Novak Djokovic's Secret: Sitting in a Pressurized Egg (WSJ)

TennisFan3

Talk Tennis Guru
Novak Djokovic's Secret: Sitting in a Pressurized Egg


http://online.wsj.com/article/SB100..._MIDDLENexttoWhatsNewsTop#articleTabs=article
The Wall Street Journal: TENNIS AUGUST 28, 2011, 1:44 P.M. ET
By HANNAH KARP

Serbian tennis star Novak Djokovic hasn't earned his No. 1 raking by taking the conventional road. There's his odd ritual of excessive ball bouncing before serves, which can break an opponent's concentration. There's his new gluten-free diet, which he's said has helped him feel stronger on the court.

But now there's something truly weird: the CVAC Pod.

Ever since last year's U.S. Open, Djokovic has been trying to improve his fitness by climbing into a rare $75,000 egg-shaped, bobsled-sized pressure chamber.

The machine, which is made by a California-based company called CVAC Systems and hasn't been banned by any sports governing bodies, is one of only 20 in the world. Unlike the increasingly trendy $5,000 hyperbaric chambers many professional athletes use to saturate the blood with oxygen and stimulate healing, the CVAC is a considerably more-ambitious contraption. It uses a computer-controlled valve and a vacuum pump to simulate high altitude and compress the muscles at rhythmic intervals.

The company claims that spending up to 20 minutes in the pod three times a week can boost athletic performance by improving circulation, boosting oxygen-rich red-blood cells, removing lactic acid and possibly even stimulating mitochondrial biogenesis and stem-cell production.

Djokovic is so convinced that the pod helps his game that during the U.S. Open, which starts Monday, he's staying (for the fourth year) with a wealthy tennis-trainer friend in Alpine, N.J. who keeps one of the machines on his property.

Djokovic has never mentioned the pod publicly before. He acknowledged using it for the first time last week during a sponsor event in New York after he was asked about it for this article. "I think it really helps—not with muscle but more with recovery after an exhausting set," he said. "It's like a spaceship. It's very interesting technology."

The pod, which is seven feet long, three feet wide and seven feet high with the lid open, looks like a cross between a tanning bed and the giant egg Lady Gaga emerged from at the Grammys. CVAC says its pod is different from other pressurized chambers on the market because it combines altitude pressure with cyclic compression (a combination some studies suggest is more effective than one or the other). Because the pressure, temperature, air density in the CVAC pod can be adjusted, the company says it enhances an athlete's ability to adapt to a range of conditions.

While pod users don't do much beyond sitting while they are inside (cellphone use is permitted), CVAC Systems chief executive Allen Ruszkowski says the treatment seems to have many of the same effects on the body as intense exercise. He claims that the technology may be twice as effective at helping the body absorb oxygen as blood doping—a banned form of performance enhancement.

Former U.S. Olympic wrestling coach Bob Anderson, motocross racer Ivan Tedesco and ultra cyclist George Vargas say they've used the pod and believe it helps. CVAC's Ruszkowski says a slew of other high-profile athletes use the Pod but often insist the company doesn't tell anyone, "because they feel it's a competitive advantage." Rock star Axl Rose owns a pod as well, according to his assistant.

The pod Djokovic is using for the Open belongs to 38-year-old tennis pro Gordon Uehling III, who reached a career-high ranking of No. 925 on the ATP Tour in 2001 and now runs a tennis school called CourtSense at the Tenafly Racquet Club in Tenafly, N.J. He has also worked with rising American star Christina McHale, who is ranked No. 66 and beat the top-ranked Caroline Wozniacki in Cincinnati earlier this month.

In addition to the indoor court, Uehling's family estate features outdoor courts with different surfaces—plus an artificial lake, where Djokovic says he's gone fishing. "We have absolutely everything here!" Djokovic wrote last August in a diary entry on his website. "You wouldn't believe it."

Uehling declined to comment for this article. Djokovic and other players who know him say he's a visionary obsessed with cutting-edge performance technologies. "He loves to explore the future of athletic edges—and he has the resources to do it," says former top-20 player Vince Spadea, who hit with Djokovic in Alpine last summer when he says Novak was first "experimenting" with the pod at Uehling's estate. "He was looking to improve some of the challenges he was having—breathing capacity, allergies—and definitely something clicked there."

Spadea says he didn't dare set foot in the pod himself because he doesn't share Djokovic's "daredevil mentality." Djokovic's Serbian countryman, Janko Tipsarevic, currently ranked No. 20, says he's heard about the pod but hasn't tried it yet, either.

Geoff Grant, tennis director at CourtSense, says he braved the pressure chamber at Uehling's request and felt like he was taking off in an airplane as his ears popped. He says he hasn't used it enough to notice a difference in his play, but adds that some of his clients who go more regularly are hooked and "say it's like a drug."

"It's weird—it's definitely something from the future," Grant said last week at the racquet club. "I think Novak was going to get in it today."

In 2006 the World Anti-Doping Agency ruled that such oxygen tents enhance performance and violate "the spirit of sport," but did not add them to the list of banned substances and methods, saying they would wait until further studies were conducted.

Patrick McEnroe, the USTA's director of player development, says he's skeptical that any such contraption could have much impact on tennis performance. "I don't really take this stuff particularly seriously," says McEnroe, noting that Djokovic has not only improved his fitness this year but has also fixed key problems in his game, revamping his serve and developing a newly devastating forehand. "Maybe there are a few things that have helped (Djokovic) mentally, but let's remember that before he tried his gluten-free diet or went into a hyperbaric chamber he had already won a Grand Slam and beat Roger Federer."

Lou Lamoriello, the general manager of the NHL's New Jersey Devils, says he attended a presentation last year with his coaching staff in which Uehling cited Djokovic's defeat of Roger Federer in the 2010 U.S. Open semifinal as evidence of the CVAC unit's effectiveness.

Lamoriello says he was intrigued but not entirely convinced—and isn't ready to have his players try it out yet. He said he wonders if some of the effect is psychological. "If you believe in something it's going to be a lot more powerful," he says.
 
T

TennisandMusic

Guest
IF (a big if) that article is accurate it would explain why he came back from that late 3 set match against Murray on clay and looked far fresher than Nadal less than 24 hours later. I thought that was unbelievable.
 
Nice contraption and all but it's nothing major in Djoker's success. There's only twenty in the world and this dude in New Jersey has one, which he sat in around the USO last year. He doesn't travel with one so he played all of 2011(his dream year) without access to one and according to the article: "The company claims that spending up to 20 minutes in the pod three times a week can boost athletic performance by improving circulation, boosting oxygen-rich red-blood cells..."

So you have to sit in it 3 times a week and he only sat in it once in a year. You can't travel to tournaments with a 75 grand pod in a plane and the article says this guy is one of the only ones to have one. Yeah, something of nothing.
 
Last edited:

Outbeyond

Legend
Very interesting! Djoker's sort-of our New Age version of a tennis star -trying out newfangled approaches, lending them credence with his every win...

But - uh - did he sit in this egg just prior to takeoff against Fed in the FO semi? Perhaps the thing was scrambled that day?:)

I just can't see Fed or Nadal stepping into this contraption. Murray - well, he might for laughs.

I can't even imagine Andy Schleck trying it out! But it could be the answer for some of those crazies in the Tour de France...
 

veroniquem

Bionic Poster
If placebos work, even for cancer, they can surely work for tennis as well. Tennis is extremely mental. Belief in winning makes a huge difference as Rafa's case illustrates very well.


ETA: it could help with his breathing problems though, who knows.
 
Last edited:
Very interesting! Djoker's sort-of our New Age version of a tennis star -trying out newfangled approaches, lending them credence with his every win...

But - uh - did he sit in this egg just prior to takeoff against Fed in the FO semi? Perhaps the thing was scrambled that day?:)

I just can't see Fed or Nadal stepping into this contraption. Murray - well, he might for laughs.

I can't even imagine Andy Schleck trying it out! But it could be the answer for some of those crazies in the Tour de France...

That's what I'm saying. Article said he just gave it a go at USO last year. They're extremely rare so you can't carry a 75 grand pod contraption from hotel to hotel. And it says you need to use it three times a week for benefit. Once last year isn't gonna be much of an influence on 2011
 

Clarky21

Banned
I don't think he should be allowed to use this thing. It's clearly blood doping,and is blatant cheating. It's far from new age or cool. It also explains a lot for me this year for me too as to his miraculous season considering his past stamina issues.
 

TennisFan3

Talk Tennis Guru
IF (a big if) that article is accurate .

Excuse me...

This is the Wall Street Journal, not some smallish amateur blog. There shouldn't even be a question on the authenticity of this article.

It's true 100%.

This just goes to show that Djokovic is a SMART player who is ahead of the curve and uses "beyond" state of art equipment to give himself every edge possible. No wonder he was able to rise to the top in the presence of legends such as Federer and Nadal.
 

Outbeyond

Legend
Excuse me...

This is the Wall Street Journal, not some smallish amateur blog. There shouldn't even be a question on the authenticity of this article.

It's true 100%.

This just goes to show that Djokovic is a SMART player who is ahead of the curve and uses "beyond" state of art equipment to give himself every edge possible. No wonder he was able to rise to the top in the presence of legends such as Federer and Nadal.

To Infinity - And Beyond!!!!!!!
 

Clarky21

Banned
Excuse me...

This is the Wall Street Journal, not some smallish amateur blog. There shouldn't even be a question on the authenticity of this article.

It's true 100%.

This just goes to show that Djokovic is a SMART player who is ahead of the curve and uses "beyond" state of art equipment to give himself every edge possible. No wonder he was able to rise to the top in the presence of legends such as Federer and Nadal.

This is not in any way "smart". How do you figure that when he is using something to increase red blood cells in his body so he can outlast everyone on tour? How do people not see this as cheating? I hope they ban this thing in the future,but I am not holding my breath that will ever happen considering the circumstances.
 

TennisFan3

Talk Tennis Guru
This is not in any way "smart". How do you figure that when he is using something to increase red blood cells in his body so he can outlast everyone on tour? How do people not see this as cheating? I hope they ban this thing in the future,but I am not holding my breath that will ever happen considering the circumstances.

Buddy..everything is fair in love and war :) As long as it's allowed, why not take advantage of it?

Djokovic also changed his racquet head recently, and has reportedly made several changes w.r.t his fitness equipment, hired a new trainer together with trying some new medications to improve his breathing, allergy issues.

As I said before, it's all about getting ahead of the curve, while others (Nadal and Fed?) continue to be old mustache Petes and get left behind..
 
I don't think he should be allowed to use this thing. It's clearly blood doping,and is blatant cheating. It's far from new age or cool. It also explains a lot for me this year for me too as to his miraculous season considering his past stamina issues.

Where does it say he uses it throughout the year? It said he used it once last year and it says it needs to be used three times a week for benefit. He didn't have access to one of these during first half of 2011. Lots of athletes go up into the high altitude mountains to increase red blood cells and this simulates high-altitude conditions. He didn't inject anything into his blood like EPO or some crap.

Do you think Tour De France riders wouldn't be all over these pods if they were LEGAL and had anywhere near the effect of EPO
 
Last edited:

CCNM

Hall of Fame
Hmmm. Interesting. BTW there's a good article in this week's TIME magazine about Novak. It says he's against Kosovo's independence, among other things.
 

Clarky21

Banned
And that's a fan of Djoko?
Outbeyond, are you here? Please, explain.

I cannot stand Djokovic,and I am no fan of his. I have never liked him,even before he started using Michael Jackson's oxygen chamber,magnetotherapy,and even before his supposed gluten allergy. Your perception of who I am a fan of is way off on this one. Care to try again?
 

veroniquem

Bionic Poster
I cannot stand Djokovic,and I am no fan of his. I have never liked him,even before he started using Michael Jackson's oxygen chamber,magnetotherapy,and even before his supposed gluten allergy. Your perception of who I am a fan of is way off on this one. Care to try again?


Hey that's just Outbeyond 's opinion. I definitely identify you as a Rafa and Novak hater.
Fed worshipper maybe? :twisted:
 

Clarky21

Banned
Buddy..everything is fair in love and war :) As long as it's allowed, why not take advantage of it?

Djokovic also changed his racquet head recently, and has reportedly made several changes w.r.t his fitness equipment, hired a new trainer together with trying some new medications to improve his breathing, allergy issues.

As I said before, it's all about getting ahead of the curve, while others (Nadal and Fed?) continue to be old mustache Petes and get left behind..

Completely disagree with you here. No amount of changes to his racket can produce numbers like he is having this year. Here are his winning percentages over the last 4 years:


2007 - 78%
2008 - 79%
2009 - 80%
2010 - 77%
2011 - 98%

That big of a jump is caused by a racket change and new fitness trainer? Sorry,I don't buy it.
 

Smasher08

Legend
You know what, up til this year, I think that the vast majority of Djoker's impediments to consistently breaking through the top two were mental.

So if he finds that this placebo effect helps, so be it.
 

TennisFan3

Talk Tennis Guru
That big of a jump is caused by a racket change and new fitness trainer? Sorry,I don't buy it.

I didn't even say that it's JUST those 2 things. It's a combination of several things including those 2 + maturity + pressurized egg + decline of Nadal/Fed + djoko entering his prime etc etc. It's a team effort together with Djoko deciding to take control of his life.

I just like the fact that Djokovic is taking advantage of what technology has to offer and is flexible enough to look at things and change/ADAPT. That is something most tennis players don't do easily. You only need to look at the #2 for a good example..

I like the fact that Djoko stood up to the challenge and left the rest of the ATP licking dust. His 2011 season will probably go as better than ANY even peak Fed produced.
One year ago, who'd have thunk? :)
 
T

TennisandMusic

Guest
Excuse me...

This is the Wall Street Journal, not some smallish amateur blog. There shouldn't even be a question on the authenticity of this article.

It's true 100%.

This just goes to show that Djokovic is a SMART player who is ahead of the curve and uses "beyond" state of art equipment to give himself every edge possible. No wonder he was able to rise to the top in the presence of legends such as Federer and Nadal.

Yep, all journalism is 100% on the up and up when it's in the WSJ. Same for the NY Times.

How old are you man, 12?
 

TennisFan3

Talk Tennis Guru
So if he finds that this placebo effect helps, so be it.

Why does it HAVE to be a placebo? I think other tennis players should use it to.

It's like the new racquet, string and fitness technology that we have now which no one thought of in the 90s..
 
Completely disagree with you here. No amount of changes to his racket can produce numbers like he is having this year. Here are his winning percentages over the last 4 years:


2007 - 78%
2008 - 79%
2009 - 80%
2010 - 77%
2011 - 98%

That big of a jump is caused by a racket change and new fitness trainer? Sorry,I don't buy it.

WTF does that matter? The matches have all been close and there has been no "Djokovic out of their league" trashings.(which is the only thing that would be suspicious) The matches against top players have all been very tight and people seem to forget that the matches Djokovic lost in the past to these guys were really tight too, not him getting beat downs. Should have taken the first two sets against Fed in the 07 USO final,choked, lost in 4 in 08, 3 really tight sets in 09 USO with a choked TB from Djok, not to mention that fluffed smash on match point down on his own serve at 4-5, 3rd set in the Olympics against Nadal. Djokovic has always had more than enough potential to beat these guys, but just bottled it mentally for a while. What's made the difference is improving his mentality , and turning around just a couple of key points in a big match that he was losing previously
 

TennisFan3

Talk Tennis Guru
Yep, all journalism is 100% on the up and up when it's in the WSJ. Same for the NY Times.

I didn't say that exactly. No journalism is perfect. What I mean is, I trust WSJ more than Tennis.com, ATP.com and the thousand of blogs, message boards etc. The guys at the Journal have more accountability.

WSJ has also supplied verbatim quotes by Novak, other players and PMac. Those cannot be inaccurate. Furthermore the article does NOT make a irrefutable claim, it just supplies some facts allowing the reader to make up his own mind.
 
Last edited:

jackson vile

G.O.A.T.
Ok,so this is like legal blood doping? If so it should be banned no question about it.

So you are against high altitude training also, heck just living higher up in the atmosphere gets the job done. Further more, there is no real evidence that the contraption even works LOL
 

Outbeyond

Legend
Why does it HAVE to be a placebo? I think other tennis players should use it to.

It's like the new racquet, string and fitness technology that we have now which no one thought of in the 90s..

So they all need to sit in a $75,000 egg? oy...lol....
 

TennisFan3

Talk Tennis Guru
So they all need to sit in a $75,000 egg? oy...lol....

No ONE SINGLE thing is EVER a panacea. It's always a combination of several things working together.

All I am saying is, if this helps, then why the hell not use it? Even if it offers very little advantage, it could make all the difference in the end. At the top level, tennis is a game of inches..
 

Clarky21

Banned
WTF does that matter? The matches have all been close and there has been no "Djokovic out of their league" trashings.(which is the only thing that would be suspicious) The matches against top players have all been very tight and people seem to forget that the matches Djokovic lost in the past to these guys were really tight too, not him getting beat downs. Should have taken the first two sets against Fed in the 07 USO final,choked, lost in 4 in 08, 3 really tight sets in 09 USO with a choked TB from Djok, not to mention that fluffed smash on match point down on his own serve at 4-5, 3rd set in the Olympics against Nadal. Djokovic has always had more than enough potential to beat these guys, but just bottled it mentally for a while. What's made the difference is improving his mentality , and turning around just a couple of key points in a big match that he was losing previously


If you cannot see why those percetages matter than you are hopeless. That is probably the biggest jump in winning percentage I have ever seen in all the years I have been watching tennis. It's practically superhuman to do that,and you trying to explain away a jump of 21% in one year by claiming he is playing the bigger points better gives me a hearty chuckle. Not mention he was supposed to have been able to change his racket,increase his fitnesss,cure his allergies,give himself the stamina to be able to outlast everyone on the tour despite being more defensive than ever,and never fatigue in less than one month at the end of last year,is so unbelievable that I am shocked that people buy that stuff.

Anyway,I better stop replying to this topic before I get myself banned,but I will say some folks are so naive about this kind of stuff it's scary.
 

Outbeyond

Legend
If you cannot see why those percetages matter than you are hopeless. That is probably the biggest jump in winning percentage I have ever seen in all the years I have been watching tennis. It's practically superhuman to do that,and you trying to explain away a jump of 21% in one year by claiming he is playing the bigger points better gives me a hearty chuckle. Not mention he was supposed to have been able to change his racket,increase his fitnesss,cure his allergies,give himself the stamina to be able to outlast everyone on the tour despite being more defensive than ever,and never fatigue in less than one month at the end of last year,is so unbelievable that I am shocked that people buy that stuff.

Anyway,I better stop replying to this topic before I get myself banned,but I will say some folks are so naive about this kind of stuff it's scary.

Clarky, the only reason they'd ban you is for excessive hyperbole.:)
 
If you cannot see why those percetages matter than you are hopeless. That is probably the biggest jump in winning percentage I have ever seen in all the years I have been watching tennis. It's practically superhuman to do that,and you trying to explain away a jump of 21% in one year by claiming he is playing the bigger points better gives me a hearty chuckle. Not mention he was supposed to have been able to change his racket,increase his fitnesss,cure his allergies,give himself the stamina to be able to outlast everyone on the tour despite being more defensive than ever,and never fatigue in less than one month at the end of last year,is so unbelievable that I am shocked that people buy that stuff.

Anyway,I better stop replying to this topic before I get myself banned,but I will say some folks are so naive about this kind of stuff it's scary.

Those percentages when you see the matches aren't weird. People read into stats too much. He lost to Fed and he was tired/injured whatever and lost to Murray.He looks nothing like some unbeatable machine, just a more consistent version of his former self. He could have easily lost to Nadal at both IW and Miami, especially IW, where Nadal's level out of the blue, plummeted mid-match with 30% first serves. Those two matches were vital for the streak. Nadal's confidence went to crap after those and Djokovic's went way up. You should exclude 2010 from your count because Djokovic's serve and confidence were rubbish and he lost to anybody and everybody but in the years before that he generally only lost to the very top. Now he still loses to the top soemtimes( see Fed and Murray) and lots of his top player wins have come against Nadal which might never have happened if Nadal hadn't mentally imploded for no reason at IW and then the subsequent knock-on affect from that, which we've seen. The likes of Berdych and other guys, Djokovic was well able to beat on a consistent basis before(excluding 2010) that's why he was number 3 for four straight years, so dress it up whatever way you want, but the stats aren't as amazing as they seem.
 

rovex

Legend
Oxygenated water is incredibly refreshing - originally I thought it was simply a gimmick but it felt as if I had a sudden boost of energy which, unlike energy drinks, worked.
 

MichaelNadal

Bionic Poster
No ONE SINGLE thing is EVER a panacea. It's always a combination of several things working together.

All I am saying is, if this helps, then why the hell not use it? Even if it offers very little advantage, it could make all the difference in the end. At the top level, tennis is a game of inches..

You have a point there.
 

droliver

Professional
There is no evidence that such hyperbaric treatments (HBO) are going to affect performance, and this is coming from someone who perscribes HBO as part of my wound care practice. The whole idea is a loose extrapolation from proven HBO uses (carbon monoxide poison, the "bends" in scuba diving, radiation injury, and peripheral vascular disease) that takes a kernal of truth and goes waaaaaaay beyond any science when applied to normally perfused tissues.
 

droliver

Professional
Also, the improved winning percentages (90%+ ) Nole's posted are not wildly out of a spectrum observed a number of times in the last 25-30 years in tennis over a season by Federer, McEnroe, Graf, Navratalova, and Evert. We also have nearly 20% of the season left during which it's likely he's to lose at least once to bring him back to Fed 2004-2006 territory.
 

CocaCola

Professional
If all this is true, Djokovic would surely not be the one who first discovers it. It all just seems to me like a commercial attempt.
 
Last edited:

Telepatic

Legend
I bet Nole uses it all the way since 2007 and is reason why he's top 3 since then!!!!

In reality, without pressurized egg, he can't hold his racquet!
 
Yep, all journalism is 100% on the up and up when it's in the WSJ. Same for the NY Times.

How old are you man, 12?

Funny that, I find that the 12 year olds are the ones still believing all those trashy conspiracy theories.

Do you think we never landed on the moon as well?

The government are out to get you, maaaan.

Geez, just believe what you get given and leave the smart people to write it. Why do you think you have the right to question anything? And even if you had the right to, why would you bother?

Anyway - if Djokovic used this contraption just once in 2010 - why are we even talking about this? If he was continually on it throughout 2011 - obviously his achievements are either;

1). Valid, if the authorities decide not to ban sleeping in altitude chambers

or

2). Moot, if they do ban them

It's as simple as that.
 

droliver

Professional
"If all this is true, Djokovic would surely not be the one who first discovers"

He's not. There was a family practice doc near us who use to try to market this to high school athletes to "speed up recovery". Again, there is no evidence to really support HBO for this use so as super-oxygenating adequately perfused tissue for recovery. It would make more sense to deliver this capacity during competition which is what in a sense what blood doping does and why it's banned.

If you look at physiology research on shock, sepsis, and resuscitation what you see are a lot of failed attempts at manipulating normal physiologic responses. From hypertonic saline in trauma patients to super high doses in a diet of anti-oxidant vitamin supplements, what you usually see is either no difference or worse outcomes in patients. The take home message is that it's hard to outsmart nature as there are a lot of alternate pathways of inflammation and there are frequently unintended consequences of manipulating such things. It's why you've seen outcome data on vitamin supplements that counterintuitively show higher instances of preamture death and heart attacks, etc...
 
Last edited:

Outbeyond

Legend
"If all this is true, Djokovic would surely not be the one who first discovers"

He's not. There was a family practice doc near us who use to try to market this to high school athletes to "speed up recovery". Again, there is no evidence to really support HBO for this use so as super-oxygenating adequately perfused tissue for recovery. It would make more sense to deliver this capacity during competition which is what in a sense what blood doping does and why it's banned.

If you look at physiology research on shock, sepsis, and resuscitation what you see are a lot of failed attempts at manipulating normal physiologic responses. From hypertonic saline in trauma patients to super high doses in a diet of anti-oxidant vitamin supplements, what you usually see is either no difference or worse outcomes in patients. The take home message is that it's hard to outsmart nature as there are a lot of alternate pathways of inflammation and there are frequently unintended consequences of manipulating such things. It's why you've seen outcome data on vitamin supplements that counterintuitively show higher instances of preamture death and heart attacks, etc...

Apparently it's not hard to outsmart Djoker...who no doubt pays a pretty penny for these "treatments."

Oh, the places we go!!:twisted:
 

CocaCola

Professional
"If all this is true, Djokovic would surely not be the one who first discovers"

He's not. There was a family practice doc near us who use to try to market this to high school athletes to "speed up recovery". Again, there is no evidence to really support HBO for this use so as super-oxygenating adequately perfused tissue for recovery. It would make more sense to deliver this capacity during competition which is what in a sense what blood doping does and why it's banned.

If you look at physiology research on shock, sepsis, and resuscitation what you see are a lot of failed attempts at manipulating normal physiologic responses. From hypertonic saline in trauma patients to super high doses in a diet of anti-oxidant vitamin supplements, what you usually see is either no difference or worse outcomes in patients. The take home message is that it's hard to outsmart nature as there are a lot of alternate pathways of inflammation and there are frequently unintended consequences of manipulating such things. It's why you've seen outcome data on vitamin supplements that counterintuitively show higher instances of preamture death and heart attacks, etc...

I meant it in "bigger picture" like the world of sports. If it is significantly helpful it would already be used by many world's top athletes, not just Novak.

And thank for the explanation.
 

frunk

Semi-Pro
I knew it!

2re0612.jpg
 
Top