A show dedicated to all things long-term athlete development.
Learn how to help your athlete get faster, stronger, more explosive, healthier, and prepared for game-day and real-world success.
Join Dr. Zach Guiser as we talk about youth sports, sports physical therapy, sports performance training, strength and conditioning, and everything else around long-term athletic development.
A show dedicated to all things long-term athlete development.
Learn how to help your athlete get faster, stronger, more explosive, healthier, and prepared for game-day and real-world success.
Join Dr. Zach Guiser as we talk about youth sports, sports physical therapy, sports performance training, strength and conditioning, and everything else around long-term athletic development.

In this episode, Zach Guiser and John Tropeano kick things off with John's taper anxiety for his upcoming Ironman before diving into the wild NBA betting scandal involving Terry Rozier, Chauncey Billups, and a secret poker ring with characters like "Albanian Bruce".
This leads to the main topic: a deep dive into supplements. Zach lays down the single most important rule—the FDA does not regulate supplements —and explains why athletes must look for third-party testing labels like NSF Certified for Sport or Informed Sport to avoid banned substances.
From there, they focus on creatine, breaking down:
How it works for explosive energy (the phosphocreatine system) .
If it works (Yes, for power/strength, but the effect size is small).
The myths vs. facts on kidney safety (creatinine vs. cystatin C) and hair loss.
The big question: Should adolescents take it? They review the limited research and land on the ISSN's stance: it's only for mature athletes who have already mastered their diet, sleep, and training .
What to buy: Stick to basic creatine monohydrate and avoid ineffective gummies.
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:
01:15 - The NBA Betting Scandal Explained (Rozier, Billups, Albanian Bruce)
07:35 - Main Topic: Supplements in High School & College Locker Rooms
10:10 - The Most Important Rule: The FDA Does Not Regulate Supplements
12:55 - What to Look For: NSF Certified for Sport & Informed Sport
14:45 - What is Creatine and How Does it Work? (The Phosphocreatine System)
17:51 - How to Read Research: A Guide to Scientific Studies
22:25 - Does Creatine Actually Work? (The Adult Research)
28:29 - The "Effect Size" vs. Statistical Significance
31:00 - Creatine Safety: The Kidney Myth (Creatinine vs. Cystatin C)
32:21 - Creatine Safety: The Hair Loss Myth
35:51 - The Real Question: Should Adolescents Take Creatine?
41:34 - What Form of Creatine is Best? (Avoid Gummies)