This guy loves to talk, talk, talk... I need to skip to 3:51 in the video when I'm ready to review any information that might be of any interest to me.
After spending two weeks in an induced coma to try to reduce swelling to the brain, Piana died on August 25 at the age of 46. An autopsy revealed "significant heart disease" and that his heart and liver weighed over twice the average amount for an adult male. Florida’s District Six Medical Examiner completed Mr. Piana’s autopsy, and the following was reported: An enlarged heart (and "significant heart disease") Mild coronary atherosclerosis (plaque buildup on the artery walls) Fatty liver Congested thyroid Congested kidneys Discolored kidneys Ischemic brain tissue (i.e. brain tissue that had lost blood supply) Necrotic brain tissue (i.e. dead cells) Brain edema (swelling) Ascites (accumulation of protein-containing fluid in the abdomen) According to Anthony Roberts, who requested and released the autopsy report online: "By far the lengthiest part of the autopsy's notes concerned his lungs, which were filled with fluid and swollen (bronchopneumonia pleural effusion with edema), showed apparent fat emboli and micro-abscesses, plus displayed both acute and chronic inflammatory cells." ~muscleinsider.com
How do muscles get stronger without getting bigger? Muscles can become stronger without getting bigger through neuromuscular recruitment and conditioning. When you lift weights, your brain sends signals to your muscles to contract. With time and practice, your brain learns to send stronger signals to your muscles, which allows you to lift heavier weights. This is called neuromuscular recruitment. Conditioning, on the other hand, involves training your muscles to perform a specific movement more efficiently. This can be achieved by performing exercises that focus on the specific movement you want to improve. It's important to note that strength and muscle size are not always directly proportional. You can get stronger without getting bigger by focusing on low-rep, high-intensity movements. This type of training primarily uses the ATP-PC energy system, which recruits the big muscle fibers and fatigues quickly. Completing high-intensity movements with lower volume allows the muscles to adapt without growing significantly in size. In summary, muscles can become stronger without getting bigger through neuromuscular recruitment and conditioning. You can also get stronger without getting bigger by focusing on low-rep, high-intensity movements that primarily use the ATP-PC energy system. As the name suggests the ATP-PC system consists of adenosine triphosphate (ATP) and phosphocreatine (PC). This energy system provides immediate energy through the breakdown of these stored high energy phosphates.
Furthermore, it has been established that the volume of RT, defined as the total number of repetitions (repetitions x sets), together with loads used for a given exercise, is the key element of adaptation in terms of muscle hypertrophy; moreover, it has been suggested that higher volumes of effort are warranted for maximizing muscle growth response in diverse populations Interesting study here: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6950543/