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I APOLOGIZE…..

If the last two years is anything to go by there is definitely one message which resonates across the board with everyone. That message is health. No matter what anyone says human health has certainly come to the forefont of global focus. What is sad is that it took the fear of a pandemic to wake people up and make them realise that.

Humanity across the globe is in a very unhealthy state but moreover a large percentage of the unhealthy population is based on very poor lifestyle decisions which have a detrimental impact on ones health and of course the consequences that come with it. Usually an individual will only value their health when they no longer have it. It’s debilitating physical and emotional impact period can leave a person begging for their health back. If and when it does return they generally go back to their previous bad habits. No lessons learned just Russian roulette with their health future.

The pandemic though brought another angle to the forefont and that was the question of am I healthy? If I do catch this virus how will my body respond? It is a very vital question to ask. I come across so many people in life who tell me they are healthy but once we start to dig deep we find that in actuality they are not. I mainly work with athletes. Take a look at them in general and your perception is lean, fast, strong and resilient. I take a look at them and see vulnerabilities caused by additional stresses on a body which can suppress proper immune sytem function as well as trigger a whole other host of potential issues which are never seen on the surface. Yes, they can also be high risk candidates.

When the pandemic started and treatment protocols were not crystal clear my immediate advice was tone down the training volume and intensity, focus on good nutrition, plenty of good sleep and fortify your health because that was our only initial natural fighting mechanism. Many did the opposite with their backyard ultra’s and clocking up the biggest home training sessions I have ever seen in my life. There were many who then when contracted covid got hurt and knocked down way worse than they should have. When I saw what was happening I took a bit of an angry and somewhat arrogant stance commenting that many had just taken their health for granted and now they were paying the price for their poor decisions.

I owe you an apology. Its not your fault. You were never guided, never taught, and grew up in an environment in which you didn’t know any better. It should not take a pandemic and fear mongering to make us change our attitudes towards our own health. It should be ingrained from a young age. Nutrition, exercise and general health should be taught at schools, should be brought into our homes and should be all encompassing in a family environment. However its very rare to find.

I dont like who I became. The pandemic triggered a huge sense of anger and resentment inside of me with the world looking for quick fixes and solutions to solve a pandemic which had absolutely no mercy on the vulnerable.
Admittedly I was one of the fearful when covid hit. The media loves sensationalism its how they make their money and fear was at the top of the list.

Eventually when I caught my first covid infection I had to go through the motions of a symptomatic illness that millions of others went through before me not knowing which way it would go. In hindsight the infection that hit my wife and I was fairly mild compared to many and we were over it in around ten days and slowly back to routine.
I was told by someone that I was lucky. That flared up some more anger because for the past 30 years of my life I have placed a huge amount of effort and focus on preventative health, through studying and constantly practicing. every single day of my life. Luck has nothing to do with it I lashed back. However again I need to apologize. My own turning point was three decades ago when I too succumbed to illness and it was my wake up call and my calling in life. If this is what it took me to wake up then it isn’t any different for others.

There was a major war going on across the globe of health versus covid. Having experienced covid and having some like minded experts at my side I became a frontline soldier. I went straight into the health battle and never looked back. Even to the extent that when my wifes son caught delta a year after our first infection I intentionally exposed ourselves to him to prove that health is the trump card here. We went through the second covid infection but this time way milder than the previous one. To be honest only two days of sinus irritation and then bloods were run and were all good and so again back to routine.

I was told by someone that my “brilliant chess move” was like cleaning my teeth with a shotgun. My convictions are solid, I just told him that for him it was fear talking, but I had already experienced covid and so I had none.
More arrogance set in because we bounced covid twice with ease and heath became even more of a trump card.
BUT, in hindsight I openly admit this was not a very clever move. As an educator and mentor it was pretty damn stupid. I demonstrated something which could have led others to do the same thing with dire consequences. Very few people on this planet actually have a true snapshot of their health. Their definition of health is an snapshot of how they feel from day to day based on physical and emotional feeling and function. They might not actually know what it truly feels like to be energetic and truly healthy. Its a biased opinion based on their life experiences.

I have let you all down. I played the health card over and over again during a pandemic when you did not have the slightest understanding of how you could be directly impacted by it. But because you do not have that indepth knowledge and know how into measuring your own health you could easily be at risk. Not just pandemic risk but any potential health threats that come your way.

The last few weeks I decided to take a step back and went into deep thought as to how I can try to make this world a better place. I am tired of the ongoing battles and arguments ensuing the globe. I have my opinions but my job is to encourage motivate, and help others achieve a much higher level of health and longevity.
So for now the only way forward is to educate and motivate . To use all my experience and evidence based knowledge and the knowledge of others to give you the best possible opportunity at strengthening, improving and fortifying your health.

Its a new year, certainly a new era and all I can do is promise you to keep striving to help change lives for the better going forwards.

Yours in health always

M



Categories
Health Nutrition Training

BLOODS DON’T LIE

When it comes to endurance sports performance and health we have all been exposed to the endless attempts to find the biggest gains in improving oneself. Most athletes that approach me are looking for an improvement in performance however my biggest concern is first health. I have always said that when we place our bodies under stress its important to make sure that the body can withstand the stress. If there is an underlying condition which the athlete is not aware of the consequences can be damaging if not life threatening.

As an endurance athlete and of course a human being nothing is more paramount than my health. When it comes to the human body the more you know about your own body the far better empowered you are to make the correct decisions when it comes down to it. I am sure most of you have heard about the term biological passport. This is used to monitor elite athletes in which profiles of biological markers of doping and results of doping tests are collated over a period of time. I have my own biological passport. I have 12 years of blood markers ranging from a wide variety of testing over time. However my passport is a biological health passport not a doping passport. I use this as a baseline for a range of different markers to ensure my body is in optimal condition to be placed under stress and to be able to perform at its peak when it comes down to it. As a sports nutritionist and physiology expert there is nothing more satisfying than getting blood results finding the anomalies and then using either treatment, nutrition or supplementation to correct them and get them back into line or even fortify them. However it goes much further than this. A general doctor will look at a range of bloods which are considered to be in the “healthy” range and give you the nod. I don’t do that I look at the bloods from an athlete perspective knowing that the individual is placing the body under a huge amount of stress whether it be an ultra distance marathon or triathlon. “Healthy” ranges are just not always good enough and in endurance sport tiny deficiencies or changes can equate to feeling flat or being able to really put down the hammer down and sustain it. Bloods don’t lie they will tell a story and guide a person in the right direction. Last year an elite athlete that approached me for assistance gave me the title “the legal doper”. I wasn’t sure how to take that as the word doping has many negative connotations associated with it. But on further thought I decided that to be able to legally enhance the human body is definitely the route to go as that has a big focus on health not just performance.

So my question to you all is do you have a snap shot of your health?  By that I mean a full set of bloods and the peace of mind that you are in good working order. Secondly once the doctor tells you that you are in good working order has he or she taken into account your active lifestyle. You are not a couch potato but a Ferrari engine and there is a big difference in requirements especially when it comes down to fuelling. Haematology is a fascinating pathway where hundreds of thousands of different chemical reactions and responses happen each day to what the body is going through. I would want to make sure that what is happening inside is life extending, performance enhancing and not destructive.

I have pulled up some bloods below just to deep dive a little and explain how some dietary and supplemental changes have made a huge difference in not just mine but other athletes lives.

Below shows an endocrinology profile of an athlete where I specifically requested  folate serum, red cell as well as vitamin D. 6 months prior to this test the results were not good. Vitamin D levels were sitting at 32, which by all means is healthy according to the medical spectrum and the folate levels were a lot lower. Vitamin D is actually the one vitamin that is scientifically and medically proven to strengthen the immune system. Its also the precursor to calcium absorption which means if you are an athlete you definitely do not want it to be on the low end at all. A very strong 5000iu D3 supplement pulled it up to 54 from 32 in 6 months and then the dose was dropped down to a D3 every 3 days at which stage the levels climbed further to 60. That is nearly double where it was before.

Noticeable differences in the athlete were not even such as a cold or illness in a two year period whereas prior to this at least 2-3 antibiotic courses a year. In addition there was a drop in shin splint pain until eventually it dissipated completely and never returned. Susceptibility to stress fractures had been reduced however I do need to mention in conjunction with the D3 a good calcium was also prescribed.

Below shows the increase from 54 – 60 at which stage we toned down the Vitamin D supplementation.
Its interesting to note this is an athlete who spends a lot of time outdoors and so the thought of sunshine providing Vit D although somewhat true is not always about exposure but about creation.

Below shows an athletes iron profile. It is in the normal range but again this is a serious athlete putting in many hours of training in a week. The feelings of fatigue that he experienced can sometimes be due to what we call athletes anaemia.  I felt the levels were too low although within the normal range so supplementation was brought into the picture.

Below shows the Iron supplementation over a 3 month period pushing the levels up nicely. I need to mention this athlete is a ovo-vegetarian although levels came up nicely the supplementation continued with a drop down to one tablet every 3 days to keep them topped up. The athlete noticed increased energy, better recovery and performance benefits.

No elite athlete wants to see the below especially when aiming for a top position in a race. Low red cell, low haematocrit is not a desirable result especially knowing that you are limiting your haemoglobin production and this is so crucial for muscle and organ function. The last thing you want is limiting it especially if you are an athlete. You can also see that the iron is low and understanding haematology you should know that red blood cell, haemoglobin and iron are all interlinked.  The below shows low transferrin levels which can relate to iron binding capacity. The athlete did not have sufficient blood in the diet. Taking a look at the individuals lifestyle we discover an over trained athlete under nourished meaning absolutely poor nutrition to support the exercise volume and intensity. Multiple menstrual cycles in a month led to more blood loss than normal and major changes needed to be made to the diet to correct this.  Again Vitamin D levels could come up nicely especially since this was an athlete that suffered from numerous bone related injuries which could be a direct result of nutrient deficiency.

Below is another female athlete with dedicated 6-7 days of training combining 70-100km run weeks with strength training. Waking up daily feeling faint, dizzy and often bouts of nausea until the day she fainted and hit her head on the treadmill. The below shows clearly an iron deficiency as the cause. The inability to feel energetic, wake up fresh and be able to train with a smile on your face is not the way one would want t be feeling each day. Dragging yourself through life from day to day is terrible. It took so many weeks to convince her to get bloods done and with all the delays it set a domino affect into play leaving her to do them out of desperation. Prevention is always better than cure.

The below was sent to me after a blood test by a concerned athlete. After questioning the timing of the blood test the cause was clear that the athlete gave the blood in a completely dehydrated state. It was after a hard long run in the heat, followed by a oats breakfast and cup of coffee. This is an athlete that usually trains fasted and on that particular day he noted he felt very thirsty and battled through the heat. Then went for bloods. Pick your blood test days carefully you don’t want to skew the results.

 

I can bring up hundreds of blood results over the years where each will tell a different story. Sometimes the biggest percentage gains in sports performance need to actually start with the health aspect and only once that is solid then one can move to the next level which is proper tweaking of nutrition and natural supplementation to gain a little more. There are no quick fixes and most people I come into contact with tell me about all the wonderful and weird supplements they take to give them the edge. They have absolutely no idea what they are talking about because what they could be taking might be doing exactly the opposite and hurting their health. Know your status first then we can talk.

In conclusion, as an active person start your biological health passport, get tested fairly regularly and get an idea of your health status over time. Anomalies might come and go but at least if you have a history of what is going on inside your body you will be in a much better position to manage the risks as well as improve your health and performance goals.

 

Take care

all the best

M

Mark Wolff is a certified exercise & sports nutritionist, endurance nutrition and physiology expert with over 20 years experience. An endurance multi-sport athlete with a running, triathlon, mountain biking and weight lifting background, he works extensively with professional and amateur athletes in a variety of sports disciplines as well as those just wanting to change their lifestyles. He firmly believes that a person can only reach their full potential when their health and nutrition is given the proper focus. Mark’s focus on nutrition and physiology is not just on training and racing, but he places major emphasis on recovery, immune system health, emotional stability, stress management and performance. Mark is co-founder of 32Gi, a sports nutrition company, focused mainly on health and endurance nutrition. He is also co-founder of Rapid Recover focussed on pneumatic compression equipment to improve circulation for recovery and health.

 

 

 

Categories
Nutrition Training

“If you fail to prepare, prepare to fail.”

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Recently I have been receiving a lot of questions on training and racing nutrition. My last blog was focused on becoming more fat efficient, keeping your fuel intake to a minimum and adapting the body to using its natural fat stores as a predominant source of fuel in an endurance session. It’s an awesome position to be in when you can just get up and go long and not worry so much about fuelling yourself.

As mentioned previously in sessions under 2 hrs you can perform extremely well at a high intensity on no fuel at all, if you do consume anything it’s purely to make your brain happy and give you that extra mental boost to up your performance. This has been shown in the famous “Carb taste not swallow test” where athletes purely rinsed the drink in their mouths without and a percentage increase in performance was demonstrated (The Effect of Carbohydrate Mouth Rinse Cycle Time Trial Performance-Jeukendrup) It shows that the mind has a lot to do with an athlete’s ability to perform and Prof. Tim Noakes has often presented the central governor theory where the brain is completely in control by the body and understands all physiological feedback mechanisms. It determines based on conditioning and ongoing readings it gets from the body during exercise as to what point it will control your ability to perform or under perform in a means of ensuring you are protected. If you are not trained to go out and race at a particular effort, the central governor will surely tire you with feelings of fatigue under those conditions in order to slow you down and ensure the body is safe. There is of course opposition to this theory, but there is one thing that both sides still agree on and that is the body needs to be trained to perform.

Last week on a whim I decided to run 42km’s to celebrate my 42nd birthday. Maybe not a normal thing to do, but my running coach said go easy and get it out the system. Even if he said no I think I would have been stubborn enough to do it. With no race pressure, and not the best night’s sleep, I got up early had a cup of strong black coffee, took a waste belt with two 250ml water bottles and headed out with a friend. I ran at a very comfortable and evenly controlled pace, I got back home in 3h19 minutes with a little water to spare and felt great.

The big question I get asked is how you can go and run for that long and not eat anything, and the answer is simple I had all the fuel I needed for that long run inside me BUT more importantly my body was conditioned and gut trained extensively to do that quite comfortably.
That run probably didn’t touch much glycogen at all, it was primarily fuelled on fat. Also the time of running was way less than say some of the rides I do on water only which can go anywhere between 5-6 hours so it wasn’t a worry.  The point is the body is trained over a long period of time with proper nutrition consumption to allow for this. The brain and body work together to understand the body’s ability and limitations and with time you will understand as your body gives you constant feedback. (Check out a previous blog “Listen to your messages”)

The big questions I got after that is if this is how I will race? My answer to that is absolutely not. This is where the title of this blog comes into play, “If you fail to prepare, prepare to fail”.  It’s very critical to properly prepare for racing conditions as well, and even though I do a lot of water training, I definitely set aside time for what I call racing “nutrition training”. It’s an important area of being able to race at your best. There is no ways any athlete can go into a race not properly prepared for what he has to consume and under which conditions to ensure that he performs at his or her best. Racing is done at a much high pace for a longer period of time than a training session and it requires a different type of fuelling.

It’s not a difficult aspect of training but I need to stress that it’s a critical aspect and something that cannot be left to the last week or two before a race, because you will want to have your race nutrition down packed way before that in order to make sure that you have a plan and you can habitually stick to it.

My recommendation is to choose a day where you test out your race nutrition. This means waking up in the morning eating a pre-training meal as if it was your pre-race meal going out for a few hours at a fairly intensive pace (slightly slower than race pace) and checking the following:

  • Digestive Comfort  
  • Palatability
  • Energy Levels
  • Ability to Perform

I generally do a session like this once every 10 days and know a few elite athletes that will do this once a week. Sessions like this must be planned, well thought out and think about mimicking it close to your race day as possible.

Nutrition of course will vary for each sport discipline and it’s important to understand that what you do on the morning of a 10km race, marathon, triathlon and cycle race can all differ and should be planned, checked and re-tested to ensure you are on track.

If you can finish that session strong and feeling good with all the check marks in the boxes you are definitely on the right track. This does not need to be done too often as you would not want to try and mimic race day efforts too much, but you need to find a winning formula.

If you are doing a stage race it requires even more effort to test your nutrition as you will need to test your day nutrition first, and once happy with it move on to testing your stage racing nutrition. The critical area of stage racing is recovery in order to be able to keep consistent performance’s each day and keeping those energy levels constant. It would be highly recommended to do at least 3 repeat performances each day including pre, during and post racing nutrition which will give you an idea of exactly how you feel day to day and whether your nutrition strategy is working for you.

Each person is unique and what works for one person won’t necessarily work for another so you need to experiment and see what is the best for you.

As a general guideline in deciding what you are going to eat on race day I can suggest the following:

Avoid any Food Consumption that can cause Digestive Issues
There a few foods than entirely ruin a race. You might think they don’t affect you generally so when you are racing they should be fine. However you need to understand that blood i.e.: oxygen is needed to perform digestion. If you are running very fast, oxygen will be diverted away from your stomach to your heart, brain and leg muscles to cater for the exertion. The stomach needs an adequate amount of electrolytes, roughly equal to that of the body tissues outside of the stomach, to perform digestion. If digestion doesn’t occur and the contents of the gastrointestinal tract don’t move, the muscles in the walls of the tract may begin to spasm, bringing on uncomfortable stomach cramps. Triathletes tend to experience more digestive issues than most sport as the positions of 3 disciplines vary. The swim is a lying down position not very conducive to easy digestion and there is buoyancy on top of that, this is usually the setup for cramping that occurs later on during the bike or run. Secondly a triathlete cannot consume during the swim or hydrate so if he or she has consumed something not suitable to that discipline a fair amount of time will pass before the first bit of water can be consumed to try to create some form of balance. In long distance events like Ironman very often consuming a glucose spiking product at the onset will cause GI distress pretty early on. A common mistake that many endurance athletes make.

Running moves the bowels around quite a bit more as the body’s movements gets the organs bouncing and shaking nicely. I am emphasizing that what you eat that’s generally comfortable will still need to be tested during exercise which is what I call digestion under stress.

The main foods to avoid before a race are definitely anything that is high in fiber as this is a certain way of getting your bowels to work nicely and that’s the last thing you need before a race or during it, especially while pre-race nerves are finding their way into every part of your body. Another recommendation I make it to avoid high lactose products. Dairy is a very common cause of digestive problems. Even if you are not lactose intolerant you don’t know what it can do to your body while under stressful conditions. Heavy meats or cheeses are a big no. You want to consume foods that are easy on the digestive system and leave you feeling comfortable.

Size of Meals
Another issue is that many athletes over eat and over hydrate pre-race leaving them feeling bloated heavy and uncomfortable. That is a guaranteed curse under racing or exercise conditions. You need to play with your portion sizes to see what your comfort zone is. I generally recommend a +-300 Calorie food portion pre-race.

Timing and Type of Meals
The timing of your pre-race meal is also critical. I can use a personal example for this one. A few weeks ago, I had a 25km trail race. I made a BIG rookie mistake. I though the start time of the actual race was 7am. There were two races that day and I for some reason just never read the details properly which is not like me, but I was chilled about it nevertheless. I woke up at 4:30am had a nice rolled oats and nut butter meal. I got a lift to the race and on route I get told the race is actually starting at 6am. I was thinking in my mind this is going to be even harder and it was. The timing of my meal to my 7am race was perfect, but to the 6am race it was not. I had to suffer some serious heart burn through the event and I expected to. At least the pain could mentally be bypassed and allow me to come out on top. I am just using this example to stress the importance of meal timing. Preferably minimum 2hrs before the race you want to be done and dusted with your pre-race meal, only requiring some top ups in between. To be honest in this case I shouldn’t have had a pre-racing meal maybe just a small shake or drink before, it wasn’t required at all especially at that time of the morning and I hadn’t run a trail race in years so my nutrition prep was not exactly where it should have been.

I guess this leads into another question. When should I eat a proper pre racing meal and when is it not absolutely necessary. In this case I always look at the type of the event, my pace and expected time. Generally any race for me taking less than 2hrs I won’t eat. I might take a small shake but I certainly don’t require any food. These shorter events as I define them will generally be raced on water. If the pace is extremely high and is closer to the 2hr mark then chances are I will consume some sugary stuff on route to keep my brain a little happier and ensuring a little bit of glycogen sparing on route.

Race Fuel
When events get longer 3hrs or more, you need to understand that at a very high pace you will deplete your glycogen levels and will need to eventually rely on fat as the predominant fuel source. Your body will naturally slow down to cater for the fuel change as fat burning requires oxygen and at too high a pace that’s not going to happen. However this is where fat efficient training plays a massive benefit, because if you have trained your body to adapt to this sort of fuelling it can be trained to do it a slightly higher intensities and this is a great benefit. Also the switch from glycogen to fat caused by glycogen depletion is a shock for some a feeling of fatigue and not being able to move any more. The trained athlete will move through this quite a lot more easily. There is another way around this and that’s to try to pace yourself properly in an endurance event where you won’t burn your glycogen completely and have saved it towards the end where you really need it. In a cycling race it’s sometimes very difficult as the effort or intensity is determined by the bunch and this is where most people get burned, as they are forced to perform at a high intensity to stick with it even if they don’t want to. The wise thing is to try to stick it out in the middle and draft as much as possible to conserve your energy stores. However in an ultra-distance triathlon or long running race you have the ability to determine your own pace and control your intake and predominant energy fuel based on that.

It’s important to remember that if you are going at a controlled pace or intensity consuming a blood glucose spiking product will mitigate you from being able to use your fat stores as energy, so keep fuel intake to lower insulin spiking products which allow for this. When performing under very high intensity conditions you are best suited to taking a blood glucose spiking product as fat is not easily accessible. There of course is a combination of both glycogen and fat being used when doing long events, as pace varies through the event, but fuel intake will ultimately determine this as well, and can upset the balance.

Another point I want to enforce is that endurance fuelling should never be complicated. The simpler you keep it the better. I advocate drip feeding in endurance events. This means smaller more frequently timed feeds as opposed to feeding every hour. It’s easier on the digestive system and it keeps the body and energy levels in a nice equilibrium. I generally will feed every 20-25 minutes in a long endurance event.

Plan and Train the Gut
I was invited to chat to the participants of Ironman 70.3 Western Australia this year as we were event sponsors. The first question I received was shouldn’t we be consuming between 60-90 grams of carbohydrate per an hour of exercise during the event. My immediate response to that was has your gut been trained to consume 60-90 grams of carbohydrates per an hour. The amount of carbohydrate consumption per an hour during exercise is not based on the number of carbs you are consuming, but more importantly how much of those carbohydrates your body is capable of absorbing and using. If your body is only capable of absorbing 50 grams of carbohydrate per an hour because that’s the food you use and that’s what you are used to, then how would your system cope under excessive intake meaning, your gut completely under-trained to deal with the increased consumption. The answer is it won’t. In long endurance events I can easily get away with between 20-50 grams of carbs per an hour in an event. I have never needed to venture into the 60-90 range ever and I don’t feel I would cope in that range either. Another thing that is important to note is the 60-90 gram carb intake is based solely on the fact that you are fuelling with carbs only which means racing at a very high intensity, its doesn’t take into account controlled pace and fat usage. Scientific studies have shown that a combination of specific carbohydrates in unique ratios can maximize the absorption rates however I have witness many an athlete opt for those test results only to be left with severe stomach issues on route. Another thing I don’t agree with is relying on drinking ones calories. I definitely feel that food solids are a far better form of fuelling. Dr Allen Lim well known scientist especially with his involvement in premier Tour de France cycling teams has shown a lot of science behind this and you can view it here.

There are many ways to approach nutrition when it comes to training and racing. It’s something that always needs to be taken into consideration and never left on the side. So the next time you sit down look at your training and racing schedule. Plan your workouts, your swims, cycle and runs, but add another training session into that called nutrition. Train your gut, get on track and make sure you give yourself the best opportunity to perform well and hassle free at your next event.

 

Keep at it 

all the best

M