The Dispatch

XLVIII

No XLVIII · Health · 7 min

Why your old workout doesn't work anymore

The five-day split that built me at 30 was breaking me at 42. Here is what the evidence (and my Garmin) said to change.

26 Apr 2026

No XLVII · HEALTH

The four lifts that matter after 40

Squat, hinge, press, pull. Two sessions a week. The unsexy programme that out-builds any spreadsheet of accessories.

26 Apr 2026 · 7 min

No XLVI · HEALTH

Protein targets for men over 40

1.6 to 2.2 grams per kilo of bodyweight, spread across the day. The number that quietly decides whether you hold muscle past 50.

26 Apr 2026 · 7 min

No XLV · HEALTH

Zone 2 and VO2 max, the actual metrics that matter

Two cardio numbers predict how well you'll move into your seventies. Most men train in the grey zone between them.

26 Apr 2026 · 8 min

No XLIV · HEALTH

Sleep as a training input

Most men over 40 treat sleep as overhead. The data says it is the largest single recovery lever you've got.

26 Apr 2026 · 7 min

No XLIII · HEALTH

Coming back from an injury without restarting

Full rest is yesterday's protocol. Relative rest plus structured loading gets you back faster, and stronger than before.

26 Apr 2026 · 8 min

No XLII · HEALTH

The annual health check men skip

BP, lipids, glucose, skin, mood, plus the screens specific to men past 40. The 30-minute conversation that quietly saves lives.

26 Apr 2026 · 7 min

No XLI · HEALTH

Testosterone after 40, the honest version

Testosterone declines after 40. That is normal. The rate is what matters, and the rate is mostly fixable with sleep, weight, and alcohol before any clinic touches you with a needle. The honest version of low T, what the lab numbers actually say, and why the men''s clinic on Instagram is selling you a problem you may not have.

28 Apr 2026 · 8 min

No XL · HEALTH

When the scan finds something

The phone call you do not want to get. "We''ve found something on your scan, we''d like you to come back in." Most incidental findings are nothing. Some are serious. The 24 to 48 hours between the call and the next appointment are the worst part, and they are also the part where men make the worst decisions. Here is how to navigate the panic window without burning your marriage, your sleep, or your sanity.

28 Apr 2026 · 7 min

No XXXIX · HEALTH

The prostate test conversation

PSA testing is not on the standard Australian health check, and most men are surprised by that. The Cancer Council''s position is informed-consent, not blanket-screen, and the reasons are better than they sound. When to start asking, what an elevated PSA actually means (mostly not cancer), what the DRE is really for, and the biopsy flow if it gets there. The honest version, not the alarmist one.

28 Apr 2026 · 8 min

No XXXVIII · HEALTH

Men's cardio, the old rules are wrong

The "long slow run is good for your heart" assumption is half right and half wrong. Modern cardio research has converged on a model that almost no recreational runner is actually doing: 80 percent at very low intensity, 20 percent at very high intensity, with very little in the middle. The grey zone where most men train is the worst zone for adaptation. Here is what four hours a week should actually look like, in heart-rate numbers your watch can read.

28 Apr 2026 · 7 min

No XXXVII · HEALTH

Mobility as the new strength

Hip, ankle, and thoracic mobility decline accelerate after 40, and most men do not notice until they cannot get off the floor without using their hands. Strength is not the rate-limiter for being able to lift, run, or play with kids at sixty. Mobility is. Ten minutes a day on four specific drills beats one hour a week of "mobility class" you forget by Tuesday. The drills, the rationale, and what the decline looks like if you ignore it.

28 Apr 2026 · 7 min

No XXXVI · HEALTH

Alcohol and recovery after 40

Three drinks at 42 is not three drinks at 28. Here is what changed inside, and what to do about it.

28 Apr 2026 · 7 min

No XXXV · HEALTH

The stress fracture no one warns you about

The bone in my shin gave out at 43. The radiologist was not surprised. Here is what nobody told me about running back into your old self.

28 Apr 2026 · 7 min

No XXXIV · HEALTH

The lower-back truth after 40

The MRI shows degeneration. The pain shows movement. Most lower-back pain in men over 40 is not what you think it is.

28 Apr 2026 · 8 min

No XXXIII · HEALTH

The resting heart rate tell

One number, measured before you get out of bed, tells you more than most blood tests. Here is how to read it without obsessing over it.

28 Apr 2026 · 6 min

No XXXII · HEALTH

The belly fat explanation

Same weight, new shape. The belly that arrived in your forties is a different animal. Here is what it actually is and what shifts it.

28 Apr 2026 · 7 min

No XXXI · HEALTH

Men over 50 and the lift floor

Strength is not a vanity number after fifty. It is the floor under your independence. Three lifts, twice a week, thirty minutes.

28 Apr 2026 · 7 min

No XXX · HEALTH

Skin cancer checks as a routine

Australia has the highest skin cancer rate in the world. A skin doctor, once a year, two hundred dollars. Most men still do not go.

28 Apr 2026 · 7 min

No XXIX · HEALTH

When you stop being able to run

A week, a month, sometimes for good. The grief of losing a sport. The rebalance toward lifts, walks, and water.

28 Apr 2026 · 7 min