The intensity of a maximal effort lift can cause physical distress, such as bleeding, to the lifter.

“he's squeezing all the blood. He gave himself a concussion from the force of him squeezing his blood into his head. Like you saw as he lifted before he even got to the top, blood was streaming out of his nose.”

A lifter's physical frame is a significant factor in their potential to become a professional strongman.

“I mean, you kind of just need to have a big enough frame to carry enough muscle, right? Like the there's an upper limit on how tall and how broad you are of like eventually it won't stack out anymore.”