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Andrea Proulx ND
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How To Use Cold - What Actually Builds Muscle and What Slows It Down

By Dr Andrea Proulx2/12/2026

If the idea of an ice-bath or cold shower sends shivers (or fear or excitement) down your spine, then we need to differentiate between the hype of cold and the actual science and strategy.



Elite athletes aren’t jumping into ice baths “because it feels hardcore.”

They are strategic.



They match the tool to the phase of training and performance (and life) goals.



We know that cold exposure can:

  • activate brown fat (hello increased metabolism)

  • regulate insulin sensitivity

  • support muscle growth and longevity



But how and when to use cold is more nuanced.

It’s not a one-size-fits-all. Recovery, adaptation, endurance, fat burning, and longevity are not the same goal.

Different biological signals are sent and your body responds accordingly.



Let’s break it all down.






The Core Physiology


Cold = Recovery + Resilience Tool


How cold? XY-chromosome people react differently than XX-chromosome people. (XY are often primary testosterone producers and previously referred to as “men”. Whereas XX are often primary estrogen producers and previously referred to as “women”.)



Ice cold is too cold is you’re main hormone is estrogen. This temperature causes a severe constriction and shutdown of the system - because it's a huge stress! We’re better off to focus on 16C. This temperateure offsets the severe constricitons but cold enough to elicit the positive effects of cold exposure.




Cold exposure:

  • Reduces soreness and perceived fatigue

  • Improves short-term performance readiness

  • Increases norepinephrine 200–500%

  • Increases dopamine

  • Improves alertness and pain tolerance

  • Activates brown adipose tissue

  • Improves insulin sensitivity and metabolic flexibility

  • Acts as a “good stress” that strengthens autonomic nervous system resilience (1)




But here’s the edge:


Regular cold immersion after strength training can reduce muscle growth.



How does the cold have a negative effect?

  • Suppresses mTOR signaling

  • Reduces the inflammatory cascade needed for adaptation

  • Decreases muscle stem cell (satellite cell) activity

  • May impair long-term strength gains when used frequently




However - ya, it's never a black and white science discussion.


Local cold wrapped on a muscle after resistance exercise may NOT significantly disrupt early gene signalling for muscle adaptation. (2)

Cold immersion (full-body) can “short-circuit” the adaptive stress signal that drives hypertrophy.


Cold improves short-term performance.

It does not build muscle.






Competition / High-Volume Blocks

Goal: Recover fast. Perform again tomorrow – and the day after



This is where cold shines.



Use cold when:

  • You have multi-day competition like tournament play

  • Back-to-back high output sessions

  • Short turnaround between efforts



Cold helps:

  • Reduce soreness

  • Lower perceived fatigue

  • Improve performance readiness

  • Increase norepinephrine for focus



Here, performance is MORE important than adaptation.

Elite athletes shift tools when the goal shifts.






Endurance & Aerobic Training

Goal: Aerobic capacity, mitochondrial efficiency.



Cold does not appear to impair aerobic adaptations.

Endurance relies less on inflammatory hypertrophy signaling.


Cold may:

  • Support recovery between sessions

  • Improve mitochondrial efficiency

  • Help maintain training volume



Cold can be used more liberally here — especially in high mileage phases.





Fat Burning & Metabolic Health

Goal: Improve metabolic flexibility.


Cold exposure:

  • Activates brown adipose tissue

  • Improves insulin sensitivity

  • Enhances metabolic efficiency



This is a systemic effect — not a muscle-building effect.

Use strategically. Not compulsively.





Longevity & Resilience

Goal: Nervous system resilience and capacity. Stress tolerance.



Cold is a “good stress”.



It strengthens:

  • Autonomic nervous system regulation to balance sympathetic and parasympatethic responses

  • Stress response capacity

  • Mental resilience



Side note – You can also consider heat here to support:

  • Cardiovascular health

  • Adaptation signaling

  • Longevity physiology



Both can fit here.

It depends on what you’re trying to stimulate.





Practical Protocols For Using Cold


🔥 For Muscle & Strength Gains

• Do NOT cold plunge immediately post-lift

• Wait 4–6 hours minimum if using cold

• Avoid daily post-lift cold during hypertrophy blocks



❄️ For Competition Recovery

• Use cold immediately post-event

• 5–10 minutes immersion

• For XX-chromosome (female) don’t go colder than 16C. For XY (male) go for the icy cold.

• Especially useful in multi-day events, tournaments

• Prioritize performance over adaptation



❄️ For Endurance Blocks

• Cold post-session acceptable

• Especially during high-volume phases

• Focus on maintaining training frequency



🔥 For Longevity

• Regular heat exposure

• Strategic cold exposure for resilience





The Athlete Mindset


Cold is not “hardcore.”


The question is not:

“Is cold good or bad?”


The question is:

“What signal am I trying to send my body right now?”


Olympic and elite athletes don’t act ad hoc.

They periodize stress.

You should too.




If you’re unsure which phase you’re in —

adaptation, recovery, endurance, metabolic reset —

that’s where strategy comes in.



Recover with intention.





References

(1) Jdidi H, Dugué B, de Bisschop C, Dupuy O, Douzi W. The effects of cold exposure (cold water immersion, whole- and partial- body cryostimulation) on cardiovascular and cardiac autonomic control responses in healthy individuals: A systematic review, meta-analysis and meta-regression. J Therm Biol. 2024 Apr;121:103857. doi: 10.1016/j.jtherbio.2024.103857. Epub 2024 Apr 18. PMID: 38663342.

(2) McGlynn, Mark L.1; Rosales, Alejandro M.2; Collins, Christopher W.1; Slivka, Dustin R.1,2. The Influence of Local Cold Application and Resistance Exercise on the mRNA Response of Skeletal Muscle. Journal of Strength and Conditioning Research 39(11):p e1272-e1278, November 2025. | DOI: 10.1519/JSC.0000000000005209

(3) Best Post-Workout Recovery for Women: Sauna vs. Cold Exposure | Dr. Stacy Sims with Andrew Huberman. Youtube channel: Dr. Stacy Sims Official. Accessed Feb 12, 2026

























Dr Andrea Proulx
Dr Andrea Proulx
ND

Dr. Andrea Proulx, ND — helping female athletes crush fatigue, fix their hormones, and finally perform like the athlete they know they are. Read full bio

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Andrea Proulx ND
Andrea Proulx ND

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