I broke my clavicle which caused me to have different distance between my shoulder and center of chest - so dumbells allowed me to work heavier and deeper that olympic bar.
Having had 6 lower back surgeries - and having worn a 'too thin' belt - too tight, I would say beware of belts. Alot has to do with individual structure and belt design.
I trained some with Mike in Venice - hitt is something you have to be in shape for - injuries are a risk - once you start the process - it has a life of its own - and my body told me when enough was enough
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