Balance

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Running has been pretty sparse lately. I think I’ve only done 4 miles since my last post. Those 4 miles went pretty well and the next day I was no worse off. I intended something like that every other day with a mandatory rest day in between. Yesterday would have been the 2nd run, but the rain and other things made it inconvenient. Rather than fight through my schedule to get the run in, I figured less is more at this point and took it as a sign holding off for another would be better.

Today it’s absolutely gorgeous, so I intend 5 in central park today while making sure to keep everything feeling good in the hamstrings as I run.

Over the weekend I was climbing the walls, really wanting to do something long. With lack of anything better to do I headed to the gym with my wife with no real plan or idea of what I’d be doing once I got there. Most cross training options I think would tend to aggravate my hamstrings just as much as running.

By chance, a yoga class was starting so we jumped in. Holy cow. I had no idea how f*cked up I really am. First off, I’m not surprised I’m a little tight in the legs in every way you might think someone could be tight, but it’s much more severe than I ever imagined. Hips, calves, shins, quads, everything. I couldn’t do some of the most simplest poses, say like um, …sitting. I couldn’t even sit cross-legged without my knees being in the air as high as my shoulders.

namaste

I’ve stopped stretching a while ago. I used to be very diligent about this. At one time in my life I could do a full split. Then I’ve come across studies that seemed to go against conventional wisdom and suggest that stretching doesn’t prevent injuries. I never enjoyed it so I bought into the belief and let myself go in that department. I got away with it for quite sometime. Probably longer than any study would have been conducted, but I’m convinced that had I kept stretching I wouldn’t be injured like I am now.

On top of that, some of the balancing poses that require standing on one leg showed me how injured my hamstrings really are. It wasn’t so much a lack of balance or strength, but my leg just buckled as soon as I would try to support my weight using my hamstrings. That was another surprise.

It became clear to me I could use this as a tool to detect problems I’m having that I might otherwise be tempted to dismiss. Looking back it’s obvious I’ve been too focused on certain aspects of my training that I’ve lost sight of a bigger picture. I need to balance things out a bit more. I guess figuratively and literally. Otherwise I’ll just be setting myself up for another injury to creep in.

Since then I’ve been adamant about stretching everyday. I plan to get in a routine that includes some sort of yoga on a regular basis. As of now I have no clue what I’m doing so I can’t realistically do anything on my own at this point. But, I’ll try to find a couple of classes to get familiar with the basics besides downward dog.

Googling images of downward dog is another way to learn

Injury update (and opting out of other bull$h*t)

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Ok, so this is my second post in a row where I used swearing in the title, but at least I’m censoring it a bit this time. I’m finding it quite liberating. Also, it seems swearing gets more hits to the blog. Obviously, people like to read swear words, so I’m trying not to disappoint.

Anyway, I’ve taken a full week off from running since finally realizing the tendons in my hamstrings were royally screwed up. Thankfully, there’s been noticeable improvement everyday. Each morning is less tight than the day prior, and stepping up on curbs causes less pain as well. After a full week, I decided to test things out by doing almost 6 miles in central park. This consisted of the lower 5 mile loop with about .7 miles for the road at 60th and 5th ave leading to and from the loop. I never skip Harlem hills, but knowing this injury, I knew that I would be making things worse if I were to include them.

The whole time while running, I focused on trying not to aggravate my hamstrings. I maintained a small stride to do this. I was mostly successful and by the end of the run things were even better than I thought they’d be. The running wasn’t easy, and by that, I mean it was tiresome in my leg muscles. I can’t for the life of me figure out why that is. How could I possibly go from running 20 miles without effort to having tired legs after 3 miles? Do you lose so much fitness in a week from doing nothing? The answers to the obvious questions most would ask are.. I ran a full minute per mile slower that what I do 20 at, and, no, aerobically this was no problem as I was carrying on a full conversation.

The next day I can’t say I noticed an improvement like I have every other day, but it didn’t feel like i regressed either. So I went out for another 6 and it didn’t go well. In fact, it was worse than the day before. I remember thinking to myself while running how much I missed running. And, I mean that easy effortless feeling of moving fast along with feeling the kind of effort that’s welcomed… almost what’s craved. This felt broken, and it was not the result of pain from my injury. I wasn’t in pain. It was just this weird tiredness in my legs in muscles I never feel tiredness in. And in my lower back also in places I never felt tired before.

I have to admit, that during the week away, while things felt like they were improving quickly, I was still secretly hoping Boston could be a possibility. But, this second run absolutely killed it and in some way it was almost a relief. I guess the realization that this is absolutely out of my control took some pressure off, but it doesn’t change the fact I’m still pissed at the situation. This is true especially when I think back to the sacrifices I made to stay so consistent with training. Oh well, I whined about that in my last post so I’ll skip it here. But the point is, I’m now ready to cancel those hotel reservations :(

The scary thing about all this, is that you think there might actually be a possibility this is one of those injuries that never fully goes away. The rational side of me believes mostly this isn’t true. But, when I think about how long I’ve felt that twinge, before it became a major problem, I realize can’t remember a time not feeling that twinge. That’s also sort of the reason how this whole thing was able to creep up on me the way I did. It was like I turned around one day and said, “Hey, this isn’t getting better.” But, my point is if it took this long to get so bad, is it going to take this long to go away?

Any way, in the meantime; something non-running related, I joined a CSA which I’m very happy about.

I think our food, and the whole industry around agriculture, along with the FDA and USDA is so broken it’s quite frightening when you think about the path we’re going down. I’ve never really written about this, and if I were, you would might think I was a conspiracy theorist if you aren’t already familiar with the situation. I’ll tell you right now, I’m no extremist by any means. But, I feel like there’s this big reality out there that the majority of America knows nothing about. There are so many “definitions” and “standards” put in place by these institutions we believe are there to protect us. In reality, these definitions are so ill-defined, vague, and deceptive. Often, people make decisions with the best of intentions because of these definitions. It turns out, those institutions which we believe we can trust have become so twisted and corrupt that not only are they useless, but they’re quite destructive.

I might write more about it in future posts, especially since there will probably not be much in the way of running. In the meantime, spend some time watching this. It’s a little tough to get through the first 10 minutes, but it’s very informative.

Beeturia

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I’ve always been a big fan of juicing or blending vegetables. Actually, I tend to blend more often than I juice. For one thing, there are more benefits to consuming the whole vegetable instead of just its juice. But more importantly, the blender is a hell of a lot easier to clean than the juicer.

There are 6 vegetables I juice and/or blend on a regular basis. Each of these were selected for a particular reason to fit my specific needs.

  1. Kale (blend)
  2. Celery (blend)
  3. Cabbage (juice)
  4. Carrots (blend or juice)
  5. Broccoli (blend or juice)
  6. Banana (blend) ok, it’s a fruit.

From there I tend to throw in additional vegetables or fruits based on whatever is available. Beets has been one of them on occasion.

Then I read this article on how beet juice and nitric oxide can help performance. Afterwards, I decided beets should be added to the list above as a regular addition to my regimen.

Beets! - the new Perpetuem

It took a couple of tries, but I came up with my own recipe for a delicious beet smoothie

In a blender I put the following :

  • 1 whole raw beet about the size of a baseball
  • 3 stalks of celery
  • 2 carrots
  • a glass of ice and some water
  • a squeeze of agave syrup for a couple of seconds

Blend until smooth and viola.

It's actually tastes as good as it looks. ....And I meant it tastes good if that wasn't clear.

If you’re curious what the bowl of green stuff is, it’s my yogurt

  • 2/3 a cup of zero fat fage total greek yogurt
  • 4 or 5 big leaves of kale
  • 1 banana
  • a handful of chia seeds
  • a handful steel cut oatmeal

Blend until smooth.
Add almonds on top

Ok, so that’s all fun and good.

A couple of days later I went out for a pretty good marathon paced run during my lunch hour. I wound up doing about 20 seconds faster per mile than marathon pace. Things were good and easy but I was pushing the effort.

Back at work, after I took my first piss, I almost fainted in fear as I looked at what seemed to be a bright red stream of blood. I almost screamed in horror. What is it that is bleeding inside me? My kidneys? My testicles? But nothing hurts!!! What’s different? Oh right… the beets? Did the beets do that?

I ran back to my desk to google beets urine red. To my relief I have something called Beeturia. Digging deeper, I was curious to find out why all of a sudden? It wasn’t my first time consuming the beets like this. I learned this is sometimes related to an iron deficiency for unknown reasons. I know I’m not anemic. I dismissed this.

It didn’t happen again for a few days.

Then it did.

And it was worse. Much much worse. It was a bright red cherry colored stream with a flourescent hue.

And it was after running a 6 mile tempo is Central Park. That tempo was much more strenuous than the 6 mile marathon pace from before. The days in between I only ran easy. I was beginning to notice a pattern here.

Because I’m fascinated with this I dug a little deeper and I found another article.

…suggests that beeturia is more likely to occur at a time of “iron hunger” perhaps via the pathway for iron absorption. Because beeturia can appear and disappear in individuals, at least some of the 14% incidence may be due to the fluctuating nature of iron absorption in normal individuals.

Hmm. That actually made a lot of sense to me in my layman brain.

It seems, every time I run hard, I piss red now. Kind of funny.

That little fucker had Lyme.

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The tick I found Saturday on my leg tested positive for Lyme’s disease.

I’m being put on a 21 day cycle of some medication I cannot even pronounce, much less spell. Some nasty side effects come a long with it, including sensitivity to the sun.

In retrospect, I actually feel very fortunate. Had I not found the tick on my leg, the consequences could have potentially been much worse… obviously. So I actually count myself as lucky.

A video worth watching

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This guy is Dr Monte. I’ve been listening to his podcast for years and now follow him on his newer project Science2Health. He’s had a direct effect on a lot of choices I make today. You can learn a lot by listening to him.

Please watch the video, and repost it for others to see. Thanks!

Strep Again!

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If you can believe it, I got strep again on Tuesday. So this week, I neglected writing since there hasn’t been much to write about in the way of running. I lost 3 days, although one of them was a planned rest day anyway. This post I’m going to try to wrap up the whole week.

Monday I managed to do an hour on the treadmill at my marathon pace, 8.2 miles with an incline of 1.5. Things felt great during.

Tuesday, I woke up and felt like total crap. I went to work and decided to skip running at the gym because I felt I was getting sick. The previous Sunday my daughter got a stomach flu and it turned out she still had Strep despite just coming off an antibiotic – she got strep too a week ago. Then two days later, Tuesday, I’m feeling sick and I leave work early that day.

Wednesday I have all the same symptoms as when I had strep a month ago. I go to the urgent care office for another antibiotic and the nurse practitioner doesn’t seem to want to listen to why I know I have strep throat. She points to the “rapid test”, the same one I posted a picture of when I had strep last month, and states “but it’s clearly negative”. Those test are notoriously inaccurate I remind her. She huffs and says, “Well, if you want me to send in a throat culture I will. And in two days, we’ll have an answer and if it’s positive we can give you an anti-biotic.” At this point my blood began to boil and I told her give me the antibiotic and if in two days its not positive, call me and I stop taking it. After rolling her eyes she agrees. Wow.

At the pharmacy, while I waited for my prescription, I remembered I have a lot of flex spending cash left over from 2009 burning a hole in my pocket which I’ll lose if I don’t spend by March. So, on a whim I bought a cholesterol monitor, a bunch of tests, and a blood pressure monitor. I’m actually pretty happy about this in some nerdy kind of way. It was a bit fun testing myself and my wife, and I seriously need to get my blood pressure down; I’m prehypertension.. no surprise there actually.
Total : 172
HDL : 61
LDL : 86
TRI : 125
BP : 130/80

Also I picked up some glucose tablets. I guess they’re for diabetics or hypoglycemics. I figured they’re a cheaper alternative to gels and much more appetizing. I honestly can’t stand gels. Most brands, especially power bar gels, taste horrible. Gu’s, I can get down but I’m starting to suspect they might be responsible for the stomach upset I’ve coincidentally had every time I’ve taken them. Plus, I’d rather not have all the sodium.


The glucose tablets are basically no frills glucose, taste good and are meant to spike your blood sugar fast, which is exactly what you want from a gel when running. I generally don’t take gels, or any fuel, during long runs, (just races) but I tried them out today before doing 18.6 miles. They seem to work well. And are easy to carry. More on that later.

Thursday the antibiotic was already kicking in and I felt well enough to go back to work. While there, I got a call from the urgent care office informing me my throat culture came back positive for strep and that the nurse practitioner who I saw wants me to continue taking the antibiotic. You know, this actually pissed me off? I felt like responding “no shit, sherlock”. Instead, I just mumbled thanks and let her know the antibiotic is already helping.

Friday, all I could think about was running again. During my lunch hour back on the treadmill. 8.4 miles in an hour on a 1.5 incline. It should have felt easy, and it did mostly, but I was exhausted by the end.

Saturday, I wanted to run long, but due to time constraints I was only able to do 10. Family duties called, but it was great to be outdoors. Lots of snow was predicted, but thankfully none of it came. I was really beginning to fear having to drag out another 20 on the treadmill. So it didn’t matter how cold it was, I was happy to be on the road. Things felt great mostly, but by the time 10 miles was over, I was sort of beat and happy to be done.

Today, Sunday, I still had 20 written into my plan. It was 19F with 33 predicted so I waited around for it to warm up. By 11am it was still only 25 so I went out to the Rockys. I felt a lot of fatigue in my legs. The 10 yesterday was a bit fast, but it didn’t explain why I was so tired. Nonetheless, I tried a few of the glucose tablets and I really believe they gave me a bit of pep. Things got easier. Up until 13 miles I was able to hold it well, and then the hills got to me – I would have liked to have had another glucose tab to see if it really made a difference. Anyway, things were slow from there on, and I think I just wanted to stop by 15. At that point, I was headed back and began to think about someone’s recent blog post about struggling with long runs and the response I wrote. Ironic that my long run now just fizzled out and came to a crawl by the end. Ending with 18.25 total.

Later today, by chance, I found a some debate online about antibiotics and fatigue…. who knew? :|

Whole Foods and Healthcare

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It was in the news yesterday that Whole Foods will be giving their employees an incentive to make healthier lifestyle choices by giving extra discounts on top of the 20% discount they already receive on their purchases. How much discount an employee receives depends on which of the four categories the employee qualifies for. The lowest group offers an extra 2% while the most extreme offers an extra 10%, totally 30%.

The most stringent category has some very extreme criteria. I consider myself to be very diligent about my health, but I would not qualify under these requirements.

  • Cannot use nicotine products – ok, no problem there
  • BMI less than 24 – My BMI is between 25 to 26.
  • Blood pressure 110/70 – Nope, last checked it was 120/64
  • Total Cholesterol under 150 or LDL under 80 – I don’t track my Total Cholesterol because I find it useless, but my LDLs are 113 – I’ve never tested lower than 97

With that said, there has been a typical reaction from the media focusing on those crying discrimination and calling for boycotts. First off, let’s make it clear that this is for employees, not the public. Furthermore, it’s voluntary for just the employees that are enrolled in the company health plan provided by whole Foods.

For the past 7 years, I have paid more for health insurance each year while my benefits were decreased to some degree on most of those years. If I was an employee at Whole Foods, I would welcome any change that could potentially lower my healthcare costs, especially if I didn’t have to necessarily do anything to benefit.

About 75% of all healthcare costs in the US are from treating chronic diseases like heart disease and type 2 diabetes, most of which can be prevented by not smoking, lowering weight, lowering blood pressure, and lowering cholesterol. All of these are controllable by lifestyle choices and are the same exact ones Whole Foods is encouraging their employees to focus on.

However, while I think Whole Foods is doing the right thing by giving their employees an incentive to make healthy lifestyle choices, they’re implementing it poorly. First off, BMI is for the birds as everyone knows it does not take muscle mass into consideration. Measuring body fat % would make much more sense, but it’s difficult to measure correctly and involves a water displacement test. Sure, there are battery operated scales that shoot tiny currents of electricity through your body, but they’re very inaccurate. For this, I don’t have many the answers.

In addition, there are some people who are too far on the extreme where reaching the criteria for a mere 2% discount would simply not be worth the effort. (I would argue the health benefits are reason enough, but that’s beside the point.) Those people deserve to receive similar awards for taking the right steps and participating. And, everything possible should be done to encourage them to participate and not leave them on the wayside. In reality, they are the ones we want to encourage the most.

Therefore, rather than basing rewards on specific criteria, the program should be geared towards achieving a realistic improvement for each individual over time until the minimum criteria is reached. For instance, having them lowering their vitals by a certain percentage should qualify them for a discount. When they reach a certain percentage they get their discount, and must continue to lose another percentage in a given time period to maintain it. If they fail within that timeframe, they then lose their benefits until the goal percentage is reached.

In fact, a model of some sort that’s based on a reward system for those who do what they can to alleviate burden on the health care system should be implemented across the country. After all, 75% of us are dying because of poor lifestyle choices.

Take Charge!

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About 8 years ago I used to suffer from a chronic illness. I may share the details about that illness one day, but my point in mentioning this, is that I used to have to get my blood tested regularly due to a medication I was on.

All the while, cholesterol was one thing that happened to be included on the test but not a purpose of the test itself. Meaning it wasn’t relevant to the medication or any of the problems that can be caused as a result of it. One time, by chance, I had an opportunity to look at my test results and discovered my cholesterol was printed out in bold as being abnormal. I also had my past results handy and it was the same on the tests preceding. When I asked my doctor about this, his reply was “Yea, it’s kinda high”. Well, gee, thanks for the heads up. It never occurred to him to point this out to me?

Keep in mind he was a “specialist” and this was not his “area” so he really wouldn’t, or couldn’t, go into details, or answer some of the questions I had, like why is it high, and what should I do about it. For that he told me to see my general practitioner. At the time, I had no knowledge about cholesterol and what the numbers meant so I left there wondering what exactly was the significance of this.

I knew there was a lot of heart disease on my mother’s side of the family so I had some concerns. I went to see a “general practitioner” who wanted to put me on another medication. After discussing the situation she really drove home how important it was for me to get my cholesterol down. I asked about side effects, mainly because I was already on a medication that could have an effect on my liver. Sure enough, cholesterol lowering medication also can have an effect the liver.

My health in general was very poor at the time and I was starting to realize how messed up I really was. I was also about 70 lbs overweight, and I was only 29 years old.

I expressed in frustration how I didn’t really want to be put on another medication. I did this not expecting to be offered an alternative. Nonetheless, she mentioned I could try lowering it by changing my diet, but this isn’t something that is often successful. (It is actually 90% effective. More effective than any drug when the patient is disciplined about their lifestyle change. What I believe she meant to say is that her patients are not often disciplined) She then gave me some very dark and over exposed photocopied sheets of paper that detailed some information on diet and cholesterol and mentioned we should have another blood test in 30 days.

That day I became determined to correct this and focus on my health in general. I first researched cholesterol itself. I learned the different parts, LDL, HDL, Triglycerides. What each is responsible for, how it worked, why its bad (its not bad, its the oxidation of cholesterol that’s bad), where it comes from, and what to avoid. When it came to a cholesterol lowering diet, it seemed what was on these photocopied sheets of paper, which was thought to be standard guidelines, didnt always match what I found.

Most importantly, these sheet of papers didnt include anything about trans-fats. (at least not at that time) I learned what partially hydrogenated oils were. I learned how lethal this stuff is; so lethal that there was some consideration in Denmark to make it illegal at the time. It’s virtually a poison that screws you twice. It lowers your HDL, which you want as high as possible, and increases your LDL, which you want lowered.

Eight years ago, trans-fat was virtually unheard of compared to today. At that time you could find some information about it on the internet but not many people knew what it was. Yet, this crap was in almost every box I picked up in the form of partially hydrogenated oils. And at that time you had no way of knowing how much trans-fat. The tips you were given on the internet were to guess how much trans-fat based on the order of ingredients. Well, screw that. If it had partially hydrogenated oils, i stayed away from it.

What made my blood boil though, were food boxes marked “cholesterol-free” with the third or fourth ingredient being partially hydrogenated oils. Think of the poor schlub who wants to do something better for himself and lower his cholesterol by choosing Nabisco Triscuits because of the deceptive advertising.

Since then, much progress has been made on this front. First the FDA finally passed a law to list the trans-fats grams within the nutritional information of a food product. Then something extremely ironic happened. All the products which I noticed had partially hydrogenated oils on their boxes before, now had them removed from their ingredient list. Rather than disclose it, they got rid of it. Then they used this as a marketing twist to advertise themselves as being on the “No Trans-fats” bandwagon. As if they really fucking cared what we ate.

Keep in mind, some of these products, even while advertising “No Trans-fats” still had partially hydrogenated oils in their ingredients. If you’re confused by this, well it’s because they’re legally allowed to list zero trans-fats when there is 0.5g or less in a serving. Often their servings are a fraction of what most people consider a reasonable serving so something listed as zero trans-fats could have up to 1.5g if the serving size is one third of what you think it should be. i.e. six potato chips.

Also, you should know that the attraction to these oils by the food companies, and restaurants, is simply that they are cheaper and have a longer shelf life. There’s very little reason to use them over other oils other than that. The product results of using partially hydrogenated oils can all be replicated with other healthier oils. Poof of this is the fact they were mostly removed quietly without many even people knowing they were there in the first place.

New York followed suit by banning the use of partially hydrogenated oils in restaurants. The restaurant companies fought hard against this of course. They fought this in the name of customer’s choice. This was the biggest hypocrisy and left me wondering where my choice was. Yet, you’d be surprised how many people I discussed this with that were suckered into falling for this and that New York had no business being “the food police”.

And this is also somewhat related to the point of my post.

When it comes to your health and what you consume, you alone need to take responsibility for yourself first. I speak about trans-fats only as an example here. This stuff was in processed food for quite some time while cardiovascular disease became the #1 killer. It was even sold as a healthy alternative to butter – even after there was some evidence showing otherwise. So do not blindly put your trust in marketing and consume foods which are simply sold in a package that’s marked healthy. Don’t trust the FDA to make decisions for you. Just because the FDA says its safe and its being sold in food, doesnt mean you can safely consume it.

Furthermore, understand any health conditions you might have and challenge your doctor by doing your own research and asking the necessary questions. All too often I’ve been the recipient of healthcare that followed some sort of flow chart of symptoms, problems, and then medications. If your doctor takes a holistic approach and looks at the full picture then you are quite lucky to have him or her.

With that said, start looking at the products you consume and identify the ones which have high fructose corn syrup for example. If you’re an endurance athlete you may be surprised by that gel or sports drink. From there, just make sure you have enough information to make your own choice.

Oh yeah,… my HDL is 75 and LDL is 113 now.

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