The Stress Resilience Stack: Exercise and Sleep

The non-negotiable foundations

One of the most consistent patterns we see at A3 across hundreds of clients and thousands of data points is chronic stress. Not the acute, productive kind, but the low-grade, always-on kind that shows up in suppressed HRV, cortisol that never quite normalizes, and performance that degrades over time. We think of it as the unsung tax on high achievement. This series is a deep dive into a full stack of evidence-based interventions for doing something about it. As we said in Part 1, the research is clear: while there may not be a single magic bullet, multiple moderate interventions quickly add up.

Part 1 covered the entry point: breathing and mental practices. Those are free, portable, and surprisingly powerful. They’re techniques you can use anywhere, anytime, with nothing but your own body and attention.

But here’s the thing: those techniques work best when they’re built on a solid foundation. You can do all the cyclic sighing and slow breathing you want, but if you’re sleeping five hours a night or haven’t broken a sweat in months, you’re fighting an uphill battle. The breathing practices shift your nervous system in the moment; exercise and sleep determine what your nervous system’s baseline looks like in the first place.

That’s what this post is about: the non-negotiables. The load-bearing walls of stress resilience that everything else builds on.

Exercise and sleep aren’t separate interventions. They’re deeply interconnected. Exercise quality affects sleep architecture; sleep quality affects recovery, HRV, and your capacity to adapt to training stress. Get these right, and the other tools in your stack work better. Get them wrong, and you’ll undercut the effects of nearly everything else.

The good news: the research here is robust, the protocols are well-established, and the interventions don’t require exotic supplements or expensive devices. The bad news: there are no shortcuts. This is where consistency matters more than optimization.

Let’s get into it.

Exercise

There’s a paradox at the heart of exercise and stress: physical exertion is itself a stressor. It spikes cortisol, elevates heart rate, and temporarily suppresses immune function. Yet regular exercisers consistently show lower baseline cortisol, higher HRV, and better stress resilience than sedentary people.

The resolution is hormesis, the process by which controlled, recoverable stress makes you more resilient to stress in general. Exercise is a training stimulus for your entire stress-response system, not just your muscles. But the details matter. Different types of exercise produce different adaptations, and more isn’t always better.

Zone 2 Cardio: Building Parasympathetic Reserve

If there’s one type of exercise that earns the “non-negotiable” label for stress resilience, it’s Zone 2 cardio—longer-duration aerobic work at 60-70% of your max heart rate (essentially, the pace at which you could still mostly carry on a conversation). Think jogging, cycling, swimming, or brisk walking—anything that keeps your heart rate elevated for 30-60 minutes straight.

The research here is robust. Meta-analyses show that consistent aerobic training produces significant increases in HRV metrics (RMSSD, high-frequency power, SDNN) over 8-12 weeks. Higher training frequencies and longer durations generally produce larger effects, at least when balanced against recovery needs. The sweet spot for most people: 30-60 minutes, 3-5 sessions per week.

Physiologically, Zone 2 training builds your parasympathetic reserve. Regular aerobic exercise increases vagal tone, the strength of your parasympathetic nervous system’s influence on your heart. That means a lower resting heart rate, faster recovery from acute stressors, and a higher HRV baseline. You’re expanding the capacity of your “rest and digest” system.

Even better, the effects aren’t just cardiovascular. Aerobic exercise increases BDNF (brain-derived neurotrophic factor), which supports neuroplasticity and has antidepressant effects. It improves insulin sensitivity, reduces systemic inflammation, and enhances sleep quality. It builds the broadest base of adaptive benefits with the lowest recovery cost.

Before you hop in, one practical note: Zone 2 should feel easy. If you’re gasping or can’t hold a conversation, you’ve drifted into Zone 3 or higher. Especially if you’re not a already a competitive endurance athlete, you probably need to start much slower than you’d think.

HIIT: Stress Inoculation

High-intensity interval training—short bursts of all-out effort followed by recovery periods—works through a different mechanism than Zone 2. Where Zone 2 builds your aerobic base gradually, HIIT is all about acute stress inoculation.

A typical HIIT session spikes cortisol by roughly 80% immediately post-exercise. Testosterone surges, too. But by 2-3 hours later, both hormones then drop well below baseline (with impressive effect sizes around d = -0.95 to -1.08 for cortisol in particular). Stress followed by super-compensation, also known as “hormesis,” is what builds resilience over time.

Research shows that trained athletes display significantly lower cortisol responses to psychological stress compared to untrained individuals. Their systems have learned, through repeated exposure to controlled physical stress, to mount an appropriate response and then recover efficiently. HIIT trains this capacity directly.

That said, there’s a ceiling. More than 2-3 HIIT sessions per week, without adequate recovery, will likely tip you into overtraining territory (further discussed below). The stress stops being hormetic, and starts becoming cumulative. If you’re already dealing with high life stress (like most of our clients), piling on too much high-intensity training can easily backfire, adding to your total stress load rather than building resilience against it.

The practical recommendation: 2-3 HIIT sessions per week maximum, with at least one full rest day between sessions. If you’re new to exercise or in a particularly stressful life period, start with Zone 2 only and add HIIT once your aerobic base is established or life has evened out.

Strength Training: Powerful, but Not Sufficient

Given that strength training is central to what we do at A3, we’re adding this section to address the elephant in the room: while resistance training has real benefits for stress resilience, it’s probably not enough on its own.

Research shows that strength training can reduce anxiety symptoms, with meta-analyses finding small-to-moderate effect sizes. It improves sleep quality, boosts self-efficacy, and produces favorable changes in cortisol patterns over time. Acute sessions spike cortisol similarly to HIIT, with the same hormetic recovery pattern. And the downstream benefits, like improved body composition, better insulin sensitivity, and increased functional capacity all contribute indirectly to stress resilience.

But there’s still a real gap. Strength training doesn’t build aerobic capacity or parasympathetic reserve the way Zone 2 cardio does. The HRV improvements from resistance training alone are modest compared to those from sustained aerobic or HIIT work. If you’re only lifting and never doing cardio, you’re leaving significant adaptations on the table.

Our take: strength training is essential for long-term health, performance, and longevity, and it’s a core part of what we program for clients. But for stress resilience specifically, it works best as a complement to aerobic training, not a replacement for it. The ideal stack includes all of the above: Zone 2 for building parasympathetic reserve, strength training for the structural and metabolic benefits, and HIIT used sparingly for high-intensity stress inoculation.

Yoga: Meaningful Effects, Different Pathway

Yoga often gets dismissed as “not real exercise” by the intensity-focused crowd, which is a mistake. Meta-analyses show yoga produces large effect sizes for anxiety reduction. HRV improvements are documented across yoga styles, with increases in high-frequency power and decreases in the LF/HF ratio that indicate a shift toward parasympathetic dominance.

What makes yoga interesting is that it combines physical movement with breath regulation and attentional focus—essentially integrating the breathing practices from Part 1 with low-intensity exercise. For people who find pure cardio tedious or have physical limitations that preclude running or cycling, yoga offers a genuine alternative pathway to stress resilience.

The minimum effective dose appears to be once-weekly, 1-hour sessions, sustained for at least 8 weeks. Two to three sessions per week produces stronger effects. But it’s not a quick fix; like most stress interventions, the benefits compound with consistency.

Nature Walking: The Multiplier

We covered nature exposure in Part 1 as a mental practice, but it’s worth revisiting here because combining exercise with nature amplifies the benefits of both.

Walking in nature reduces cortisol by 53%, compared to 37% for urban walking at the same intensity and duration. HRV shows a 104% increase in RMSSD during nature walks. A 50-minute nature walk decreased anxiety, reduced rumination, and improved working memory compared to an urban walk. Same physical activity, dramatically different physiological and psychological outcomes.

The practical implication: if you’re choosing between a treadmill and a park, choose the park. If you’re choosing between a gym and a trail, choose the trail. You’re not sacrificing training quality, you’re adding a multiplier. Even 15 minutes of walking in a green space produces measurable changes in stress markers.

Overtraining: The Warning Signs

More exercise isn’t always better. Overtraining syndrome is real, and it’s especially insidious because the early symptoms—fatigue, irritability, poor sleep—look a lot like the very stress you’re trying to address.

The clearest objective marker is HRV: a sustained decline over 3-4 weeks, despite adequate sleep and nutrition, is a red flag. Other warning signs include unexplained performance plateaus or declines, elevated resting heart rate, persistent fatigue that doesn’t resolve with rest, sleep disturbances, mood deterioration, and increased susceptibility to illness.

Prevention is straightforward: build in deload weeks. Every 4-6 weeks, reduce training volume and intensity by 40-50%. This isn’t lost progress, it’s when adaptation actually consolidates. Monitor your morning HRV if you have a wearable (and remember that trends matter more than absolute numbers). And if you’re going through a high-stress life period, consider temporarily reducing training load rather than pushing through.

The goal is to use exercise as a stress inoculator, not to add another source of unrecovered stress to your life.

Sleep

If exercise is where you start building stress resilience, sleep is where you actually lock it in. Every adaptation we just discussed (HRV improvements, hormetic recovery from training, parasympathetic gains) consolidates during sleep. Skimp on sleep, and you’re not just tired, you’re actively undercutting the impact of your exercise efforts, and degrading the systems that protect you from stress.

Sleep deprivation reliably increases cortisol, reduces HRV, impairs emotional regulation, and compromises immune function. One night of poor sleep is recoverable. But chronic sleep debt compounds. And the effects look remarkably similar to chronic stress itself, because physiologically, that’s exactly what it is.

The challenge here is that most high achievers have become completely accustomed to a baseline of suboptimal sleep. Your brain on five or six hours starts to feel normal. Caffeine masks the subjective experience of tiredness. And because the decline is gradual, you lose the reference point for what “well-rested” even feels like. Still, the ugly truth is: you’re not fine, you’ve just forgotten what fine is.

To get things fixed, here’s what actually moves the needle.

Morning Light: Anchoring Your Circadian Rhythm

The single most underrated sleep intervention doesn’t happen at night. It happens within the first 30-60 minutes after you wake up: exposure to bright light.

Morning light exposure advances your circadian phase, enhances the cortisol awakening response (which you want—it’s what makes you alert in the morning), and sets up your melatonin secretion timing for the following night. Meta-analyses show substantial sleep improvement effect sizes (g = 0.39-0.47) from light exposure alone. That’s a meaningful impact from something that’s completely free.

The key is intensity. Outdoor sunlight delivers 10,000-100,000 lux on a bright day. Even overcast conditions provide 1,000-10,000 lux. Indoor lighting? It looks bright, because your eyes adapt so effectively, but it’s typically just 100-500 lux, an order of magnitude too dim to make a difference.

The protocol is simple: 5-10 minutes of direct sunlight exposure within an hour of waking. Longer if it’s overcast. Face toward the sun (though, obviously, not staring at it directly), ideally without sunglasses blocking the light from reaching your eyes. Phase shifts are measurable within 2-3 days of consistent practice.

If you work from home or have a flexible morning routine, this is one of the easiest wins in the entire stack: walk outside with your coffee, or eat breakfast by a window. If you’re headed to an office, try to slot sun time into the logistics of your commute. Either way, make light exposure part of your wake-up ritual, not something you stumble into by accident.

Bedroom Temperature: The Deep Sleep Lever

Your body needs to drop its core temperature by about 1-2°F to initiate and maintain deep sleep. Fight this process (with a warm bedroom, heavy blankets, or poor ventilation) and you’ll selectively lose slow-wave sleep, the most restorative phase.

Large-scale studies confirm the optimal bedroom temperature for sleep is 60-67°F (15-19°C). A 10°C increase causes a 20% increase in the odds of insufficient sleep. The relationship is consistent and dose-dependent.

Practical fixes: turn down the thermostat (or, in the winter, open the window) at night, use breathable bedding, and consider a warm bath or shower 1-2 hours before bed. That last one is counterintuitive but well-supported. Warming your body before bed actually accelerates a subsequent core temperature drop, shortening sleep onset latency by approximately 36%. (I.e., you’re not warming up to sleep warm, you’re warming up to cool down faster.)

Similarly, there are dedicated cooling devices (like the Eight Sleep or ChiliPad) that actively regulate mattress temperature throughout the night. They’re admittedly pricey, and the peer-reviewed evidence is limited, but our clients have consistently found them overwhelmingly helpful for deep sleep improvements (and their data backs it up). Worth considering if temperature is a clear issue for you, especially if you’ve already tried out the zero-cost room environment optimizations.

(And, on a related note: temperature is powerful beyond just overnight; we’ll go deeper on interventions like cold exposure and sauna in Part 3.)

Caffeine: The Hidden Saboteur

Caffeine has a half-life of 5-6 hours. That means half the caffeine from your 2pm coffee is still circulating at 8pm. A quarter is still there at 2am.

What makes caffeine insidious is that it disrupts sleep architecture even when you feel like you’re sleeping fine. You might fall asleep without trouble and stay asleep through the night, but the depth and quality of that sleep is compromised. Slow-wave sleep decreases. Sleep efficiency drops. HRV suffers. And because you don’t feel awake at 3am, you don’t connect the cause and effect.

The conservative recommendation is a caffeine curfew 8-10 hours before bed. If you hit the sack at 11pm, that means no caffeine after 1-3pm.

But add to that one more wrinkle: caffeine metabolism is hugely genetically variable. Genes like CYP1A2 determine how quickly you clear caffeine, and roughly half the population are “slow metabolizers” who may need even earlier cutoffs. If you’ve ever suspected caffeine affects you more than others, you’re probably right. (That’s one of the many reasons we do full genetic sequencing of all our clients.)

Alcohol: The Recovery Killer

This one hurts, as we love a well-mixed negroni or a good montepulciano. But alcohol is a sedative that fragments sleep architecture, suppresses REM throughout the night, and tanks HRV.

The data here is striking. OURA tracked over 600,000 user-nights and found that alcohol consumption was associated with a 15.6% mean decrease in HRV, 35 fewer minutes of sleep, and 6.8% lower sleep scores. This held even for moderate consumption—a glass or two of wine, not binge drinking.

Objectively, there’s no “safe” dose of alcohol for optimal sleep quality. If you’re optimizing for recovery and stress resilience, alcohol is working against you.

That said, we at A3 aren’t teetotalers (just like we still sometimes eat less-than-healthful food, because it’s delicious); we’re all about crafting a balance between enjoyment and long-term health that works for you now and for the decades to come. If you do choose to drink, finishing 3-4+ hours before bed at least allows some metabolism before sleep, somewhat reducing negative impact. And post-drink nights are also a great time to check in on morning-after changes in HRV; that way, you’ll have a clearer sense of the costs (and when they’re still absolutely worth it).

Supplements: A Preview

Finally, we’ll just mention briefly that there are a slew of evidence-based supplements that support sleep (e.g., melatonin [at much lower doses than most people think], magnesium glycinate and threonate, glycine, and others). Some of them have surprisingly strong research behind them. Still, we’re saving the full breakdown for Part 4, where we’ll cover all the ingestibles—from basic supplements to adaptogens to more exotic interventions—in one place. For now, the behavioral and environmental factors above are where to start. Fix the foundation before adding supplements on top.

Things to Try Today

We’ve covered a lot. Here’s how to actually start:

If you’re not doing regular cardio: Start with Zone 2. Thirty minutes at conversational pace, three times a week. Don’t jump straight into HIIT—build the aerobic base first. This is the single highest-leverage exercise intervention for stress resilience.

If you’re exercising but still feeling chronically stressed: Check your balance. Too much HIIT relative to Zone 2? Not enough recovery between sessions? Consider swapping one high-intensity session for a longer, easier effort, and watch your HRV trends over the following weeks.

If you want to amplify your existing routine: Move it outside. The same workout in a park or on a trail produces measurably better outcomes than the same workout in a gym. If outdoor training isn’t practical, even a 15-minute walk in green space on rest days adds a real multiplier.

For immediate sleep improvement tonight: Drop your bedroom temperature to 65°F, or as low as you can tolerate. This is the fastest environmental fix for deep sleep. If you tend to run hot, try the warm shower trick 1-2 hours before bed to accelerate your core temperature drop.

Starting tomorrow morning: Ten minutes of sunlight within 30 minutes of waking. No sunglasses. Make it part of your routine: walk outside with your coffee, eat breakfast by a window, whatever sticks. Phase shifts happen within days.

If you suspect caffeine is affecting your sleep: Run an experiment. Move your cutoff to noon for two weeks, or cut it entirely for ten days if you’re feeling ambitious. Track your sleep subjectively or with a wearable, and see what changes. Most people are surprised.

If alcohol is a regular part of your routine: You don’t have to quit, but get honest about the tradeoff. Check your HRV the morning after drinking and compare it to your baseline. Once you see the data, you can make informed decisions about when it’s worth it, and when it’s not.

The non-negotiable minimum: Seven to eight hours of sleep opportunity (time in bed, not just time asleep). Morning light daily. Some form of movement most days—ideally including Zone 2 cardio at least three times a week.

What’s Next

Exercise and sleep are the load-bearing walls. Get these right, and everything else in the stack works better. Get them wrong, and you’re constantly compensating.

But there’s more to the environment than your bedroom temperature.

Next up: Temperature and Environment—cold exposure, sauna, CO2 and air quality, and why the people around you are part of your “environment” too.

[And one closing note: the interventions in this post work for most people—but “most people” isn’t the same as you, specifically. At A3, we combine biomarker data, AI analysis, and ongoing coaching to help clients figure out exactly which protocols will move the needle for their particular physiology and goals. If you want help building a personalized stack rather than experimenting on your own, we’re here to help.]

The Stress Resilience Stack: Breathing and Mental Practices

Free, immediate tools you can use anywhere

After hundreds of clients and thousands of data points, one of the most consistent patterns we see at A3 is chronic stress. Not the acute, productive kind that sharpens your focus before a big pitch, but the low-grade, always-on kind. The kind that shows up in suppressed heart rate variability, cortisol curves that never quite normalize, and inflammatory markers that slowly creep in the wrong direction.

We think of it as the unsung tax on high achievement. The cost of caring deeply about your work, carrying real responsibility, and operating at a pace that doesn’t leave much room for recovery.

Sure, you adapt. The baseline shifts. “Tired” becomes normal. “Wired” becomes your daily operating system. You stop noticing, until you’re dealing with consequences that take far longer to reverse than they took to accumulate. Problem is, that same pattern doesn’t just create long-term risk; it degrades performance right now: accelerated aging, impaired cognition and decision-making, worse sleep, higher fat, less muscle, slower recovery, and degraded performance _right now_. The very things high achievers are actually trying to optimize.

You’ve already heard the obvious advice, which is frankly useless. “Just stress less” isn’t a strategy. You’re not going to quit your job and sit on a beach, appealing as that may sometimes seem. The stressors are, instead, inseparable from the things that give your life meaning. So what actually works?

The Stack Approach

First, let’s be honest: there isn’t a single silver bullet here. But there is a surprisingly deep toolkit of interventions, each backed by varying degrees of evidence, each working through different mechanisms. And the research is clear: layering multiple moderate interventions beats chasing a single perfect solution.

That said, not all interventions are created equal. Some have robust clinical trial data and large effect sizes. Others are mostly marketing and social media hype. Some work in minutes; others take months. Some are free; others cost hundreds of dollars a month.

That’s what this series is about: cutting through the noise, evaluating what actually works, and helping you build a realistic, personalized approach.

The Stress Resilience Stack

Over five posts, we’ll cover:

  • Breathing and Mental Practices (this post) — free, portable, immediate tools.
  • Exercise and Sleep — the non-negotiable foundations.
  • Temperature and Environment — optimizing your surroundings (both physical and human).
  • Nutrition, Supplements, and Adaptogens — what to put in your body.
  • Pharmaceuticals and Building Your Protocol — prescription solutions, and then an actionable synthesis of all the research.

Each post ends with concrete “try this today” recommendations. The final post will help you assemble your own stack based on your goals, your constraints, and what the evidence actually supports.

This Post: Your Anywhere, Anytime Toolkit

We’re starting with breathing and mental practices for a reason: they’re surprisingly powerful _and_ inherently portable. No equipment, no supplements, no gym membership required. You can use them in a cab before a board meeting, at your desk between calls, or lying in bed when your mind won’t shut off.

Some of the strongest effect sizes in the entire stress literature come from techniques you can learn in five minutes. Let’s get into it.

Breathing & Body Practices

Here’s something worth appreciating: breathing is the only autonomic function you can consciously control. Your heart rate, digestion, and hormonal responses all run on autopilot—but you can decide, right now, to take a slow breath. That makes breathing a direct lever for shifting your nervous system state, and the research backs this in ways that might surprise you.

Slow Breathing (5-6 breaths per minute): The Gold Standard

If you only take one thing from this post, it’s this: slowing your breathing to around six breaths per minute is one of the most well-supported interventions in the entire stress literature. Meta-analyses based on over 200 studies show significant increases in heart rate variability (a key marker of parasympathetic activation) both during practice and afterward, along with meaningful reductions in blood pressure.

The protocol is dead simple. Inhale for about five seconds through your nose, exhale for about five seconds through your nose or mouth. That’s roughly six breaths per minute. Even a few minutes helps, though research shows benefits increase with sessions up to ten or twenty minutes. That’s it.

At this breathing rate, you’re hitting what’s called “resonance frequency,” the point where your respiratory and cardiovascular rhythms sync up, maximizing the efficiency of your heart rate variability response. Most people’s resonance frequency falls somewhere between 4.5 and 6.5 breaths per minute, so the standard “six per minute” guidance is a solid starting point for nearly everyone.

The effects are both immediate (you’ll feel calmer within a few minutes) and cumulative (regular practice builds parasympathetic tone over time). Zero cost, zero side effects, can be done anywhere.

Cyclic Sighing: The Stanford Standout

A 2023 Stanford study put cyclic sighing head-to-head against mindfulness meditation. And cyclic sighing won. Participants who practiced cyclic sighing showed significantly greater improvements in positive mood compared to those who meditated, plus significant reductions in anxiety. Even better, it only took five minutes a day.

The technique is simple: take a full inhale through your nose, then—without exhaling—take a second, shorter inhale to completely fill your lungs. Then exhale slowly and fully through your mouth. Repeat for five minutes.

That double inhale is doing something specific: it reinflates the tiny air sacs in your lungs (alveoli) that partially collapse during normal breathing, which optimizes carbon dioxide offloading on the exhale. The long exhale activates the parasympathetic nervous system. Put simply, you’re hacking your way into a calmer state through mechanical means.

This one, too, has both immediate (you’ll notice a shift within the session) and cumulative (benefits increased with consecutive days of practice in the Stanford trial) effects. And it’s probably the single best “bang for your buck” breathing technique for most people.

Progressive Muscle Relaxation (PMR)

PMR has been around since the 1930s, and it’s accumulated a serious evidence base—over 40 randomized controlled trials showing effectiveness for stress, anxiety, and depression. The approach is simple: you systematically tense and then release different muscle groups, which triggers a reflexive relaxation response.

A typical session takes 15-20 minutes and moves through the body: hands, forearms, upper arms, forehead, eyes, jaw, neck, shoulders, chest, stomach, hips, thighs, calves, feet. For each group, you tense the muscles for about five seconds, then release and notice the contrast for 15-30 seconds.

PMR is valuable in parallel to breathing techniques, as it works through a different pathway. By deliberately creating and then releasing muscle tension, you’re training your body to recognize what relaxation actually feels like—something many chronically stressed people have genuinely forgotten. It also tends to work well for people who find pure breathing exercises or meditation too “passive” or who struggle with a racing mind.

The effects are immediate, and like breathing practices, the skill deepens with repetition. Many people find PMR particularly useful before sleep. Free guided sessions are easy to find on YouTube if you want something to follow along with.

NSDR and Yoga Nidra: Structured Deep Rest

Non-Sleep Deep Rest (NSDR)—a term popularized by Andrew Huberman, essentially rebranding the ancient practice of Yoga Nidra—has become a wellness buzzword. But beneath the hype, there’s legitimate science.

Yoga Nidra is a guided practice where you lie down, remain still, and follow verbal cues that move your attention through your body while hovering in the state between wakefulness and sleep. Sessions typically run 10-30 minutes. Studies show it can reduce cortisol, improve sleep quality, and decrease anxiety, with some research demonstrating significant improvements in as little as two weeks of regular practice. There’s also emerging evidence around dopamine restoration, which is part of why Huberman has promoted it as a recovery tool.

What makes NSDR/Yoga Nidra interesting is that it’s more accessible than meditation for many people. You’re not trying to “clear your mind” or focus on your breath, you’re just following instructions and letting your body drop into a restorative state. Particularly useful for the many type-A people who are convinced they “can’t meditate.”

The main barrier is time: you’ll need 20+ minutes for maximum impact, and you need to be lying down in a quiet place. But for recovery days, travel, or periods of high stress, it’s a powerful tool. Free guided sessions are widely available on YouTube and apps like Insight Timer.

Box Breathing: The Tactical Standard

Box breathing—inhale for four seconds, hold for four seconds, exhale for four seconds, hold for four seconds—is the standard in military and first-responder communities. Navy SEALs use it. So do elite athletes and surgeons.

The evidence base is moderate (not as robust as slow breathing), but the effects are real and the technique is dead simple to remember under pressure. The holds add an element of CO2 tolerance training, and the rigid structure gives your mind something to focus on, which can be helpful when anxiety is spiking.

Box breathing is probably best thought of as a tactical tool—something you pull out in acute moments of stress—rather than a daily practice. Before a difficult conversation, during turbulence, when you feel your heart rate climbing before a presentation. It’s not going to transform your baseline the way daily slow breathing will, but it’s a reliable way to take the edge off in the moment.

HRV Biofeedback: Worth the Investment?

HRV biofeedback involves using a device (chest strap or finger sensor) to see your heart rate variability in real time, then practicing techniques to improve it. Meta-analyses show large effect sizes for stress and anxiety reduction.

But here’s the important caveat: when researchers compare HRV biofeedback to simple slow breathing without any feedback, the outcomes are essentially equivalent. The biofeedback isn’t adding much beyond what you’d get from just breathing slowly.

So what’s it good for? Adherence and engagement. If you’re the kind of person who responds to data, gamification, and visible progress, biofeedback might help you actually stick with a breathing practice. The real-time feedback can also help you find your personal resonance frequency more precisely. But if you’re willing to just do the breathing without the gadget, you’ll get the same physiological benefits.

Our take: nice to have, not need to have. Don’t let the lack of a device be an excuse not to practice.

Wim Hof Method: Controlled Stress as Training

The Wim Hof Method—cyclic hyperventilation followed by breath holds, often paired with cold exposure—has genuine science behind it. Trained practitioners show dramatically altered immune responses: in one notable study, Wim Hof practitioners injected with bacterial endotoxin showed 50% lower inflammatory cytokines and 200% higher adrenaline compared to untrained controls. The method appears to give practitioners a degree of voluntary control over their stress response that was previously thought impossible.

The protocol involves 30-40 deep, rapid breaths, followed by a breath hold on the exhale, repeated for several rounds. It’s intentionally activating. You’re deliberately spiking your sympathetic nervous system, which is the opposite of the calming techniques above. The theory is that controlled, voluntary stress exposure builds resilience and regulatory capacity over time.

One critical safety note: never practice the breathing component in water. The hyperventilation can cause lightheadedness or, in rare cases, loss of consciousness—not dangerous on your couch, but potentially fatal in a pool or bathtub. Several drowning deaths have been linked to this exact mistake. Keep the breathwork on dry land and you’re fine.

The cold exposure component (which we’ll cover in the Temperature post) can be practiced separately and is arguably the more accessible entry point. But if the idea of training your stress response through deliberate, controlled activation appeals to you, the Wim Hof breathing protocol is worth exploring.

Mental Practices

If the breathing and body techniques above work primarily through bottom-up mechanisms—changing your physiology to shift your mental state—the practices in this section work more top-down. They change how you relate to stress cognitively, which in turn affects your physiological response. Both approaches are valuable, and they complement each other well.

Mindfulness Meditation: The Heavy Hitter

Let’s start with the elephant in the room. Mindfulness meditation has the deepest research base of any mental practice for stress reduction. We’re talking dozens of meta-analyses of further dozens of randomized controlled trials with thousands of participants in turn. The effect sizes are medium to large for stress reduction, with documented improvements in cortisol levels, heart rate variability, and even structural changes in brain regions associated with emotional regulation.

The gold standard protocol in research is Mindfulness-Based Stress Reduction (MBSR): an eight-week program involving 2.5 hours of weekly instruction plus 45 minutes of daily home practice. That’s a significant commitment, and it’s worth being honest about that upfront.

The good news: you don’t necessarily need the full program to see benefits. Briefer protocols (four weeks, only 10-15 minutes a day of practice) have also shown meaningful effects. App-based approaches like Headspace have been studied in over a dozen RCTs, with effect sizes comparable to in-person instruction for many outcomes.

The challenge with meditation is that it requires genuine consistency to work, and most people don’t stick with it. If you’ve tried meditation before and bounced off, that’s useful data. It might mean you need a different approach (guided vs. unguided, app vs. class, shorter sessions; we’re big fans of the app The Way), or it might mean one of the other practices in this post is a better fit for you. Put differently, the best stress intervention is the one you’ll actually do.

Nature Exposure: The Easiest Win

Here’s something that might surprise you: simply being in nature—even briefly—produces measurable physiological changes. A large-scale Japanese research program studying “forest bathing” (shinrin-yoku) across 24 forests and 280 subjects found that just 15 minutes of walking or sitting in a forest environment reduced cortisol by 13-16%, lowered blood pressure, decreased pulse rate, and shifted heart rate variability toward parasympathetic dominance.

The effects aren’t limited to remote forests. Urban parks work too. (Central Park, we’re looking at you.) One study found that a 50-minute nature walk decreased anxiety, reduced rumination, and improved working memory compared to a city walk of the same duration. Even 15 minutes produces measurable changes.

What makes nature exposure particularly valuable is that it requires zero skill or practice. You don’t have to learn anything or maintain focus. You just have to show up and be there. For people who struggle with more structured practices, this is often the path of least resistance—and the research suggests it’s genuinely effective, not just “nice.”

The one caveat: the benefits are dose-dependent. More time produces stronger effects, with research suggesting two or more hours per week as a threshold for robust benefits. But even brief exposures help, and something is always better than nothing.

Expressive Writing: Processing on Paper

Expressive writing (sometimes called therapeutic journaling) has an evidence base dating back to the 1980s and psychologist James Pennebaker’s original studies. The classic protocol is simple: write for 15-20 minutes about your deepest thoughts and feelings regarding a stressful experience, for three to four consecutive days.

Meta-analyses show small but significant effects on psychological distress, anxiety, and depression, with benefits that persist for months after the writing sessions. There’s also evidence for reduced cortisol reactivity to subsequent stressors—essentially, processing past stress on paper makes you more resilient to future stress.

The mechanism appears to involve cognitive processing: putting difficult experiences into words helps organize and make sense of them, reducing the ongoing mental load of unprocessed emotion. It’s not about venting or complaining. Instead, research suggests that writing which moves toward meaning-making and insight produces better outcomes than pure emotional expression.

That said, this isn’t a daily practice for most people. It’s more of a tool to pull out when you’re dealing with something specific, whether a difficult transition, an unresolved conflict, or a period of high stress. Twenty minutes of honest writing about what’s actually bothering you can be surprisingly clarifying.

Cognitive Reappraisal: Reframing on the Fly

Cognitive reappraisal is less a “practice” and more a learnable skill, the ability to reframe how you interpret a situation in order to change your emotional response to it. Meta-analyses consistently identify it as one of the most effective emotion regulation strategies, with research showing it reduces both the subjective experience of negative emotions and physiological markers like cortisol.

The basic move is simple: when you notice yourself reacting strongly to something, pause and ask whether there’s another way to interpret the situation. Not toxic positivity (“everything happens for a reason!”), but genuine reframing. The meeting that got canceled might be frustrating, or it might be unexpected time to prepare for tomorrow. The critical feedback might feel like an attack, or it might be useful data from someone who cares enough to be honest.

What makes reappraisal powerful is that it’s portable and instantaneous. You don’t need to set aside time for it. You can do it in the moment, as stress is happening. The skill develops with practice—the more you do it, the more automatic it becomes.

One nuance: reappraisal works best for situations that are genuinely ambiguous or where your initial interpretation might be distorted. For situations that are objectively bad, trying to reframe can backfire. Sometimes the appropriate response to a terrible situation is to feel bad about it, and then figure out what to do.

Gratitude Practices: Small but Real

Gratitude interventions (typically involving writing down things you’re grateful for) show up frequently in the positive psychology literature. The effect sizes are small but statistically significant. Improvements in wellbeing, life satisfaction, and mild reductions in anxiety and depression symptoms.

The most-studied approach is the “Three Good Things” exercise: each day, write down three positive events from the day along with a brief explanation of why they happened. Studies show benefits persisting up to six months after the intervention period.

Interestingly, there’s evidence that less frequent practice might work better than daily practice. Once or twice a week may outperform daily gratitude journaling, possibly because daily practice leads to habituation, as the exercise starts to feel rote and loses its impact.

Our honest take: gratitude practices are low-cost and low-risk, and they work for some people. But while they’re very frequently discussed, the effect sizes are smaller than the other interventions in this post, and they can feel forced or artificial for certain personalities. If it resonates with you, great. If it feels like empty positivity, don’t force it. Your time is probably better spent on slow breathing or nature exposure.

Things to Try Today

We’ve covered a lot. Here’s how to actually start:

If you have five minutes right now: Try cyclic sighing. Double inhale through your nose (fill your lungs, then take a second sip of air to top them off completely), then slow exhale through your mouth. Repeat for five minutes. Notice how you feel afterward. This is the single fastest way to test whether breathing techniques work for you.

If you want one daily practice: Slow breathing at six breaths per minute, ten minutes a day. Inhale for five seconds, exhale for five seconds. Morning or evening, doesn’t matter—just pick a time you can protect. The evidence base here is enormous, the barrier to entry is zero, and the cumulative effects build over weeks.

If you want to go deeper: Meditation is the most-researched intervention in this post, with the largest long-term effects. But it requires real commitment. Start with ten minutes a day, guided or unguided, and protect that time for at least four weeks before deciding if it’s working. Apps like Headspace or The Way lower the barrier; classes or MBSR programs add structure and accountability. Or you can just run a timer for ten minutes, and watch your breath. Regardless of your path, it’s not a quick win, but a slow and compounding one.

If you’re skeptical of all this: Run an experiment. Pick one technique (cyclic sighing, box breathing) and use it before your next stressful moment. A difficult conversation, a high-stakes meeting, a flight you’re dreading. Just once. See what happens. You don’t have to believe it works; you just have to try it and notice.

If you “can’t meditate”: Get outside. A 15-minute walk in a park is not a consolation prize—it’s a genuine, research-backed intervention with effect sizes comparable to formal practices. If sitting still with your thoughts feels impossible, nature exposure might be your path in.

If you’re dealing with something specific: Try expressive writing. Twenty minutes, three or four consecutive days, writing honestly about what’s bothering you. Not for anyone else to read, just for processing. This works best for discrete stressors rather than general background anxiety.

What you don’t need: An app (though they can help). A device (HRV biofeedback isn’t superior to plain breathing). Money. A lot of time. The most effective techniques in this post are free and take five to ten minutes.

And most of all, remember: the best practice is the one you’ll actually do. Start with one thing, do it for a week, and notice what changes.

What’s Next

Breathing and mental practices are the foundation of the stack because they’re always available. They cost nothing. They work immediately. And they compound over time.

But they’re not the whole picture.

Next up: Exercise and Sleep—the non-negotiable foundations that everything else builds on. In future posts, we’ll cover why Zone 2 cardio builds long-term stress resilience, how temperature affects deep sleep more than most people realize, the hidden ways caffeine and alcohol undermine your recovery even when you think you’re fine, and more.

And, finally: the tools in this post work for most people—but “most people” isn’t the same as you, specifically. That’s why we built A3. From biomarker data to genetic insights, we use AI analysis and expert coaching to help clients figure out exactly which interventions will move the needle most for their particular physiology and then integrate them into their lives. If you want assistance in building a personalized protocol rather than experimenting on your own, we’re here to help.

Untethering

In Buddhist thought, the difficulties of life all boil down to four Noble Truths. The second of which, “samudaya,” basically posits that the the source of our suffering is craving or attachment; wanting things we don’t have, or not wanting to lose things that we do.

That may indeed be part of the path to enlightenment. But it also explains why new year’s resolutions make us so miserable. We set out with a clear sense of how we want to be different in the year ahead. And then, because real change often feels glacially slow, we slog ahead for a month or so, realize things aren’t yet different, and give up entirely.

Which is why, research suggest, only about 9% of people each year feel like they successfully keep their resolutions. (Indeed, more than 40% expect to fail even before they hit February.)

So, rather than implore you to cling even harder to those earnestly-desired but rarely-reached outcome goals, let me suggest that, this year, you take an entirely different approach. Instead of resolving to reach new outcomes in the year ahead, resolve to follow new routines instead.

Put another way, untether from the outcome, and put all of your focus on the process. Figure out the things you want to do every day and every week over the next year. Then stop paying attention to progress, and stop keeping an eye on the prize. The only wins you need to celebrate are process wins: “I made a weekly grocery run to stock up on vegetables!” “I stuck to my pre-bedtime wind-down alarm last night!” “I made it to the gym the three times I was gunning for this week!”

One of my own process resolutions is to start posting regularly on both Twitter and LinkedIn. Over the course of January, I’ll be aiming to post actionable ideas related to this same concept. Stuff like:

Why we should ditch SMART goals and focus on DUMB habits.
The value of never missing twice.
How to create consistency by shifting your identity.
And ways to become addicted to the process, so that the outcomes take care of themselves.

Until then, let me share a similar thought recently tweeted by entrepreneur Ankur Warikoo. I think it’s so good that I’ve actually printed it out, tacked it over my desk, and will be looking at it all day long over the year ahead:

“Remind yourself that it is the boring that makes shit happen.
When people ask me, ‘What’s next?’
I do not have an answer.
There is no next.
There is just repeat.
Repeat what works.
And give it time.
It is the biggest thing I have learnt in life.”

Happy new year. May it be an incredibly repetitive one!

Ordered

I was recently listening to my friend Cal Newport’s excellent new podcast, Deep Questions, and particularly appreciated his advice on procrastination. While he covered a bunch of points, one was that people only fully commit to a plan when they really believe it will work. Which, he observes, is one of the reasons why athletes have coaches: if you can find someone you trust, and let them tell you what to do, it’s then far easier for you to (per Nike) just do it.

Over the years, I’ve learned that even works if you’re coaching yourself, at least so long as you can erect enough distance between your coaching and doing selves. When I first started programming my own workouts, I would chart out each day’s workout that morning. But, it turned out, I was far too much of a wimp to make that work; imagining how horrible an exercise or conditioning circuit would be later that day, I would inevitably scale back to something more palatable, and I pushed myself far less than I could have in result. So, instead, I started programming increasingly far in advance, eventually reaching where I am now: programming two weeks ahead. At that gap, future Josh’s suffering seems far more abstract, and I’m apparently willing to subject him to pretty much anything. Conversely, when I’m actually doing the workouts, past coach Josh seems distant enough as to be beyond question. “Well,” I’ll think, “I don’t really want to do this workout, but he says I have to.” And, weirdly, that’s enough to get me to do it.

Recently, I’ve also discovered a similar, albeit much faster, trick for daily productivity. As I’ve written before, when my to-do list reaches too great a length, I’ll reach a point of overwhelm sufficient to grind me to a halt. Instead of just choosing something and chipping away, I’ll stare at the over-long list, and not do much of anything at all.

But, this week, facing an unexpectedly long lineup of obligations, I instead took my list and randomly sorted it, then started at the top, and worked my way sequentially down. Small as it may seem, taking the choice of next task out of my own hands has been enough to get me going. I no longer was choosing to do something; I was just being told (albeit just by a stochastically scrambled version of myself) what I had to do. And, dumb as that sounds, it seems to have worked. (Witness this post, as blogging was otherwise on the list of stuff I was studiously not getting done.)

As a general principle, then: either get someone you trust to boss you around, or boss yourself around at a (temporal or technological) distance. Amazingly enough, it totally works.

Sweating Safely

While shifting to an all-virtual version of Composite has been going better than expected – it’s only sort of a total clusterfuck – I know a bunch of our beta-testers, like me, are looking forward to returning to in-gym, fully-equipped workouts. While we’ve gotten creative, and made do surprisingly well with whatever odds and ends people have on hand (even if that’s, frequently, just their own bodies), it’s just far more effective and efficient to train using barbells, dumbbells, kettlebells, and other purpose-built tools.

That said, in the midst of this pandemic, gyms definitely can’t operate as they did before. And though I’ve seen a bunch of gyms’ prospective sets of post-opening changes and accommodations, I don’t think most go nearly far enough. Or, put another way, I don’t think I’d feel safe working out in those gyms myself in those conditions, much less recommending it to anyone else. Which, frankly, isn’t surprising; given the constraints of existing business models, there’s only so much they can do before they bankrupt out in the process.

So, my team and I are working on a skunkworks project: seeing if, starting from scratch, it’s possible to stand up a solution that works. Though it would be inherently temporary – only operating until the viral risk recedes – we hope it can get us and our clients making progress, safely, in a way that we can’t elsewhere.

It’s definitely still a work in progress. But here a few of the things we think a gym would need to sanely operate in this environment:

Space. Simply put, the now-proverbial ‘six feet’ isn’t nearly far enough, especially in an environment where people are breathing hard. (See, also, also.) Based on our probabilistic modeling, we think people need more like 15 feet of mean separation – or a whopping 225 sqft per exerciser. In other words, you need a ton of space, and a very small number of simultaneous members.

Masks. We’ve seen several gyms put up regulations requiring masks, except when people are ‘exercising vigorously.’ As my father, a pulmonologist at Stanford, put it: that’s a bit like requiring condoms, except for when people are actually having sex. In other words: masks, for everyone, all the time. Additionally, not all masks are created equal. Though there’s a balance between filtration, breathability, comfort, and liquid resistance (especially important when people are sweating up a storm), we think ASTM-2 or ASTM-3 surgical masks strike that balance best, and they’re tested / certified for consistency in a way that most masks aren’t. As people probably can’t round those up on their own, gyms would need to provide them to members coming in the door, for single workout-use.

Ventilation / Filtration. Even after cutting down viral emissions with a mask, and separating people in space, air flow patterns within a space are a huge issue, able to quickly carry particles clear across even large rooms. So, in short, gyms need ventilation modeled after operating rooms: designed to pull air out of the room as quickly as possible. Unfortunately, most AC systems are built with the opposite intention: spreading a body of air throughout an entire the space, rather than sucking it directly out. Minimally, we think a safe gym needs ten air-changes per hour, supplemented with an equally robust HEPA filtration system, to get viral particles out ASAP.

Sterilization: Depending on members to wipe down equipment just isn’t going to cut it. Is someone supposed to wipe down every barbell, plate, collar, dumbbell, bench, etc., etc. that they touch throughout their whole workout? Instead, we think equipment management needs to work more like, say, provided gym towels do currently. After anything is touched, that equipment is set aside as ‘dirty’ until staff can completely sterilize it, and replace it for use by a subsequent member. Doing that at scale probably involves electrostatically disinfecting everything between uses, the same technique used in many hospital ORs.

Managing that all is incredibly tough. To make it work, you probably need about a thousand square feet to handle just three members and a trainer on staff. You probably need three separate, fully-equipped ‘zones,’ one for each of those members, so they can stay entirely in their own zones, just using the stuff around them. You’d need to schedule their workouts, so that after their hour or 75 minutes of working out, there would be 15-30 minutes for someone to sterilize and reset the equipment before the next member came in to use that zone. And you’d need to have ASTM masks (along with temperature scans) waiting at the front door, as well as a constantly-operating ventiliation/filtration system.

So, fiscally speaking, probably not the best model in terms of maximizing profit. But, at the same time, running the numbers, we think it absolutely works. And, at the moment, we don’t see any other safe, sane choice.

Hoofing It

Before today, the last time I headed out for a run was precisely seven weeks ago. Even then, it seemed a fairly risky proposition. But as things here in NYC devolved in the days and weeks after, I was even less willing to push my luck. Ever since, all of my workouts have been entirely indoors – indeed, entirely in our apartment.

Until, that is, today. As the number of new cases has continued to drop, and as we collectively begin to puzzle through what a safe and gradual reopening might look like, heading out for a jog – albeit a masked one, and still steering clear of the more crowded running paths in Central or Riverside Parks – had started to seem like it wasn’t completely nuts.

So, this afternoon, I went for a short jaunt. Though I clocked just two miles, at a glacial 10-minute mile pace, I was still pretty beat up by the end. Despite hard indoor workouts in the intervening two-ish months, it seems there’s no substitute for actually hitting the pavement.

And though it was strange indeed to run while wearing a mask, and I had to follow a convoluted path to steer far clear of other pedestrians without getting flattened by oncoming cars, I was still glad to have done it. Going forward, I’ll be heading out again, at least a handful of times a week. It may take me a while to inch towards any semblance of my former 5k pace. But it seems I won’t be back in a real gym for at least another month or so, even in the most optimistic case, and I might as well put the intervening time to good use.

Guinea Pig

Still on track to expand to a larger beta-test group for Composite, starting next week.  Getting there required a bunch of changes to the alpha – most notably, shifting things up to deliver it all remotely, rather than in-person with a coach.  But, secondarily, revamping movement and exercise selection in the algorithm; it can now account for the equipment that people have (or don’t), and build workouts accordingly.

In the process of setting that up, I also quickly realized that I had waaaay more equipment-based movements (whether with dumbbells, kettlebells, and barbells, or just pullup bars, boxes, and rings/TRX’s) in the library than bodyweight-only stuff.  So, lest I end up assigning people nothing but pushups, sit-ups, and air squats for the next several months, I’ve been testing out all kinds of crazy bodyweight-only movements, to see what which I can add into the lineup.  Stuff like glute bridge walk-outs, single-leg-elevated hip thrusts, inverted table rows, and kneeling squat jumps all made the cut.  A variety of even crazier stuff very much didn’t.

Still, by now, the algorithm can generate home workouts with nearly as much variety and progression as it could previously in a fully-stocked gym.  And at only the cost of a small number of broken household items, a handful of minor injuries, and some likely extremely pissed off downstairs and next-door neighbors (who’ve had to put up with days full of jumping, thumping, and cursing) along the way.

Calling that victory, and charging ahead.

Homework(out)

While just two days back I was unsure of whether to cancel live training sessions, by now it seems like the obvious choice.  So, with far less preparation than ideal, I’ve lept into converting Composite’s beta into something geared for digitally-served, at-home training (which was always part of the roadmap, though substantially further out), rather than human-trainer-delivered, in-gym training (as it’s been thus far).

If all goes well, I’m hoping I should be able to roll out something by early next week.  At which point, I’ll be posting more info here.  So, even if you’re not in NYC, if you’re stuck inside, and looking for ways to stay fit (and sane), circle back then as you’ll hopefully soon be able to sign up for the beta.

Back to coding, and to hiding out from the world as much as possible.

Playing with Pain

As people hop into a new year of workouts, one common issue regularly crops up: dealing with old injuries and ongoing tweaks – pain in backs, knees, shoulders, etc. The easy solution is to just ‘play it safe,’ completely avoiding any even slightly painful movements. But, in the long run, that’s an ineffective approach.

Pain is complex – it’s not just a physical sensation, but the mental interpretation of that sensation. In other words, while the muscle you pull in your back may be the initial negative stimulus, it’s your brain that turns the stimulus into the experience of pain. You’ve probably experienced that directly – perhaps you cut yourself accidentally, but didn’t feel pain until you looked down and realized what you’d done.

In the days and even weeks after an injury, the physical stimulus and mental response are usually pretty tightly coupled. But, often, even after the physical damage heals, the pain response persists. It’s kind of like the ‘check engine’ light in your car – once it’s on, regardless of any fixes to the engine itself, the light will only turn off if you reset it directly.

And, in the case of muscle or joint pain, the best way to ‘reset’ is through movement. Repeatedly move safely through a range of motion that previously caused damage, and your brain will update its map of the situation in the sensory cortex, no longer signaling the movement as painful.

But for that reset to work, the key part is moving safely. Moving through injury too much or too soon can actually make things work.

So, how can you tell if you’re helping or hurting? If the feeling in your shoulder as you press, or in your knee as you lunge, is a sign that you should pull back, or just something you should live with temporarily as you keep going and rebuild pain-free health?

When I’m working with athletes, I have four rules – four questions you can ask about the nature of the pain caused by any specific exercise or movement.

1. On a scale of 1 to 10, is the pain a 4 or less?

2. Does the pain remain the same or improve as you repeat the movement, rather than getting worse rep by rep?

3. Does the pain stop once you stop doing the movement?

4. Does the joint or muscle feel better or about the same 6-24 hours after the movement as it did before?

If you can answer yes to all four, you’re good to go.

As the physical therapists say, ‘motion is lotion.’ If you have musculoskeletal pain, get moving. Just follow the four rules along the way, and you’ll be back to feeling excellent sooner than you think.

Eat Clen, Tren Hard

Despite fifteen years in the fitness industry, I’m pretty sure I look more like a gym’s accountant than a trainer or coach at one. Even the most flattering descriptions I’ve ever gotten in the press — “a lean, athletic build developed from years of working out regularly—picture Bruce Lee, not Arnold Schwarzenegger” — make clear I’m not exactly intimidatingly large. So perhaps it goes without saying that I’ve never before taken steroids.

It was from that place of ignorance that I was so surprised by some recent anabolic steroid usage facts:

Surveys indicate that between 1-3 million Americans use steroids. For context, there are about 60 million people with gym memberships in the country, and 2/3 of those people never go to the gym, taking the number of actual gymgoers down to about 20 million. If we assume that the people using steroids are actually working out, that means that between 1 in 20 and 1 in 6 people you see in the gym are on steroids.

Especially given that survey response data tends to underestimate illegal activity —which people are understandably reluctant to report — it seems waaaaay more people are juicing than I would have assumed.

Years ago, when I lived in Manhattan’s Hell’s Kitchen, I was a member at Mid-City Gym, an institution in the bodybuilding world. (If you’ve ever watched the classic documentary Pumping Iron – and I highly recommend it, regardless of your interest in fitness — all of the New York scenes were filmed there.) Though I was mostly doing weird functional fitness stuff in the corner, rather than leg pressing and bicep curling with the gigantic regulars, I was still offered steroids by some random dude in the locker room at least once a week. Still, in my CrossFit NYC days, and now at Equinox, I tend to assume almost nobody is on drugs. Yet based on the numbers, it looks like I’ve been naive.

Fortunately, given my own fitness goals, I don’t think I’m much missing out. I’m not looking to get huge, nor do I have any pro sports pennants I’m gunning for. Though, as one colleague here pointed out, if I do decide to do a cycle one day, I’m in the clear. At my advancing age, I can just call it “testosterone replacement therapy,” and pick up prescriptions legally from any number of overpriced and slightly sketchy anti-aging medical practices here in NYC.

As I said, I don’t have any immediate plans to that end. But if, years from now, I’m the only guy in the nursing home with 18-inch biceps and a six pack: you heard it here first.