, and blood fats into the cells of the body. "Which cells?"
you ask. Well, fat and muscle cells are the important ones in terms of
quantity. Now, if these nutrients go predominantly into muscles, then
the muscles grow and body fat is managed. If these nutrients go predominantly
into fat, then muscle mass is unaffected and body fat is increased.
So obviously if there were a way to send nutrients preferentially into
muscle rather than fat, trainees would have more muscle mass and less
fat mass. That's the goal of my recommended training and eating programs
- to increase the muscle uptake of nutrients preferentially. Isn't that
the goal of every trainee whether they know it or not?
RW - So how can one manage this hormone to promote muscle gains
and fat losses?
JB - Well, this is where things get tricky. Because insulin is
a storage hormone, most people think that since insulin stores nutrients,
it should be avoided because it has the potential to store fat. This is
a mistake for several reasons. First, there's no way to avoid insulin
in the blood. Whenever you eat food, insulin is released.
Secondly, if you theoretically could eliminate insulin, you would abolish
all of its anabolic effects and its ability to store energy in the muscle.
In fact, type 1 diabetics don't produce insulin and as a result, if left
untreated, they die.
But don't go the opposite route, either. If blood levels of insulin are
always highly elevated, trouble results. Chronic elevation of insulin
leads to large amounts of fat gain, risk for cardiovascular disease, and
ultimately to type 2 diabetes. This second type of diabetes is characterized
by obesity, cardiovascular disease, and the poor ability of the muscle
to store nutrients, which leads to muscle wasting and tons of fat storage.
This is called insulin resistance.
So my point is that you need insulin, but you must learn how to balance
the anabolic effects against the fat storage effects; to trick it into
making you muscular while making you lean at the same time. And this is
done two major ways; first by increasing insulin sensitivity in the muscle
while decreasing insulin sensitivity in the fat cells and, second, by
controlling the insulin released during specific times of the day.
RW - Please explain the difference between insulin resistance
and insulin sensitivity?
JB - Simply put, insulin resistance is bad. If you're insulin
resistant, your cells - especially the muscle cells - don't respond to
the anabolic effects of normal levels of insulin, i.e. they resist insulin's
effects. If this is the case, the body then releases massive amounts of
insulin to promote nutrient storage in the resistant cells. Remember,
though, that chronic high levels of insulin in the blood are very bad
and can cause type 2 diabetes.
Insulin sensitivity is therefore very good. In this case, your cells
- especially the muscle cells - respond very well to small levels of insulin.
Therefore, they need very little insulin stimulation to get into an anabolic
state. So high insulin sensitivity at the muscle level is very desirable.
One way to remember the difference is as follows. If you're dating someone
who responds or reacts to any affection you show them, then he or she
is sensitive. So they're a good model for insulin sensitivity. It only
takes a little affection to get a big response. On the other hand, if
the person you're dating is resistant to your affection, then it takes
a lot to get them going. Therefore, they're a good model for insulin resistance.
It takes a lot of affection to get even the smallest response.
RW - Does insulin sensitivity vary or change?
JB - Insulin sensitivity is unique to each individual but the
cool thing is that it can be manipulated by exercise, diet, and supplementation.
And that's what I do with my clients to dramatically change their body
composition.
Both aerobic and resistance training greatly increase insulin sensitivity
through some different and some similar mechanisms. In addition, supplements
like omega 3 fatty acids, fish oils, alpha-lipoic acid, and chromium can
increase insulin sensitivity. Finally, moderate carbohydrate diets that
are rich in fiber can increase insulin sensitivity.
On the flip side, the low-carb, high-fat diets that have become popular
can decrease insulin sensitivity. That's why none of my trainees go on
no-carb diets, unless they're dieting down for a show and then they'll
do occasional no carb diets every few months for a maximum of 3 weeks
at a time.
RW - So what are some practical ways to manipulate insulin sensitivity?
JB - Well, typically I've seen tremendous increases in insulin
sensitivity with 3-4 intense weight training sessions per week, lasting
1 hour per session. These sessions should be coupled with at least 3-4
aerobic sessions lasting 30 minutes per week. To really target insulin
sensitivity, you would perform these sessions separately.
After exercise, the next step would be to supplement with 600 mg of alpha-lipoic
acid and concentrated fish oils containing a total of 6-10 grams of DHA
and EPA, which are the most active omega 3 fats in fish oils.
Finally, your diet can make a big difference. I recommend moderate quantities
- 40-50% of the diet - of fibrous carbohydrates like oatmeal, fruits,
vegetables, and whole grains. I also recommend eating moderate quantities
(30-40% of the diet) of high-quality proteins like casein, whey, chicken,
beef, fish, dairy and eggs. And finally, I recommend eating low quantities
(20% of the diet) of fats from olive oil, flax oil, fish oil, and nut
oils.
All of these strategies can be combined to make the muscles more responsive
to insulin while simultaneously decreasing the fat's responsiveness to
insulin. This means more muscle mass with less fat gain... the eternal
quest of the bodybuilder!
RW - How important is the insulin sensitivity to my progress as
a "natural" bodybuilder?
JB - I think that insulin sensitivity dictates your muscle-to-fat
ratio, especially when trying to gain or lose weight. If you're more insulin
sensitive during a weight-gain program, you'll gain more muscle relative
to the fat that you gain. For example, with normal insulin sensitivity,
you might gain 1 lb of muscle for every 2 lbs of fat for a 1:2 ratio.
With increased insulin sensitivity, you might gain 1 lb of muscle for
every 1lb of fat or even better, 2 lbs of muscle for every 1 lb of fat.
And if you're dieting, you will lose more fat relative to your muscle
loss if your insulin sensitivity is high.
Are these things important to bodybuilders? You bet they are! And especially
to natural ones. Drug-assisted bodybuilders have super insulin sensitivity.
In addition, the drugs enhance their muscle-to-fat-gain ratios. If you're
clean, you need to use every natural means at your disposal to alter these
ratios as well.
RW - So what about the other step in balancing insulin? Controlling
insulin release during specific times during the day, right?
JB - That's right. Remember, insulin is anabolic so we want bursts
of it every day without chronic elevation. An effective way to do this
would be to plan insulin bursts after training. In addition, I recommend
jacking up insulin at least twice per day, but no more than 3 times. So
planning at least 2 high-insulin meals per day is the way to grow and
stay lean.
To do this we need to first pay attention to something called theinsulin
index of foods. If you think I've made a mistake and that what I really
mean is the glycemic index, you're wrong. I mean the insulin index. Never
heard of it? You're not alone. Although insulin indices are not new, they've
been ignored in health and fitness for far too long.
RW - What's the difference between the well known glycemic index
(GI) and this insulin index (II) you're referring to?
JB - The popular glycemic index is a measure of the speed at which
carbohydrates enter the blood after a meal. A high-glycemic index means
that blood sugar rises rapidly in response to a meal while a low-glycemic
index means that blood sugar rises very slowly. Traditionally, nutritionists
thought that the faster the carbs got into the blood, the bigger the insulin
response. So in an attempt to manage insulin, they recommended always
eating low-glycemic foods.
However, several studies since have shown that some low glycemic index
foods have huge insulin responses! So the correlation between glycemic
index and insulin response breaks down with some foods. For example, milk
products have a very low glycemic index. But they promote insulin responses
parallel to the highest glycemic foods. What's the deal? Well, it appears
that there are several other factors that determine insulin release besides
carb content and the rate of carb absorption.
This is why the insulin index was generated. This index actually measures
insulin response to a food. So rather than assuming insulin response is
correlated with carb absorption, these researchers decided to go ahead
and measure it. And their results were eye opening!
RW - If a natural bodybuilder is planning their nutrient intake
around the insulin index, what foods would they eat and what foods would
they avoid?
JB - One thing to keep in mind is that there is no such thing
as a bad food. Well, almost no such thing. I don't think anyone can make
a case for powdered, cream-filled doughnuts, besides the fact that they
taste damn good! But I hope you see my point. Since I said earlier that
sometimes you want an insulin surge - especially after workouts - and
sometimes you don't - especially at night before bedtime - we have to
realize that we use the insulin index not to condemn foods but to decide
when to eat them.
The point I want to stress is that the insulin index helps us add information
to the glycemic index to make better food choices. So using both indices
is the way to go. Since milk products have a low GI but a high II, these
foods aren't optimal when you want to keep insulin low. Other example
foods or meal combinations for this situation are baked beans in sauce,
meals with refined sugars and fats, and meals that are protein and carbohydrate
rich. Each of these foods/combos have low GI scores but high II scores,
none of which are optimal for low insulin times. But remember, some times
you want high insulin so don't relegate these foods/combos to a dark corner
of your nutritional closet.
Conversely, unprocessed fibrous grains and cereals as well as fruits
and veggies are great on both scales. In addition, most low-fat protein
sources are also great on both scales.
RW - So what times of the day should you increase insulin levels
and what times should you concentrate on decreasing them?
JB - Again, I like to spike insulin 2-3 times per day. Remember,
though, that my clients are super insulin sensitive due to the training,
diet, and supplementation programs I have them following. So they can
handle the insulin surges and can actually grow and get lean at the same
time. With this said, natural insulin sensitivity declines at night time
so perhaps at night, low insulin choices are best. After training however,
the goal should be to send insulin through the roof. A sensible plan is
to eat 3 high-insulin meals as your first 3 of the day, and 3 low insulin
meals to finish the day. This can be accomplished as follows:
1st 3 meals: Protein plus carbs with no fat
2nd 3 meals: Protein plus fat with no carbs
[Editor's note: for more information on John Berardi's eating recommendations,
check out "Massive
Eating, Part 1", and "Massive
Eating, Part 2".]
Post-workout meals: Hydrolyzed protein, simple carbs, BCAA, free
form amino acids
RW - Are there any supplements that affect the release of insulin
and if so, how are they beneficial?
JB - There certainly are! In fact I'm currently designing a post-workout
formula with this goal (as well as a few others) in mind. You see, as
I said earlier, I'm sort of a "recovery specialist." I'm hired
to consult with many athletes from serious endurance marathoners and triathletes
to strength and power athletes like bodybuilders and sprinters. Although
I design training and nutritional programs for them, one of my special
strengths of focus is how to help those who are "midgets of recovery"
(the athletes who are especially prone to over training).
One of the main factors in recovery from training is to increase glycogen
in the muscle, increase protein synthesis, and decrease protein breakdown.
And the way to do this is to get insulin high right after training. I
recently did a series on this in Testosterone [Solving
The Post-Workout Puzzle - Part 1: What Happens After The Workout?
and Solving the Post-Workout
Puzzle - Part 2: The Recovery Plan].
The current recovery drink I'm working on is a special blend of glucose
and glucose polymers, whey protein hydrolysates, BCAA, glutamine, and
some other free form amino acids. This combo of ingredients (in specific
ratios) is highly insulin releasing as well as very specific to the recovery
of glycogen balance and protein balance.
The best thing about this formula is that every person who works out,
no matter the sport, can use it. It has only nutritive ingredients and
no mysterious herbs or other compound. And it and targets physiological
processes common to all activities.
RW - Thanks so much for this informative interview John. Is there
anything you would like to leave the readers with?
JB - Remember, insulin sensitivity is a huge factor in maximizing
recovery and making dramatic changes in body composition. Use the insulin
index, glycemic index, and smart nutritional advice to take your physique
and training to a higher level.
In the end, however, although we really focused in on the insulin index
and insulin sensitivity with this interview, I want readers to understand
that in athletics and training, there are so many other factors that contribute
to gains in performance on improved body comp. As my colleague Tom Incledon
says, "The cells of the body are like a space ship being bombarded
by meteors (hormones and nutrients)."
The point is that no hormone or cellular system is independent. When
we try to focus on any one thing, it's easy to lose sight of other important
factors. So remember, after defining your goals, you need to come up with
a plan of attack based only on your personal path. Don't follow someone
else's plan to the letter or a generic plan that you read in a magazine.
Individualize!
RW - Thanks for your time, John.
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