The TriDoc Podcast

In this episode:In the MMB we spotlight the increasing dangers cyclists face on the road today, a topic that weighs heavily on the minds of many. With statistics showing a shocking rise in cyclist fatalities, Jeff and Juliet dig into the science behind these incidents and share their own experiences of fear and frustration. It's not all doom and gloom, though! They offer practical advice on how to stay safe while cycling, including the importance of visibility and the benefits of riding in groups. Through their banter, we also get a glimpse of the community aspect of cycling—the camaraderie, the shared struggles, and the collective push to make our roads safer. Because let's face it, if we can't enjoy our rides, what's the point?Then we dive into the life of Joe Lavelle that reveals a world where adventure and athleticism collide in the most delightful ways. Imagine scaling the heights of Colorado's famous 14ers, racing crits, and then swapping tales of daring escapades over a podcast microphone. That's Joe for you! In this episode, we explore his journey from a skinny kid with a desire to bulk up to a seasoned athlete who embraces the challenges of aging with grace and humor. Joe's tales are rich with the kind of wisdom that only comes from years of pushing boundaries—whether it's deciding to tackle the Matterhorn or simply choosing to get off the couch and onto a bike. We laugh, we reflect, and we nod in agreement when he emphasizes the importance of filling life with powerful memories. Because really, who doesn't want to look back and say, “Heck yeah, I did that!”?Segments:[07:40]- Medical Mailbag: Cyclist deaths on the rise[34:56]- Interview: Joe Lavelle LinksJoe's Website

In this episode:On the Medical Mailbag we look at the concept of fueling your endurance performance with potatoes. Can it be done? Should it? Then, I talk with Phil Billikopf the Chilean born CEO of Mauna Endurance and MNA Coaching. He has covered a lot of ground and brings his success in multisport and business acumen to triathlon apparel and coaching.Segments:[08:40]- Medical Mailbag: Potatoes as endurance fuel[34:18]- Interview:Philip Billikopf Links@pbillikopf on Instagram

In this episode:We're diving into the chaos of triathlon training this week, and trust me, it's not a walk in the park. Our guests today, the dynamic duo of Gerard and Jordy Donnelly, are here to spill the tea on why nailing your power output is like trying to juggle flaming swords while riding a unicycle—nearly impossible, but oh-so-rewarding when you get it right! They've seen countless beginners pedal like they're in a wind tunnel, struggling to keep their power steady against Mother Nature's whims. We'll also chat about the absurdity of athletes questioning their race plans like they're trying to solve a Rubik's Cube blindfolded. If you've ever thought about how to balance fun with performance, this episode is for you. So grab your favorite gel (the kind that won't send you spiraling into a sugar crash), and let's get into some serious triathlon talk!Segments:[08:57]- Medical Mailbag: Can sports fuels lead to diabetes?[31:56]- Interview: Gerard and Jordy DonnellyLinks@trivelocoaching on Instagram Jordy and Gerard's Website Jordy and Gerard on YouTube

In this episode:On the medical mailbag we look at respiratory muscle training and the Breather device. Do you need to inhale hard to pump up your diaphragm to get more power to the pedals? Plus Michael Arashita joins us today to dive into the wild world of triathlons and nutrition, it's not all sunshine and rainbows. With a background that screams “overachiever” — think pre-med biochemistry and an MBA in healthcare — he's transitioned from pro triathlete to the mastermind behind Blanks Nutrition, a company that's literally taking the labels off traditional sports nutrition. Segments:[12:41]- Medical Mailbag: The Breather[33:56]- Interview: Michael Arishita Links@Swimmikerun on Instagram Michael's Website

In this episode:We're diving into the world of off-the-bike training, and let me tell you, it's a game-changer! This episode kicks off with a bang as we chat about the four fitness foundations that every endurance athlete needs: mobility, flexibility, stability, and strength. You heard that right—no one-trick ponies allowed here! We've got Dr. Stacy Brickson joining us to break down how these elements work together like a well-oiled machine to keep us from turning into creaky old bicycles. Seriously, if you think you can just pedal your way into your golden years without some solid off-the-bike action, think again! So grab your yoga mats and resistance bands, because we're getting real about how to keep our bodies functioning at their peak and fend off those pesky age-related declines. Buckle up, folks, it's time to get functional!

In this episode:This episode features a Medical Mailbag segment that tackles the latest in sports technology, specifically lactate sensors. Are they the holy grail of performance metrics or just another shiny gadget? Jeff and Juliet break it down with their usual wit and sarcasm, dissecting whether these sensors provide meaningful insights for age-group athletes or if they're just fancy toys to make us feel better about our training. Spoiler alert: the answer isn't as clear-cut as you might hope. Then, the podcast dives into an unexpected yet fascinating realm of sports: pole vaulting, as seen through the eyes of David Bonham, a former high school pole vaulter turned masters athlete. It's wild to think that after years away from the sport, an impromptu return was spurred on by his daughter's passion for vaulting. David's journey is not just about jumping over a bar; it's a rollercoaster of life experiences, including a near-fatal heart attack and a major knee injury that would make anyone else reconsider their athletic aspirations. But not David. Oh no, he saw that heart attack as a wake-up call—an invitation to reclaim his athletic past and, quite literally, jump back into the fray.In this episode, we get a front-row seat to David's world of pole vaulting, where he humorously recounts the absurdity of being the 'old guy' among teenagers at practice. His story is sprinkled with moments of irony, especially when he mentions how he was once self-taught, only to find himself once again under the watchful eye of coaches who actually know what they're doing. It's an inspiring tale of resilience; after a year of recovery from a devastating ACL tear, David not only returns to pole vaulting but also competes at a master's level, proving that age is just a number when you're having this much fun. Trust me, you'll want to hear how he navigates the perils of high school competition and the joy of setting personal records in his mid-fifties—it's a story about passion, persistence, and the occasional ridiculousness that comes with chasing your dreams at any age.Segments:[06:10]- Medical Mailbag: Lactate sensors[36:13]- Interview: David Bonham LinksThe TriDoc Podcast in Supplement Form (newsletter)@flying_higher2022 on Instagram David's Facebook page

In this episode:Forget what you've heard about the blood type diet—it's basically a glorified diet fad with about as much scientific credibility as my cat's opinion on quantum physics. We dive into the absurdities of this diet in our first segment, calling out the claims that your blood type should dictate your food choices and athletic pursuits. Spoiler alert: it's all nonsense. Then, we shift gears and get cozy with two amazing triathlon coaches, Jeff and Juliet, who share their coaching philosophies and how they tailor their approaches to meet athletes where they are—whether they're swimming like Michael Phelps or just trying to avoid sinking. Join us for a lighthearted yet insightful romp through the world of triathlon training and the hilarity of misguided dietary advice!Segments:[06:55]- Medical Mailbag: Blood Type Diet[30:58]- Interview: Jeff and Juliet talk coaching philosophyLinks

In this episode:In this episode we tackle a serious medical mailbag segment about the dubious world of 'Bro Peptides.' They sound great on paper, but you'll want to tune in to hear why they might just be the latest health fad to avoid. Then, balancing a professional triathlon career and medical school isn't for the faint-hearted, but somehow, Matthew Marquardt is nailing it. You know, just casually winning the overall age group championship at Kona and juggling a full-time commitment to becoming a head and neck surgeon. No big deal, right? We dive into the whirlwind life of Matthew, where he shares how he manages to fit in grueling training sessions alongside his medical rotations. Spoiler alert: it involves a lot of prioritizing and some serious time management skills. We explore the importance of being intentional with time—because let's be real, it's so easy to lose track of hours swiping through TikTok or binge-watching yet another series. Matthew's story proves that with a purpose, you can truly redefine what's possible, whether it's in triathlon, medicine, or tackling that never-ending to-do list. So grab your headphones and get ready for a rollercoaster of inspiration, and a sprinkle of science!Segments:[10:02]- Medical Mailbag: BPC-157/TB500[35:32]- Interview: Matthew MarquardtLinksLifeSport Coaching Chalk Talk: The TriDoc podcast-what really works (3/15 at 8PM EDT)@matthewdmarquardt on Instagram

In this episode:Is hydrogen-rich water the latest miracle drink or just another marketing ploy? Juliet Hochman joins the fray to explore the claims surrounding this trendy beverage. We dissect the science (or lack thereof) behind hydrogen water. It turns out that while the hype is real, the actual benefits might not be worth the price tag. We dive into the absurdity of the wellness trends that promise the world but often deliver nothing more than a fancy label. If you're thinking about spending your hard-earned cash on this new “super drink,” you might want to listen closely as we break it down.Next up, I'm chatting with Trevor Connor, a total cycling aficionado and the brains behind Fast Talk Labs, about how the explosion of tech in endurance sports can be both a blessing and a curse. Sure, tracking every heartbeat and watt can feel like you're leveling up in a video game, but let's be real—sometimes all that data can just leave us spinning in circles, right? We're all about that balance: how do we harness the awesome power of analytics without getting lost in the weeds? So grab your headphones and get ready for a ride through the absurdly complex world of cycling metrics, sprinkled with a side of sarcasm because, let's face it, this is endurance sports—we're all just trying to keep our heads above water!Segments:[08:13]- Medical Mailbag: Hydrogen Rich Water[37:09]- Interview: Trevor Connor LinksTrevor's Facebook page @coachtrevorconnor on Instagram Trevor's Website @Coach_TConnor on X

In this episode:In the medical mailbag Juliet and I answer a question about training with hypothyroidismm. How much of an impact does thyroid dysfunction have on an endurance athlete and what does this gland do anyways? We give you all the details. Then, in a world where triathletes are often left wondering if their competition is playing fair, Race Ranger swoops in like a superhero with a tech-savvy cape. James Elvery returns to the Tridoc Podcast to shed light on how this nifty gadget not only tracks drafting but also enhances safety for every participant. No more chaotic bike packs where someone's drafting off you like they're in a Tour de France highlights reel! The system uses a combination of lights and technology to enforce rules, and it's finally making its debut among age-groupers. We get into all the juicy details about how it works, including the fascinating (and slightly terrifying) tech behind the scenes that tracks your distance from the rider in front of you. The conversation flows from the challenges of scaling up for larger races to the proactive measures taken to ensure that athletes are not only competing but are safe while doing so. Segments:[06:59]- Medical Mailbag: Thyroid disease[29:48]- Interview: James Elvery LinksJames's Website @Race.Ranger on Instagram @Race_Ranger_Tri on X TriDoc Podcast in Supplement form (newsletter) sign upTempo Talks Podcast

In this episode:Quercetin, a natural flavonoid, takes center stage in the Medical Mailbag as we dive into its potential benefits for preventing illness, especially during the cold and flu season. Jeff and Juliet explore the science behind quercetin's effectiveness, discussing various studies that highlight its role in supporting immune function for athletes and active individuals. The conversation shifts gears as I welcome Luke Tasker, a remarkable age group triathlete who has quickly risen through the ranks of the sport. Luke shares his unique journey from modern pentathlon to triathlon, detailing his training methods and the mindset that drives his success. With insights on goal-setting and overcoming challenges in competitive racing, this episode is packed with valuable takeaways for athletes of all levels.Segments:[06:12]- Medical Mailbag: Quercetin[32:15]- Interview: Luke Tasker Links@Taskertri on Instagram

In this episode:In this episode the Medical Mailbag looks at the evidence for the Calibre. Do the maker's claims stand up to the science and what can this device do for you? Plus, exploring the profound emotional landscape of addiction and recovery, the podcast then delves into the experiences of Todd Crandall, an individual who transformed his life from one of substance abuse to becoming a champion for sobriety through triathlon. Crandall discusses the roots of addiction, tracing his struggles back to childhood trauma and the loss of family members to addiction. He emphasizes that addiction often stems from deeper emotional voids rather than merely the substances themselves. The conversation highlights the importance of addressing these internal struggles to truly heal. Crandall advocates for the idea that recovery does not necessarily require hitting rock bottom; instead, it can be a conscious decision to change one's life path. He shares his journey into triathlon, positioning it as a positive outlet that provided him with structure, purpose, and a supportive community. The episode is a testament to resilience and the power of transformation, illustrating how physical fitness can serve as a powerful tool for recovery, provided one also engages in internal healing.Segments:[06:26]- Medical Mailbag: Calibre[31:52]- Interview: Todd Crandell LinksTodd's Website Todd's Facebook group Todd's Facebook page @Soberultraman on Instagram Todd's Website @Soberultraman on X Todd on YouTube

In this episode:Reflecting on a successful year for the TriDoc Podcast, Jeff Sankoff takes listeners through a review of 2024's most engaging topics before introducing an insightful interview with Olympian Kirsten Kasper. The discussion begins with Sankoff expressing gratitude for the podcast's growing audience and the questions submitted by listeners that shaped many of the year's episodes. Key discussions revolved around medical insights, the changing dynamics of triathlon coaching, and the challenges and triumphs of athletes in the sport. Following this, Kirsten Kasper recounts her journey to the Olympics, detailing her experiences of being an alternate in previous games and the determination that propelled her to finally secure a spot on the U.S. Olympic team. Her candid reflections on the challenges faced during her Olympic race, including a flat tire and her resilience to finish, highlight the unpredictable nature of competitive sports. This episode not only celebrates individual achievements but also resonates with the community spirit that defines triathlon, leaving listeners inspired as they look ahead to 2025.Segments:[08:42]- Medical Mailbag: 2024 subject review[39:13]- Interview: Kirsten Kasper LinksFind a pool wherever you travel hereKirsten Kasper's IG

In this episode:Cordyceps sinensis is a fungus that grows in the high Himalayan forests and has been used for centuries in Chinese medicine. Recently there has been interest in its ability to boost endurance performance? What does the evidence say? The Medical Mailbag dives in. Then a conversation on a revolutionary approach to rehabilitation, where the perspective shifts from being a patient to viewing oneself as an athlete in training. Dr. Kevin Stone, a leading orthopedic surgeon, articulates the importance of mindset in recovery, encouraging individuals to think of their injuries not as setbacks but as opportunities for growth and improvement. This shift in perspective is crucial as it empowers patients to actively engage with their recovery process, utilizing available resources such as local gyms and outdoor spaces to maintain fitness and well-being during their healing journey.Segments:[09:56]- Medical Mailbag: Cordyceps Sinensis supplements for endurance performancemance[38:12]- Interview: Kevin Stone Links

In this episode:The Medical Mailbag features a discussion of a supplement derived from New Zealand black currant; CurraNZ. It is being marketed as a solution for training and racing in the heat and as a means to improve recovery. What does the evidence say? Plus, an interview with confessed "slow-pro" Carolyn Carter. Carolyn, a professional triathlete and social media influencer, shares her journey from competitive swimming to the world of triathlon, emphasizing the importance of community and support in the sport. As she navigates the challenges of training while working full-time and maintaining her online presence, Carolyn opens up about the negative comments she receives and how she chooses to respond to them with grace and humor. Through her experience, she highlights the need for a more inclusive and approachable atmosphere in triathlon, encouraging others to join the sport without fear of judgment. The conversation also touches on the significance of goal-setting, whether it's for race times or personal achievements, and the joy that comes from small victories. Carolyn's story is not just about competition; it's about fostering a positive environment and lifting each other up in a sport that can often feel intimidating.Segments:[06:48]- Medical Mailbag: CurraNZ[35:55]- Interview: Carolyn Carter Links@la_triathlete on Instagram

In this episode:The MMB features a detailed evaluation of the Firefly Recovery device, which utilizes electrical stimulation to purportedly boost recovery and performance. The TriDoc and Juliet Hochman are skeptical yet intrigued by the bold claims made by the manufacturer, which asserts that the device can increase whole-body blood flow significantly. They critically analyze the available evidence—highlighting the lack of robust clinical studies supporting the efficacy of such recovery devices. Throughout the discussion, the hosts emphasize the importance of evidence-based practices in athletics, cautioning listeners against the allure of flashy advertisements and unverified claims. The episode also emphasizes the significance of active recovery strategies over passive methods, advocating for movement as a way to enhance recovery rather than relying solely on devices. The episode concludes with a fascinating interview featuring Dr. Bobby Dubois, who shares insights from his podcast, 'Live Long and Well with Dr. Bobby.' Dubois discusses the six pillars of longevity, which encompass exercise, nutrition, sleep, social relationships, exposure to heat and cold, and mind-body harmony. His approach is grounded in evidence-based practices aimed at enhancing quality of life as individuals age. Dubois articulates the need for personal experimentation to find what works best for each individual, particularly in areas like dietary choices and exercise routines. This comprehensive dialogue on longevity, recovery, and health optimization offers listeners valuable takeaways on how to approach their wellness journey, emphasizing that the goal is not just to extend life but to enrich the years lived.Segments:[06:52]- Medical Mailbag: Firefly Recovery[29:42]- Interview: Bobby DuboisLinksBobby's Facebook page @DrBobbyLiveLongandWell on Instagram Bobby's Website Bobby on YouTube

In this episode:I supplementing with collagen a way to perform better, recover faster and manage injury? On the Medical Mailbag we look at hat evidence there is on the subject in order to tease fact from marketing fiction. Plus, a conversation with the community relations director of the SBTGRVL. The conversation highlights the delicate balance between tourism and local agricultural interests, emphasizing the friction that has arisen as the event has grown in popularity. Initially conceived in 2019, SBT Gravel has transformed from a local gathering into a significant attraction, drawing thousands of cyclists from across the country. However, this growth has not come without challenges. Local ranchers and residents have voiced their concerns about the impact of the event on their livelihood and the integrity of the community. The hosts delve into the specific changes implemented after the feedback received from the community following the 2023 race, including the reduction of pre-race shakeout rides and an increased effort in communication with local stakeholders. As the organizers navigate these tensions, they reflect on the importance of finding common ground and fostering a collaborative environment for both cyclists and the local community.Segments:[09:47]- Medical Mailbag: Collagen supplements[t39:53]- Interview: Greer Van DyckLinksGreer's Website

In this episode:A rich dialogue unfurls in the Tri Doc podcast, where Jeff Sankoff and Juliet Hochman and Alex Larson tackle the intricate relationship between body composition, nutrition, and athletic performance. The episode serves as a platform to discuss how athletes can navigate the often treacherous waters of body image and performance expectations. Drawing from personal anecdotes and professional insights, Alex highlights the significant risks associated with under-fueling and the surprising lack of risks tied to over-fueling. This revelation is vital for athletes who may succumb to pressures for an 'ideal' physique, often leading to detrimental health outcomes such as RED-S, which can severely impact performance and well-being. Plus, a conversation with top age grouper and soon to be professional Maia Watson. She shares what it has been like to undertake her journey to the upper echelons of our sport in a short time.Segments:[09:22]- Medical Mailbag: Body Composition and performance[46:49- Interview: Maia Watson Linksalexlarsonnutrition.comTriDoc Coaching YouTube ChannelAlex Larson's upcoming podcast@maia.watson on Instagram Links referenced in this episode:www.tridocpodcast.comtridocoaching.comlifesportcoaching.comwww.reverbnation.compatreon.com/tridocpodcast

In this episode:At the commencement speech for Dartmouth College's graduates in June of this year, Roger Federer spoke eloquently on the power of positive thinking and how it enabled him to win close to 80% of his matches over the course of his career despite having lost almost half of the points that he played in those matches. Can athletes in other sports learn from his example and is there evidence to support this notion that being positive can affect outcomes? We discuss in the Medical Mailbag. Also, a conversation with Michelle Bond, a kinesiologist and researcher on the importance of understanding the fascia and how as athletes we can leverage that understanding to improve our performance and recovery.Segments:[08:36]- Medical Mailbag:[38:00]- Interview: Michele Bond LinksRoger Federer's commencement speechMichele's Facebook page @michele__bond on Instagram Michele's Website Michele on YouTube

In this episode:Everyone knows that sodium is an important component of sport nutrition but what form should it come in? For a long time sodium chloride was preferred but more recently sodium citrate is much more popular. Is there a reason for this change and is there evidence that one is better than the other? The Medical Mailbag discusses the evidence. Plus, Irish professional triathlete Fiona Moriarty comes from a running background but has distinguished herself as a cyclist. Hear how she made the transition to multisport and how she is making it all come together with a full-time job.Segments:[07:20]- Medical Mailbag: Which salt is best?[33:10]- Interview: Fiona Moriarty LinksEpisode 10: Exercise induced hyponatremia@fionamoriartytri on Instagram Fiona's Website Fiona on YouTube

In this episode:A widely read and much discussed media article out of Germany quoted researchers who surveyed athletes at the 2024 Challenge Roth on the use of performance enhancing drugs among age group triathletes. The results were somewhat disheartening. Around 10% admitted to using agents that would enhance performance and almost none had any qualms about it. What are these agents? What are the risks of using them? Should we care? The entire episode will be dedicated to try to answer these questions with the help of guests Jim Vance and Matt sharpe.

In this episode:Skeletal muscles are made up of fast twitch and slow twitch fibers each of which has differing properties. The amount of each fiber in muscle varies from person to person and while it is possible to determine this makeup, it is not so easy. The architecture of muscle in each individual is important in determining how a person can perform in different types of sports and also, how each will respond to training. Should people try to determine what their muscle typology is and adapt their training to it? We discuss in the Medical Mailbag. Kennon Heard is an emergency physician and endurance athlete who collapsed in cardiac arrest after a family fun run in May. He discusses his experience and how he is moving forward as well as how the rest of us should think about this experience in context of our own endurance pursuits as we age.Segments:[10:30]- Medical Mailbag: Muscle typology and training[35:14]- Interview: Kennon HeardLinksLearn CPR

In this episode:It is a fact of life that as we age endurance performance inevitably declines. But do both genders decline at the same rate or, does one gender decline more slowly than the other? Hear what the research says on the Medical Mailbag. Plus, Chris Bagg is the head coach at Campfire Endurance and the writer of an article on whether or not we as triathletes should be focusing on hunting mice or antelope. Don't know what this means? You will and you will have a much better understanding of where to focus your energy and expenditures for training after listening to our conversation.Segments:[10:59]- Medical Mailbag: Aging decline and gender variability[33:15]- Interview: Chris Bagg LinksMMB video on YouTubeIronmanhacks video with ChrisChris' articleChris's Facebook page @campfire_endurance on Instagram Chris's Website @Chrisbagg on Twitter Chris on YouTube

In this episode:How does cardiorespiratory fitness affect the lifetime risk of developing breast cancer in women? In the Medical Mailbag we look at new research that suggests daily exercise can have a profound effect on decreasing the likelihood of developing this disease. Plus, an interview with age group triathlete, author and coach Doug Morris on how multisport brings him joy and how he shares that with whomever he can.Segments:[09:27]- Medical Mailbag: Fitness and risk of breast cancer[35:00]- Interview: Doug Morris LinksTriing on Amazon

In this episode:How much do biomechanics influence running economy and is this something that coaches and athletes should work on improving? New research sheds some light and reveals some surprising answers to this questions. Mark Cullen is a successful age group triathlete a coach and one half of the co-hosting duo of the Endurance Icons podcast. He talks to me about all of this and along with the balancing act of being both the husband and the coach of a professional triathlete.Segments:[7:17]- Medical Mailbag: Biomechanics and running economy[36:14]- Interview: Mark Cullen Links@Markcullen_coach on Instagram Endurance Icons on Apple PodcastsUse the Garmin metronome function: Video

In this episode:During allergy season many use antihistamine medications as a means of controlling their symptoms. Emerging evidence suggests that there may be a cost to this practice in the form of decreased endurance performance. On the Medical Mailbag we look at the evidence. Jonathan Su is a long time physical therapist who has written a book that he promises can be a 6-minute solution to knee pain. We discuss his book and the methods that he describes within it.Segments:[12:22]- Medical Mailbag: Antihistamines[36:57]- Interview: Jonathan Su LinksJonathan's Website 6-Minute Knee Pain Cure on Amazon

In this episode:Ginseng is a root purported to have myriad beneficial properties making its use widespread in Chinese medicine and across the far east. Recently, a listener asked if this traditional remedy might also have benefits for athletes? On the Medical Mailbag, we dig in to the evidence for and against. Dr. Jim Taylor is a PhD in psychology and has worked with many professional and high level age group triathletes. He believes that training the mind is as important as training the body and he thinks that there are ways to leverage psychology to extract mental marginal gains that add up to improvements in performance. He tells me all about it in our conversation.Segments:[12:42]- Medical Mailbag: Can Ginseng make you faster?[34:51]- Interview: Dr. Jim Taylor LinksDr. Jim's Facebook page @DrJimTaylor on Instagram @DrJimTaylor on Twitter Dr. Jim's Website Dr. Jim on YouTube

In this episode:Strength training is advocated for by coaches all the time in order to mitigate injury and improve endurance performance but finding scientific evidence to support these claims has been difficult. A new study gives some insight on the performance aspect and we look at it in the Medical Mailbag. Triathletes can take their selfish pursuit to extremes and put their relationships at risk. Couples' therapist Dr. Kayla Crane speaks with me to help us understand how to get ahead of those kinds of problems and make sure that your pursuit of happiness in multisport does not run afoul of your partner's pursuit of happiness on the home front.Segments:[13:35]- Medical Mailbag: Strength to improve running performance?[40:33]- Interview: Kayla CraneLinksKayla's Facebook page @southdenvertherapy on Instagram Kayla's Website

In this episode:I first looked at pneumatic compression boots back in episode 3 in 2019. Has there been any research published since then to suggest that my original recommendation has changed? We look at new research in this episode's Medical Mailbag. Plus, an interview with busy entrepreneur, mom and podcaster Doien Morin Van Dam. Her ability to keep many balls in the air and be a success in running makes for a great story and one that we can all learn from.Segments:[08:21]- Medical Mailbag: Pneumatic Compression Boots[28:34]- Interview: Dorien Morin-van Dam LinksDorien's Facebook page @moreinmedia on Instagram @moreinmedia on Twitter Dorien's Website Dorien on YouTube

In this episode:Gatorade Endurance is being replaced by Mortal Hydration on IM and 70.3 courses in North America this year. What does that mean for athletes who rely on products provided at aid stations for fueling and hydration? We look at this question in the Medical Mailbag along with special guest Alex Larson. Plus, a conversation with Tyler Pedersen. From college football player to overweight near alcoholic, Tyler found himself in multi-sport. Hear how he has used triathlon to rediscover his purpose.Segments:[09:37]- Medical Mailbag: Mortal Hydration[38:15]- Interview: E. Tyler Pedersen Links@alexlarsonnutrition on Instagram Alex 's Website @e.tylerpedersen on Instagram E. Tyler 's Facebook page

In this episode:Turmeric lends a bright color and savory flavor to curries and other foods. For many centuries it has also been used as a natural remedy for most everything that ails you. Recently this spice has been advocated as a miracle anti-inflammatory cure by makers of supplements who sell versions of this root in powders and capsules. But what does the science say and is there a use for this possible wonder food for athletes? We take a look on the Medical Mailbag. Plus, an interview with newly minted rookie professional triathlete Jessica Cullen. Fresh off of her debut in Oceanside she shares her experience on being in such a big race to start her career and how she manages to fit in the training, a bust career and hosting a podcast all while staying exceptionally joyful.Segments:[06:15]- Medical Mailbag: Turmeric as anti-inflammatory?[27:05]- Interview: Jessica Cullen LinksEndurance Icons podcastJessica on IG

In this episode:Medium chain triglycerides (MCT) are advertised as a kind of booster fuel that can provide rapidly available and abundant energy during long training sessions or races. A fair amount of science has been done looking at whether or not this is true and on the Medical Mailbag we bring you the answers. Erin Rosen and Michaela Robertson are nurses, friends, runners and running coaches who together founded Strides for Strength a group that helps athletes break through plateaus on the run and beyond-- from everyday runs to chasing finish lines to hosting to retreats to never ending conversations about running on their podcast-- they are there for it all and on this episode they tell me all about it.Segments:[09:21]- Medical Mailbag: MCT[32:08]- Interview: Erin Rosen & Michaela RobertsonLinks@sfsrunners on Instagram Michaela's Website Stephanie vanBebber Coaching

In this episode:Does a nightcap interfere with sleep and recovery? We know that alcohol can be deleterious to training but what are its impacts on sleep? Plus, Nick Klingensmith found redemption for hard living through endurance sport and now tells anyone who will listen that they can do the same.Segments:[09:23]- Medical Mailbag: Alcohol and sleep[t29:39]- Interview: Nick Klingensmith LinksNick's Facebook page @stridemotivation on Instagram @stridemotivatio on Twitter Nick's Website Nick on YouTube

In this episode:Extract of the bark of the maritime pine tree is thought to provide a host of potential benefits to health measures including some that extend to endurance sport. A new product aims to bring this substance to triathletes and is being backed by none other than the Norwegian duo of Iden and Blumenfeldt through their Santara Tech initiative. But does Plasmaide deliver on any of the lofty promises made on its very slick website? We take a look at the science on the Medical Mailbag. Then, a conversation with coach Marilyn Chychota who comes to triathlon from a background of equestrian show jumping. A circuitous route to be sure but one that has led her to have a fascinating outlook on life and made her successful in all of the ventures that she has pursued.Segments:[07:23]- Medical Mailbag: Plasmaide[30:21]- Interview: Marilyn ChychotaLinksConquer the Course IM CDA 70.3 WebinarMarilyn's Website Marilyn's Facebook page Marilyn on YouTube

In this episode:When is it ok to train through illness and how should you adapt your training when recovering from a malady? We look at several common ailments and discuss if it is safe to train through, whether you should rest up instead and how you should return to training afterwards. Cristina M Ramirez is a three time Ironman and best selling author. We talk about how she teaches growth mindset to kids using running as a tool and about her co-founding of a foundation that pairs up able bodied and paraathletes for competing in endurance events among her many other remarkable exploits.Segments:[06:58]- Medical Mailbag: When is it safe to train through illness?[38:22]- Interview: Cristina Ramirez LinksCristina's Facebook page @empoweredbydiscomfort on Instagram Cristina's Website IM 70.3 Coeur d'Alene Webinar sign up link

In this episode:Cycling carbohydrates so that you train with low glycogen levels was once thought to be a viable strategy for getting real benefits in endurance performance. This strategy has come in to question with more recent scientific research. On this episode's medical mailbag we take a look and see what the latest data suggests about this concept. Plus, neuroscientist Dr. Daya Grant stops by to talk about the flow and clutch states; what they are and how you can get there in order to make the most of your training and racing.Segments:[14:47]- Medical Mailbag: Carbohydrate Periodization[38:18]- Interview: Daya Grant Links@dr.dayagrant on Instagram Daya's Website

In this episode:Magnesium is the latest supplement to be advertised as a panacea for all that ails triathletes. Can it really do everything that the makers of Pillar, a powdered drink form of the element, promise? On this episode's medical mailbag, we take a look at the science. Plus, an interview with age grouper Mark Evans. The former submariner survived a terrible collision with an intoxicated driver during the 70.3 World Championships in Utah in 2022. Hear about how he managed to stay positive and come back to training and racing with his incredible mindset.Segments:[11:02]- Medical Mailbag: Magnesium[37:14]- Interview: Mark Evans LinksMark's Facebook page @frumpycob on Instagram

In this episode:Often referred to as the fourth discipline in triathlon, nutrition remains a source of confusion for many athletes. I have discussed nutrition across many episodes with many guests but I felt like it was time to bring together a couple of experts and dedicate an entire episode to this weighty topic. Alex Larson and Celine Evans are both multisport athletes with nutrition coaching businesses and a wealth of knowledge and expertise to share on this matter. Through our conversation they will help us understand why it is so important to fuel properly when we train race and recover, how we can do so more thoughtfully and why a nutrition coach can be such a valuable addition to your team if you choose to go that route.LinksCeline Evans:Nutrition 360LifeSportAlex Larson Alex 's Facebook group Alex 's Facebook page @alexlarsonnutrition on Instagram Alex 's Website Alex on YouTube

In this episode:Long Run Coffee claims to be coffee with a purpose-to help start your day and your run off right by adding a dose of electrolytes to everyone's favorite morning beverage. There are a host of other claims and we wanted to know if any of them are backed up by science so we take a look on this episode's Medical Mailbag. Dave Lowry is an age group triathlete from Perth, Australia who recently participated in the Busselton Ironman using a modified BMX bike. While this sounds a little out there, Dave explains why he did this and tells me how his day went and it makes for a great story to round out 2023.Segments:[10:13]- Medical Mailbag: Long Run Coffee[30:26]- Interview: Dave Lowry LinksDave's Facebook page @djlowry1976 on Instagram

In this episode:The holidays always pose significant challenges for endurance athletes and on the Medical Mailbag this episode Coach Juliet and I share our hacks for doing your best to stick to your plan for multisport success while still enjoying all of the best things that the holidays offer. Plus, an interview with strength and conditioning coach Jason Curtis. Jason has an incredibly active and successful business developing programs for athletes in all kinds of sport and we discuss the importance of strength training not only for preventing injury but also for getting faster in triathlon.Segments:[05:53]- Medical Mailbag: Holiday Hacks[27:35]- Interview: Jason CurtisLinks@strengthandconditioningcourse on Instagram Jason's Website 

In this episode:NAD+ is an important co-factor in many biochemical processes in our cells including the metabolism of glucose. There is research that suggests that as we age we may develop a deficiency of it and that supplementation might help with performance. We review the science. Gustavo Cadena Schlam is an engineer and the inventor of the Omius headband cooling device. We discuss how it works and what led to its development.Segments:[08:27]- Medical Mailbag: NAD+[33:43]- Interview: Gustavo Cadena Schlam Links@omiustech on Instagram Gustavo's Website

In this episode:What injuries are most common while training for an Ironman and how can they be avoided? How often do athletes present to the medical tent at an IM event and what problems are they going with? On the Medical Mailbag we review recent research that explores a wealth of data to answer those questions. Plus, an interview with national cycling champion and self-described aero geek Heath Dotson on what kinds of trends make sense for age groupers to consider for their own set ups and what they should just skip.Segments:[time stamp]- Medical Mailbag: Ironman Medical Misadventures[time stamp]- Interview: Heath Dotson LinksTriathlon Magazine Canada article on Louise Atkinson Clark@Hdcoaching on Instagram @Heathdotson on Twitter Heath's Website

In this episode:Ozempic and Wegovy, both trade names of the drug semaglutide have led a kind of weight loss revolution because of the success patients who use them have had in dropping and keeping off weight. The mechanism by which this drug works does have some consequences for any multisport athletes who use or are considering using it and so on the medical mailbag we look at this drug and what multisport athletes should know. Edward O'Malley is an engineer and age group triathlete who saw a need for a better bike shoe so he designed one himself and the result is the VeloVetta. With its unique closure lever and aerodynamic features the shoe has some real promise for making your transitions and bike splits faster. Meet the man behind the shoe and hear why he did what he did.Segments:[03:53]- Medical Mailbag:[32:52]- Interview: Edward O'Malley LinksEdward's Facebook page @velovetta on Instagram Edward's Website Edward on YouTube

In this episode:The Dream Recovery is a piece of tape that you apply over your mouth at night to promote nose breathing and promises to improve sleep quality, recovery and a host of other processes. Is there anything to these claims? We take a look. Plus, a conversation with writer, coach and developer of the nutrition app Saturday Morning, Dr. Alex Harrison.Segments:[08:38]- Medical Mailbag: Dream Recovery[33:23]- Interview: Dr. Alex HarrisonLinksDr. Alex's Website Dr. Alex's Facebook group Dr. Alex's Facebook page @Dr_Alex_Harrison on Instagram @Dr_AlexHarrison on Twitter Dr. Alex on YouTube

In this episode:Tart cherry juice was all the rage at the Vuelta a Espana last month. Is there any evidence to support its use and if so, what are the benefits of using it? Coach Juliet Hochman and I look at this beverage in the Medical Mailbag. Plus, an interview with Coach Jen Rulon. A former multiple time Ironman athlete, Jen has slowed down and is living large in beautiful Costa Rica where she continues with her coaching business but has embraced a more laid back approach to her life and focuses on strength training and mindset. Hear her philosophy and what else she is doing in our conversation.Segments:[07:30]- Medical Mailbag: Tart Cherry Juice[35:52]- Interview: Jen Rulon LinksJen Rulon has been a triathlon/fitness coach for 22+ years and owns JenRulon.com. She received her Master's Degree in Kinesiology with an emphasis in Exercise Science. Her knowledge as an author and speaker includes Triathlete Magazine, Runners World, on the TED Stage and the University of Wisconsin-Whitewater Commencement Speaker, Men's Journal Online, "Self Motivation Strategies for Women," (Amazon), and the New York Times. Jen practiced what she preached-she's a 15× Ironman Triathlete who qualified and participated in the World Championship in Kona, Hawaii, on October 14, 2017. Jen is "retired" from the sport of triathlon as an athlete but still coaches athletes worldwide and lives a life of abundance, strength training, walks, and catching the sunsets in Costa Rica. Jen's Facebook group Jen's Facebook page @CoachJenRulon on Instagram @CoachJenRulon on Twitter Jen's Website Jen on YouTube

In this episode:Record breaking temperatures across the northern hemisphere this past summer are more than likely a harbinger of what is to come as climate change becomes more and more a feature of our lives. How to manage training and racing in the heat will become vital to staying healthy and to finding success. In the medical mailbag coach Juliet Hochman and I discuss some novel ways to hack your physiology and cool yourself down when things get hot. Plus, a conversation with Ironman age group athlete Dylan Davison. Dylan has had to overcome more than most on his way to the start line of the 2024 Ironman Chattanooga including the loss of his stomach. He hopes to become the first athlete to complete a 140.5 after a total gastrectomy. Learn about his journey and how he perseveres.Segments:[07:43]- Medical Mailbag: Hacking the heat[40:46]- Interview: Dylan Davison LinksDylan's Facebook page @dylan_davison on Twitter Dylan's Website

In this episode:Cooler temperatures brings colder water for open water swimming. With that comes the risk of hypothermia. What happens to the body when we get cold and how can we prevent the worst complications of lower core temperatures? Are there ways that we can adapt to the cold in order to better resist the dangers? I go over the science with Juliet Hochman in the medical mailbag. Then, an interview with professional triathlete Lesley Smith who has more than twenty 70.3 podium results to her name in her ten seasons as a pro.Segments:[07:19]- Medical mailbag: Accidental Hypothermia[31:18]- Lesley SmithLinksLesley's Facebook page @lesleyesmith on Instagram @LesleySmithTri on Twitter

In this episode:Vitamin C has been advocated as a means to boost immunity and stave off colds as well as an anti-oxidant that can help prevent cell damage. Some athletes and coaches have felt that taking this vitamin can help with endurance performance as well. What does the research say? Plus, a conversation with the volunteer coordinator of the Boulder 70.3 race, Jen Szabo. Hear what it takes to get as many as a thousand people to come and help make this event happen and why getting volunteers is becoming more of a challenge.Segments:[09:57]- Medical mailbag: Vitamin C[time stamp]- Interview: Jen Szabo LinksJen's Facebook page @RockstarSzabo on Twitter @rockstarszabo on Instagram

In this episode:So called super shoes have been all the rage since they were first released back in 2016. These running shoes with high tech foam and a carbon fiber footplate embedded in the sole have proven to be significantly faster across all distances and have been worn by elites and age groupers in track and field, running events and multisport. Recently, research has emerged that raises the specter that these shoes might be associated with an increased risk for injuries. In the medical mailbag, we discuss this research and what to do about it. Plus, a conversation with Michelle Lake. Michelle is an athlete, a coach and more recently, a coach's coach. We discuss her advice for coaches to make their hobby a full time job.Segments:[05:02]- Medical mailbag: Carbon fiber footplates and increased injury risk[31:44]- Michelle Lake LinksMichelle's Facebook page @CoachMichelleLake on Instagram Michelle's Website

In this episode:More and more, researchers are coming to understand how significant a role our gut has in many wide ranging physiologic processes. One important reason for that may have to do with the gut microbiome. What is the gut microbiome and how does it impact our health? How does diet affect the microbiome and what is the relationship between the microbiome and endurance exercise performance? In this episode's medical mailbag, we look at recent research that suggests our microbiome may have an outsized role in how we perform when training and racing. Plus, a conversation with the incredibly fast and increasingly successful professional triathlete Tamara Jewett. Tamara's path to the top of the pro ranks in triathlon was not a straight line and she continues to impress with her actions both while racing and when not. Hear more about who this woman is and why she is so impressive.Segments:[04:17]- Medical Mailbag: The gut microbiome and athletic performance[32:35]- Tamara JewettLinks@tamarajewett on Instagram Tamara's Website One Tree Planted

In this episode:Cardiovascular health deteriorates for women rapidly after menopause but new research suggests that much of the impact of the loss of sex hormones can be mitigated by regular exercise. While training throughout life seems to be the most beneficial, starting around menopause can also be very helpful. On the medical mailbag we discuss the latest findings and have a special guest to help us get the most out of them. Plus, a conversation with the race director of possibly the most difficult short course triathlon in the world. Jochem Batstra oversees the Saba triathlon on the tiny Dutch Island in the Caribbean. Hear what this race is about and see if you might be brave enough to give it a try!Segments:[07:28]- Medical mailbag: cardiovascular health in perimenopausal women[31:46]- Jochem BatstraLinks@event66_jochem on Instagram Jochem's Website Jochem's Facebook page