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Have you ever heard of the Taco Bell 50k Ultramarathon? We've never heard of it either but this Saturday is the 9th annual! It's happening here in Denver and has no association with Taco Bell itself but you go to 8 different Taco Bell locations and have 11 hours to finish.
Save 20% on all Nuzest Products WORLDWIDE with the code MIKKIPEDIA at www.nuzest.co.nz, www.nuzest.com.au or www.nuzest.comCurranz Supplement: Use code MIKKIPEDIA to get 20% off your first order - go to www.curranz.co.nz or www.curranz.co.uk to order yours NZ listeners - save 10% off Calocurb by using the code Mikkipedia10 at www.calocurb.co.nzEpisode SummaryCliff Harvey PhD is back on the podcast, and this one ranges widely before settling on its main subject. Cliff is a registered clinical nutritionist, qualified naturopath and strength and nutrition coach who has been in clinical practice since the late 1990s, and he founded the Holistic Performance Institute. He and Mikki open with wearables — Cliff has swapped an ageing Oura ring for an under-mattress Withings sleep analyser — before getting into whether an already-active person really needs dedicated cardio, and why Mikki has deliberately upped her carbohydrate intake for running after years of being firmly in the low-carb camp.The second half is a careful working-through of the alcohol evidence. Cliff's central point is a distinction that often gets lost: the research supports the claim that there is no healthy dose of alcohol, but that is not the same as showing there is no safe dose. He walks through why all-cause mortality is the endpoint to start from, where the cancer data genuinely does look different, and why effect sizes at low intakes are small enough to be hard to interpret. Both are clear that alcohol is a toxin and neither is advocating that anyone start drinking. What they are arguing is that absolutist public health messaging that outruns the data erodes trust, and that time spent getting people active would do more good than telling them to drink nothing at all.Key TopicsCliff's move from an ageing Oura ring to a Withings under-mattress sleep analyser, what resting heart rate and HRV are and aren't useful for, and Mikki's 59-day Garmin step streak and how it endedThe one thing they openly disagree on: Cliff argues accumulated movement at varying intensities can make structured zone two largely redundant for an already-active person, while Mikki champions aerobic work in its own right and pushes back on messaging that walking plus lifting is all anyone needsWhy Mikki has substantially increased her carbohydrate intake around running after years of being low carb, and the difference she reports in running, recovery and appetiteCliff on the research he co-authored — habitually low-carb athletes benefit from carbohydrate during exercise to essentially the same extent as high-carb athletes — and early-2000s field research at a 24-hour mountain bike event where athletes needed far more per hour than the then-accepted 60 g glucose and 90 g glucose-fructose ceilingsThe distinction the episode turns on: no healthy dose of alcohol is not the same claim as no safe dose, and why the Zhao 2023 meta-analysis is often read as saying the secondWhere the cancer data does look different, how relative risk and absolute risk come apart, and why a 5% relative increase can mean very little in absolute termsConfounding, residual confounding and abstainer bias — why abstainers can look worse in the data until you account for who stops drinking and whyGuardrails rather than prohibition: Cliff's dozen beers a month, what he used to tell clients, and why zero-tolerance messaging that diverges from the data erodes trust and tends to fail in clinical practiceCongeners, drink type and individual response, including why some people react differently to whiskey than to vodka — and why no spirit gets you out of a hangover at doseLinchpin behaviours: why both land on physical activity as the thing most worth people's limited attention, and Cliff's case for mindfulness as an effective non-diet interventionChapters00:00 Introduction03:07 Wearables, sleep tracking and step streaks10:38 Does everyone need dedicated cardio15:40 Running, mobility and upping carbohydrate18:31 Carbohydrate during exercise and low-carb dogma28:45 Alcohol guardrails and personal limits33:10 Mortality versus single disease endpoints38:51 Cancer risk, relative and absolute47:29 Confounding, abstainer bias and patterns58:46 Drinking culture and absolutist advice1:07:43 Drink type, congeners and sleep1:13:35 Linchpin behaviours and what matters most1:18:19 Take-homes, recommendations and outroGuest / ResourcesCliff Harvey PhDWebsite: cliffharvey.comHolistic Performance Institute: holisticperformance.instituteInstagram: @cliffdoggydogCliff is a registered clinical nutritionist, a qualified naturopath, and holds a diploma in fitness training and health coaching in patient care. He has over 20 years' experience as a strength and nutrition coach and has been in clinical practice since the late 1990s. His PhD research was in ketosis and ketogenesis, and Mikki helped supervise part of that pathway. In the episode he mentions that a full review on alcohol and mortality was due to go up in the Holistic Performance Institute's database of living review articles.Studies and research discussedZhao et al. (2023), Association Between Daily Alcohol Intake and Risk of All-Cause Mortality: A Systematic Review and Meta-analyses, JAMA Network Open. The meta-analysis at the centre of the conversation, drawing on 107 studies. Cliff's reading is that it shows no healthy dose, but does not establish that there is no safe dose.Health effects associated with alcohol consumption: a Burden of Proof study, Nature Health (2026). Referenced as looking at disease risk rather than mortality.Sarich et al. (2026), Alcohol-attributable cancer risk and burden estimates for Australia's updated alcohol consumption guidelines, British Journal of Cancer. This is the paper Mikki reads figures from during the episode. It reports that for every additional ten drinks per week, the risk of all cancers combined increased by 5%.The 45 and Up Study — the large Australian cohort (over 225,000 participants) that the above cancer analysis draws on, and the source of the absolute risk figures Mikki looks up live.Mendelian randomisation research on alcohol and risk, referred to in general terms rather than as a specific named study.Research on abstainer bias, which Cliff attributes to earlier work by Zhao and colleagues preceding their 2023 meta-analysis.Zinn, Harvey et al. (2023), Exercise and sports performance, a chapter in Ketogenic: The Science of Therapeutic Carbohydrate Restriction in Human Health (Elsevier). The chapter Cliff co-wrote with Caryn Zinn, and the source of his point about low-carb athletes benefiting from carbohydrate during exercise.Cliff also refers to research on Mediterranean diet and drinking patterns, on physical activity as protective against alcohol-related mortality risk, and on mindfulness as a non-diet intervention. These were discussed in general terms and no specific papers were named.People mentionedDr Eric Helms — teaches on the Holistic Performance Institute ...
Episode SummaryMikki has said many times — on this podcast, on other podcasts, and repeatedly on Instagram — that eating carbohydrate at dinner helps calm the nervous system, and that this is why people who feel wired at night sleep better when they add some back in. In this episode she corrects herself. Not on the advice, which she still gives and still sees work, but on the mechanism she has been attaching to it: insulin clearing branched-chain amino acids out of the bloodstream, tryptophan winning the competition at the blood-brain barrier, and the resulting serotonin and melatonin sedating you. Every step in that chain is real biochemistry, which is exactly why it sounds right. It just does not happen at the doses found in any meal she would actually recommend.From there she works through what is more likely going on. She covers the head-to-head trial that put carbohydrate, two proteins and a placebo up against each other before bed and found nothing; why the pre-sleep protein literature is muscle research rather than sleep research; the difference between an energy deficit and low energy availability; and the body of work on cognitive dietary restraint — the mental effort of not eating, which carries measurable physiological consequences independent of how much is actually eaten. She is careful throughout about how messy cortisol data is, and about which parts of it she thinks still stand. The practical conclusion is unchanged but better founded: if you are wired and under-eating relative to your training, it is probably the calories, and carbohydrate is usually the easiest thing to add back.Key TopicsWhy the mechanism matters even when the advice is fine — Mikki's argument is that people do not just follow advice, they extend it using the mechanism you gave them, so an explanation that isn't real can cause problems in situations you never had in mind.The tryptophan pathway, and where it breaks — the effect requires carbohydrate high enough and protein low enough for tryptophan to win the competition at the blood-brain barrier. Add meaningful protein and it disappears, and the melatonin generated downstream is nowhere near a dose that influences sleep.Lower carbohydrate was associated with more slow-wave sleep, not less — a meta-analysis of polysomnography studies found lower carbohydrate intake linked to more slow-wave sleep, less REM and a shorter time to fall asleep. That is the opposite direction to what Mikki had been saying.The head-to-head trial in elite female athletes — 40 g of alpha-lactalbumin, 40 g of casein, 40 g of carbohydrate or a non-caloric placebo, taken 30 minutes before bed for three nights each. No difference in total sleep time, sleep onset latency, subjective sleep quality, resting heart rate or heart rate variability, and no difference in overnight glucose on CGM.Pre-sleep protein is muscle research, not sleep research — protein before bed does do what it says for the overnight muscle protein synthetic response. That is a separate question from whether it sedates you, and when sleep is the outcome tested directly it is no better than carbohydrate or nothing.Why it still works in clinic: it is the calories — the null trial was run in adequately-fed people. Mikki's clinical population is in a deficit and often training hard, so adding food at dinner adds total energy to the day. Carbohydrate is simply the lever she usually reaches for, because protein is normally already handled in a fat-loss meal.Energy deficit is not the same thing as low energy availability — two women in the same deficit can be in very different positions depending on training volume. Mikki cites the 30 kcal/kg fat-free mass threshold and is explicit that it is not a number everyone agrees on.Cognitive dietary restraint has physiological consequences — over two years in 123 healthy young women, higher restraint was associated with more cycles showing subclinical ovulatory disturbances (56% versus 34%), and physical activity, general stress, BMI and energy intake did not explain the difference. Related work found higher 24-hour urinary cortisol in high-restraint women, replicated in postmenopausal women aged 49 to 75.A one-off cortisol test tells you very little — within-person variability is large, the cortisol awakening response has test-retest reliability too poor for individual comparisons, and the research Mikki is drawing on compared groups using 24-hour urinary collections rather than single spot samples. Noise that swamps one person averages out across sixty or a hundred.What to actually do — if you are wired, under-eating and training, add the calories back. Put a small portion of carbohydrate on a plate whose protein is already covered; if protein is the thing that is low, add protein instead, particularly through midlife. And if fear of evening carbohydrate is the real barrier, add it back and watch what happens — evidence builds confidence.Chapters00:00 Where I got the mechanism wrong02:59 Benton, dose and the sleep studies04:49 Carbs, casein or placebo before bed07:12 Why it still works in clinic08:56 Energy deficit, training load and cortisol11:39 Fear of carbs and dietary restraint14:19 How reliable is cortisol testing16:09 What to actually doGuest / ResourcesThis is a solo episode. No guest.Researchers and work referred to in the episodeDavid Benton and colleagues, Swansea University — work evaluating the putative mechanisms linking carbohydrate to sleep, and a meta-analysis of polysomnography studies finding lower carbohydrate intake associated with more slow-wave sleep, less REM sleep and shorter sleep onset latency.Andrew Huberman — Mikki recalls hearing him make the starchy-carbohydrate-and-serotonin case for sleep. She refers to this from memory; no specific episode is identified.Zach Bitter — mentioned as a low-carbohydrate proponent who reported that higher carbohydrate intake worsened his sleep. An individual account, not a study.Luc van Loon's group — including Jorn Trommelen and Tim Snijders — the pre-sleep protein and overnight muscle protein synthesis research. Mikki's point is that this body of work is about muscle, not sleep.Anne Loucks — the work establishing that luteinising hormone pulsatility is disrupted below roughly 30 kcal per kg of fat-free mass per day, after subtracting the energy cost of exercise. Mikki notes in the episode that this threshold is not universally agreed.Yuko Nakamura and colleagues — a meta-analysis separating the severity of energy restriction, finding that fasting raises cortisol strongly while low-calorie and very-low-calorie diets do not, and that the effect fades over several weeks.Jennifer Bedford and colleagues — a two-year study of 123 healthy young women, finding higher cognitive dietary restraint associated with more cycles showing subclinical ovulatory disturbances (56% versus 34%), with physical activity, general stress, BMI and energy intake failing to explain the difference.Judy McLean and colleagues — 24-hour urinary cortisol excretion compared in premenopausal women with high versus low dietary restraint scores, matched for age, BMI and cycle length.Candice Rideout and colleagues — the same finding in postmenopausal women aged 49 to 75, who d...
Save 20% on all Nuzest Products WORLDWIDE with the code MIKKIPEDIA at www.nuzest.co.nz, www.nuzest.com.au or www.nuzest.comEpisode SummaryIn the latest episode of our collaboration with the Chasing Clarity Health and Fitness Podcast, Mikki is joined again by online nutrition and physique coach Brandon DaCruz to talk refeeds and diet breaks. These tools have been used in bodybuilding and physique coaching for decades, with plenty of claims attached: that they boost leptin, prevent metabolic adaptation or speed up fat loss. Mikki and Brandon start with definitions. A refeed is a structured, tracked one to three days at around maintenance, with the extra calories coming mostly from carbohydrate. A diet break is one to two weeks at maintenance. Neither is a cheat meal. They then look at why a long deficit gets harder over time, through rising hunger, falling NEAT, poorer training and accumulated diet fatigue.Brandon works through the research by outcome. When the overall deficit is matched, the trials and a recent meta-analysis show similar fat loss with intermittent and continuous dieting, and any hormonal lift from a short refeed is likely to be temporary. There may be a small benefit for resting metabolic rate and lean mass, with caveats, and the most consistent benefit is for hunger, dietary satisfaction and adherence. Mikki explains how she schedules refeeds in Mondays Matter as practice at eating at maintenance, and how she plans diet breaks around holidays and busy periods. Brandon walks through how he titrates refeeds with lifestyle and physique clients, and why the extra calories come from familiar carbohydrate foods rather than hyperpalatable ones. Both are clear that these strategies can backfire for some people, and that someone who is progressing well doesn't need another intervention.Key TopicsRefeeds, diet breaks and cheat meals are not the same thing. Refeeds and diet breaks are planned and tracked; a cheat meal removes the structure, and both hosts would happily retire the word "cheat" (06:53).Why a prolonged deficit gets harder. Hunger and appetite rise, NEAT drops without people noticing, lower carbohydrate availability affects training, and diet fatigue builds. Brandon likens a refeed or diet break to a training deload (12:46).Refeeds as a skill, not just a physiological tool. Mikki builds three-day refeeds into Mondays Matter every two weeks so people can practise eating more without fear, and both hosts plan diet breaks around holidays and work travel (20:21).Fat loss research. With deficits equated, intermittent and continuous dieting produce similar fat loss. Brandon explains the "whoosh" effect he has seen in practice and why a short-term hormonal boost is unlikely to drive fat loss on its own (28:38).Lean mass, metabolic rate and adherence. There is some signal for better lean mass retention and a slightly smaller drop in resting metabolic rate, with caveats. The clearest benefits are less hunger, more satisfaction and less disinhibition (36:12).Personality matters. Some people will adhere regardless, and for some "abstainers" a single refeed day can turn into an overfeeding week (39:41).Training performance. A carbohydrate-based diet break improved lower-body muscular endurance in one secondary analysis, and Brandon times refeeds around priority sessions for his physique athletes (44:23).How they each structure refeeds. Mikki first rules out non-deficit causes of poor sleep, cravings or low energy. Brandon starts with one day, keeps the usual foods, increases carbohydrate, holds fat and adjusts based on biofeedback (47:46, 50:44).Why carbs go up, not fat. Fat is usually already low deep into a diet, protein often has a buffer, and food volume matters: energy-dense "refeeds" can leave people eating less food and feeling hungrier (59:58).Who benefits most. Long-term dieters who are getting leaner than ever, training hard and struggling with hunger or fatigue. For someone losing at a good rate and adhering well, adding one can simply break momentum (1:13:17).Chapters00:00 Introduction and the collaboration series06:53 Refeeds, diet breaks and cheat meals defined12:46 The costs of a prolonged deficit20:21 How Mikki uses refeeds with groups and travel28:38 Do refeeds improve fat loss?36:12 Lean mass, adherence and personality types44:23 Refeeds and training performance47:46 Mikki's one-on-one approach50:44 How Brandon structures refeeds and diet breaks59:58 Why carbs go up, not fat, on refeed days1:07:28 Benefits seen in practice1:13:17 Who benefits most, and wrap-upGuest / ResourcesBrandon DaCruz, online nutrition and physique coach, accredited nutritionist and host of the Chasing Clarity Health and Fitness Podcast. Instagram: @brandondacruz_Mondays Matter, Mikki's eight-week group fat loss programme.The ICECAP trial: Peos JJ et al. (2021), continuous versus intermittent dieting in resistance-trained adults. Medicine & Science in Sports & Exercise.ICECAP secondary analysis: Peos JJ et al. (2021), changes in performance, hunger and alertness across a one-week diet break. PLoS One.Siedler MR et al. (2023), continuous dieting versus diet breaks in resistance-trained women, from Bill Campbell's lab. Journal of Human Kinetics.Poon ET et al. (2025). Effects of intermittent dieting with break periods on body composition and metabolic adaptation. Systematic review and meta-analysis, Nutrition Reviews.Campbell BI et al. (2020). Intermittent energy restriction attenuates the loss of fat free mass in resistance trained individuals. Journal of Functional Morphology and Kinesiology. Plus the published comment and reanalysis by Peos and colleagues in the same journal.Dirlewanger M et al. (2000). Effects of short-term carbohydrate or fat overfeeding on energy expenditure and plasma leptin concentrations in healthy female subjects. International Journal of Obesity.Friedl KE et al. (2000). Endocrine markers of semistarvation in healthy lean men in a multistressor environment (US Army Ranger training). Journal of Applied Physiology.Barbara Rolls, research on energy density, food volume and satiety.Lyle McDonald, The Ultimate Diet 2.0.Earlier episodes in this collaboration on rapid fat loss, and on why fat loss maintenance can be harder than fat loss.Find Mikki on Instagram, Threads and X at @mikkiwilliden, on Facebook at Mikki Williden Nutrition, and at mikkiwilliden.com. Curranz Supplement: Use code MIKKIPEDIA to get 20% off your first order - go to www.curranz.co.nz or www.curranz.co.uk to order yours NZ listeners - save 10% off Calocurb by using the code Mikkipedia10 at www.calocurb.co.nzContact Mikki:
Episode SummaryA solo Mini-Mikkipedia. Mikki is often asked how to tell whether someone in the women's health space is worth following, and in this episode she answers it by working through two examples of what she thinks has gone wrong: practitioners who build large audiences on free information and then, in her view, monetise their followers' insecurities.The first half is physiology. Mikki takes two specific claims made about fasting — that it preserves muscle through growth hormone, and that it raises GLP-1 enough to make a medication unnecessary — and explains why she thinks both are wrong: the anabolic effect needs IGF-1, which needs protein and energy, and GLP-1 is a nutrient-sensing hormone that responds to food arriving in the gut. She is careful to separate that from where she thinks fasting genuinely earns its place, and to state the version of the GLP-1 claim that can be defended. The second half looks at a collagen supplement marketed for cellulite: what the one cellulite trial actually found, what a 2025 review found once industry-funded trials were separated out, and why she thinks cellulite is the wrong thing to be selling women anything for. She closes with the people she does think are worth following. Mikki is explicit that this is her opinion — "I'm just telling you what I think" — and equally explicit that she is not making a supplement of her own.Key TopicsHow to judge whether someone in the women's health space is worth following, and the pattern Mikki looks for: free information that turns out to be a funnelWhy Mikki fact-checked Fast Like a Girl and concluded the evidence base was mechanistic, preclinical or wrong, and what she has seen in clients who followed the protocolWhere fasting genuinely earns its place — severe insulin resistance, some gut issues, and as a researched adjunct in cancer treatment — and why 12 hours overnight is not really fastingThe growth hormone argument: why an increase in growth hormone without an increase in IGF-1 does not build or protect muscle, and why the reported percentage increases are inflated by a near-zero baselineWhy fasting cannot raise GLP-1, since GLP-1 is secreted by enteroendocrine L-cells in response to protein, fat and fermentable fibre arriving in the gut — and the one version of the claim that can be defendedThe collagen supplement marketed on the back of a story about cellulite, and Mikki's objection to the marketing rather than to collagen itselfWhat the cellulite trial actually found: 105 women, 2.5 g of collagen peptides daily for six months, a 9% reduction in cellulite score at normal BMI and 4% above BMI 25 — and nothing replicating it in the decade sinceThe 2025 review of 23 trials where collagen improved skin hydration, elasticity and wrinkles overall, but showed no effect in the trials without industry fundingWhy Mikki thinks cellulite is the wrong focus altogether, and her answer to the pushback that she talks about women's bodies herselfWho she suggests following instead, and why she has turned down several approaches to make her own supplementChapters00:00 Introduction and Fast Like a Girl03:15 Where fasting is genuinely useful05:33 Growth hormone, IGF-1 and the GLP-1 claim09:46 Mary Claire Haver's cellulite supplement13:20 Collagen, funding and the wrong focus16:55 Who to follow in women's healthGuest / ResourcesGuestNo guest — a solo Mini-Mikkipedia episode.People discussedDr Mindy Pelz — author of the Fast Like a Girl system, discussed critically throughout the first halfDr Mary Claire Haver — discussed in relation to a collagen supplement marketed for celluliteDom D'Agostino — referenced for his research on ketogenic diets and fasting, including fasting as an adjunct to cancer treatmentPeople Mikki recommends followingHailey Babcock — Hailey Happens Fitness, strength training and nutrition for women in midlifeDr Abbie Smith-Ryan — Professor of Exercise Physiology and Nutrition, University of North Carolina at Chapel HillDr Stacy Sims — exercise physiologist and nutrition scientist, known for her work on female athletesJen Kirsch and Holly Nicholson — also named by Mikki as people worth followingStudies and research discussedSchunck M, Zague V, Oesser S, Proksch E. Dietary Supplementation with Specific Collagen Peptides Has a Body Mass Index-Dependent Beneficial Effect on Cellulite Morphology. Journal of Medicinal Food, 2015;18(12):1340–1348. The cellulite trial Mikki describes: 105 women aged 24–50 with moderate cellulite, randomised to 2.5 g bioactive collagen peptides or placebo daily for six monthsMyung S-K, Park Y. Effects of Collagen Supplements on Skin Aging: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. The American Journal of Medicine, 2025. 23 randomised controlled trials, 1,474 participants. Collagen improved skin hydration, elasticity and wrinkles overall, but trials without industry funding showed no effect on any of the threeCollagen peptides, pain and function in active adults — research from Michael Ormsbee's lab at Florida State University, in physically active adults aged 40–65, using 10 g of collagen peptides daily for six months. This is the pain and function work Mikki refers to, and the source of the 10 g comparison she drawsIngredients discussedFortibone — collagen peptide type discussed for bone and tendon healthVerisol — collagen peptide type studied for skin, and used in the cellulite trial aboveConcepts coveredGLP-1 and enteroendocrine L-cells · growth hormone and IGF-1 · insulin resistance · time-restricted eating · mechanistic and preclinical versus clinical evidence · industry funding and publication bias Contact Mikki:https://mikkiwilliden.com/https://www.facebook.com/mikkiwillidennutritionhttps://www.instagram.com/mikkiwilliden/https://linktr.ee/mikkiwillidenNZ listeners - save 10% off Calocurb by using the code Mikkipedia10 at www.calocurb.co.nzSave 20% on all Nuzest Products WORLDWIDE with the code MIKKI at www.nuzest.co.nz, www.nuzest.com.au or www.nuzest.comCurranz supplement: MIKKI saves you 25% at www.curranz.co.nz or www.curranz.co.uk off your first order
Save 20% on all Nuzest Products WORLDWIDE with the code MIKKIPEDIA at www.nuzest.co.nz, www.nuzest.com.au or www.nuzest.comCurranz Supplement: Use code MIKKIPEDIA to get 20% off your first order - go to www.curranz.co.nz or www.curranz.co.uk to order yours NZ listeners - save 10% off Calocurb by using the code Mikkipedia10 at www.calocurb.co.nzEpisode SummaryThis week Mikki talks with Dr Robert Kushner, an obesity medicine physician, educator and researcher with over four decades in the field. He is Professor Emeritus at Northwestern University Feinberg School of Medicine, a founder and the first chair of the American Board of Obesity Medicine, and a past president of The Obesity Society. He was also the corresponding author on the STEP 1 semaglutide trial published in the New England Journal of Medicine in 2021, and sat on the steering committee for SELECT — so he has watched this field from the inside, before and after GLP-1 receptor agonists arrived.The conversation traces what clinicians actually understood about obesity in the 1980s and 90s, Bob's own leptin trial and why it did not deliver, and how reframing obesity as a biological disease led researchers to the gut hormones. From there it moves into the practical territory: how the clinical conversation has shifted from counting calories to diet quality, which side effects are real and which are social media noise, what happens to muscle mass and physical function, how dose escalation should actually work, why hunger returning is not the same as weight regain, and what the evidence says about stopping. Bob is careful throughout to separate what the trials show from what is still unknown, which makes this a useful listen whether you work with clients on these medications or are weighing them up yourself.Key TopicsWhat clinicians believed about obesity three decades ago — excess body fat was known to cause system-wide harm, but the mechanisms, and appetite dysregulation in particular, were not understood, and weight regain after lifestyle intervention was already expectedBob's own leptin trial in the 1990s, published in JAMA, and why leptin turned out to be a useful biological signal rather than a treatment — it defends against weight loss but was never built to stop overeatingThe STEP 1 result and why it changed the field: 15% average weight loss at 68 weeks against a previous benchmark of 6–9%, with a third of participants losing 20%How the clinical conversation shifted from quantity to quality — when the medication does the heavy lifting, the questions become whether someone is eating enough, staying hydrated and getting sufficient protein, rather than how to control cravingsWhich side effects are real and which are overstated: GI effects are the genuine shared profile and can be substantially reduced through diet during dose escalation, while hair thinning and facial fat loss follow large weight loss by any routeMuscle mass, sarcopenia and the groups who need watching, alongside the consistent finding that physical function and quality of life improve in trials — possibly because fatty infiltration of muscle resolvesDose escalation in the real world versus the trial protocol, and why there are still no pretreatment predictors of who will respondWhy appetite drifting back is normal and not a failure — Bob's framing of restored appetite regulation at a lower body weight, with "the amplitude smaller than it was before"Benefits beyond weight loss, including SELECT's 20% reduction in cardiovascular events on top of standard care, plus sleep apnoea, knee osteoarthritis, MASH and psoriasis — driven both by weight loss and by independent mechanismsCost and access, microdosing, extending the interval between injections, and where bariatric surgery still fitsChapters00:00 Introduction05:13 Obesity medicine before GLP-1s13:34 Gut hormones and the STEP 1 result21:00 From calorie counting to diet quality25:00 Side effects and social media myths29:54 Muscle mass, function and exercise35:08 Dose escalation and who responds40:30 When hunger comes back46:37 Stopping the drug, cost and access52:24 Benefits beyond weight loss57:37 Long-term safety and microdosing1:01:10 Coming off, surgery and what's nextGuest / ResourcesDr Robert KushnerProfessor Emeritus, Northwestern University Feinberg School of MedicineFounder and first chair of the American Board of Obesity MedicinePast president of The Obesity SocietyAuthor or editor of 15 books, 56 book chapters and 230 original and review articlesWebsite: drrobertkushner.comBooksSix Factors to Fit: Weight Loss that Works for You! — written for the patientPatient-Centered Weight Management: The Six Factor Professional Program and Toolkit — written for the clinicianTrials and studies discussedSTEP 1 — once-weekly subcutaneous semaglutide, New England Journal of Medicine, 2021. 1,961 adults, 68 weeks, ~15% average weight loss. Bob was the corresponding authorSTEP 1 extension — the off-treatment follow-up showing weight regain after stoppingSELECT — semaglutide versus placebo in 17,000 people with obesity or overweight and pre-existing cardiovascular disease but no diabetes, over nearly four years. A 20% reduction in second heart attack, stroke or cardiovascular death, on top of standard care. Bob sat on the steering committeeSURMOUNT-1 extension — participants with pre-diabetes maintained on treatment for three years, with weight remaining stableLook AHEAD — an intensive behavioural therapy trial in diabetes; of those who lost 10% of body weight, around 40% maintained it for about four years without medicationKushner's leptin trial (1990s) — placebo versus leptin injections, published in JAMAA tirzepatide dose-reduction study — 15mg reduced to 5mg, with partial weight regainA randomised microdosing study in people with diabetes — standard monthly dose escalation versus gradual weekly escalation to the same final dose, showing better tolerability and fewer dropouts. Bob refers to this study but does not name it, so it is referred-to-but-not-identifiedResearchers mentionedAndres Acosta, Mayo Clinic — phenotype and biomarker work on predicting treatment responseOrganisationsNorthwestern University Feinberg School of MedicineAmerican Board of Obesity MedicineThe Obesity SocietyObesity Action CoalitionNovo Nordisk — the sponsor of STEP 1Mayo ClinicMedications and hormones discussed GLP-1 receptor agonists; semaglutide; liraglutide; tirzepatide; phentermine; topiramate; naltrexone; bupropion. Gut hormones: GLP-1, GIP, glucagon, amylin. Also leptin, insulin, statins, beta blockers, testosterone and oestrogen.Terms that come up Appetite dysregulation; food noise; leptin resistance; medu...
Back in December of last year, a guy reached out about wanting to come on the show to talk about the Barkley Fall Classic in 2026. Once I had the date, I added it to my potential future episodes spreadsheet, and when the time came around, I reached back out to him! John Calbarese comes on the show to talk about many of the events that he has done, how he feels about DNFs, what he loves about the adventure, the magic of food related ultra races, the Barkley fall classic, and more! Start – 6:20 – Intro 6:20 – 12:04 – Quick News 12:04 – 12:49 – Content Preface 12:49 – 1:11:18 - John Calbarese Interview 1:11:18 – End – Outro Next weekend may be an episode with a dog trainer, DoggyDash planners, local Ultramarathon finisher, a 10 year anniversary celebration of a huge niche documentary, coverage of the event we are doing in Boston or something else! ____ Meme of the Week Badass of the Week News Stories: Liz Schlägel Dog Died Matt Novakovich Returns to Killington Brooklyn Nichols and Epstein-Barr Virus Hyrox Poop Issue Hyrox Addresses Poop Issue Paramus Racefaster Half Marathon Flooding Pentagon Survivor Runs 2977 Miles to Honor Lives Lost in 9/11 Sydney Sweeney Ad Cali Schwiekhart Reply Corinne Nicewick Reply Cait Keen Harris Reply Spartan Angel Stadium Podiums Nautical Romance Secret Link Jump Scare Secret Link Link Words Secret Link Pitbull Singing Secret Link Paintball Spin Secret Link ____ Related Episodes: 211. New Jersey Point2Point FKT with Cole Crosby! 236. Ode to Laz Backyard Ultra: The Battle of Davis and Chace! 277. Michael Wardian is Running Across America! 414. Running Across Massachusetts, Designing Shoes, and Personal Growth with David Filar! 434. Mike's First DNF and reRUN of 17. Tri-State Spartan Ultra Beast and Tri-State Spartan Beast! ____ The OCR Report Patreon Supporters: Jason Dupree, Kim DeVoss, Samantha Thompson, Matt Puntin, Brad Kiehl, Charlotte Engelman, Erin Grindstaff, Hank Stefano, Arlene Stefano, Laura Ritter, Steven Ritter, Sofia Harnedy, Kenny West, Cheryl Miller, Jessica Johnson, Scott "The Fayne" Knowles, Nick Ryker, Christopher Hoover, Kevin Gregory Jr., Evan Eirich, Ashley Reis, Brent George, Justin Manning, Wendell Lagosh, Logan Nagle, Angela Bowers, Asa Coddington, Thomas Petersen, Seth Rinderknecht, Bonnie Wilson, Steve Bacon from The New England OCR Expo, Robert Landman, Shell Luccketta Jules Estes, and Alan "Muddy Duck" Moore. Sponsored Athletes: Kelly Sullivan, Joshua Reid, Kevin Gregory, and Joe Rucco! Support us on Patreon for exclusive content and access to our Facebook group Check out our Threadless Shop Use coupon code "adventure" for 15% off MudGear products Use coupon code "ocrreport20" for 20% off Caterpy products Like us on Facebook: Obstacle Running Adventures Follow our podcast on Instagram: @ObstacleRunningAdventures Write us an email: obstaclerunningadventures@gmail.com Subscribe on Youtube: Obstacle Running Adventures Intro music - "Streaker" by: Straight Up Outro music - "Iron Paw" by: Dubbest
Episode SummaryHbA1c turns up on almost every routine blood panel, and in this Monday mini episode Mikki looks at how much it can genuinely tell you. She starts with the physiology — haemoglobin picks up glucose non-enzymatically, red cells live 100 to 120 days, and the result is a weighted average of glucose exposure that leans heavily on the most recent month. That matters more than it first appears, because anything that shortens or lengthens red cell lifespan moves the number without blood glucose changing at all. Iron deficiency, heavy menstrual bleeding, foot strike haemolysis in runners, thalassaemia and sickle trait, recent blood donation and B12 deficiency can each push a result in one direction or the other.From there Mikki works through the research-based critiques: insulin resistance and beta cell decline can precede an abnormal HbA1c by many years, the test is highly specific but only about 50 per cent sensitive against an oral glucose tolerance test, an average conceals the shape of the glucose curve, and both genetics and ordinary measurement noise move the number independently of glucose. She closes on the practical side — where HbA1c does earn its place, why she still thinks a result of 40 or 41 deserves a conversation with your doctor, and which markers are worth reading alongside it.Key TopicsWhat HbA1c actually measures. Glycation is non-enzymatic with no regulatory brake, so it proceeds in proportion to how much glucose is around and how long the cell is exposed. A red cell cannot repair it, making it a passive record of the preceding 8 to 12 weeks.The "three-month average" is weighted, not even. About 50 per cent of the movement toward a new value happens in the first month, which is why a result can shift over six weeks.Falsely low results. Haemolysis of any cause, haemoglobinopathies such as sickle trait and thalassaemia trait, ongoing blood loss, blood donation, recent transfusion, advanced liver disease, and starting iron treatment in someone iron deficient.Falsely high results. Untreated iron deficiency anaemia, B12 and folate deficiency, splenectomy or functional asplenia, and aplastic anaemia.Athletes get it from both directions. Foot strike haemolysis lowers A1c relative to true glucose exposure, while the iron deficiency common in female athletes raises it — and the two distortions can partly cancel out, so the number alone will not tell you which is happening.Correcting iron can drop A1c without any dietary change. Mikki's worked example is a woman going from 42 to 37 mmol/mol once her iron is sorted, and her concern is that the change gets credited to a nutrition intervention she never needed.The cut-offs, in New Zealand and US units. Roughly 30 to 39 mmol/mol normal, 41 mmol/mol pre-diabetes and 50 mmol/mol diabetes locally, against WHO and ADA thresholds of 42 and 48 mmol/mol. Type 2 diabetes throughout, not type 1.HbA1c is a lagging signal. Insulin markers can diverge from controls up to 20 years before diagnosis, and beta cell function is already down around 50 per cent by the time someone meets diagnostic criteria — so a normal HbA1c is compatible with a long stretch of compensated insulin resistance.Specific but not sensitive. Against an oral glucose tolerance test, sensitivity of about 50 per cent with specificity around 97 per cent, and screening work in which the HbA1c criteria missed a large majority of pre-diabetes.What to read alongside it. Fasting glucose, ideally fasting insulin, waist-to-height ratio, triglyceride-to-HDL ratio and a fasted lipid panel — plus your own historic trend rather than the population cut-off.Chapters00:00 How HbA1c works and what distorts it03:41 Athletes, foot strike haemolysis and iron06:23 New Zealand and US cut-offs08:40 Why HbA1c lags insulin resistance12:12 Averages, genetics and measurement noise15:41 Your own trend, and ethnic differences18:41 Where HbA1c earns its place21:31 Sign-off and new recipesGuest / ResourcesSolo episode — no guest.Referenced in the episodeWorld Health Organization — pre-diabetes around 42 mmol/mol (6%), diabetes at 48 mmol/mol (6.5%)American Diabetes Association — diabetes at 48 mmol/mol (6.5%)Mikki discusses findings from a number of published studies through the episode. They are described in the audio rather than cited by name, so no reference list is given here.Tests and markers discussedHbA1c · fasting glucose · fasting insulin · oral glucose tolerance test · continuous glucose monitor · HOMA2-IR · HOMA2-B · ferritin · fasted lipid panel · triglyceride-to-HDL ratio · waist-to-height ratioFind MikkiInstagram, Threads and X — Mikki WillidenFacebook — Mikki Williden NutritionWebsite — mikkiwilliden.com — one-on-one calls and the recipe portal Contact Mikki:https://mikkiwilliden.com/https://www.facebook.com/mikkiwillidennutritionhttps://www.instagram.com/mikkiwilliden/https://linktr.ee/mikkiwillidenNZ listeners - save 10% off Calocurb by using the code Mikkipedia10 at www.calocurb.co.nzSave 20% on all Nuzest Products WORLDWIDE with the code MIKKI at www.nuzest.co.nz, www.nuzest.com.au or www.nuzest.comCurranz supplement: MIKKI saves you 25% at www.curranz.co.nz or www.curranz.co.uk off your first order
Ist Laufen das neue Kiffen?Denis fragt sich, ob Trailrunning, Joggen und Rennradfahren heute das sind, was früher Clubs, Discos und vielleicht auch der eine oder andere Joint waren: Treffpunkt, Flucht, Rausch, Szene und Zugehörigkeit.Running Clubs sind längst soziale Orte, Sport ist Lifestyle und ein Ultramarathon manchmal auch einfach eine ziemlich gesellschaftsfähige Form des Exzesses.Aber muss Sport wirklich alles sein? Therapie, Freundeskreis, Datingplattform, Selbstoptimierung, Statussymbol und Sinnstifter?Eine Folge über die Frage, warum wir heute sogar unseren Eskapismus gerne produktiv gestalten.
Kareem Afzal's journey to the Leadville 100 is anything but ordinary. After a life-threatening illness, major lifestyle changes, years of endurance racing, and multiple failed attempts at 100 miles, Kareem finally found the combination of training, mindset, recovery, and support that changed everything.In this episode, Kareem breaks down what he learned from working with a coach, why more mileage isn't always better, how speed work transformed his ultrarunning. His story is a reminder that becoming a better ultrarunner isn't just about getting fitter—it's about learning, adapting, and being willing to do things differently.In this episode we deep dive on: Why recovery can unlock fitness you didn't know you had• How speed work can make you a stronger ultrarunner• What Kareem learned from multiple 100-mile attempts• How to use your crew when your brain stops cooperating• The mental strategy that helped him survive Leadville's toughest moments• Why breaking an ultra into smaller segments can change everything• Why staying open to learning may be your biggest performance advantageSHOW LINKS:Want to be coached by me and my team to crush your next ultramarathon in our 1:1 coaching program? Book a free call here with one of our coaches to see if we are a good fit!Want to work with me to crush your next ultramarathon in our group coaching program? Sign up for our group coaching program here: https://www.theeverydayultra.com/group-coachingSign up for our 100K and 50K races at Desertpeakultra.comSign up for our Backyard Ultra at endurebetter.comFollow Joe on IG: https://www.instagram.com/joecorcione/Everyday Ultra YouTube Channel: https://www.youtube.com/channel/UCUelKGeptWZivD6yRIDiupgTry Mount to Coast shoes, designed specifically for ultramarathons, and get 10% off your order with code EVERYDAYULTRA https://mounttocoast.com/discount/EVERYDAYULTRA?redirect=%2Fcollections%2FallTry HYPERLYTE Liquid Performance running nutrition and get 15% off your order when you use code EVERYDAYULTRA at www.hyperlyteliquidperformance.comTry PlayOn Pain Relief Spray and get 20% off with code EVERYDAYULTRA at playonrelief.comTry Janji apparel at janji.com/everydayultraCreate running routes easily with Footpath. Download for free and get a free trial at footpathapp.com/everydayultraFree Supplement Guide for Ultrarunners: https://docs.google.com/document/d/1Mhp3vKx1uJPU1-i9F03BVzZdDRiUHCk85HF7pjthoVM/edit?usp=sharingFollow Kareem on Instagram: https://www.instagram.com/pioneerspodcasthost/
Philip Kreycik was 37, a Harvard graduate, an ultramarathoner, and an experienced outdoorsman. On July 10, 2021, he left for a training run at Pleasanton Ridge Regional Park in California, telling his wife he'd be back in an hour. He never returned. The search that followed became one of the West Coast's largest rescue operations, involving nearly 300 volunteers, multiple agencies, helicopters, and thermal imaging. But GPS data from his smartwatch revealed something investigators initially missed: he likely died within 75 minutes of going missing, before rescue teams could even fully mobilize. Julie and Kaycee walk through the timeline, the medical reality of heat illness, and the margins of error that collapse faster than experience can account for.Timestamps: 00:00 Welcome to Disaster Strikes00:42 Heatwave Run Begins02:26 Who Was Philip Kreycik03:35 GPS Shows Trouble05:25 Wrong Turn Off Trail06:17 Heat Illness Explained09:06 Minutes to Heatstroke10:56 Smartwatch Timeline13:06 Massive Search Effort15:14 Found After Four Weeks17:13 Family Reflections17:51 Lessons and Takeaways18:57 Why Heat Sneaks Up20:48 Closing and TributeKEY REFERENCESPleasanton Police Department Missing Person Investigation Files (2021)Alameda County Sheriff's Office Autopsy and Investigation Report (2021)Dapcevich, Madison. "The Fastest Heat Death: Investigation into Philip Kreycik's Disappearance," Outside Online (2021)Silacci, Erik. Official Statement and Timeline Analysis, Pleasanton Police Department (2021)"Philip Kreycik '06, Who Died at 37 After Going Missing on Run," The Harvard Crimson (August 2021)Kelly, Ray. Investigation Summary, Alameda County Sheriff's Department (2021)Pleasanton Weekly: "Authorities: Philip Kreycik Likely Died Before Search Even Got Off the Ground" (2021)NBC News Dateline: "Family Holding Hope of Finding Philip Kreycik" (August 2021)ABC News: "California Dad Found Dead Weeks After Vanishing on Run" (August 2021)First-Year Outdoors Program, Harvard University — Remembrance Documentation (2021)Yao, Jen. Family Press Conference Statement (August 2021)East Bay Regional Park District — Pleasanton Ridge Regional Park Records (2021)Smartwatch GPS Data Analysis — Alameda County Investigation (2021)Search and Rescue Volunteer Accounts — San Francisco Bay Area News Archives (2021)Heat-Related Illness Medical Analysis — Emergency Medicine Literature (2021)Become a supporter of this podcast: https://www.spreaker.com/podcast/the-crux-true-survival-stories--7265181/support.Listen AD FREE: Support our podcast at patreon: http://patreon.com/TheCruxTrueSurvivalPodcastEmail us! thecruxsurvival@gmail.comInstagram https://www.instagram.com/thecruxpodcast/Get schooled by Julie in wilderness medicine! https://www.headwatersfieldmedicine.com/This episode includes AI-generated content.
Nine years ago, Camille Herron crossed what she thought was the finish line at the Comrades Marathon, started celebrating, and kept walking, before realizing she still had 200 metres to sprint. It's the story most people know her for.In Episode of Run with Fitpage, Vikas talks to Camille about her equally interesting life journey, setting ultra distance world records across 50K, 100K, 24 hour, 48 hour and six day formats, Camille traces her path from a shy, largely nonverbal child with a central auditory processing disorder to a valedictorian and gifted program student, and eventually a biomedical researcher who spent twelve years as a bone imaging microscopist while training twice a day.She talks about the autism and ADHD diagnosis she received in her forties, and how reworking her daily schedule in 2015, not her training, was the actual turning point that led to two world titles in a single year.The conversation also covers her marathon career (a 2:37:14 pre super shoe personal best), her decision to leave full time work for professional running in 2019, and the mental frameworks, like eating the elephant one bite at a time and dedicating every race to someone else, that get her through multi day events most runners can't imagine attempting.In this episode we covered:Why Camille stopped short of the finish line at Comrades Marathon and had to sprint the last 200 metres once she realized the race wasn't overGrowing up largely nonverbal until age six or seven due to a central auditory processing disorderBeing "twice exceptional," placed in a gifted program as a child while living with an undiagnosed disabilityGetting diagnosed with autism and ADHD in her forties, and how it explained her lifelong ability to hyperfocusWorking twelve years as a bone imaging microscopist while training twice a day around a full time jobThe 2015 schedule change, evening long runs and a midday run added in, that led to two world titles in one yearFlying home after winning the 2015 100K World Championship and being back at her research job the next MondayMeeting Frank Shorter, who signed her poster "run for stress release," a moment that reframed her runningWhy she left full time employment for professional running in 2019Her "eat the elephant one bite at a time" strategy for surviving multi day racesWhy she dedicates every race to someone else, including the origin of her "Wings for Sophia" tributeHer 2:37:14 marathon best, run before the era of carbon plated super shoesBuilding out her coaching business, Run with Camille, to make elite coaching more globally accessible About Vikas Singh:Vikas Singh, an MBA from Chicago Booth, worked at Goldman Sachs, Morgan Stanley, APGlobale, and Reliance before coming up with the idea of democratizing fitness knowledge and helping beginners get on a fitness journey. Vikas is an avid long-distance runner, building fitpage to help people learn, train, and move better.For more information on Vikas, or to leave any feedback and requests, you can reach out to him via the channels below:Instagram: @vikas_singhhLinkedIn: Vikas SinghTwitter: @vikashsingh101Subscribe To Our Newsletter For Weekly Nuggets of Knowledge!
Over the many years of doing elite interviews there have been some athletes that have risen to the top of Mike's favorites, Logan Broadbent being among them. Katelyn recently saw a post about him winning an ultra and setting a PR on the course and figured that we should have him back on the show. Once Mike realized how long it had been since his last appearance on the show (Palmerton 3K Live Coverage) he reached out to change that! Logan has competed and done well in a variety of sports including OCR, ninja, boomerang, and road running yet stays incredibly humble. We catch up about him winning the Boomerang World Cup, the Spartan Northeast US National Series, and a road ultra! We also discuss why he loves his home city of Cleveland, and much more! Start – 5:55 – Intro 5:55 – 10:06 – Quick News 10:06 – 11:06 – Content Preface 11:06 – 1:04:22 - Logan Broadbent Interview 1:04:22 – End – Outro Next weekend may be an episode with a dog trainer, DoggyDash planners, local Ultramarathon finisher, a 10 year anniversary celebration of a huge niche documentary, or something else! ____ Meme of the Week Badass of the Week News Stories: Hyrox is Buying Back Shares Underdog Recovery & Wellness HalloWeird is Back October 11th Abominable Trail Race 11/14 Pumpkin Man Running Festival Podium: Deadly Dozen World Champions Seesaw Fall Secret Link Rabbit Turtle Secret Link Misheard Farenheit Secret Link Same Energy Secret Link Prework Boing Secret Link Nearly Die Secret Link ____ Related Episodes: 136. North American OCR Championships 3k and 15k with Elites! 137. North American OCR Championships Team Relay and Charity 7k! Also Terrain Race with Dustin Dorough! 179. Quarantine Qorner with Erin Rost, Matt Kempson, and Logan Broadbent! 248. OCR World Championships 15K with Elites! 249. OCR World Championships Team Races and 100 Meter Finals with Elites! 300. OCR World Championships 15K with Elites and Vendors! (with Live Intro/Outro and Shoutout Compilation!) 342. Spartan Poconos 3K Audio and Interviews with Elites! 487. Spartan USNS Northeast Series, Meniscus Tear, and More with Jordan McDougal! ____ The OCR Report Patreon Supporters: Jason Dupree, Kim DeVoss, Samantha Thompson, Matt Puntin, Brad Kiehl, Charlotte Engelman, Erin Grindstaff, Hank Stefano, Arlene Stefano, Laura Ritter, Steven Ritter, Sofia Harnedy, Kenny West, Cheryl Miller, Jessica Johnson, Scott "The Fayne" Knowles, Nick Ryker, Christopher Hoover, Kevin Gregory Jr., Evan Eirich, Ashley Reis, Brent George, Justin Manning, Wendell Lagosh, Logan Nagle, Angela Bowers, Asa Coddington, Thomas Petersen, Seth Rinderknecht, Bonnie Wilson, Steve Bacon from The New England OCR Expo, Robert Landman, Shell Luccketta Jules Estes, and Alan "Muddy Duck" Moore. Sponsored Athletes: Kelly Sullivan, Joshua Reid, Kevin Gregory, and Joe Rucco! Support us on Patreon for exclusive content and access to our Facebook group Check out our Threadless Shop Use coupon code "adventure" for 15% off MudGear products Use coupon code "ocrreport20" for 20% off Caterpy products Like us on Facebook: Obstacle Running Adventures Follow our podcast on Instagram: @ObstacleRunningAdventures Write us an email: obstaclerunningadventures@gmail.com Subscribe on Youtube: Obstacle Running Adventures Intro music - "Streaker" by: Straight Up Outro music - "Iron Paw" by: Dubbest
Außerdem: Sport - Versuchen wir zu viel? (13:30) // Mehr spannende Themen wissenschaftlich eingeordnet findet ihr hier: www.quarks.de // Habt ihr Feedback, Anregungen oder Fragen, die wir wissenschaftlich einordnen sollen? Dann meldet euch über Whatsapp oder Signal unter 0162 344 86 48 oder per Mail: quarksdaily@wdr.de. Von Ina Plodroch.
Save 20% on all Nuzest Products WORLDWIDE with the code MIKKIPEDIA at www.nuzest.co.nz, www.nuzest.com.au or www.nuzest.comEpisode SummaryDr Eric Helms returns to Mikkipedia for an unscripted conversation about GLP-1 medications and what they mean for anyone working in nutrition and fitness. Eric is a coach, athlete, author and educator, part of the 3DMJ coaching team, co-founder of the MASS research review, and co-director of the Sports Performance Research Institute New Zealand (SPRINZ) at AUT, where he is also a senior research fellow. Mikki opens with a personal trainer who was accused of stepping outside her lane for talking about GLP-1s, and the two of them work outwards from there.The conversation covers whether coaches and nutritionists are within their scope supporting people on these medications, what obesity medicine can miss when a patient's weight loss stalls, and why reduced everyday movement belongs under the heading of metabolic adaptation rather than being treated as a separate problem. Eric separates appetite into distinct drivers — energy signalling, hedonic food seeking and food noise — and explains why that distinction matters clinically. The second half turns to protein, where Eric makes the case that it is a minor player for most people's health outcomes unless intake is genuinely low, and that "which macronutrient is most satiating" is the wrong question in the first place. He is candid throughout about the limits of what is currently known, including several things he says he cannot answer. The episode closes on his argument that trainers have an opportunity to stop being weight loss coaches and get back to promoting health, fitness and movement.Key TopicsScope of practice. Eric argues the behavioural, lifestyle, nutrition and exercise side of GLP-1 use is squarely within a personal trainer's remit — while cautioning that nobody yet has the twenty years of practitioner experience we have with medications like exogenous insulin.Where the usual trainer skill set doesn't transfer. Most trainers are practised at helping clients restrain appetite. Clients on GLP-1s often have the opposite problem: struggling to eat enough, and needing nutrient quality raised on a low intake.What a stall actually signals. When someone stops tracking calories and their weight loss plateaus, Eric's first read is not under-fuelling — it is that tracking had become tedious and unsustainable, and no second skill set has replaced it. He treats the stall as an opportunity to build other skills rather than a reason to resume tracking.Movement, NEAT and metabolic adaptation. Reductions in spontaneous physical activity and non-exercise activity thermogenesis come from the same mechanisms as the older, narrower idea of a falling metabolic rate. Eric's view is that most of the "side effects" attributed to these drugs are the side effects of successful weight loss.Appetite is not one thing. Eric separates energy signalling (feeling depleted), hedonic food seeking (actively wanting a particular food or experience) and food noise (constant, distracting preoccupation) — then notes satiety has several definitions of its own on top of that.Why near-universal drug response is interesting. In trials of a newer triple-agonist medication, every participant in the higher dose groups lost at least 5–10% of body weight. Eric speculates — and flags it clearly as speculation — that this implies the drug targets more than food noise alone.How much protein actually matters. Eric's position is that protein is a minor player for general population health outcomes unless someone is starting low. Moving from around 0.8–1.1 g/kg to 1.3–1.5 g/kg has a reasonably moderate effect; moving from 1.6 to 2.2 g/kg is minor outside physique sport, where it is "a game of inches".Meeting people where they are. Someone on an intermittent eating pattern may be reaching only 1.1 g/kg, and a poorly constructed plant-based diet 0.9 g/kg. Telling them to double it can read as an impossible barrier. Mikki describes targeting 1.2 g/kg for GLP-1 clients against the 1.8–2.2 g/kg circulating online.Satiety is a meal question, not a macronutrient question. Food weight and volume, texture, hardness, eating rate, energy density, fibre and fluid all matter, and Eric raises an open question he says he cannot answer: whether those levers become more effective in someone on a GLP-1 once the environmental drivers of overeating are suppressed.What trainers are for. Eric suggests fear of professional redundancy drives some anti-GLP-1 feeling in the industry, argues obesity is primarily a built-environment problem needing a societal-scale solution, and makes the case that trainers should return to promoting health, fitness and movement.Chapters00:00 Introduction03:36 No small talk and no script06:59 Are trainers in their lane on GLP-1s?12:17 Low carb pushback and the naturalistic fallacy14:38 When weight loss stalls21:18 Reduced movement, NEAT and metabolic adaptation24:36 Food noise, hedonic eating and appetite29:36 What personal trainers are actually for32:31 Bodybuilding, diet culture and physical culture38:55 How much protein do we really need?46:36 What actually drives satiety55:57 Where to find EricGuest / ResourcesDr Eric HelmsCoach, athlete, author and educator; a personal trainer since the early 2000s, with a background in the US Air Force and commercial gyms.Part of 3DMJ, coaching drug-free strength and physique competitors.Co-founder of the MASS research review (Monthly Applications in Strength Sport), produced with Dr Eric Trexler, Dr Lauren Colenso-Semple and Dr Michael Zourdos, running since 2017 — massresearchreview.comCo-director of the Sports Performance Research Institute New Zealand (SPRINZ) at AUT, and a senior research fellow supervising Masters and PhD students.Instagram: @Helms3DMJCo-host of the Iron Culture podcast.Also mentionedMikkipedia episode 390 — "Living the Bodybuilding Lifestyle with Eric Helms", the previous conversation Mikki refers to: podcast.mikkiwilliden.com/390Docs Who Lift — the podcast from Dr Spencer Nadolsky and Dr Karl Nadolsky, recommended by Eric.Barbell Medicine — Dr Austin Baraki and Dr Jordan Feigenbaum, recommended by Eric for their work on HRT, testosterone replacement therapy and GLP-1 medications.The protein leverage hypothesis — the idea that people keep eating until they reach a protein threshold; Eric notes that threshold sits around 12–13% of energy.The Minnesota semi-starvation study — referenced by Eric as background on the transient, biologically driven effects of dieting.The physical culture movement of the early 1900s, and Bernarr Macfadden as a figure within it.A recent conference abstract indicating people on GLP-1s may be less active than they ...
Episode SummaryThis is a solo Mini Mikkipedia on emotional eating, prompted by a practitioner who asked Mikki how to help a client who describes herself as a lifelong emotional eater — someone who eats when she is stressed, eats when the day has been long and she finally sits down, and has tried everything she has read about without anything sticking. Rather than going straight to coping strategies, Mikki starts by asking whether it is emotional eating at all.The answer she gives is careful. Emotional eating is measured by questionnaires like the Dutch Eating Behaviour Questionnaire and the Emotional Eating Scale, but when high scorers are put in a lab under a genuinely induced negative mood, they largely do not eat more than anyone else — and the group that reliably does eat more is restrained eaters, meaning dieters. That does not make emotional eating imaginary: it shows up consistently in clinical binge eating, and phone-based sampling in ordinary life does show boredom, stress and low mood preceding craving. Mikki's position is that someone calling themselves an emotional eater is describing something real but may have the mechanism wrong. A large share of it, she argues, is under-fuelling, chaotic eating and under-sleeping with an emotional trigger sitting on top — so the mechanical causes come first, and only what survives that audit is worth treating as an emotional problem. The second half is practical: regular eating structure, tracking the trigger rather than the food, one if-then plan, affect labelling, and letting a self-limiting urge pass. Useful if you work with clients who use this label about themselves, or you use it about yourself.Key TopicsWhy the emotional eating questionnaires may not measure what they claim — high scorers largely do not eat more than anyone else when negative mood is genuinely induced in a lab, and across a meta-analysis of 56 experimental studies in nearly 3,700 participants the group who reliably ate more were dieters, not self-identified emotional eatersWhere emotional eating does hold up: clinical binge eating, and real-life phone sampling showing boredom, stress and low mood preceding cravingRestraint as a driver — attempted restriction predicting the next loss-of-control episode better than actual restriction did, and why the attempt matters more than the achieved deficitThe mechanical audit to run first: enough food earlier in the day, protein at each meal, satiety signals like volume, speed, texture and flavour, long gaps without eating, and sleepHow sleep restriction raises ghrelin, lowers leptin and shifts brain activity away from the frontal and insular regions towards the amygdala — and why someone on six hours of sleep presents identically to an emotional eater but needs a different interventionThe two patterns worth distinguishing: clock-locked eating that goes sideways between five and ten at night regardless of the day, and situation-locked eating that tracks events insteadWhy a regular eating structure removes the physiological amplifier and makes the emotional signal visibleTracking the trigger rather than the food for two weeks, why most people find their triggers far narrower than they assumed, and why an if-then plan works better when it adds a behaviour than when it removes oneAffect labelling, and urges being self-limiting — rising, peaking and falling within about 10 to 20 minutes whether or not you act on themSelf-criticism after an episode reliably predicting more eating, and self-compassion tested as the alternativeChapters00:00 Introduction and the emotional eating label04:00 Ruling out under-fuelling and sleep06:59 Clock-locked versus situation-locked eating09:52 Building a regular eating structure11:55 Tracking the trigger and if-then plans14:09 Affect labelling and riding out the urge16:27 Self-compassion and when to refer on18:33 Recap and closeQuestionnaires discussedDutch Eating Behaviour Questionnaire (DEBQ) — van Strien, T., Frijters, J. E. R., Bergers, G. P. A., & Defares, P. B. (1986). The Dutch Eating Behavior Questionnaire (DEBQ) for assessment of restrained, emotional, and external eating behavior. International Journal of Eating Disorders, 5(2), 295–315.Emotional Eating Scale (EES) — Arnow, B., Kenardy, J., & Agras, W. S. (1995). The Emotional Eating Scale: the development of a measure to assess coping with negative affect by eating. International Journal of Eating Disorders, 18(1), 79–90.Studies and research discussedReferenced in the order they come up in the episode. Mikki describes each by its finding rather than by citation, so these have been identified afterwards and matched on population, design and reported numbers.Whether the emotional eating scales measure what they claim (01:36, 02:19) — Bongers, P., & Jansen, A. (2016). Emotional eating is not what you think it is and emotional eating scales do not measure what you think they measure. Frontiers in Psychology, 7, 1932. Concludes the scales lack predictive and discriminative validity, and may instead capture how people think about the relationship between mood and eating rather than what they actually eat.The meta-analysis of 56 experimental studies (02:35, 03:12) — Evers, C., Dingemans, A., Junghans, A. F., & Boevé, A. (2018). Feeling bad or feeling good, does emotion affect your consumption of food? A meta-analysis of the experimental evidence. Neuroscience & Biobehavioral Reviews, 92, 195–208. Fifty-six experimental studies, 3,670 participants. Negative emotion increased eating in restrained eaters; it did not increase eating in people with overweight or obesity, in people with eating disorders, or in self-assessed emotional eaters.Attempted restraint versus actual restriction (04:20) — Manasse, S. M., et al. (2023). Differentiating types of dietary restraint and their momentary relations with loss-of-control eating. International Journal of Eating Disorders, 56(4). Ecological momentary assessment over 7–14 days in 96 adults with binge-spectrum eating disorders.Brain imaging after sleep deprivation (05:38) — Greer, S. M., Goldstein, A. N., & Walker, M. P. (2013). The impact of sleep deprivation on food desire in the human brain. Nature Communications, 4, 2259. Reduced activity in frontal and insular evaluation regions alongside amplified amygdala activity, with increased desire for high-calorie food tracking the subjective severity of sleep loss.The single night of sleep curtailment (06:06) — Yang, C.-L., Schnepp, J., & Tucker, R. M. (2019). Increased hunger, food cravings, food reward, and portion size selection after sleep curtailment in women without obesity. Nutrients, 11(3), 663. Habitual seven-to-nine-hour sleepers, time in bed cut by a third for one night; more hunger and cravings, more chocolate consumed on a progressive ratio task, and larger self-selected lunch portions.Affect and craving in daily life (08:34) — Aulbach, M. B., Bamberg, C., Reichenberger, J., Arend, A.-K., & Blechert, J. (2025). Bidirectional associations between affect and food craving within and between individuals: A mega-analysis. Appetite, 209, 107936. Eight pooled ecological momentary assessment studies, 764 participants, four to six daily questionnaires over 7–20 days. Negative momentary states were associated with more craving at the same moment; the mega-analysis did not find a sign...
On the Saturday Morning with Jack Tame Full Show Podcast for Saturday September 5 2026, Donna Urquhart, an Ultramarathon runner who completed 1402km over 28 days in Antarctica, joined to tell us about her expedition. Jack has some thoughts about the New Zealand/Australia flag debacle... Chef Nici Wickes has a smashing pancakes recipe for us – perfect for Father's Day. We get the low down on the new 'Untold RayGun: Breaking Badly' documentary on Netflix from our TV expert Karl Puschmann. And do you suffer from 'Leisure Guilt'? Clinical Psychologist Dr Dougal Sutherland is here to help you out. Get the Saturday Morning with Jack Tame Full Show Podcast every Saturday on iHeartRadio, or wherever you get your podcasts. LISTEN ABOVESee omnystudio.com/listener for privacy information.
Running a marathon is a task on many people's bucket lists – whether that be a half or a full. Some even dedicate themselves to ultramarathons – running 60 kilometres every day for 28 days. But most people don't run it in the coldest, windiest, and driest desert on Earth, enduring sub-zero temperatures and 100 kilometre winds. Donna Urquhart, a pain doctor, undertook that exact Herculean task, picking up a Guiness World Record for her efforts and has written a book about it – 'Life Without Limits'. She told Jack Tame the idea came about in 2021, when she was watching a video podcast in which Australian polar explorer Eric Phillips was talking about his expeditions in Antarctica. "I was just captivated by listening to him and also watching some of the footage," Urquhart explained. "I've always wanted to go on a big adventure ... I thought, oh wow, I wonder if you can run in Antarctica, and if so how far can we go? And that was the beginning." LISTEN ABOVE See omnystudio.com/listener for privacy information.
Finished your last ultra and wondering what's next?Maybe you feel like you're supposed to go farther. Run faster. Tackle a harder course. Chase a bigger race.But the truth? Your next ultramarathon shouldn't be based on what you think you're supposed to do. It should be based on what will actually help you progress, excite you, and make the training process worth it.In this episode, I break down the exact process I use for myself and with athletes to choose the right next race—and why picking the race first can actually be the wrong approach.We cover:How to decide whether you should go farther, get faster, or try something completely newWhy progression matters more than simply increasing distanceThe question you need to ask before committing to months of trainingHow to know if you actually have enough time to prepare for your goalHow your work, life, and personal schedule should influence your race calendarHow to build a race schedule that keeps you excited about ultrarunning for years to comeSHOW LINKS:Want to be coached by me and my team to crush your next ultramarathon in our 1:1 coaching program? Book a free call here with one of our coaches to see if we are a good fit!Want to work with me to crush your next ultramarathon in our group coaching program? Sign up for our group coaching program here: https://www.theeverydayultra.com/group-coachingSign up for our 100K and 50K races at Desertpeakultra.comSign up for our Backyard Ultra at endurebetter.comFollow Joe on IG: https://www.instagram.com/joecorcione/Everyday Ultra YouTube Channel: https://www.youtube.com/channel/UCUelKGeptWZivD6yRIDiupgTry Mount to Coast shoes, designed specifically for ultramarathons, and get 10% off your order with code EVERYDAYULTRA by going to the link here.Try HYPERLYTE Liquid Performance running nutrition and get 15% off your order when you use code EVERYDAYULTRA at www.hyperlyteliquidperformance.comTry PlayOn Pain Relief Spray and get 20% off with code EVERYDAYULTRA at playonrelief.comTry Janji apparel at janji.com/everydayultraCreate running routes easily with Footpath. Download for free and get a free trial at footpathapp.com/everydayultraFree Supplement Guide for Ultrarunners: https://docs.google.com/document/d/1Mhp3vKx1uJPU1-i9F03BVzZdDRiUHCk85HF7pjthoVM/edit?usp=sharing
Save 20% on all Nuzest Products WORLDWIDE with the code MIKKIPEDIA at www.nuzest.co.nz, www.nuzest.com.au or www.nuzest.comCurranz Supplement: Use code MIKKIPEDIA to get 20% off your first order - go to www.curranz.co.nz or www.curranz.co.uk to order yours NZ listeners - save 10% off Calocurb by using the code Mikkipedia10 at www.calocurb.co.nzIn this episode of Mikkipedia, Mikki speaks with returning guest Dr Bill Campbell, professor of exercise science and leading body composition researcher, about the emerging question of weight loss resistance during perimenopause and menopause. Bill shares how his wife's own experience prompted him to investigate why previously effective calorie deficits may produce very different results during the menopause transition.They discuss the limits of existing fat-loss research, why tracking accuracy still matters, and Bill's current study comparing weight-loss responses in premenopausal versus peri- and early postmenopausal women. Bill also unpacks his fascinating case series using an extremely aggressive four-day, high-protein fat-loss protocol, where resistance-trained women lost fat while largely maintaining lean mass—and maintained that fat loss a month later. Highlights What Bill means by “weight loss resistance”—and why it doesn't mean calories no longer matter Why menopause-specific fat-loss research is still surprisingly limited Bill's wife's experience with perimenopause, HRT and changing body composition The four-day rapid fat-loss protocol: very low calories, high protein and six hours of walking daily Why short, aggressive dieting may differ dramatically from prolonged crash dietingDr. Bill Campbell is a Professor of Exercise Science and the Director of The Performance and Physique Enhancement Lab at the University of South Florida. He has his PhD in Exercise, Nutrition, and Preventive Health, he's authored 3 books on sports nutrition and over 200 scientific abstracts and manuscripts focused on the topics of sports nutrition and exercise science and is previous president of the international society of sports nutrition.Dr Campbell uses his education background to provide an informational channel on IG that busts myths on dieting and helps inform people on best practice. Highly worth a follow.https://www.billcampbellphd.com/On IG: https://www.instagram.com/billcampbellphd/?hl=enhttps://podcast.mikkiwilliden.com/66 Contact Mikki:https://mikkiwilliden.com/https://www.facebook.com/mikkiwillidennutritionhttps://www.instagram.com/mikkiwilliden/https://linktr.ee/mikkiwilliden
Constipation is often met with the same advice: eat more fibre, drink more water and move more. But what if you're already doing all of that and still struggling? In this Mini Mikkipedia episode, Mikki explores why constipation isn't one single problem — and why piling on more fibre can sometimes make things worse. She breaks down the differences between slow-transit constipation, IBS-related symptoms and pelvic floor dysfunction, including dyssynergic defecation. Mikki also looks at why the type of fibre matters, the evidence for psyllium, kiwifruit, prunes and magnesium oxide, and when supplements or medications may actually be contributing to the problem. Plus, she explains the signs that suggest it may be time to look beyond nutrition and seek medical or pelvic health support.In this episode:Why more fibre can sometimes worsen bloating and constipationPsyllium versus inulin, chicory root and insoluble fibresThe overlooked role of pelvic floor dysfunction and outlet obstructionEvidence for two kiwifruit daily, prunes and magnesium oxideOther contributors including medications, supplements, thyroid function, under-eating, stress and poor sleep Contact Mikki:https://mikkiwilliden.com/https://www.facebook.com/mikkiwillidennutritionhttps://www.instagram.com/mikkiwilliden/https://linktr.ee/mikkiwillidenNZ listeners - save 10% off Calocurb by using the code Mikkipedia10 at www.calocurb.co.nzSave 20% on all Nuzest Products WORLDWIDE with the code MIKKI at www.nuzest.co.nz, www.nuzest.com.au or www.nuzest.comCurranz supplement: MIKKI saves you 25% at www.curranz.co.nz or www.curranz.co.uk off your first order
What does it really mean to live deliberately instead of simply following the path that life puts in front of you? In this episode of Everything Is Personal, Len May sits down with William Mulaney, founder, builder, endurance athlete and host of the Willpower Podcast, for a conversation about personal growth, discipline, endurance training, daily habits, entrepreneurship and living with purpose. William shares how moving to a new city helped him break away from a predictable path, how endurance training changed his relationship with discomfort, and why focusing on the next step can be more powerful than becoming overwhelmed by the entire journey. EndoDNA: Where Genetic Science Meets Actionable Patient Care EndoDNA bridges the gap between complex genomics and patient wellness. Our patented DNA analysis platforms and AI technology provide genetic insights that support and enhance your clinical expertise. Click here to check out to take control over your Personal Health & Wellness Connect with EndoDNA on SOCIAL: IG | X | YOUTUBE | FB Connect with host, Len May, on IG Hosted by Simplecast, an AdsWizz company. See https://pcm.adswizz.com for information about our collection and use of personal data for advertising.
Marine veteran Akshay Nanavati joins Marcus Aurelius Anderson to discuss how he turned PTSD, addiction, and a suicide attempt into a life defined by extreme self-mastery. He survived 17 days in total darkness and dragged a 420-pound sled 500 miles solo across Antarctica, losing fingers to frostbite along the way. They discuss method acting as a tool for identity construction, the value of choosing your suffering on purpose, the "apex moment" that defines who you become, and why stillness may be the most important discipline of all. Episode Highlights: 1:30 — Akshay describes surviving 100 days alone in polar regions and dragging a 420-pound sled 500 miles solo across Antarctica, calling it "the boldest Antarctic expedition of modern time." 15:08 — Every part of our identity is a construct rather than an inherent truth, which means we get to create ourselves instead of simply finding ourselves. 35:26 — Every worthy mission needs two whys: a selfish curiosity that drives you inward, and a duty to bring what you learn back to others. 40:39 — In his darkest moment dragging a stuck sled through Antarctic snow, a single quote turned his despair into what he calls his "apex moment," the instant of transcendence that defines who you become. Akshay Nanavati is a Marine combat veteran who overcame PTSD, addiction, and a near-suicide to become one of the most extreme human-performance explorers alive today. He has run multiple ultra-marathons, spent 17 days in complete darkness, survived 100 days alone in polar regions, and completed a 500-mile, 60-day solo trek across Antarctica dragging a 420-pound sled. He combines lived experience with neuroscience, psychology, and spirituality in his book Fearvana, which was endorsed and forwarded by the Dalai Lama. He is an international keynote speaker and mental performance coach who helps leaders and teams break through limits and perform at their peak. His next book, The Work Is the Win, releases in spring 2026. Learn more about the gift of Adversity and my mission to help my fellow humans create a better world by heading to www.marcusaureliusanderson.com. There you can take action by joining my ANV inner circle to get exclusive content and information.See omnystudio.com/listener for privacy information.
Save 20% on all Nuzest Products WORLDWIDE with the code MIKKIPEDIA at www.nuzest.co.nz, www.nuzest.com.au or www.nuzest.comThis week on the podcast, Mikki speaks with Paul Laursen about the science of training, nutrition, and what it really means to take a personalised approach to athletic performance.Paul and Mikki explore metabolic flexibility, fat oxidation, carbohydrate availability, and how the way an athlete fuels can influence both training adaptations and performance. They discuss why there is rarely one nutritional strategy that works for everyone, and why individual experimentation, alongside good physiological principles, remains so important.The conversation also covers pre-training nutrition and insulin responses, carbohydrate loading, low-carbohydrate versus high-carbohydrate approaches, and how training load should influence fuelling decisions. Paul shares his perspective on the growing use of continuous glucose monitors and other personal data, including where these tools can provide useful insight and where the numbers may be easy to overinterpret.They also touch on nutrition for youth athletes, the physiological changes that occur through puberty, and why fuelling strategies need to evolve with both the athlete and the demands of their sport.It's a wide-ranging discussion that brings together physiology, practical nutrition, and the importance of looking beyond blanket recommendations to understand what works best for the individual.Dr. Paul Laursen is a world-renowned sports scientist, endurance coach, and co-founder of Athletica AI, an innovative platform leveraging artificial intelligence to optimize endurance training. With a PhD in Exercise Physiology and years of research experience, Dr. Laursen has published extensively on topics including high-intensity interval training (HIIT), endurance performance, and sports nutrition. His work bridges the gap between cutting-edge science and practical application for athletes at all levels.Dr. Laursen has worked with elite athletes across disciplines, helping them achieve peak performance through personalized training and nutrition strategies. He's also a passionate educator, co-authoring the influential book The Science and Application of High-Intensity Interval Training and contributing to the evolution of endurance sports practices. Known for his holistic approach, Dr. Laursen focuses on the interplay between fueling, recovery, and overall athlete health, making him a leading voice in the field of endurance sports.When he's not advancing endurance science, Dr. Laursen is often found testing his own limits in the field as an endurance athlete, embodying the principles he teaches. His unique blend of scientific expertise and real-world experience continues to shape the way athletes train, fuel, and performhttps://podcast.mikkiwilliden.com/46https://podcast.mikkiwilliden.com/3 https://podcast.mikkiwilliden.com/330https://www.paullaursen.com/ https://athletica.ai/ https://hiitscience.com/ https://athletica.ai/podcast Curranz Supplement: Use code MIKKIPEDIA to get 20% off your first order - go to www.curranz.co.nz or www.curranz.co.uk to order yours NZ listeners - save 10% off Calocurb by using the code Mikkipedia10 at www.calocurb.co.nzContact Mikki:https://mikkiwilliden.com/https://www.facebook.com/mikkiwillidennutritionhttps://www.instagram.com/mikkiwilliden/https://linktr.ee/mikkiwilliden
Some of New Zealand's most serious runners are in Otago for the race, thought to be the country's longest ultramarathon. Organiser Jill Wolff spoke to Ingrid Hipkiss about the 320 kilometre race.
Lorenzo:
Ultramarathons boomen auf Social Media. Erst Mitte August hat der Last Soul Ultra für jede Menge Aufmerksamkeit gesorgt. Das extreme Format der Backyard Ultras zieht auf den Strassen und vor allem in den Livestreams ein Millionenpublikum an. Doch warum laufen Menschen tagelang ohne echte Pause? Athleten wie der Schweizer Pierre Biege gehen physisch und mental ans absolute Limit. Während es für einige eine persönliche Grenzerfahrung ist, birgt das Spektakel auch Schattenseiten. Wenn der Körper aufgibt und Schmerzen nur noch mit Medikamenten betäubt werden, wird der Sport zum gesundheitlichen Risiko. Gast: Ines Häfliger, NZZ-Sportredaktorin Host: Simon Schaffer Produktion: Benjamin Gysler Redaktion: Sarah Ziegler / Dominik Schottner Hier findest du Ines Artikel zu den Ultramarathons bei der [NZZ](https://www.nzz.ch/sport/extremsport/marathon-war-gestern-heute-laufen-influencer-fuer-klicks-und-geld-bis-zum-umfallen-ld.10019344) [Exklusiv für dich als Podcast-Fan: 7 Tage NZZ-Digitalabo geschenkt. Unverbindlich testen. ](https://probeabo.nzz.ch/podcast?utm_source=shownotes&utm_medium=podcast&utm_campaign=0726_NZZCH_Podcast)
When you're focused on fat loss, sometimes it isn't more food you're craving — it's texture. In this Mini Mikkipedia episode, Mikki tackles one of the most common complaints she hears: where did all the crunch go? She shares 27 low-calorie ways to add crunch, freshness and satisfaction back into meals without relying on calorie-dense extras that can quickly eat into your budget. From cabbage, radish and sugar snap peas to crispy air-fried vegetables, pickles, sauerkraut, nori and edamame, there are plenty of options beyond crackers and nuts. Mikki also explains how preparation methods, different vegetable cuts and clever use of seasonings can completely change the eating experience — proving that a fat-loss meal doesn't have to be soft, sad or boring.In this episode27 low-calorie foods that bring crunch and texture to mealsWhy nuts, seeds and crispy chickpeas can be harder to budget during fat lossSimple air-fryer, roasting and quick-pickling ideasHow different cuts and textures make salads and bowls more satisfyingUsing seasonings to make the same basic ingredients taste completely different Contact Mikki:https://mikkiwilliden.com/https://www.facebook.com/mikkiwillidennutritionhttps://www.instagram.com/mikkiwilliden/https://linktr.ee/mikkiwillidenNZ listeners - save 10% off Calocurb by using the code Mikkipedia10 at www.calocurb.co.nzSave 20% on all Nuzest Products WORLDWIDE with the code MIKKI at www.nuzest.co.nz, www.nuzest.com.au or www.nuzest.comCurranz supplement: MIKKI saves you 25% at www.curranz.co.nz or www.curranz.co.uk off your first order
Alan & Ian are back with another round of OCR and fitness‑racing madness.
David "Jacko" Jackson was Nottingham Rugby's most capped player and all-time top scorer, before a traumatic brain injury ended his career at 31.Having used running and breathwork to rebuild his life, he is now attempting Mission IN-possible... running 100 marathons in 100 consecutive days between May 29 and September 5, 2026, covering thousands of miles and smashing world records!All while looking to raise £1 million for brain injury charities Headway UK and Head for Change, and to break the world record for consecutive ultramarathons in the process.An incredible story of resilience, acceptance and awareness. David has been joined by many runners with incredible stories along the way, continuing to enrich peoples lives.Use code RUNPOD at eightsleep.com/runpod for up to £350 off the Pod 5
John Maytham speaks to Mike Finch about the ongoing governance dispute surrounding the 2027 Comrades Marathon. Presenter John Maytham is an actor and author-turned-talk radio veteran and seasoned journalist. His show serves a round-up of local and international news coupled with the latest in business, sport, traffic and weather. The host’s eclectic interests mean the program often surprises the audience with intriguing book reviews and inspiring interviews profiling artists. A daily highlight is Rapid Fire, just after 5:30pm. CapeTalk fans call in, to stump the presenter with their general knowledge questions. Another firm favourite is the humorous Thursday crossing with award-winning journalist Rebecca Davis, called “Plan B”. Thank you for listening to a podcast from Afternoon Drive with John Maytham Listen live on Primedia+ weekdays from 15:00 and 18:00 (SA Time) to Afternoon Drive with John Maytham broadcast on CapeTalk https://buff.ly/NnFM3Nk For more from the show go to https://buff.ly/BSFy4Cn or find all the catch-up podcasts here https://buff.ly/n8nWt4x Subscribe to the CapeTalk Daily and Weekly Newsletters https://buff.ly/sbvVZD5 Follow us on social media: CapeTalk on Facebook: https://www.facebook.com/CapeTalk CapeTalk on TikTok: https://www.tiktok.com/@capetalk CapeTalk on Instagram: https://www.instagram.com/ CapeTalk on X: https://x.com/CapeTalk CapeTalk on YouTube: https://www.youtube.com/@CapeTalk567 See omnystudio.com/listener for privacy information.
Nutrition can make or break an ultramarathon. In this episode, we're breaking down one of the most frustrating parts of ultra running: what happens when your fueling strategy stops working. From nausea and stomach issues to palate fatigue, hydration mistakes, and struggling to stay consistent.You'll learn how to troubleshoot problems instead of guessing, practice fueling in training, and build the flexibility and discipline needed to keep yourself moving forward.In this episode, you'll learn:-How to tell the difference between true nausea and simply being tired of your fuel-Why hydration may be playing a bigger role in your GI issues than you realize-How to build more variety into your race-day nutrition-Why experimenting with one variable at a time matters-What your fueling timing can do for your stomach-How to troubleshoot carbs, sodium, magnesium, caffeine, and ingredient sensitivities-Why your nutrition strategy needs to evolve with distance, intensity, heat, and race conditions-How to develop the discipline to keep fueling when food is the last thing you wantSHOW LINKSWant to be coached by me and my team to crush your next ultramarathon in our 1:1 coaching program? Book a free call here with one of our coaches to see if we are a good fit!Want to work with me to crush your next ultramarathon in our group coaching program? Sign up for our group coaching program here: https://www.theeverydayultra.com/group-coachingFollow Joe on IG: https://www.instagram.com/joecorcione/Everyday Ultra YouTube Channel: https://www.youtube.com/channel/UCUelKGeptWZivD6yRIDiupgTry Mount to Coast shoes, designed specifically for ultramarathons, and get 10% off your order with code EVERYDAYULTRA by going to the link here.Try HYPERLYTE Liquid Performance running nutrition and get 15% off your order when you use code EVERYDAYULTRA at www.hyperlyteliquidperformance.comTry PlayOn Pain Relief Spray and get 20% off with code EVERYDAYULTRA at playonrelief.comTry Janji apparel at janji.com/everydayultraCreate running routes easily with Footpath, the app designed to help you manage routes simply. Download for free and get a free trial at footpathapp.com/everydayultraIncrease your recovery and performance with FivePointFive breathing exercises and get a 20% discount with code EVERYDAYULTRA20: :https://fivepointfive-ambassadors.onelink.me/KWZR/htluyd8zFree Supplement Guide for Ultrarunners: https://docs.google.com/document/d/1Mhp3vKx1uJPU1-i9F03BVzZdDRiUHCk85HF7pjthoVM/edit?usp=sharing
Save 20% on all Nuzest Products WORLDWIDE with the code MIKKIPEDIA at www.nuzest.co.nz, www.nuzest.com.au or www.nuzest.comCurranz Supplement: Use code MIKKIPEDIA to get 20% off your first order - go to www.curranz.co.nz or www.curranz.co.uk to order yours NZ listeners - save 10% off Calocurb by using the code Mikkipedia10 at www.calocurb.co.nzThis week on the podcast Mikki speaks to Gina Urlich, clinical nutritionist and founder of Odi Nutrition. Mikki and Gina dive into why iron deficiency is such an important issue in babies and young children, and why iron needs increase so dramatically from around six months of age.They unpack the difference between low iron stores, iron deficiency and iron deficiency anaemia, why iron matters so much for brain development, behaviour, immunity and growth, and some of the signs that might warrant further investigation.They also get very practical about feeding. Gina explains haem versus non-haem iron, the best iron-rich foods for babies and toddlers, how to improve absorption, and why meeting iron requirements can be surprisingly difficult when you are dealing with small appetites and picky eaters.They also discuss the baby and toddler food environment, what parents should know about common packaging claims, and the gap Gina saw in the market that ultimately led her to create Odi Nutrition.This is a really practical episode for parents, grandparents and practitioners who want to better understand how to support iron status during these critical early years.Gina Urlich is a clinical nutritionist, former nurse, mother of four and the founder of Odi Nutrition. She holds a Bachelor of Health Science in Nutritional Medicine and has spent much of her career working in women's health and infant nutrition.Her interest in early childhood nutrition grew through both her clinical work and her own experience as a mum. After creating resources to help parents navigate introducing solids, Gina saw just how much confusion there was around feeding babies well, particularly when it came to balancing good nutrition with the realities of busy family life.That ultimately led her to create Odi Nutrition, a New Zealand baby and children's food company focused on convenient, nutrient-dense wholefood options for growing children.https://odinutrition.com/https://www.instagram.com/gina.urlich/?hl=en Contact Mikki:https://mikkiwilliden.com/https://www.facebook.com/mikkiwillidennutritionhttps://www.instagram.com/mikkiwilliden/https://linktr.ee/mikkiwilliden
Dr. Ralph Adolphs, PhD, is a Professor of Psychology, Neuroscience, and Biology at Caltech and a leading expert on the science of human emotions. We discuss how emotions shape our attention and decision-making, whether emotions are truly “stored” in the body, and whether facial expressions are truly reliable signals of emotion. We also cover tools for improving emotional regulation, including cognitive reappraisal and deliberate cold exposure. This episode provides a modern scientific explanation of how emotions are created and regulated in the brain and body, their many impacts on other aspects of brain function, and practical tools for improving emotional wellbeing and processing. Get tickets to Huberman Lab live events: https://www.hubermanlab.com/events Pre-order Andrew's book Protocols: https://protocolsbook.com Thank you to our sponsors AG1: https://drinkag1.com/huberman Function: https://functionhealth.com/huberman Helix Sleep: https://helixsleep.com/huberman LMNT: https://drinklmnt.com/huberman Rorra: https://rorra.com/huberman Timestamps (00:00:00) Ralph Adolphs (00:02:54) Emotions; Qualities of Emotions: Priority, Valence (00:10:00) Qualities of Emotions: Scalability, Persistence (00:15:25) Sponsors: Helix Sleep & Rorra (00:18:17) Do Animals Have Emotions?, Conscious Experience (00:22:58) Monitoring & Regulating Emotions; Emotional Granularity (00:31:22) Emotional Regulation, Tools: Situational Avoidance, Ice Baths (00:37:11) Ultramarathons, Perseverance, Adversity; Awe (00:45:04) Sponsor: AG1 (00:46:17) Perception of Emotions, Amygdala & Fear, Facial Expressions (00:51:59) Interpreting Others' Emotions, Prediction (00:57:52) Emotions as Adaptations to the Environment, Types of Fear (01:00:13) Feeling Emotions in the Body, Pain, Insula (01:08:05) Brain & Body Connection; Marketing & Emotion (01:12:34) Sponsor: Function (01:14:11) Art, Music & Emotion (01:17:43) Interpreting Facial Expressions, Developing Emotions, Flexibility vs Reflexes (01:25:11) Emotional Intelligence, Context-Dependent Social Intelligence; Autism (01:33:31) Sponsor: LMNT (01:34:51) Autism & Social Dynamics, Eye Contact (01:42:01) Change Your Personality?, Body Movement & Thought, Social Interaction (01:47:18) Emotion Regulation, Tool: Training Mental Stillness (01:53:46) Task Switching, Tool: Meditation, Breathing Techniques (02:02:07) Illness, Diagnosis & Emotions, Gratitude & Awe (02:06:52) Zero-Cost Support, YouTube, Spotify & Apple Follow, Reviews & Feedback, Sponsors, Protocols Book, Social Media, Neural Network Newsletter Disclaimer & Disclosures Learn more about your ad choices. Visit megaphone.fm/adchoices
Food tracking, weighing portions and stepping on the scales are increasingly framed as obsessive behaviours—but are the tools themselves really the problem? In this Mini Mikkipedia episode, Mikki explores what the research actually says about self-monitoring for weight loss and maintenance. She looks at evidence showing that regular weighing and food tracking can improve awareness, support behaviour change and help people catch weight regain early, while also acknowledging that tracking can become problematic for some people. The crucial distinction appears to be how and why the tool is being used. Mikki discusses autonomous versus guilt-driven motivation, the importance of self-talk, and when numbers can shift from useful information to a measure of self-worth. The takeaway: tracking can be incredibly useful—but it should serve you, not control you. In this episode: Why self-monitoring is consistently associated with successful weight management What research says about daily weighing, food logging and disordered eating When tracking shifts from useful feedback to unhealthy fixation Why motivation and self-talk can completely change the tracking experience How to use tracking temporarily, strategically and without needing to log forever Contact Mikki:https://mikkiwilliden.com/https://www.facebook.com/mikkiwillidennutritionhttps://www.instagram.com/mikkiwilliden/https://linktr.ee/mikkiwillidenNZ listeners - save 10% off Calocurb by using the code Mikkipedia10 at www.calocurb.co.nzSave 20% on all Nuzest Products WORLDWIDE with the code MIKKI at www.nuzest.co.nz, www.nuzest.com.au or www.nuzest.comCurranz supplement: MIKKI saves you 25% at www.curranz.co.nz or www.curranz.co.uk off your first order
Save 20% on all Nuzest Products WORLDWIDE with the code MIKKIPEDIA at www.nuzest.co.nz, www.nuzest.com.au or www.nuzest.comThis week on Mikkipedia Mikki is joined by Brandon DaCruz, host of the Chasing Clarity podcast, for the first episode in a new collaborative series bringing together their perspectives on nutrition, fat loss and body composition.They kick things off with a deep dive into rapid fat loss and protein-sparing modified fasting, starting with what a PSMF actually is and how each of them defines rapid fat loss in practice.Mikki and Brandon explore the potential benefits of taking a more aggressive approach to fat loss, alongside the physiological, psychological and behavioural drawbacks that need to be considered.They also get into how these strategies look with real clients. Brandon shares how he uses rapid fat-loss days, deficit deloads and high-carbohydrate refeeds, while Mikki explains how PSMF days and structured diet breaks are incorporated into Mondays Matter.Finally, they discuss who rapid fat-loss strategies are not appropriate for, including circumstances where hormonal health, energy availability, training demands or physique goals mean a more conservative approach is warranted.It's a practical and nuanced discussion about when rapid fat loss can be a useful tool, when it can become counterproductive, and why context matters far more than simply labelling an approach as good or bad.Brandon DaCruz at his website https://www.brandondacruzfit.com/, and on Instagram @brandondacruz_Chasing Clarity https://podcasts.apple.com/us/podcast/chasing-clarity-health-fitness-podcast/id1619611966 Brandon DaCruz is an online nutrition and physique coach, accredited nutritionist, functional nutrition and metabolism specialist, and health and fitness educator with over 16 years of coaching experience.Throughout his career, Brandon has helped more than 1,200 clients ranging from Olympia-level physique competitors and competitive athletes to business owners, executives, and lifestyle clients improve their body composition, optimize performance, and enhance their overall health. His coaching philosophy is rooted in an evidence-informed approach that combines the best available research with real-world coaching experience gained from working directly with clients in the trenches for over a decade and a half.Brandon has been featured in leading industry publications including Men's Fitness Magazine, Muscular Development, Bodybuilding.com, and the Alan Aragon Research Review, where he served as a contributing author.Known for his ability to translate complex scientific concepts into practical, actionable strategies, Brandon specializes in helping clients lose body fat, build muscle, improve metabolic health, and create sustainable long-term results without relying on extremes or quick fixes.Brandon is also the host of the Chasing Clarity Health & Fitness Podcast, a show ranked in the top 5% of all podcasts on Spotify. Through both solo episodes and conversations with many of the industry's leading researchers, and educators, the podcast aims to bridge the gap between complexity and clarity in health, fitness, nutrition, and physique development. Each episode is designed to empower listeners through education and provide the tools needed to make informed decisions about their health and physique goals.https://podcast.mikkiwilliden.com/270https://podcast.mikkiwilliden.com/226 https://podcast.mikkiwilliden.com/300 https://podcast.mikkiwilliden.com/368 https://podcast.mikkiwilliden.com/416 https://podcast.mikkiwilliden.com/422 https://podcast.mikkiwilliden.com/458 Curranz Supplement: Use code MIKKIPEDIA to get 20% off your first order - go to www.curranz.co.nz or www.curranz.co.uk to order yours NZ listeners - save 10% off Calocurb by using the code Mikkipedia10 at www.calocurb.co.nzContact Mikki:https://mikkiwilliden.com/https://www.facebook.com/mikkiwillidennutritionhttps://www.instagram.com/mikkiwilliden/https://linktr.ee/mikkiwilliden
Today's solo podcast goes through my most recent 100-mile race in Nevada. The Jackpot 100 is a 2.5-mile loop repeated 40 times for a total of 100 miles. It took me 26 hours and 31 minutes to complete. In today's podcast, I go through my training and diet over the past several months, the actual event itself and everything I learnt during and after the ultra marathon. Today's episode is part of the 'best of' podcast series and first aired 2nd March 2020. Shownotes: Brian's Business Mentorship: https://briankeanefitness.com/mentorship-and-business-coaching Brian's Mastermind The Circle: https://briankeanefitness.com/online-mastermind
wo people can have the same body weight and BMI yet face very different metabolic risks. In this episode, Mikki explores the biological reasons men and women store fat differently and why location matters more than the number on the scale. She explains how oestrogen directs fat towards the hips and thighs before menopause, why declining oestrogen can shift fat towards the abdomen, and how immune signalling, liver function and cholesterol patterns differ between the sexes. Mikki also examines women's surprising advantage in insulin sensitivity, the role of skeletal muscle in glucose control, and why waist circumference may predict cardiovascular risk better than BMI. This episode offers a nuanced look at fat distribution, menopause and metabolic health, while reinforcing the powerful role of nutrition, exercise and lifestyle.Topics covered:Why equal body weight does not mean equal metabolic riskHow oestrogen influences fat storage and fat releaseWhy visceral fat often increases through menopauseSex differences in inflammation, liver health and cholesterolThe roles of muscle mass and insulin sensitivity Contact Mikki:https://mikkiwilliden.com/https://www.facebook.com/mikkiwillidennutritionhttps://www.instagram.com/mikkiwilliden/https://linktr.ee/mikkiwillidenNZ listeners - save 10% off Calocurb by using the code Mikkipedia10 at www.calocurb.co.nzSave 20% on all Nuzest Products WORLDWIDE with the code MIKKI at www.nuzest.co.nz, www.nuzest.com.au or www.nuzest.comCurranz supplement: MIKKI saves you 25% at www.curranz.co.nz or www.curranz.co.uk off your first order
Send us Fan MailI met Anastasia Rolek years ago in the most random way and we somehow discovered that we are each ultrarunners, although in Anastasia's case, she is way more successful than I am. In addition, she is a lot more colorful, being well-known for running races dressed as Supergirl, Beast Mode Barbie, and as a unicorn. You might say that Anastasia is a flat land ultramarathon specialist, having placed second in the Prairie Spirit 100 in Kansas five times. But this year she got into Western States, the grandaddy of 100 mile races, which she finished in 28:32:06, although not without some anxious moments leading up to the run. Like many in the ultra world, Anastasia found a new community after battling addiction to alcohol, and she describes the setbacks she encountered during those turbulent times. Through the uplifting ultra community, she found her now-new husband, Aaron Lozier, who has supported this journey as well as crewed her, and he joins us on this episode to make it even more fun. Anastasia is following in Aaron's steps into the rock climbing world, and has her sights set on taking on the Badwater 135, having crewed for another runner there last year. And you'll learn how petrified Anastasia is of cockroaches!My Running With Problems podcast episode with Miranda Williamson and Jon Eisen:https://podcasts.apple.com/us/podcast/running-with-problems/id1684062687?i=1000778933670Anastasia RolekInstagram @anastasiasupergyrlFacebook Anastasia RolekAaron LozierInstagram @ajlozierBill Stahlsilly_billy@msn.comFacebook and LinkedIn Bill StahlInstagram and Threads @stahlor and @coachstahlYouTube We Are Superman PodcastSubscribe to our Substack for my archive of articles of coaching tips developed from my more than three decades of experience, wild and funny stories from my long coaching career, the wit and wisdom of David, and highlights of some of the best WASP episodes from the past that I feel are worthwhile giving another listen.Search either We Are Superman Podcast or @billstahl8Register for the American Heroes Run: https://ultrasignup.com/register.aspx?did=133138
Save 20% on all Nuzest Products WORLDWIDE with the code MIKKIPEDIA at www.nuzest.co.nz, www.nuzest.com.au or www.nuzest.comCurranz Supplement: Use code MIKKIPEDIA to get 20% off your first order - go to www.curranz.co.nz or www.curranz.co.uk to order yours NZ listeners - save 10% off Calocurb by using the code Mikkipedia10 at www.calocurb.co.nzIn this episode, Kira joins Mikki to explore medical astrology through the broader lens of ancestral medicine. They discuss how astrology once sat alongside herbal medicine, food, seasonal living and close observation of the natural world as part of a practitioner's medical map.This is not a conversation about newspaper horoscopes or using a birth chart to diagnose disease. Instead, Kira explains how medical astrology may be used as a constitutional and reflective framework for considering temperament, health patterns, resilience, vulnerability and timing. They explore the roles of the four elements, the relationship between planetary cycles and the body, and whether astrology can sometimes provide language for experiences that are not easily captured by standard testing.Drawing on Kira's background in naturopathy and nutrition, they also examine how ancestral knowledge might complement modern healthcare without romanticising the past or abandoning scientific scrutiny. Ultimately, the conversation asks whether health is only about identifying what is wrong with the body, or whether it can also involve understanding the patterns the body may be expressing.Kira is an Australian Naturopath, Nutritionist, Herbalist and Medical Astrologer. Known for her vibrant, straight-forward teaching style, Kira has lectured in Medical Astrology within Australia, North America and Europe.In private practice for over 25 years, Kira combines her knowledge in Natural Medicine with her passion for Medical Astrology into a wonderful mix of mind/body medicine. Kira's Medical Astrology training and mentoring programs attract hundreds of students every year from around the world, with rave reviews about her teaching style and breadth of knowledge and application. In her free time, she competes in endurance sport and skis with her family as much as possible.Follow Kira online: https://www.kirasutherland.com.au https://www.astrologyofhealth.com/abouthttps://podcast.mikkiwilliden.com/154 Contact Mikki:https://mikkiwilliden.com/https://www.facebook.com/mikkiwillidennutritionhttps://www.instagram.com/mikkiwilliden/https://linktr.ee/mikkiwilliden
Food noise, hunger and cravings are often treated as interchangeable, but they arise from different biological and psychological systems. In this episode, Mikki explains how physiological hunger develops gradually in response to the body's energy needs, while cravings are shorter, cue-driven urges for specific foods. Food noise is different again: a persistent background hum of food-related thoughts linked to reward circuitry, rumination and heightened responsiveness to food cues.Mikki explores why GLP-1 medications can dramatically quiet food noise, how stress, poor sleep and highly palatable foods can amplify it, and why intuitive eating may improve calmness around food without necessarily producing fat loss. She also outlines practical strategies, including improving protein and fibre intake, reducing easy access to trigger foods, addressing stress and sleep, and recognising when medical support may be appropriate.Topics coveredThe biological differences between hunger, cravings and food noiseWhy food noise feels intrusive and repetitiveHow GLP-1 medications affect food reward pathwaysThe role of stress, sleep and ultra-processed foodsPractical strategies for reducing appetite-related noise Contact Mikki:https://mikkiwilliden.com/https://www.facebook.com/mikkiwillidennutritionhttps://www.instagram.com/mikkiwilliden/https://linktr.ee/mikkiwillidenNZ listeners - save 10% off Calocurb by using the code Mikkipedia10 at www.calocurb.co.nzSave 20% on all Nuzest Products WORLDWIDE with the code MIKKI at www.nuzest.co.nz, www.nuzest.com.au or www.nuzest.comCurranz supplement: MIKKI saves you 25% at www.curranz.co.nz or www.curranz.co.uk off your first order
Ultramarathon champion Anthony Kunkel gets candid about the performance aids he actually uses, and why he cycles them seasonally. Full episode: https://outliyr.com/183
Kilian Korth joined the show to have a discussion around ultrarunning's growing professionalization without sophisticated regulated drug testing, the limits and trade-offs of WADA/USADA-style regimes, and why "doping" as a blanket term obscures intent and severity. We unpack gray areas such as THC thresholds, TUE complexity for common medications, transparency vs backlash, influencer incentives, and the future pressure regenerative medicine and technology (e.g., super shoes) may place on sport rules. Kilian: IG: @runtoughmindset | Substack: https://substack.com/@runtoughmindset Sponsors: LMNT: https://drinkLMNT.com/HPO (free sample pack with purchase) deltaG: https://deltagketones.com Code: BITTER20 (20% Off) True Nutrition: https://truenutrition.com/hpo Code: HPO (20% Off) Episode Summary & Notes: Zach Bitter & Kilian Korth on PEDs, incentives, and doping in ultrarunning Context & framing Conversation is the third appearance by Kilian on Zach's podcast; shifts from traditional training/racing episodes toward current events in running. Sparked by recent doping-related controversies (Cam Hanes / Sage Canaday online conflict, Mike McKnight's discussion of BPC-157 use on Hanes' podcast). Both emphasize moving beyond narrow focus on specific peptides/cases to broader structural issues. Activism, incentives & tribalism Skepticism of modern activism: good causes often get distorted by perverse incentives (attention, platform growth, organizational self-preservation/mission creep). Online environments (especially short-form social media) reward polarization over curiosity or truth-seeking. Parallel drawn to low-carb diet advocacy: movement shifted from exploration of pros/cons toward dietary supremacy and identity attachment. Both hosts value changing one's mind with new evidence and prefer evolving conversations over tribal "debates" aimed at winning. Core problem in ultrarunning Rapid professionalization and financial incentives exist, but sophisticated testing (especially out-of-competition) is essentially absent. Honor-code system + high rewards creates conditions in which some athletes near the top are likely to use PEDs. Contrast with Olympic sports (e.g., swimming) where positives occur even with lower financial stakes. "Doping" is an unhelpful blanket term that equates intentional, high-impact cheating (e.g., EPO) with gray-area or accidental cases. BPC-157 and gray areas BPC-157 is an experimental peptide with very limited human data (one small study of 12 people among 36 total studies reviewed). Anecdotally has been used for tendon/muscle healing; on the WADA banned list at all times (no TUE pathway currently). Gray areas exist in WADA criteria themselves (performance enhancement potential, health risk, "spirit of the sport"). THC example: banned in-competition with a relatively high threshold; removed alcohol from the list is an example of changes over time. Distinction between letter of the rules vs. moral/cosmic fairness; between intentional advantage-seeking and medical/recovery use. Testing realities & practical challenges Full USADA/WADA-style regimes require whereabouts reporting, out-of-competition testing, and significant lifestyle constraints (conflicts with the free-spirited, remote nature of trail/ultrarunning). Even gold-standard systems have loopholes (missed whereabouts, remote camps, short-acting substances timed around sleep windows). Half-measures are expensive, burdensome, and unlikely to deter determined cheaters. Middle-of-pack and age-group athletes face different calculus; many use legitimate medications (inhalers, etc.) that may or may not require TUEs depending on type and dose/threshold. Possible paths forward discussed Transparency and honesty should be encouraged rather than punished (both hosts respect that Hanes and McKnight disclosed BPC-157 use). Practical ideas: Optional "non-competitive / open" checkbox so athletes using regulated substances can still participate without affecting results/records. Tested vs. non-tested divisions (bodybuilding-style model). More education needed around legitimate medical use (TUEs, Global DRO checks). Focus should prioritize the small professional/elite tier where financial and competitive incentives are highest over age-group minutiae. Future regenerative medicine and longevity interventions will force further adaptation; sport has already accepted large performance gains from technology (super shoes) more readily than internal/medical ones. Influencers & broader culture Influencer economy adds complexity: financial incentives to promote products or share experimental practices; difference between sharing personal experience vs. recommending use. Transparency with clear caveats is preferred; pure anecdote-driven advice remains problematic. Societal issues (tribalism, algorithmic incentives, low scientific literacy) make clean solutions difficult inside a small niche like ultrarunning. Closing notes Both stress nuance over black-and-white absolutism Conversation aims to push the sport toward honest discussion of incentive structures rather than endless case-by-case outrage. Kilian's Substack article ("The Run Tough Mindset") and upcoming documentary Forged in Failure are referenced as related material.
Break through your keto or low-carb plateau. Book a free call with Robert Sikes: https://www.ketobodybuilding.com/callThis man runs 200 miles on a low-carb diet, and his results challenge the high-carb rules of endurance racing. In episode 905 of the Savage Perspective Podcast, host Robert Sikes talks with ultrarunner Mike McKnight about keto endurance, fat adaptation, and ultramarathon fueling. Mike shares how eating more carbs led to swelling, water weight, stomach trouble, and uneven results. He explains why he returned to low-carb foods, electrolytes, and fasted training. They also cover his zero-calorie 100-mile run, the Tahoe 200 injury that sent him to the hospital, hydration, sodium, recovery, and the strategy needed to race for days. See why the best fuel plan may be personal.Follow Mike on IG: https://www.instagram.com/mikejmcknight/Get Keto Brick: https://www.ketobrick.com/Subscribe to the podcast: https://open.spotify.com/show/42cjJssghqD01bdWBxRYEg?si=1XYKmPXmR4eKw2O9gGCEuQChapters0:00 - How a Tahoe 200 Head Injury Ended the Race4:00 - What 550 Racing Miles Did to His Legs6:08 - Why Mike McKnight Chose Italy After Tahoe 2008:14 - Why 200-Mile Races Favor Fat-Adapted Athletes10:20 - How Many Carbs Does an Ultramarathoner Really Need?14:17 - What Does a Low-Carb Ultrarunner Eat in a Day?16:50 - How Much Carbohydrate Do Endurance Athletes Eat?18:20 - Why Carbs Caused 8 Pounds of Water Weight20:28 - What Happens When You Run 100 Miles Fasted?25:39 - Do Ultramarunners Need Carbs for a Higher Gear?29:23 - Why Keto Endurance Fuel Is So Hard to Find32:09 - How to Balance Sodium, Potassium, and Water37:03 - Why 200-Mile Races Are a Strategy Game38:31 - How Do Backyard Ultras Work?41:54 - How to Choose the Right Trail Running Shoes44:21 - How Fatherhood Changes Extreme Endurance Racing48:38 - Why Truett Hanes Is Shaking Up Marathon Running50:37 - Why Cam Hanes' BPC-157 Use Sparked Backlash51:51 - How a Woman Broke the Cocodona 250 Course Record53:39 - Does VO2 Max Reveal Fat-Burning Efficiency?55:19 - Can You Keep Muscle While Training for an Ultramarathon?1:02:14 - Designing a Better Low-Carb Ultrarunning Fuel1:03:22 - How to Fuel an 800-Mile Arizona Trail FKT1:06:51 - Where to Follow Mike McKnight
Lineage Logistics says “nearly half” of food waste in the Boyle Heights warehouse they lease has been cleared. Los Angeles County has reached a pretrial settlement with H&R Block totaling half a million dollars over claims that the tax preparer gave confidential customer information to advertising companies. The director of the documentary "City of Gold" reflects on the legacy of L.A. food writer Jonathan Gold a decade after the film was released. Plus, more. Support The L.A. Report by donating at LAist.com/join and by visiting https://laist.comSupport the show: https://laist.com
Ian Sharman is a 2x USATF 100-mile Trail Champion, 4x winner of the Leadville Trail 100, and author of the new book The Art of Ultrarunning. He's one of the most recognizable names in the world of ultrarunning. He's won more than 50 marathons out of over 250 he's run, ran a 2:21 marathon at age 43, holds the fastest time in a trail 100-mile race by a Brit (12h44m), and holds the record for the Grand Slam of Ultrarunning (69h49m). In this conversation, we discussed what's changed and what remains fundamental for ultramarathon training (fueling, mileage, workouts, terrain, durability, and more). Resources & Links: Get Ian's new book, The Art of Ultrarunning! Listen to our prior chat about mindset here How to build mileage more strategically Follow Ian on Instagram Get stronger to stay healthy Thank you Previnex! Get yourself 15% off your first purchase with code jason15 here. Previnex is a unique supplement company - one that I trust because they do things differently when they don't have to. Their products use clinically proven ingredients, are tested before and after formulation, and they donate vitamins to needy kids. Maybe more importantly, their products do what they say they're going to do. Listen to this feedback about Joint Health Plus! "My ankle and knee pain was completely gone in a week. Amazing!" - Kim "I thought I was on the verge of having to give up running due to severe hip pain and luckily discovered Previnex - complete game changer for me!" - Anna "I am so grateful for Joint Health Plus! As a certified fitness professional and still an extremely active, competitive amateur athlete, I was getting discouraged with an increase in pain simply kneeling down, or bending down to the floor and getting back up while assisting clients, or in my own training! Once deciding to give this product a try, I was floored when I finally noticed I was not bracing in anticipation of pain when I had to kneel down; not whincing in discomfort upon standing! Thank you, Prevenix!" - Jessica Joint Health Plus is so powerful because the main active ingredient is clinically proven to reduce joint pain, reduce joint stiffness, and improve joint flexibility in just 7-10 days. It's also clinically proven, not just tested, but actually proven in double-blinded, placebo- controlled studies to protect joint cartilage from breaking down during exercise. You can get 15% off your first Previnex purchase by using code jason15 at checkout. Visit previnex.com. Previnex offers a 30-day money back guarantee where if you don't feel benefits on their product you get your money back no questions asked. And keep sending in those testimonials. They fire me up! Thank you MOBO Board! Invented by renowned physical therapist Jay Dicharry, MOBO helps you stabilize your stance with an innovative rocker board that's set up on two fins. The design effectively forces you to drive your big toe into the board to improve your stability. I was pretty arrogant going into my first session on the MOBO Board. How hard can it be to balance, right? Well, I was humbled pretty quickly! Even if you're a good runner, better balance, stability, and proprioception is going to help you have a more powerful stride and prevent more running injuries. You'll learn how to improve the efficiency of the kinetic chain from your hip to your big toe. Because as Jay likes to say, it's not just how strong you are, but how well you use that strength. I was recently at a weekend physical therapy workshop (lol I was the only running coach) and learned how important (and rare) this simple movement is. Save 10% with code STRENGTHRUN10 at checkout at moboboard.com.
Real Life Runners I Tying Running and Health into a Family-Centered Life
Crewing an ultramarathon is so much more than handing someone water and cheering from the sidelines. Over the past few years of crewing Kevin through multiple 100-mile races, I've learned that my role isn't just to support him. It's to help him get to the finish line. That mindset completely changed the way I approach race day. In this episode, I share the lessons I've learned, the mistakes I've made, and the systems we've developed that have made every race smoother than the last.Kevin also shares what it's like from the runner's perspective and what actually helps when you're hours into an ultramarathon and your brain is running low on energy. We talk about everything from treating aid station stops like an F1 pit stop to having the difficult conversations before race day, creating a detailed crew plan, packing for every possible scenario, and remembering that taking care of the crew is just as important as taking care of the runner. Whether you're getting ready to crew your first ultramarathon or you're the runner sending this episode to your support team, I hope these lessons help you feel more prepared and confident.Get your Ultimate Ultramarathon Guide here!02:05 From Scared Wife to Crew Chief04:08 Keys 100 Lessons Learned09:43 What Crewing Really Means12:52 F1 Pit Stop Mindset16:38 Crewing With Kids20:10 Planning Starts Early21:01 Know the Race Rules26:42 Pre Race Crew Conversation37:00 Build the Crew Document39:30 Assign Roles and Checklists42:35 Packing and Supply Runs43:44 Crew Community Help45:11 Nutrition Planning Backups46:33 Hydration Strategy Gear47:32 Clothing Foot Care49:39 First Aid Comfort Items53:46 Crew Self Care Logistics55:11 Pit Stop Checklist Setup01:01:04 Aid Station Mistakes01:04:30 Psychology Mood Decisions01:08:33 DNF Medical Triage01:14:07 Crew Chief Self CareGain access to my new secret podcast, Unbreakable: The Runner's Guide To Injury-Proofing Your Body After 40. Click here: https://www.realliferunners.com/secretJoin the Team! --> https://www.realliferunners.com/team Thanks for Listening!!Be sure to hit FOLLOW on Apple Podcasts, Spotify, or your favorite podcast player Leave a review on Apple Podcasts. Your ratings and reviews really help and we read each one!Come find us on Instagram and say hi! Don't forget: The information on this website is not intended to treat or diagnose any medical condition or to provide medical advice. It is intended for general education in the areas of health and wellness. All information contained in this site is intended to be educational in nature. Nothing should be considered medical advice for your specific situation.
Michael Koppy is a 75-year-old ultrarunner and retired engineering professor from northern Minnesota who is still breaking records in endurance sports. Over the past decade, he's completed two fastest known times (FKTs) and continues to compete in some of the country's most demanding ultramarathons. In 2026, he became the oldest person to finish the Arrowhead 135, one of the toughest winter ultramarathons in the United States. If you enjoyed this episode: Listen to Breaking the Record at Big's Backyard Ultra with Harvey Lewis Thank you to our sponsors: Capital One and the REI Co-op® Mastercard® Benchmade Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Lotti Brinks is a rising star in the sport of trail ultramarathon. She has improved year over year, which recently resulted in finishing 5th at the 2026 WSER 100. She joins the show to discuss history with the sport of running, introduction to the sport of ultramarathon, becoming a professional athlete with Hoka, the growing trend of race day optimization with team training camps, and how she has shaped her mindset to stay balanced in life outside of being a professional runner. Lotti Brinks: @lotti_brinks | https://www.strava.com/pros/25210246 Episode Sponsors: ProBio: probionutrition.com/endurance Code: Endurance (20% Off) LMNT: drinkLMNT.com/HPO (free sample pack with purchase) deltaG: deltagketones.com Code: BITTER20 (20% Off) True Nutrition: truenutrition.com/hpo Code: HPO (20% Off) Podcast Details: Support HPO: zachbitter.com/hposponsors HPO Website: zachbitter.com/hpo Zach's Coaching: zachbitter.com/coaching Zach's Journal: substack.com/@zachbitter Find Zach: zachbitter.com | IG: @zachbitter | X: @zbitter | FB: Zach Bitter | Strava: Zach Bitter
Lisa Jhung is a writer, trail runner, and ultramarathon pacer who first began pacing runners more than 25 years ago. Drawn to the challenge and camaraderie of endurance sports, she's helped athletes through some of the most demanding miles of their lives. What keeps her returning to the trail is the opportunity to support someone else's big goal and be part of their journey to the finish line. Connect with Lisa: Website Instagram Substack Thank you to our sponsors: Capital One and the REI Co-op® Mastercard® Benchmade Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.