I think all my joints would collapse like a dying star if I did 1-3 rep max work, if all the tendons in my body didn't snap first. :-)
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You don't go max. You want an effort level of 8-9 so you always want to have at least a rep or two left in the tank.

If you are constantly hitting max weight then you will fry your CNS.

If you look at the top level powerlifters and strongman they rarely train anywhere near their potential max lift.
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it's also why most strongman carry 20%+ bf. It helps stabilize and lubricate the joints.
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FYI, if you need to get bloods done you can get discouted labs through PrivateMD Labs
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Get a spotter and take it easy until you feel comfortable

Good look bro
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