This episode of the TRIDOC podcast is a delightful mix of triathlon talk, heartfelt farewells, and the ever-relatable struggle of balancing family life with athletic pursuits. Jeff, the host, kicks things off with some cheeky banter about his current location – a beachside paradise in Belize – while simultaneously reminding us that he’s recording from Denver, where the sun is always shining brightly. He quickly transitions into race season excitement, teasing listeners about the upcoming Oceanside 70.3 and all the fierce competition that awaits. But the real gem of this episode is Nina, the intern who’s been a vital part of the team and is now moving on to the next big chapter in her life. Jeff and Nina share a moment, reflecting on her journey and the experiences she’s gained while working on the podcast. It’s a touching tribute that reminds us all how important it is to acknowledge those who lift us up on our journeys. The episode also delves into the emotional rollercoaster that comes with training and competing, especially when family is involved. Jeff’s candid admission about prioritizing family over podium finishes hits home, reminding us that life is about more than just medals. It’s about finding balance, having fun, and ultimately, enjoying the ride. So whether you’re a seasoned triathlete or just someone trying to figure out how to juggle life’s demands, this episode is a must-listen!

Segments:

[8:03]- Medical Mailbag: Breath work + VO2 max

[35:45]- Interview: Nina Takashima

Links

In a lighter segment, the show takes a detour into the whimsical side of triathlon training, with a humorous look at sauna use among athletes. The hosts joke about the absurdities of heat acclimation protocols, like sweating it out in a sauna to prepare for hot races. They dive into the science behind sauna use, discussing its benefits for recovery and performance enhancement. While the conversation is peppered with sarcasm and playful banter, there’s also a genuine exploration of how athletes can safely incorporate sauna sessions into their training routines without pushing themselves to dangerous extremes. The hosts reflect on personal experiences with sauna use, sharing tips and tricks while keeping the tone light and engaging. This segment balances the serious discussions with humor, making the technical aspects of triathlon training more accessible and entertaining for listeners, reminding everyone that even serious athletes can have a good laugh about the quirks of their sport. The episode also features a lively discussion about the new 20-meter draft rule in triathlons, which has sparked quite the debate among competitors. Matt reflects on his recent podium finish at Ironman New Zealand and how the new drafting regulations played a role in the race dynamics. He notes that the 20-meter rule changes the game significantly, especially for strong cyclists and those who typically gain advantage from drafting. He provides insight into how the rule might impact race strategies and outcomes, especially in larger fields. As they discuss the upcoming races, including Ironman Texas, there’s an undercurrent of excitement about how these changes will unfold in real-time competition, making predictions about future races feel like throwing darts in the dark. Matt’s perspective as both a competitor and a coach adds depth to the conversation, highlighting how athletes must adapt to ever-evolving race conditions and rules.

Segments:

[7:41]- Medical Mailbag: Saunas

[32:19]- Interview: Matt Hansen

Links

@matthansontri on InstagramMatt on YouTube

Diving into the depths of psychological performance in sports, this episode of the TriDoc Podcast features an engaging discussion between host Jeff Sankoff and psychologist Dr. Jim Taylor. They explore the concept of mastering adversity as a way to enhance athletic performance, particularly in triathlons. The conversation kicks off with a humorous nod to Jeff's raspy voice, a remnant of his recent battle with a respiratory infection, which he cleverly ties into the theme of overcoming challenges. Dr. Taylor shares invaluable insights on resilience, emphasizing that the mental tools athletes develop through life experiences can be incredibly beneficial when facing adversity in sports. They discuss how athletes can prepare mentally for various scenarios during races, highlighting the importance of rehearsing potential challenges in advance. As they delve deeper, they touch upon the five attitudes that can hinder performance, including over-investment, perfectionism, fear of failure, preoccupation with results, and excessive expectations. By shedding light on these psychological barriers, Jeff and Dr. Taylor provide listeners with practical strategies to combat them, encouraging a mindset that prioritizes enjoyment and personal progress over rigid expectations and outcomes. This episode is a treasure trove for athletes looking to enhance their mental game while navigating the thrilling yet intimidating world of triathlons. The Medical Mailbag will be exploring the risk of swimming induced pulmonary edema in triathletes, and will investigate the data from studies done in Sweden to educate the audience on the risks and ways of ceasing the progression of pulmonary edema.

Segments:

[4:51]- Medical Mailbag: SIPE

[36:13]- Interview: Dr. Jim Taylor

Links

Dr. Jim's Facebook page

@drjimtaylor on Instagram@drjimtaylor on XDr. Jim on YouTube

In this episode, we tackle the serious and often absurd world of knee injuries with none other than Dr. Kevin Stone, who’s here to enlighten us on the magic of meniscus grafts. Who knew that those pesky, creaky knees could be treated in ways that actually buy you time? We delve into a recent study where older adults facing knee replacements found salvation in meniscus grafts, with 42% enjoying years of relief! It’s like finding out that your old, broken-down car can actually run again with just a little tinkering – who knew? Dr. Stone's optimism shines as he shares how these new treatments are changing the game for athletes, allowing them to bounce back and even improve post-injury. But it’s not all sunshine and rainbows; we also touch on the grim reality of injury in sports, highlighting stories of tragic accidents that remind us just how precious our time on the bike or the track is. This episode serves as both a wake-up call and a beacon of hope, reminding us that with the right care, we might just find ourselves back on the starting line, ready to tackle our next challenge with gusto.

Segments:

[11:36]- Medical Mailbag: Shoulder Labral Injuries

[43:33]- Interview: Dr. Stone

Links

Kevin on YouTube

IM 70.3 Boise info and register here

If you’re ready for some serious nutrition school, then strap in! We’re diving into the world of endurance sports and the not-so-secret ingredient that can make or break your performance: protein. The medical mailbag take on the hype around methylene blue-a commercial dye promoted to some endurance athletes despite a lack of evidence proving that it has any use for this purpose at all. Then, our guests, Matthew Shuster and Eric Zaltis, the masterminds behind Adra Labs, are here to enlighten us on why protein is not just for bodybuilders but is crucial for endurance athletes too. Forget about the tired old narrative that carbs are king—these guys are flipping the script and showing us how protein can be the unsung hero of recovery and performance. They unpack the latest research suggesting that endurance athletes might need a whopping 1.8 grams of protein per kilogram of body weight. Yes, you read that right! It’s time to put down those bland protein shakes and pay attention to what you’re really fueling your body with. This episode is packed with insights on how to optimize your nutrition to get the most out of your training without turning into the Hulk. But wait, there’s more! We also dive into the murky waters of health influencers and the shady side of wellness trends. You know the type—those who flaunt their perfect bodies and claim they have the secret to eternal youth, all while cashing in on your hopes and dreams. Our hosts don’t hold back as they discuss the recent controversy surrounding Peter Attia, reminding us that sometimes, the people we look up to for health advice might not be as squeaky clean as they pretend to be. It’s a wake-up call for all of us to be a little more skeptical about where we get our health advice. By the time this episode wraps up, you’ll be armed with the knowledge to make smarter choices in your nutrition and training. We throw in practical tips, a good dose of humor, and a reality check on the wellness industry that’s sure to leave you both informed and entertained. So, if you’re ready to step up your game and ditch the chalky protein bars, this episode is just what you need to fuel your passion for endurance sports. Tune in and let’s get this protein party started!

Segments:

[6:52]- Medical Mailbag:

[31:19]- Interview: pt. 2 Matthew Schuster and Eric Zaltis

Links

For a 25% discount on Addra protein bars, please use this code at checkout: recovery25

Addra Labs

We kick things off with Jeff Sankoff, your friendly neighborhood emergency physician and triathlon coach, who dives deep into the complexities of statins—those little pills that promise to lower your bad cholesterol but might just be sabotaging your endurance gains. Joined by the ever-enthusiastic coach Juliet Hochman, they tackle a listener's burning question: can statins really hinder your performance in endurance sports? They dissect the science, sprinkle in some personal anecdotes, and engage in a lively back-and-forth that will keep you hooked. It’s a perfect blend of medical wisdom and relatable humor, reminding us that while our hearts might want to push harder, our bodies sometimes need a little extra care with these medications.

As the episode rolls on, we transition into the inspiring journey of Matthew Schuster, a former NCAA lacrosse player turned triathlete and co-founder of Addra Labs, a company dedicated to producing healthy protein bars. Jeff and Matthew share their experiences, from the pressures of collegiate sports to the challenges of balancing life and athletic ambitions. Matthew recounts his transformation from the corporate grind to becoming a triathlon enthusiast, and you can practically feel the passion radiating through the airwaves. It's not just about fitness; it's about rediscovering joy and purpose through sport. This segment is a heartfelt reminder that sometimes, the most profound changes come when we hit rock bottom and decide to rise again—cue the motivational background music!

And just when you think you’ve heard it all, the episode wraps up with a promise of more to come. As Jeff hints at the next installment featuring both Matthew and his co-founder Eric Zaltas, they’re set to dive even deeper into the world of sports nutrition and the absurdities of athlete life. So, buckle up, folks, because this podcast is not just about triathlons and statins; it’s about life, laughter, and the pursuit of greatness. Tune in for a perfect blend of science, personal stories, and an undeniable sense of camaraderie among athletes, reminding us all that we're in this wild journey together. Stay tuned for more, because this ride is just getting started!

Segments:

[6:14]- Medical Mailbag: Statins

[32:22]- Interview: Matthew Schuester and Eric Zaltas

Links

The Tridoc Podcast kicks off 2026 with a bang, diving headfirst into the ever-elusive concept of 'finding your why' in the world of multisport. It’s that magical question that every triathlete grapples with at some point, often while gasping for air and questioning their life choices during a brutal workout. The hosts, Jeff and Juliet, tackle how motivations can evolve as we age and our lives change—because let’s face it, the reason I signed up for a triathlon at 20 might not cut it when I’m staring down my 40s and wondering if I should just take up knitting instead. They share their own journeys, emphasizing that it’s totally normal for your motivations to shift like a triathlete dodging a rogue bike on race day. Whether you’re racing for glory, fitness, or just to escape your responsibilities for a few blissful hours, the hosts remind us that as life throws curveballs, our 'why' doesn’t have to remain stagnant. They sprinkle in some audience feedback, highlighting stories of how other athletes have navigated the rollercoaster of motivations, which serves as a comforting reminder that we’re all in this crazy ride together. So grab your favorite snack and settle in for an insightful chat about embracing the chaos of our triathlete lives and redefining what keeps us pushing through those early morning swims.

Diving deeper into the realms of triathlon and personal growth, this episode of the Tridoc Podcast doesn’t just stop at 'why'; it also ventures into practical advice for handling the inevitable ups and downs of endurance training. Jeff and Juliet, who act like the wise old sages of the triathlon world, stress the importance of adaptability. They acknowledge that as our lives morph into a whirlwind of responsibilities—like juggling kids, jobs, and the occasional existential crisis—our training must adjust accordingly. The hosts share their personal experiences of how their own motivations and training regimens have shifted over the years, often with the tangible wisdom of trial and error. They encourage listeners to embrace the idea that it’s perfectly okay to take a step back and re-evaluate what they want from their athletic pursuits, without feeling the guilt trip of ‘shoulds’ and ‘musts’. Listeners are treated to a buffet of relatable anecdotes, from the awkwardness of transitioning from youth triathlons to age-group competitions, to the realization that races don’t always define success—sometimes, just showing up is a win. This episode feels like a warm hug from a fellow triathlete who’s been through it all and is here to remind you that it’s not just about the race results, but the journey that gets you there.

Lastly, the episode features a delightful guest, Sarah Black, who brings a refreshing perspective on the intersection of physical therapy and triathlon. With her background as a Division 1 swimmer turned triathlete, Sarah dives into the nitty-gritty of pelvic health—which, spoiler alert, is a topic that doesn’t get nearly enough airtime in the world of sports. She spills the tea on how pelvic floor health impacts triathletes, especially women, and why it’s crucial to address these often-ignored issues. Trust me, if you’ve ever felt discomfort on the bike or had a sneaking suspicion that your saddle might be out to get you, Sarah’s insights will resonate deeply. The conversation flows effortlessly from pelvic health to overall athletic performance, shedding light on why understanding our bodies is key to thriving in the sport. Jeff and Sarah discuss practical strategies for maintaining pelvic health, addressing issues like bladder leakage and discomfort, and how to empower athletes to prioritize their well-being. This episode is not just a deep dive into the science of triathlon, but an empowering reminder that knowledge is power, and taking care of our bodies is paramount in achieving our multisport goals. So, if you want to race smarter, train better, and laugh a little along the way, this episode is a must-listen!

Segments:

[6:18]- Medical Mailbag: Finding your why

[31:22]- Interview: Sara Black

Links

Sara's Facebook page@ziaphysiotherapy on Instagram

Welcome back to another episode!

Leslie Keener, the mastermind behind the Running Up for Air series, joins us to discuss how her initiative is turning endurance sports into a battleground for air quality awareness. Picture this: runners scaling mountains, huffing and puffing not just from the effort, but also from the smog. It’s a wild concept that started when one guy realized he was training for a race in a polluted valley while breathing in what could only be described as a toxic miasma. Talk about a wake-up call!

Leslie takes us through the evolution of this project, which has grown from a one-man show to a series of races across multiple states, all aimed at raising funds and awareness for air quality issues. We discuss how air quality is the canary in the coal mine for larger environmental crises, making it a topic that transcends politics and unites people from all walks of life. It’s fascinating and a bit terrifying to think that the air we breathe can serve as a harbinger for climate change. But there’s hope! Leslie shares success stories of how these races have not only raised funds but also educated participants about the importance of clean air—because let’s face it, nobody wants to run in a cloud of smog.

Of course, we can't skip our beloved medical mailbag segment, where we tackle the latest in supplement nonsense—this time, a product called Sport Legs. It claims to reduce lactic acid so you can run longer, faster, and without the burn. Sounds like a dream, right? We dig into the science (or lack thereof) behind it, and let’s just say, the results might not exactly make you want to whip out your credit card. This episode is a blend of passion, advocacy, and a healthy dose of skepticism, all wrapped up in a conversation that’s both enlightening and entertaining. So if you’re ready to tackle some serious issues while having a laugh, you’re in the right place!

Segments:

[07:54]- Medical Mailbag: Sportslegs

[28:04]- Interview: Leslie Keener

Links

@runningupforair on InstagramLeslie's Website

We’re diving into the wild world of vagal nerve stimulators today. Yep, you heard that right – those fancy gadgets might just be the next big thing for recovery, or they might be the latest gimmick to separate you from your cash. We’ll be chatting about how these devices are supposed to help athletes bounce back after a grueling workout, but spoiler alert: the science is still a bit shaky. Also, our guest, Jess Cerra, is here to share how she turned her kitchen experiments into a successful energy bar business and co-founded a gravel race that’s funding scholarships for women. Seriously, we’re talking about $130,000 in scholarships handed out over the past five years – and that’s not just a drop in the bucket!

Segments:

[13:07]- Medical Mailbag: Vagus nerve stimulators

[36:00]- Interview: Jess Cerra

Links

Jess's Website Jess's Facebook page @jesscerra on Instagram 

Can smiling make you perform better? We know that when you are happy that you will smile but it turns out that the relationship may be more of a two way street. that is to say, if you smile it can actually make you happy as well. On the Medical Mailbag we look at some fascinating science that suggests smiling can have some pretty important impacts on performance. Plus, I chat with Will Hicks, the brain behind the Air Track app, which does the heavy lifting of tracking air pollution like a hawk with a PhD. With a mix of traffic data, meteorological conditions, and some AI wizardry, this app offers insights that could make even the most oblivious runner stop and think twice about their chosen route. Will shares how understanding the local air quality can help athletes reduce exposure to pollutants, and let's be real, nobody wants to inhale a cloud of diesel fumes while trying to crush that PR. Spoiler alert: it turns out that even a couple of blocks away from a bustling street can drop your pollution exposure by 30%. So why not take the scenic route? The episode is packed with actionable advice, a dose of sarcasm, and the hard truth about how air quality impacts our health and performance. Who knew a little data could go such a long way in keeping us breathing easy while we sweat it out on those trails?

Segments:

[06:26]- Medical Mailbag: Smiling to perform

[36:36]- Interview:Will Hicks

Links

Will's Facebook page @airawarewill on Instagram Will's Website Will on YouTube

places2swim web site

If you're going to take one nugget of wisdom from this chat, let it be this: there are absolutely no shortcuts to health and wellness. Seriously, 99.9% of the so-called miracle products and supplements out there? Yeah, they don’t do squat—at least not in the way they claim. Join me and my guest, the exercise wizard Nick Tiller, as we dive into the wild world of wellness myths that social media is just itching to sell you. Spoiler alert: it’s mostly a dumpster fire of misinformation, and we’re here to help you sift through the nonsense. So, if you’re looking for the magic pill that’ll turn you into an Ironman overnight, you might want to keep looking—because putting in the actual time and effort is where the real gains are at. Grab a drink, kick back, and let’s get into it!

Segments:

[09:18]- Medical Mailbag: Grounding

[30:48]- Interview: Nick Tiller

Links

Nick's Website @nb.tiller on Instagram @NBTiller on X 

In this episode, we are tackling the very real question of glucosamine supplements and their supposed benefits for athletes. As we navigate through the medical mailbag segment, we dive deep into the research surrounding glucosamine, looking at whether it has any real impact on cartilage repair and overall joint health for those of us who put our bodies through the ringer on race day. We explore the mixed evidence surrounding glucosamine, discussing how it’s often touted as a miracle worker in the world of sports medicine. We dissect the studies that claim benefits, while also highlighting the lack of compelling evidence that definitively shows glucosamine can help endurance athletes recover from injuries or improve performance.

Natalie Grebo's journey through the triathlon world is like a fairy tale, but with more sweat and less magic. At the ripe age of 81, she's not just participating; she's breaking barriers, becoming the first female finisher in her age group at the Ironman World Championships. In this episode, we dive into her remarkable story, where overcoming injuries, defying age stereotypes, and embracing the thrill of competition take center stage. The conversation kicks off with Natalie reflecting on her 21 years in triathlon, emphasizing her love for movement and the joy of pushing herself. Despite facing setbacks, her determination shines through as she shares how she navigates challenges and maintains her competitive spirit. With a delightful mix of humor and humility, she recounts her experiences, making it clear that age is merely a number when it comes to pursuing passion and fitness. As the episode unfolds, we also tackle the importance of community and support in the sport. Natalie’s interactions with fellow athletes and her family add a heartwarming touch, showcasing the camaraderie that fuels her journey. So grab your headphones and get ready to be inspired by a true trailblazer in the triathlon world.

This episode isn’t just about racing; it’s about the mindset that keeps us moving through life, regardless of age. Natalie’s story serves as a reminder that it’s never too late to start something new, and that the desire to keep going can lead to extraordinary achievements. Tune in as we celebrate not just her accolades, but the spirit of resilience that embodies the essence of triathlon. Whether you’re an athlete or just someone looking for motivation, Natalie’s infectious enthusiasm will leave you wanting to lace up your shoes and hit the pavement yourself!

Segments:

[08:44]- Medical Mailbag:

[37:44]- Interview:

Links



In the Medical Mailbag we look at the evidence behind using ventilatory metrics to assess and prescribe training zones as well as training loads especially as it pertains to measurement with the new to market Tymewear chest strap. This tech got a lot of buzz at this year's Tour de France but is it ready for adoption by age groupers? Plus, we catchup with the whirlwind journey of Matthew Marquardt, a med student who’s also a triathlon sensation. With a season filled with victories, including a dazzling performance at the World Championships, Matthew shares the gritty reality behind the glamour of triathlon fame. From the grueling training schedules to the unexpected cramping that could rival any medical mystery, he takes us behind the scenes of his life as he balances studies and races. The conversation turns to the dramatic events at Kona, where high stakes and even higher temperatures led to heartbreaking moments for some of the sport’s best women. Matthew reflects on the emotional rollercoaster that these athletes endured and what it truly means to compete at such a high level under extreme conditions. The dynamic between the race’s history in Kona versus Nice is also a hot topic, highlighting the different styles of racing that favor various types of athletes. With a sharp tongue and an eye for the absurd, this episode humorously critiques the current state of the sport while also celebrating the triumphs of those brave enough to compete. It’s a heartfelt testament to resilience, determination, and the unexpected twists that come with chasing greatness in triathlon.

Segments:

[10:11]- Medical Mailbag: Tymewear

[37:14]- Interview: Matthew Marquardt

Links

@matthewmarquardt on Instagram

L-theanine is found in tea leaves and promises to help you be calm and focused. Does it work and is there evidence it can help you perform better? We look in to it on the Medical Mailbag. Then, we're diving headfirst into the wild world of wellness disinformation in this episode, where we tackle the absurdity of trusting health influencers like Dr. Joseph Mercola, who somehow manages to make a fortune peddling questionable advice. Our guest, Jonathan Jarry, a science communicator from McGill University, spills the tea (pun totally intended) on Mercola's bizarre reliance on a psychic medium for guidance on health matters. You heard that right—this guy's taking medical advice from someone channeling a spirit named Balon. We chat about how this all ties into the larger trend of seeking simple answers to complex health questions, and why people are so easily duped by flashy claims. As we dissect the ludicrousness of it all, we’ll arm you with some tools to cut through the nonsense and hopefully make better choices in your health journey. So buckle up, because this rollercoaster of ridiculousness is about to get real!

Segments:

[06:49]- Medical Mailbag: L-theanine

[28:57]- Interview: Jonathan Jarry

Links

Jonathan's Website

The Mercola Tapes on YouTube

Diving into the chaotic yet exhilarating world of triathlon and medicine, this episode showcases the fascinating journey of Pavlos Antoniedes, a medical student who somehow juggles both rigorous academic studies and being a national-level triathlete. Imagine the life of someone who, while mastering the complex anatomy of the human body, also trains like a beast, preparing for grueling competitions. The conversation starts with the absurdity of trying to balance a medical career with the demands of elite triathlon training. Pavlos shares his backstory—how he transitioned from hockey to triathlon, driven by family ties and a desire to find a sport that resonated with him. As we laugh and shake our heads at the sheer madness of it all, he reveals how he manages to keep his training schedule flexible enough to dodge the pitfalls of burnout and exhaustion, all while excelling in medical school. It's a wild ride filled with insights into the pressures athletes face, the mental gymnastics needed to excel in both fields, and the occasional sarcastic quip about medical exams and race days that will leave you chuckling at the absurdity of it all.

Segments:

[07:28]- Medical Mailbag: Lumos Sleep Mask

[time stamp]- Interview: Pavlos Antoniades

Links

@pavanton31 on Instagram

Pavlos 's Facebook page

Lumos

In the MMB we take a look at the science behind the popular homeopathic remedy arnica. Is there any merit to this topically applied plant derivative for treating delayed onset muscle soreness? Plus, our guest, Stephanie Van Bebber, brings her expertise in clinical research to the table as we navigate through the headlines that have left many in the running community feeling a bit queasy (and not just from the gels).

The study in question reveals that ultra runners might be at an increased risk for advanced adenomas, those pesky precursors to cancer. But before you toss those running shoes into the nearest donation bin, let’s unpack what this really means. It’s not about condemning the sport we love, but rather about understanding the potential risks and the importance of screening. If you’re an ultra runner or just a casual jogger, this episode offers valuable insights into how we can better care for our bodies while still pursuing our passion for running.

From the biological theories behind inflammation and gut health to practical advice on when to see a doctor, we cover it all.

Segments:

[06:49]- Medical Mailbag: Arnica

[35:56]- Interview: Stephanie VanBebber

Links

Steph on IG: @stephanievanbebber

https://www.fiv3racing.com/

https://svbcoach.com/

Creatine is all the rage being pushed by nutritionists and coaches on anyone who will listen. This supplement would seem to be the answer to all that ails you if you give any credence to the innumerable influencers who proselytize about its benefits. But what does the science say and specifically, what does it say with respect to endurance athletes? On the Medical Mailbag we dig in and try to find the real answers. Then, our guest Silas Eastman brings us on a wild ride through the world of cross country skiing and the upcoming roller ski competition in the Caribbean. Yep, you heard that right! We’re talking about skiing where it’s sunny and the only chill is your drink. Silas enlightens us on why cross country skiing is the perfect sport for all ages, and how it’s actually easier on the body than running. We also highlight the benefits of this unique sport for triathletes looking to up their game. Get ready for a lively discussion that will leave you questioning your workout routine and maybe even planning a trip to the Caribbean to try it out yourself!

Segments:

[06:25]- Medical Mailbag: Creatine

[39:52]- Interview: Silas Eastman

Links

Fast Talk Labs podcast

Jackson Ski Touring Foundation

Follow Jeff and Juliet as they discuss the latest in shark deterrent technology, it’s clear they’re not just swimming in shallow waters; they’re making waves with some serious scientific discussions. After that, we’re diving right into the wild world of photography and entrepreneurship with our guest, Adam Barker, who’s here to chat about his journey from snapping epic shots of athletes to launching his own shaving brand for the leg-shaving men out there. You heard that right—he’s not just a talented photographer, but also a man on a mission to help guys embrace smooth legs while they pedal through life. Adam spills the beans on his award-winning shot from the X Games, which sounds like it was taken during a superhero landing, and we get into the nitty-gritty of his new venture, Bolt Skin and Shave. Along the way, we’ll also tackle some seriously hairy topics—pun intended—about the absurdity of shaving culture in the cycling world and how not all razors are created equal. So grab your earbuds and get ready to laugh, learn, and maybe rethink your leg-shaving game!

Segments:

[13:16]- Medical Mailbag: Shark Banz

[38:13]- Interview: Adam Barker

Links

Watch this and let's go from there! https://www.instagram.com/reel/DEkwwuXRmD7/?utm_source=ig_web_copy_link&igsh=YnRrZDJzMzl5ZGw3

@BOLTskinshave on Instagram

Adam 's Website

Adam on YouTube

In a world where our running shoes are often treated like disposable fashion items, Stuart Jenkins, CEO of Blumaca, is on a mission to change the narrative. With a background in competitive running that once led him to the Olympic trials, he’s now tackling the issue of foam waste in footwear with a sense of urgency that’s downright inspiring. After uncovering the shocking amount of foam waste generated by shoe manufacturing – enough to produce billions of insoles – he decided to repurpose that foam into high-quality, sustainable products. This episode isn't just a feel-good story; it's a wake-up call about our consumption patterns. Jenkins shares his journey from an aspiring Olympian to an entrepreneur who’s not just talking about sustainability but actively making strides to improve it. He discusses the innovative processes Blumaca employs to ensure that the foam waste is transformed into products that not only last longer but also perform better than the standard insoles we’re used to tossing aside after a few runs. The irony? The very material we think of as trash is becoming a crucial component in high-performance footwear. And if you’ve ever wondered what happens to those old shoes piling up in your closet, Jenkins has some insight that might just inspire you to rethink your recycling efforts.

Segments:

[13:17]- Medical Mailbag:

[40:15]- Interview: Stuart Jenkins

Links

Information can be found here: https://drive.google.com/file/d/10DyAp2F4b8vG0v4DvsO53L04zbXQp3qk/view?usp=share_link

Stuart 's Facebook page

@blumaka on Instagram

Stuart 's Website

Stuart on YouTube

The Medical Mailbag answers a question about tendonitis and how to treat it—because who doesn’t want to know why their body is crapping out on them mid-training? Jeff and Juliet break it down with a sharp wit that makes even the dullest medical advice sound entertaining. Spoiler alert: it turns out tendonitis is more complex than just a simple ailment, and the insights shared will make you rethink your approach to running injuries. Then, the episode's guest Hilary Topper details her journey from a workaholic to an endurance athlete. Where she started from small victories in runs and slowly moved on to triathlon. This covers the ups and downs of the triathlon world and demonstrates the challenges many beginners may face.

Segments:

[08:10]- Medical Mailbag: Tendon injury

[37:35]- Interview: Hilary Topper

Links

Article in Triathlete on heat vs cold for recovery

Hilary's Facebook page

@hilarytopper on Instagram

Hilary's Website

@hilary25 on X

Hilary on YouTube

Transitions in triathlon aren't just a necessary evil; they’re like the secret sauce that can make or break your race day. Seriously, it takes zero special talent to nail a transition—just a sprinkle of practice and a dash of planning, and voila! You're gliding through T1 and T2 like a pro while the rest of the field is still fumbling with their gear. In this episode, we dive deep into the art of transitions—how to streamline the process, avoid the dreaded brain freeze that hits right after you exit the water, and ultimately save precious seconds that could mean the difference between podium glory and just another race day. We’ll also toss in some gems about goal setting and the importance of communication between you and your coach, because let’s face it, we all need a little guidance when navigating the wild world of multisport. So, grab your gear, and let’s get ready to make those transitions as smooth as butter!

Let’s dive into cold plunges, shall we? I mean, who doesn't want to jump into a tub of ice water after a grueling workout, right? But hold your horses, because we’re about to break down what the science really says about these chilly dips. With the resurgence of cold plunge popularity, thanks to social media influencers and pro athletes who swear by it, we take a critical look at whether jumping into icy water actually does anything for recovery. Spoiler alert: it might not be the miracle cure you think it is. We go over some recent articles that suggest cold plunges might even hinder your recovery by reducing blood flow to your muscles. Yup, you heard that right! We’ll dissect the evidence, weigh the pros and cons, and maybe even question why we ever thought freezing our butts off was a good idea in the first place. So if you’re curious about whether you should take the plunge or just stick to hot showers, stick around because we’re unraveling the cold hard facts right here!

Segments:

[10:10]- Medical Mailbag: Cold Plunge

[36:32]- Interview: Jeff and Juliet Coaching

Links



In the MMB we spotlight the increasing dangers cyclists face on the road today, a topic that weighs heavily on the minds of many. With statistics showing a shocking rise in cyclist fatalities, Jeff and Juliet dig into the science behind these incidents and share their own experiences of fear and frustration. It’s not all doom and gloom, though! They offer practical advice on how to stay safe while cycling, including the importance of visibility and the benefits of riding in groups. Through their banter, we also get a glimpse of the community aspect of cycling—the camaraderie, the shared struggles, and the collective push to make our roads safer. Because let’s face it, if we can’t enjoy our rides, what’s the point?

Then we dive into the life of Joe Lavelle that reveals a world where adventure and athleticism collide in the most delightful ways. Imagine scaling the heights of Colorado’s famous 14ers, racing crits, and then swapping tales of daring escapades over a podcast microphone. That’s Joe for you! In this episode, we explore his journey from a skinny kid with a desire to bulk up to a seasoned athlete who embraces the challenges of aging with grace and humor. Joe’s tales are rich with the kind of wisdom that only comes from years of pushing boundaries—whether it’s deciding to tackle the Matterhorn or simply choosing to get off the couch and onto a bike. We laugh, we reflect, and we nod in agreement when he emphasizes the importance of filling life with powerful memories. Because really, who doesn’t want to look back and say, “Heck yeah, I did that!”?

Segments:

[07:40]- Medical Mailbag: Cyclist deaths on the rise

[34:56]- Interview: Joe Lavelle

Links

Joe's Website

On the Medical Mailbag we look at the concept of fueling your endurance performance with potatoes. Can it be done? Should it? Then, I talk with Phil Billikopf the Chilean born CEO of Mauna Endurance and MNA Coaching. He has covered a lot of ground and brings his success in multisport and business acumen to triathlon apparel and coaching.

Segments:

[08:40]- Medical Mailbag: Potatoes as endurance fuel

[34:18]- Interview:Philip Billikopf

Links

@pbillikopf on Instagram

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

Segments:

[08:57]- Medical Mailbag: Can sports fuels lead to diabetes?

[31:56]- Interview: Gerard and Jordy Donnelly

Links

@trivelocoaching on Instagram

Jordy and Gerard's Website

Jordy and Gerard on YouTube

On the medical mailbag we look at respiratory muscle training and the Breather device. Do you need to inhale hard to pump up your diaphragm to get more power to the pedals? Plus Michael Arashita joins us today to dive into the wild world of triathlons and nutrition, it’s not all sunshine and rainbows. With a background that screams “overachiever” — think pre-med biochemistry and an MBA in healthcare — he’s transitioned from pro triathlete to the mastermind behind Blanks Nutrition, a company that’s literally taking the labels off traditional sports nutrition.

Segments:

[12:41]- Medical Mailbag: The Breather

[33:56]- Interview: Michael Arishita

Links

@Swimmikerun on Instagram

Michael's Website

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

This episode features a Medical Mailbag segment that tackles the latest in sports technology, specifically lactate sensors. Are they the holy grail of performance metrics or just another shiny gadget? Jeff and Juliet break it down with their usual wit and sarcasm, dissecting whether these sensors provide meaningful insights for age-group athletes or if they’re just fancy toys to make us feel better about our training. Spoiler alert: the answer isn’t as clear-cut as you might hope.

Then, the podcast dives into an unexpected yet fascinating realm of sports: pole vaulting, as seen through the eyes of David Bonham, a former high school pole vaulter turned masters athlete. It’s wild to think that after years away from the sport, an impromptu return was spurred on by his daughter’s passion for vaulting. David’s journey is not just about jumping over a bar; it’s a rollercoaster of life experiences, including a near-fatal heart attack and a major knee injury that would make anyone else reconsider their athletic aspirations. But not David. Oh no, he saw that heart attack as a wake-up call—an invitation to reclaim his athletic past and, quite literally, jump back into the fray.

In this episode, we get a front-row seat to David’s world of pole vaulting, where he humorously recounts the absurdity of being the 'old guy' among teenagers at practice. His story is sprinkled with moments of irony, especially when he mentions how he was once self-taught, only to find himself once again under the watchful eye of coaches who actually know what they’re doing. It’s an inspiring tale of resilience; after a year of recovery from a devastating ACL tear, David not only returns to pole vaulting but also competes at a master's level, proving that age is just a number when you’re having this much fun. Trust me, you’ll want to hear how he navigates the perils of high school competition and the joy of setting personal records in his mid-fifties—it's a story about passion, persistence, and the occasional ridiculousness that comes with chasing your dreams at any age.

Segments:

[06:10]- Medical Mailbag: Lactate sensors

[36:13]- Interview: David Bonham

Links

The TriDoc Podcast in Supplement Form (newsletter)

@flying_higher2022 on Instagram David's Facebook page

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

Segments:

[06:55]- Medical Mailbag: Blood Type Diet

[30:58]- Interview: Jeff and Juliet talk coaching philosophy

Links

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

Segments:

[10:02]- Medical Mailbag: BPC-157/TB500

[35:32]- Interview: Matthew Marquardt

Links

LifeSport Coaching Chalk Talk: The TriDoc podcast-what really works (3/15 at 8PM EDT)

@matthewmarquardt on Instagram

Is hydrogen-rich water the latest miracle drink or just another marketing ploy? Juliet Hochman joins the fray to explore the claims surrounding this trendy beverage. We dissect the science (or lack thereof) behind hydrogen water. It turns out that while the hype is real, the actual benefits might not be worth the price tag. We dive into the absurdity of the wellness trends that promise the world but often deliver nothing more than a fancy label. If you’re thinking about spending your hard-earned cash on this new “super drink,” you might want to listen closely as we break it down.

Next up, I'm chatting with Trevor Connor, a total cycling aficionado and the brains behind Fast Talk Labs, about how the explosion of tech in endurance sports can be both a blessing and a curse. Sure, tracking every heartbeat and watt can feel like you’re leveling up in a video game, but let’s be real—sometimes all that data can just leave us spinning in circles, right? We're all about that balance: how do we harness the awesome power of analytics without getting lost in the weeds? So grab your headphones and get ready for a ride through the absurdly complex world of cycling metrics, sprinkled with a side of sarcasm because, let’s face it, this is endurance sports—we’re all just trying to keep our heads above water!

Segments:

[08:13]- Medical Mailbag: Hydrogen Rich Water

[37:09]- Interview: Trevor Connor

Links

Trevor's Facebook page

@coachtrevorconnor on Instagram

Trevor's Website

@Coach_TConnor on X

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

Segments:

[06:59]- Medical Mailbag: Thyroid disease

[29:48]- Interview: James Elvery

Links

James's Website @Race.Ranger on Instagram @Race_Ranger_Tri on X

TriDoc Podcast in Supplement form (newsletter) sign up

Tempo Talks Podcast

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

Segments:

[06:12]- Medical Mailbag: Quercetin

[32:15]- Interview: Luke Tasker

Links

@Taskertri on Instagram

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

Segments:

[06:26]- Medical Mailbag: Calibre

[31:52]- Interview: Todd Crandell

Links

Todd's Website

Todd's Facebook group

Todd's Facebook page

@Soberultraman on Instagram

Todd's Website

@Soberultraman on X

Todd on YouTube

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

Segments:

[08:42]- Medical Mailbag: 2024 subject review

[39:13]- Interview: Kirsten Kasper

Links

Find a pool wherever you travel here

Kirsten Kasper's IG

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

Segments:

[09:56]- Medical Mailbag: Cordyceps Sinensis supplements for endurance performancemance

[38:12]- Interview: Kevin Stone

Links

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

Segments:

[06:48]- Medical Mailbag: CurraNZ

[35:55]- Interview: Carolyn Carter

Links

@la_triathlete on Instagram

The MMB features a detailed evaluation of the Firefly Recovery device, which utilizes electrical stimulation to purportedly boost recovery and performance. The TriDoc and Juliet Hochman are skeptical yet intrigued by the bold claims made by the manufacturer, which asserts that the device can increase whole-body blood flow significantly. They critically analyze the available evidence—highlighting the lack of robust clinical studies supporting the efficacy of such recovery devices. Throughout the discussion, the hosts emphasize the importance of evidence-based practices in athletics, cautioning listeners against the allure of flashy advertisements and unverified claims. The episode also emphasizes the significance of active recovery strategies over passive methods, advocating for movement as a way to enhance recovery rather than relying solely on devices.

The episode concludes with a fascinating interview featuring Dr. Bobby Dubois, who shares insights from his podcast, 'Live Long and Well with Dr. Bobby.' Dubois discusses the six pillars of longevity, which encompass exercise, nutrition, sleep, social relationships, exposure to heat and cold, and mind-body harmony. His approach is grounded in evidence-based practices aimed at enhancing quality of life as individuals age. Dubois articulates the need for personal experimentation to find what works best for each individual, particularly in areas like dietary choices and exercise routines. This comprehensive dialogue on longevity, recovery, and health optimization offers listeners valuable takeaways on how to approach their wellness journey, emphasizing that the goal is not just to extend life but to enrich the years lived.

Segments:

[06:52]- Medical Mailbag: Firefly Recovery

[29:42]- Interview: Bobby Dubois

Links

Bobby's Facebook page

@DrBobbyLiveLongandWell on Instagram

Bobby's Website

Bobby on YouTube

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

Segments:

[09:47]- Medical Mailbag: Collagen supplements

[t39:53]- Interview: Greer Van Dyck

Links

Greer's Website

A rich dialogue unfurls in the Tri Doc podcast, where Jeff Sankoff and Juliet Hochman and Alex Larson tackle the intricate relationship between body composition, nutrition, and athletic performance. The episode serves as a platform to discuss how athletes can navigate the often treacherous waters of body image and performance expectations. Drawing from personal anecdotes and professional insights, Alex highlights the significant risks associated with under-fueling and the surprising lack of risks tied to over-fueling. This revelation is vital for athletes who may succumb to pressures for an 'ideal' physique, often leading to detrimental health outcomes such as RED-S, which can severely impact performance and well-being. Plus, a conversation with top age grouper and soon to be professional Maia Watson. She shares what it has been like to undertake her journey to the upper echelons of our sport in a short time.

Segments:

[09:22]- Medical Mailbag: Body Composition and performance

[46:49- Interview: Maia Watson

Links

alexlarsonnutrition.com

TriDoc Coaching YouTube Channel

Alex Larson's upcoming podcast

@maia.watson on Instagram

Links referenced in this episode:

• www.tridocpodcast.com
• tridocoaching.com
• lifesportcoaching.com
• www.reverbnation.com
• patreon.com/tridocpodcast

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

Segments:

[08:36]- Medical Mailbag:

[38:00]- Interview: Michele Bond

Links

Roger Federer's commencement speech

Michele's Facebook page

@michele__bond on Instagram

Michele's Website

Michele on YouTube

Everyone knows that sodium is an important component of sport nutrition but what form should it come in? For a long time sodium chloride was preferred but more recently sodium citrate is much more popular. Is there a reason for this change and is there evidence that one is better than the other? The Medical Mailbag discusses the evidence. Plus, Irish professional triathlete Fiona Moriarty comes from a running background but has distinguished herself as a cyclist. Hear how she made the transition to multisport and how she is making it all come together with a full-time job.

Segments:

[07:20]- Medical Mailbag: Which salt is best?

[33:10]- Interview: Fiona Moriarty

Links

Episode 10: Exercise induced hyponatremia

@fionamoriartytri on Instagram

Fiona's Website

Fiona on YouTube

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

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

Segments:

[10:30]- Medical Mailbag: Muscle typology and training

[35:14]- Interview: Kennon Heard

Links

Learn CPR

It is a fact of life that as we age endurance performance inevitably declines. But do both genders decline at the same rate or, does one gender decline more slowly than the other? Hear what the research says on the Medical Mailbag. Plus, Chris Bagg is the head coach at Campfire Endurance and the writer of an article on whether or not we as triathletes should be focusing on hunting mice or antelope. Don't know what this means? You will and you will have a much better understanding of where to focus your energy and expenditures for training after listening to our conversation.

Segments:

[10:59]- Medical Mailbag: Aging decline and gender variability

[33:15]- Interview: Chris Bagg

Links

MMB video on YouTube

Ironmanhacks video with Chris

Chris' article

Chris's Facebook page

@campfire_endurance on Instagram

Chris's Website

@Chrisbagg on X

Chris on YouTube

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

Segments:

[09:27]- Medical Mailbag: Fitness and risk of breast cancer

[35:00]- Interview: Doug Morris

Links

Triing on Amazon

How much do biomechanics influence running economy and is this something that coaches and athletes should work on improving? New research sheds some light and reveals some surprising answers to this questions. Mark Cullen is a successful age group triathlete a coach and one half of the co-hosting duo of the Endurance Icons podcast. He talks to me about all of this and along with the balancing act of being both the husband and the coach of a professional triathlete.

Segments:

[7:17]- Medical Mailbag: Biomechanics and running economy

[36:14]- Interview: Mark Cullen

Links

@Markcullen_coach on Instagram

Endurance Icons on Apple Podcasts

Use the Garmin metronome function: Video

During allergy season many use antihistamine medications as a means of controlling their symptoms. Emerging evidence suggests that there may be a cost to this practice in the form of decreased endurance performance. On the Medical Mailbag we look at the evidence. Jonathan Su is a long time physical therapist who has written a book that he promises can be a 6-minute solution to knee pain. We discuss his book and the methods that he describes within it.

Segments:

[12:22]- Medical Mailbag: Antihistamines

[36:57]- Interview: Jonathan Su

Links

Jonathan's Website

6-Minute Knee Pain Cure on Amazon

Ginseng is a root purported to have myriad beneficial properties making its use widespread in Chinese medicine and across the far east. Recently, a listener asked if this traditional remedy might also have benefits for athletes? On the Medical Mailbag, we dig in to the evidence for and against. Dr. Jim Taylor is a PhD in psychology and has worked with many professional and high level age group triathletes. He believes that training the mind is as important as training the body and he thinks that there are ways to leverage psychology to extract mental marginal gains that add up to improvements in performance. He tells me all about it in our conversation.

Segments:

[12:42]- Medical Mailbag: Can Ginseng make you faster?

[34:51]- Interview: Dr. Jim Taylor

Links

Dr. Jim's Facebook page

@drjimtaylor on Instagram

@drjimtaylor on X

Dr. Jim's Website

Dr. Jim on YouTube

Strength training is advocated for by coaches all the time in order to mitigate injury and improve endurance performance but finding scientific evidence to support these claims has been difficult. A new study gives some insight on the performance aspect and we look at it in the Medical Mailbag. Triathletes can take their selfish pursuit to extremes and put their relationships at risk. Couples' therapist Dr. Kayla Crane speaks with me to help us understand how to get ahead of those kinds of problems and make sure that your pursuit of happiness in multisport does not run afoul of your partner's pursuit of happiness on the home front.

Segments:

[13:35]- Medical Mailbag: Strength to improve running performance?

[40:33]- Interview: Kayla Crane

Links

Kayla's Facebook page

@southdenvertherapy on Instagram

Kayla's Website

I first looked at pneumatic compression boots back in episode 3 in 2019. Has there been any research published since then to suggest that my original recommendation has changed? We look at new research in this episode's Medical Mailbag. Plus, an interview with busy entrepreneur, mom and podcaster Doien Morin Van Dam. Her ability to keep many balls in the air and be a success in running makes for a great story and one that we can all learn from.

Segments:

[08:21]- Medical Mailbag: Pneumatic Compression Boots

[28:34]- Interview: Dorien Morin-van Dam

Links

Dorien's Facebook page

@moreinmedia on Instagram

@moreinmedia on X

Dorien's Website

Dorien on YouTube

Gatorade Endurance is being replaced by Mortal Hydration on IM and 70.3 courses in North America this year. What does that mean for athletes who rely on products provided at aid stations for fueling and hydration? We look at this question in the Medical Mailbag along with special guest Alex Larson. Plus, a conversation with Tyler Pedersen. From college football player to overweight near alcoholic, Tyler found himself in multi-sport. Hear how he has used triathlon to rediscover his purpose.

Segments:

[09:37]- Medical Mailbag: Mortal Hydration

[38:15]- Interview: E. Tyler Pedersen

Links

@alexlarsonnutrition on Instagram

Alex 's Website

@e.tylerpedersen on Instagram

E. Tyler 's Facebook page

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

Segments:

[06:15]- Medical Mailbag: Turmeric as anti-inflammatory?

[27:05]- Interview: Jessica Cullen

Links

Endurance Icons podcast

Jessica on IG

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

Segments:

[09:21]- Medical Mailbag: MCT

[32:08]- Interview: Erin Rosen & Michaela Robertson

Links

@sfsrunners on Instagram

Michaela's Website

Stephanie vanBebber Coaching

Does a nightcap interfere with sleep and recovery? We know that alcohol can be deleterious to training but what are its impacts on sleep? Plus, Nick Klingensmith found redemption for hard living through endurance sport and now tells anyone who will listen that they can do the same.

Segments:

[09:23]- Medical Mailbag: Alcohol and sleep

[t29:39]- Interview: Nick Klingensmith

Links

Nick's Facebook page @stridemotivation on Instagram @stridemotivatio on X Nick's Website Nick on YouTube

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

Segments:

[07:23]- Medical Mailbag: Plasmaide

[30:21]- Interview: Marilyn Chychota

Links

Conquer the Course IM CDA 70.3 Webinar

Marilyn's Website

Marilyn's Facebook page

Marilyn on YouTube

When is it ok to train through illness and how should you adapt your training when recovering from a malady? We look at several common ailments and discuss if it is safe to train through, whether you should rest up instead and how you should return to training afterwards. Cristina M Ramirez is a three time Ironman and best selling author. We talk about how she teaches growth mindset to kids using running as a tool and about her co-founding of a foundation that pairs up able bodied and paraathletes for competing in endurance events among her many other remarkable exploits.

Segments:

[06:58]- Medical Mailbag: When is it safe to train through illness?

[38:22]- Interview: Cristina Ramirez

Links

Cristina's Facebook page

@empoweredbydiscomfort on Instagram

Cristina's Website

IM 70.3 Coeur d'Alene Webinar sign up link

Cycling carbohydrates so that you train with low glycogen levels was once thought to be a viable strategy for getting real benefits in endurance performance. This strategy has come in to question with more recent scientific research. On this episode's medical mailbag we take a look and see what the latest data suggests about this concept. Plus, neuroscientist Dr. Daya Grant stops by to talk about the flow and clutch states; what they are and how you can get there in order to make the most of your training and racing.

Segments:

[14:47]- Medical Mailbag: Carbohydrate Periodization

[38:18]- Interview: Daya Grant

Links

@dr.dayagrant on Instagram

Daya's Website

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

Segments:

[11:02]- Medical Mailbag: Magnesium

[37:14]- Interview: Mark Evans

Links

Mark's Facebook page @frumpycob on Instagram

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

Links

Celine Evans:

Nutrition 360

LifeSport

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

Segments:

[10:13]- Medical Mailbag: Long Run Coffee

[30:26]- Interview: Dave Lowry

Links

Dave's Facebook page @djlowry1976 on Instagram

The holidays always pose significant challenges for endurance athletes and on the Medical Mailbag this episode Coach Juliet and I share our hacks for doing your best to stick to your plan for multisport success while still enjoying all of the best things that the holidays offer. Plus, an interview with strength and conditioning coach Jason Curtis. Jason has an incredibly active and successful business developing programs for athletes in all kinds of sport and we discuss the importance of strength training not only for preventing injury but also for getting faster in triathlon.

Segments:

[05:53]- Medical Mailbag: Holiday Hacks

[27:35]- Interview: Jason Curtis

Links

@strengthandconditioningcourse on Instagram Jason's Website 

NAD+ is an important co-factor in many biochemical processes in our cells including the metabolism of glucose. There is research that suggests that as we age we may develop a deficiency of it and that supplementation might help with performance. We review the science. Gustavo Cadena Schlam is an engineer and the inventor of the Omius headband cooling device. We discuss how it works and what led to its development.

Segments:

[08:27]- Medical Mailbag: NAD+

[33:43]- Interview: Gustavo Cadena Schlam

Links

@omiustech on Instagram

Gustavo's Website

What injuries are most common while training for an Ironman and how can they be avoided? How often do athletes present to the medical tent at an IM event and what problems are they going with? On the Medical Mailbag we review recent research that explores a wealth of data to answer those questions. Plus, an interview with national cycling champion and self-described aero geek Heath Dotson on what kinds of trends make sense for age groupers to consider for their own set ups and what they should just skip.

Segments:

[time stamp]- Medical Mailbag: Ironman Medical Misadventures

[time stamp]- Interview: Heath Dotson

Links

Triathlon Magazine Canada article on Louise Atkinson Clark

@Hdcoaching on Instagram

@Heathdotson on X

Heath's Website

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

Segments:

[03:53]- Medical Mailbag:

[32:52]- Interview: Edward O'Malley

Links

Edward's Facebook page

@velovetta on Instagram

Edward's Website

Edward on YouTube

The Dream Recovery is a piece of tape that you apply over your mouth at night to promote nose breathing and promises to improve sleep quality, recovery and a host of other processes. Is there anything to these claims? We take a look. Plus, a conversation with writer, coach and developer of the nutrition app Saturday Morning, Dr. Alex Harrison.

Segments:

[08:38]- Medical Mailbag: Dream Recovery

[33:23]- Interview: Dr. Alex Harrison

Links

Dr. Alex's Website Dr. Alex's Facebook group Dr. Alex's Facebook page @Dr_Alex_Harrison on Instagram @Dr_AlexHarrison on X Dr. Alex on YouTube

Tart cherry juice was all the rage at the Vuelta a Espana last month. Is there any evidence to support its use and if so, what are the benefits of using it? Coach Juliet Hochman and I look at this beverage in the Medical Mailbag. Plus, an interview with Coach Jen Rulon. A former multiple time Ironman athlete, Jen has slowed down and is living large in beautiful Costa Rica where she continues with her coaching business but has embraced a more laid back approach to her life and focuses on strength training and mindset. Hear her philosophy and what else she is doing in our conversation.

Segments:

[07:30]- Medical Mailbag: Tart Cherry Juice

[35:52]- Interview: Jen Rulon

Links

Jen Rulon has been a triathlon/fitness coach for 22+ years and owns JenRulon.com. She received her Master's Degree in Kinesiology with an emphasis in Exercise Science. Her knowledge as an author and speaker includes Triathlete Magazine, Runners World, on the TED Stage and the University of Wisconsin-Whitewater Commencement Speaker, Men's Journal Online, "Self Motivation Strategies for Women," (Amazon), and the New York Times. Jen practiced what she preached-she's a 15× Ironman Triathlete who qualified and participated in the World Championship in Kona, Hawaii, on October 14, 2017. Jen is "retired" from the sport of triathlon as an athlete but still coaches athletes worldwide and lives a life of abundance, strength training, walks, and catching the sunsets in Costa Rica.

Jen's Facebook group

Jen's Facebook page

@CoachJenRulon on Instagram

@CoachJenRulon on X

Jen's Website

Jen on YouTube

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

Segments:

[07:43]- Medical Mailbag: Hacking the heat

[40:46]- Interview: Dylan Davison

Links

Dylan's Facebook page

@dylan_davison on X

Dylan's Website

Cooler temperatures brings colder water for open water swimming. With that comes the risk of hypothermia. What happens to the body when we get cold and how can we prevent the worst complications of lower core temperatures? Are there ways that we can adapt to the cold in order to better resist the dangers? I go over the science with Juliet Hochman in the medical mailbag. Then, an interview with professional triathlete Lesley Smith who has more than twenty 70.3 podium results to her name in her ten seasons as a pro.

Segments:

[07:19]- Medical mailbag: Accidental Hypothermia

[31:18]- Lesley Smith

Links

Lesley's Facebook page @lesleyesmith on Instagram @LesleySmithTri on X

Vitamin C has been advocated as a means to boost immunity and stave off colds as well as an anti-oxidant that can help prevent cell damage. Some athletes and coaches have felt that taking this vitamin can help with endurance performance as well. What does the research say? Plus, a conversation with the volunteer coordinator of the Boulder 70.3 race, Jen Szabo. Hear what it takes to get as many as a thousand people to come and help make this event happen and why getting volunteers is becoming more of a challenge.

Segments:

[09:57]- Medical mailbag: Vitamin C

[time stamp]- Interview: Jen Szabo

Links

Jen's Facebook page

@RockstarSzabo on X @rockstarszabo on Instagram

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

Segments:

[05:02]- Medical mailbag: Carbon fiber footplates and increased injury risk

[31:44]- Michelle Lake

Links

Michelle's Facebook page

@CoachMichelleLake on Instagram

Michelle's Website

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

Segments:

[04:17]- Medical Mailbag: The gut microbiome and athletic performance

[32:35]- Tamara Jewett

Links

@tamarajewett on Instagram

Tamara's Website

One Tree Planted

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

Segments:

[07:28]- Medical mailbag: cardiovascular health in perimenopausal women

[31:46]- Jochem Batstra

Links

@event66_jochem on Instagram Jochem's Website Jochem's Facebook page

Is chocolate milk really all it's cracked up to be as the 'best drink for recovery'? And what is really meant by recovery in this context anyways?? Plus, a conversation with the founder and CEO of Humango, Eric Abecassis. Eric has developed an AI based platform to help athletes and coaches motivate and plan for the best training possible to achieve their goals.

Segments:

[08:41]- Medical mailbag-Chocolate milk for recovery

[28:04]- Eric Abecassis

Links

Humango

Humango on FB

Humango on IG

Men and women differ in many ways and recent research has suggested that one of these may be in how they need to hydrate during sporting activities. Menstruating women start out better hydrated than men and appear to lose less fluid than their male counterparts meaning that different genders may want to consider different hydration strategies. Coach Juliet Hochman and I discuss in the Medical Mailbag. Then, professionals Matthew Sharpe and Chris Leiferman join me to recount what went down in their epic race for the podium with Lionel Sanders at the Boulder 70.3 triathlon last weekend. Her the inside scoop from the men who finished in 3rd and 5th on the day

Segments:

[06:07]- Medical Mailbag: Gender differences in hydration needs

[28:51]- Interview with Matthew Sharpe and Chris Leiferman

Inflammation is poorly understood and yet a vital response to illness and injury. Unchecked it is also a cause of myriad chronic diseases. Recent research has also linked a heightened inflammatory state to aging suggesting a concept of inflammaging. So what is the inflammatory response and how concerned should we be with trying to control it? Plus, an interview with professional triathlete Jackson Landry. Off to a great start in 2023, Jackson shares his thoughts on the doping scandal that rocked our sport as well as fad diets and much more.

Segments:

[06:38]- Medical Mailbag: inflammation

[36:52]- Interview: Jackson Laundry

Links

Jackson's Facebook page

@jacksonlaundrytri on Instagram

Jackson's Website

Jackson on YouTube

The recent doping scandal has rocked triathlon and made many question if the sport is as clean as they think. I review the science on what agents dopers use, whether or not they actually improve performance and the shocking numbers of age group athletes that admit to using some form of banned substance in order to get an edge. Plus, an interview with the founder and owner of Varlo the triathlon apparel brand that has taken multisport by storm. Soj Jibowu has infused the company with a work ethic and enthusiasm that only partially explains its success. We talk about the company's philosophy and how their mission is to make triathlon more inclusive for whoever wants to participate.

Segments:

[05:35]- Medical mailbag: Doping in sport

[34:00]- Soj Jibowu of Varlo

Links

Soj Jibowu

Varlo on IG

Varlo website

The ketogenic diet is not a great idea for endurance athletes but some of the theoretical benefits of ketones as fuel are enticing. Supplemental ketones have been used by professional cyclists for some time now, is there any evidence to suggest this is a viable strategy for triathletes? Plus, a conversation with the co-executive director of First Bourne, a new company that offers exciting new options with full service for triathlon camps to athletes and coaches.

Segments:

[08:29]- Medical mailbag: ketone supplements

[27:40]- Jennifer O'Keefe

Links

@first.bourn on Instagram

The dangers of open water swimming are well documents but many also claim that open water swimming made them sick. Is this possible? If so then what can we do to decrease our risks and what should we be watching out for? Plus a conversation with the executive director of the USAT Foundation Thomas Lenneberg. He shares with me the Foundation's history, its mission and some of the good work that they have done over the past couple of years.

Segments:

[06:13]- Can swimming make you sick?

[23:37]- Thomas Lenneberg of USATF

Links

Episode 18, discussion of SIPE

Thomas Lenneberg

Thomas's Facebook page

@USATFoundation on X

Thomas's Website

@usatfoundation on Instagram

Stress has long been known to be an important risk factor for cardiovascular disease and is considered an important cause of morbidity and mortality. How psychological stress translates to physical disease has not been well understood though. New research suggests a mechanism for this connection and suggests how regular exercise may serve as a buffer of sorts, decreasing the impact of stress and improving long term outcomes. I review the evidence. Plus a conversation with the founder of nutrition app FuelIn, Scott Tindal. We chat about the importance of iron deficiency in athletes and whether or not supplementing with iron is a good idea.

Segments:

[10:20]- Stress and the heart and how exercise might help

[22:58]- SCOTT TINDAL

Links

SCOTT 's Facebook group

SCOTT 's Facebook page

@getfuelin on Instagram

SCOTT 's Website

SCOTT on YouTube

Science is not static and as new papers come out it is worthwhile revisiting previous topics to see if any of my previous conclusions should be updated. On this episode I look at newer research on topics previously covered in several different episodes to see if I should revise what I concluded at that time. Specifically, cold water immersion, platelet rich plasma injections, bicarbonate supplementation and stretching. Plus, endocrinologist Dr. Izzy Smith joins me to talk about FEMMI a women's coaching and educational organization in Australia and New Zealand that helps women and the men that work with them better understand the female reproductive cycle and how it may impact individual training and racing.

Segments:

[08:55]- Science updates

[29:28]- Izzy Smith

Links

@doctorizzyksmith on Instagram

FEMMI

Seasonal Affective Disorder (SAD) is a very common mood disorder in the northern hemisphere experienced during the fall and winter months by as many as 5% of the population who live there. What role does exercise and physical activity play in managing the symptoms and can exercise be helpful in preventing this problem? I review the evidence. Plus, an interview with multiple Ironman winner and 2014 IMWC runner-up Ben Hoffman. Ben has had a long and successful career that includes his win at last December's Patagoniaman Xtri in Chile. He joins me to chat about all of that as well as his plans for 2023.

Segments:

[08:25]- Seasonal Affective Disorder

[20:35]- Ben Hoffman

Links

Benjamin Hoffman

@bhoffmanracing on Instagram

Listeners have questions and I have answers! On this episode I answer listener questions about whether or not stretching is beneficial and on how to approach injuries with respect to recovery and rehabilitation. Plus, an interview with Canadian Olympian and now professional triathlete Matt Sharpe.

Segments:

[05:42]- Stretching/Injury Rehab

[20:07]- Interview: Matt sharpe

Links

LifeSport Tri Camp

My video on TriCamps

@mdsharpe1 on Instagram

@mdshrp on X

Matthew's Website

Much has been said about how female reproductive hormones can play a role in women's ability to train and race and most of what has been said has come from one woman. The reality though is the evidence paints a very different picture than what too many women have been sold as what to expect. I look at the latest in a growing body of evidence to question the dogma that women should expect to perform differently based on when in their cycle they train. Plus, a year after he first appeared on this podcast to talk about the Race Ranger, James Elvery is back to give an update after his first real world test in a race situation. How did it go and what comes next for the anti-drafting solution?

Segments:

[09:05]- Medical question-Menstruation and performance

[19:02]- Interview-James Elvery

Links

Ironman competition rules 2023

World Athletics approved shoe list

After Chelsea Sodaro won the Ironman World Championships there was a lot of talk about how extraordinary her accomplishment was given that she was a fairly new mother. While her accomplishment WAS indeed amazing should we be surprised that a woman could do that after having a baby? There is some scientific evidence on this question and I look at what it has to say on this matter. Plus, a conversation with the 70.3 World Championship silver medallist and third place finisher at Ironman Arizona, Ben Kanute.

Segments:

[09:10]- Medical question

[19:08]- Ben Kanute

Links

Garmin wearables measure all kinds of data whenever you wear them and then process that data through various algorithms to present users with composite metrics on training and health. For many, how these are derived and what they mean is very much a mystery while for others they can be a source of consternation especially when your watch tells you that a perfectly good workout was 'unproductive' to your training status! I look at these measures in order to explain how they are arrived at and whether or not you should pay them any heed. Plus, an interview with longtime professional triathlete Brent McMahon. The Canadian has been to the Olympics twice and seemingly raced everywhere around the world on the ITU, 70.3 and Ironman circuits. We discuss his long career and keys to his success.

Segments:

[06:07]- Garmin measures and metrics

[30:50]- Brent McMahon

Links

Brent McMahon

@Tribrentmcmahon on X

Brent's Website

@Tribrentmcmahon on Instagram

We know that exercise is good for our health and well being but can too much of a good thing be...not so good? Research has begun to show that in older individuals, the benefits of exercise may diminish after a threshold of volume and intensity is surpassed and a new paper has found that even among elite athletes in their twenties, too much training at too high an intensity might be the cause of cardiac events. I look at what is known about all of this. Scott Tindal has worked with professional athletes across many sports on different continents and now brings his skills to bear for triathletes as an advisory board member for nutrition for Ironman. He is also the CEO of FuelIn, an app for your phone that looks to help you sort out your nutrition and fit it to your training. Scott speaks to me about his philosophy for nutrition and training as well as about a plethora of other topics.

Segments:

[05:49]- Exercise and reverse J-curves

[19:39]- SCOTT TINDAL

Links

SCOTT 's Website

SCOTT 's Facebook group

@getfuelin on Instagram

SCOTT on YouTube

Side stitch can be the bane of runners everywhere but what causes it and how to prevent it remains very much a mystery. recent evidence suggests that a possible issue may actually be in your head, specifically related to stress levels. On this episode I review the science of what is known about this painful annoyance as well as this recent research on how anxiety and stress might lead to its occurrence. Mike Reilly has been calling the finish line for triathlon and most iconically Ironman for more than thirty years but that all came to an end with his retirement after the recent Ironman New Zealand. I had the great fortune to chat with him before he left for that event and you can hear him reminisce and talk about the future in this episode.

Segments:

[08:00]- Side stitch

[18:56]- Mike Reilly

Links

Mike's Website

Mike's Facebook page

@ironmanvoice on Instagram

@ironmanvoice on X

Mike on YouTube

IM foundation auction for Mike's towel

TriDoc Podcast FB group

Social media is the great unifier and the great disruptor of our times. It's effects on individuals and societies continue to be reckoned with but does social media use impact athletic performance? A growing body of evidence would seem to suggest so. I review what is known. Plus, a conversation with American professional triathlete Tim O'Donnell. Tim recovered from an unfathomable medical emergency in early 2021 to return to Kona this past October and finish in the top 15. We chat about his career, the last two years and what lies ahead.

Segments:

[07:55]- Social Media and athletic performance

[16:36]- Tim O'Donnell

Links

Waterfall Racing

Is there an association between endurance sports and poor oral health? Do all of the sugary drinks and gels combine to put athletes at risk for cavities and gum disease? Dr. Ian Needleman is an oral surgery professor in London, England and an ultra runner and he joins me to discuss this topic in the medical segment. Plus, Jim Vance has a well deserved reputation as one of the best coaches at developing young talent and producing champions. His most famous charge of late is olympian and newly minted 70.3 World championship silver medalist Ben Kanute. Jim joins me to talk about the state of coaching, how the sport is evolving with stellar performances from so many at the longer distances and what we can look forward to in the future.

Segments:

[07:04]- Ian Needleman and a discussion of oral health

[33:00]- Jim Vance

Links

@IanNeedleman on X

Ian's Website

@jimvance on X

@coachjimvance on Instagram

Jim's Website

In the second part of a two-part series, I sit down as the interviewee on my own podcast. For the first part I spoke about my history in multisport and for this part I answer questions about how I manage to keep all the balls in the air that I have going at any one time. I am an emergency physician, a dad, husband, triathlon coach and a successful triathlete at both the full and half distances. Listeners have asked how do I manage? With the help of 303 Triathlon's Bill Plock asking the questions I hope this interview will give you some insights on how it all gets done. Or at least barely so!

Links

303 Triathlon

Still interested in me interviewing you?

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

Links

Alex Larson:

Celine Evans:

Nutrition 360

LifeSport

Climate change was supposed to be a long drawn out process but its effects seem to be coming fast and furious. One of the main contributors to its development is seemingly becoming worse as a result of this global emergency and that is air pollution. More and more research links air pollution to disease and mortality and a new paper shows how it can impact athletic performance specifically during an Ironman event. I review the science. Plus, an interview with Ironman regional director Dave Christen. Dave is involved in the selection of new venues for races on the 70.3 and 140.6 calendars and he lets me in on what goes on in that process as well as the frenetic weeks and days before and after an event.

Segments:

[04:50]- Effects of Air Pollution on Performance

[16:20]- Dave Christen

Links

EPA air quality site

EPA AIRNow app for iPhone

In episode 98 I reviewed the science underpinning the claims being made by the makers of the CORE temperature sensor that purports to improve performance by virtue of allowing improved heat acclimation and heat training. In this episode I revisit the CORE with an update after speaking to some of the team behind it as well as some who are using it. I am not really in a better position to make a clear recommendation but I have a lot more insights to share! Also, an in interview with the talented and equally likable Joe Wilson. Always ready with a smile and a clap on the back for support, Triathlon Joe has been on the scene for almost as long as I have letting everyone know that this is FUN and of course, that the swim is canceled.

Segments:

[05:28]- CORE revisited

[24:54]- Joe Wilson

Links

Joe's Facebook page

@triathlonjoe on Instagram

@gamecockjoe on X

Joe on YouTube

Dr. Kristen Lund, OB/GYN joins me to discuss all matters related to menopause; what it is, why it happens, what the symptoms are, how it can be managed, how it affects endurance training, recovery and performance and much more. She also helps me understand some of the controversies and misunderstandings that permeate popular culture on this subject and spends a lot of time answering questions submitted by my listeners, themselves going through this transition their lives. This episode is for ALL of my listeners. For the women AND the men who certainly have women in their lives who are or will be dealing with these issues at some point.

Segments:

[06:20]- Menopause and the endurance athlete

Links

The Menopause Manifesto by Jen Gunther on Amazon

Over more than three and a half years and fifty thousand plus downloads, the TriDoc podcast has delivered entertaining interviews and informative reviews of the science behind all manner of products marketed to endurance athletes. Now, in my one hundredth episode it is time for me to pause and take a look back in order to once again help you see through the advertising ploys and red flags used to separate you from your hard earned money and review what doesn't work as well as the few things that are worth your time.

Segments:

[04:31]- A look back through what works and what doesn't

Sudden cardiac death (SCD) continues to be a fearsome specter for athletes in all endurance sports but especially for triathletes who have the highest rates of SCD during the swim than for any other activity. To date, no screening programs have proven successful or practical to lower the risk. With improvements in genetic testing, could this avenue offer a possible solution? I look at what the science says. Joanne Courtney had a long and successful career as a professional curler as the second for Rachel Homan's foursome through numerous national championships, Worlds and one Olympics. That all came to an end this past spring when she announced her retirement and that she was taking up a new sport, triathlon. Her journey to multisport has been pretty similar to that of so many others. Have a listen to her relate the struggles and triumphs as she swaps her proficiency with a curling broom for mediocrity in a swimming pool and the ensuing joys of reaching her first finish line.

Segments:

[07:33]- Genetic testing for inherited cardiac conditions

[22:20]- Joanne Courtney

Links

@joannecourtney89 on Instagram

@JoCourtney89 on X

Joanne Courtney Former elite level curler… played competitively x18 years - Olympian (2018), World Champion (2017), 8 Grand Slam titles Retired in May 2022 and decided to pivot to triathlon! Registered nurse (acute care hemodialysis x12 years)

The CORE body temperature monitor promises to make you perform better by allowing you to know when you are overheating and better perform heat acclimation protocols in preparation for events in warmer climates. There is a lot of science on their website but not a whole lot in the way of proof of concept. I review what is known on heat acclimation and try to understand how this technology might be useful. Karen Smyers won the Ironman World Championship and had several podium finishes in a career that included success on the ITU circuit as well. Now a coach and motivational speaker she still trains and races and speaks with me about her time in the sport and some of the keys to her successes.

About Karen: will email it

Segments:

[08:47]- CORE

[19:54]- Interview

Links

Karen's Facebook page

Karen's Website

BOA is a new novel way of getting your salt supplements via transmucosal delivery and the product promises a LOT. How much of what they are selling is based on science and how much is just the usual hype? I take a look and give you an overview of what you can expect. Joe Wilson is a successful age grouper and YouTuber he is also well know on the socials as an affable, fun loving guy who was recently featured in a Slowtwitch profile for his exploits as a supreme cheerleader at IM races. He joins me today to turn the tables by interviewing me. Many listeners have requested more information about my story and how I have found success at racing at an older age. Joe does a great job exploring my past and unlocking some of the keys to my successes.

Segments:

[05:15]- BOA

[19:25]- Joe Wilson Interviews the TriDoc

The AIRWAAV is an oral appliance that repositions the tongue and is supposed to improve respiratory mechanics and possibly athletic performance. As always, the product's website is full of big claims but what does the science say? Jordan Bryden is the current World Champion of the Ultraman a three day event that encompasses a 10k open water swim, a 260 plus mile bike over two days and a 50 plus mile run on the third day. But he is much more than that! He is a professional triathlete with wins at the 70.3 distance and significant accomplishments in Ironman and is an exceptional photographer. He joins me to talk about all of it.

Segments:

[06:30]- AIRWAAV

[17:19]- Jordan Bryden

Links

Jordan's Facebook page

@jordanbryden on Instagram

Jordan's Website

@jordanbryden on X

Gastrointestinal (GI) distress is an exceedingly common complaint among endurance athletes but despite years of research the actual reason for why this occurs remains mostly speculative. Recent research looked at whether or not what an athlete eats and how much of it can play a role in the development of GI issues during a race and the authors set out to determine if the underlying cause of the problem is inflammation and injury. I review their findings and give some specific recommendations with a special guest. Also, a conversation with the amazing Juliet Hochman. This former Olympic rower has lived her best life doing things that most of us can only dream of and on top of that has won world championships in several disciplines of multisport. I try to find out what makes her tick and get some practical advice that we can all use in our entertaining and informative conversation.

Segments:

[05:48]- Gi distress

[25:53]- Juliet Hochman

Links

Juliet's Facebook page

@juliethochman on Instagram

Juliet's Website

Hydration status is an important factor for performance especially in warmer environments. Recently though, research has emerged suggesting that as you become dehydrated it not only becomes harder to perform at the same level but the perception of effort is also affected. I look at the science and evaluate how much the effect is, when it becomes an issue and what can be done to prevent it. Plus, a conversation with Irish physiotherapist and competitive runner Eoin Everard on how to understand running injuries so that we can better strategize how to avoid them.

Segments:

[8:33]- Hydration and perception of effort

[20:33]- Eoin Everard

Links

Eoin's Facebook page

Eoin's Website

Alkaline water has been promoted for all manner of health benefits but is there any rationale for why this would work and any science to support the claims that it does? I look at what this basic solution is, what it is supposed to be able to do and whether or not there is any supporting evidence. Plus an interview with ageless DeDe Griesbauer. DeDe has been a professional triathlete for more than two decades and despite turning her attention to the ultra distance continues to break records and have success. Find out what makes her tick and why she thinks that she has had such incredible staying power.

Segments:

[07:59]- Alkaline water

[19:15]- Dede Griesbauer

Links

Dede's Facebook page

@dedegriesbauer on Instagram

Dede's Website

Overuse injuries are very common amongst professional triathletes and high performing age groupers alike. The conventional wisdom has always been that these are due to overloading training combined with insufficient recovery. New research now also suggests an important role for psychological and psychosocial stressors as well. I review the published evidence. Also, a discussion with the CEO of the Professional Triathlete's Organization (PTO) Sam Renouf. Sam educates me on the reasoning for the PTO and how it is aiming to improve our sport for professionals and age groupers alike and why we should celebrate their success and collaboration with WTC and Clash.

Segments:

[06:36]- Overuse injuries and the association with psychological stressors

[17:45]- Sam Renouf

Links

Sam Renouf

Sam's Website

Covid numbers have dropped and we may be in to a new phase of the pandemic but for millions of people symptoms persist in the form of long Covid. Worse, there may be as yet unknown long term consequences for young people as they age. Researchers at the University of Massachusetts recently published a paper that summarizes what is known about long covid in athletes and why some of it may portend for bad outcomes in the decades to come. I review their findings. Also, my conversation with Joe Friel with tips for how to get the most out of Training Peaks and his insights on the Triathlete's Training Bible.

Segments:

[08:28]- Long Covid and athletes

[21:02]- Joe Friel

Links

Joe Friel:

Twitter: @jfriel

You Tube channel

Website

Staying hydrated is an important contributor to success in endurance racing especially in warmer environments. A product that has been around in Oceania and is now available in the US has it's roots as an oral rehydration solution for children with cholera. It's makers claim that the same technology that works to improve outcomes in diarrheal illness make it a 'revolutionary hydration product' for athletes as well. Is this claim backed up by science? I take a look. Plus an interview with the man in the halo, professional triathlete Tim Don whose recovery from a dramatic injury is representative to many of what triathlon is about-overcoming tremendous adversity through hard work and dedication to achieve a goal. Through it all, Tim has retained the infectious smile and affable qualities that have made him one of the more popular athletes on the circuit. We discuss his history in the sport, his injury and recovery and where he goes next.

Segments:

[06:23]- PREPD

[21:12]- Tim Don

Links

Tim's website

TriDoc Podcast FB group

There is a longstanding belief that living and maybe training at altitude confers benefits on performance especially when an athlete goes to compete at a lower level. The science on this matter is a little less certain. Yes, there are physiological adaptations that occur but do these actually translate in to better results? I review the evidence. Plus, an interview with Skye Moench:

Skye is a professional triathlete who specializes in long-course triathlon. She is a multiple Ironman and 70.3 Champion. In 2021, Skye ended the year ranked 7th in the PTO World Rankings.

Segments:

[05:15]- Training at altitude

[20:08]- Skye Moench

Links

Skye's Facebook page

@skyemoench on Instagram

@skyemoench on X

Skye's Website

Skye on YouTube

The impact that good quality sleep has on exercise performance has been pretty well understood for some time now. What is becoming clearer is how exercise also has a role in improving the quality of sleep. In addition, there is a growing consensus that both sleep and exercise are beneficial to cognitive function and memory. I explore what is known about this and speak to some prominent researchers in the field. Plus, Heather Fuhr was one of a trio of dominant Canadian women in Ironman triathlon in the 90'2 and early 2000's. Fuhr won the 1997 World Championship in Kona and had numerous top ten finishes on the big island to go along with her many wins at Lake Placid, California, Japan and others. She joins me to discuss her storied career and what she has been doing to stay active in triathlon since her retirement.

Segments:

[06:59]- Exercise, sleep and memory

[18:04]- Heather Fuhr

Spirulina is the name given to the extract of two species of blue green algae. Easy to cultivate and harvest, the plant is a remarkable source of nutrients and was once touted by NASA as the 'food of the future' and has even been grown in space for that purpose. Spirulina has gained popularity as a supplement as well and not just for nutrition but also for its purported effects on exercise performance. What does the science say and is this at long last a supplement that I can get behind? Plus, an entertaining and informative interview with British professional triathlete Laura Siddall. Laura didn't take the usual route to the pro ranks and despite her success remains grounded and very much active in giving back to anyone and everyone that she can.

Segments:

[09:11]- Spirulina supplements

[25:00]- Laura Siddall

Links

Osteostrong is a program aimed at women that promises to build bone strength and prevent mineral loss in a way that is far more efficient than anything else out there and with results that seem far too good to be true. While not specifically targeted at athletes, the marketers of Osteostrong employ all of the same tired methods to induce customers to spend their money on something that is very much unproven. I explore these methods in order to once again demonstrate how marketers of devices can stretch credulity in order to separate you from your hard earned cash. While Osteostrong may not be triathlon specific, the lessons are definitely applicable. James Elvery is a former professional triathlete and the founder of Race Ranger a new technology that has the potential to revolutionize the bike leg of triathlon. He joins me to discuss this exciting new device.

Segments:

[07:00]- Osteostrong

[18:21]- James Elvery

Links

Race Ranger

The Omicron variant of Covid-19 has swept across the globe infecting record numbers of people including those with vaccinations. A question for many of those who are also endurance athletes is 'when and how can I safely return to training?' I am joined by Dr. Spencer Tomberg to review some recent guidelines in order to try and answer this important and timely question. Plus, an interview with Brandy Ramirez. Mother, wife, triathlete, triathlon coach, cancer survivor and founder of SheStrong a community of like minded women seeking to heal through shared experience and community. Brandy is spending her 2022 doing new things including her first full Ironman in Alaska and putting on her first ever race. She joins me to tell the whole story.

Segments:

[6:12]- Returning to training post-Covid

[34:10]- Brandy Ramirez

Links

Dr. Tomberg's YouTube channel: link

Link to Return to sport guideline: Here

SheStrong on FaceBook

Monarch Triathlon

The New Year is a time for resolutions and one that is frequently made involves losing weight in order to be healthier. But as obesity rates continue to rise unabated researchers have started to question the wisdom of making weight loss the goal and instead are starting to promote being active and fit instead. I take a look at the science in this area and report on how being active is a healthier and more sustainable way to reach your goals. In addition, I have an entertaining conversation with triathlon legend Bob Babbitt. Bob has been around triathlon as long as the sport has been around and he has the stories to prove it. Listen in as he talks about Hawaii before it was what it is today, the growth of the sport and the Challenged Athlete Foundation among just some of the things he has anecdotes to share.

Segments:

[5:30]- Activity vs. weight loss

[18:46]- Bob Babbitt

Links

CAF: link

Breakfast with Bob podcast

When transitioning from high volume and intensity endurance training to lower volume and supplementing with strength training, what are the changes that take place in the body? Why do so many coaches promote this kind of philosophy and is there a sound rationale for its use? This was the basis of a question submitted by a listener and I take a look at both the science and the coaching perspective in order to give an answer. Plus, a conversation with Mental Endurance Coach and podcaster Vanessa Faye Foerster. Vanessa was a solid triathlete but realized that in order to get to the next level she first had to get out of her own way. She describes how she did that and how she helps others do the same in order to reach their potential.

Segments:

[7:40]- Off season training physiology

[19:15]- Vanessa Foerster

Links

Vanessa's website to find her podcast and other connections: here

Vanessa's IG: vanessafayefoerster

We all know that our genes are the blueprint for who we are but has genetic testing reached the point that we can find out who we are meant to be? Several companies now offer DNA tests that purport to inform users of their athletic potential and specific abilities. Is this based on science or is this just another example of putting the cart way ahead of the horse? I investigate. Plus, the amazing Mike Wien; age group World Champion for the 70.3 triathlon, and winner of the Boston Marathon and NYC marathons all in rapid succession. Meet this amazing and affable man in my interview with him.

Segments:

[4:55]- The DNA Company

[21:00]- Mike Wien

Links

Mike's website: www.specificedge.com

Inside Tracker has been on a major advertising blitz of late making a huge push for new customers in an effort to get more athletes to spend hundreds of dollars on their blood testing services. I reviewed Inside Tracker a long time ago but given the surge in advertising and the promise of improved health and even performance to those who might be seduced in to signing up, I thought that it was time to revisit my original overview. Is a service like this helpful or in any way useful to improving health or athletic performance? I replay my original segment from Episode 4 and update it with some new insights. Also, a conversation with Canadian exercise physiologist and researcher Kate Wickham. Kate has in her early career already established herself as a quality researcher looking to reduce the gender gap in her field. We discuss some of her work as well as some of the limitations of exercise science research in general.

Segments:

[8:44]- Inside Tracker revisited

[25:50]- Kate Wickham

Iron deficiency is a common concern amongst athletes but is it a commonly occurring problem in this group? I review iron metabolism, dietary sources and the evidence on how frequently iron deficiency is found in the athlete population. I also look at what is known about iron deficiency and athletic performance as well as whether or not there is any benefit to iron supplementation. Plus, an interview with former Olympic cross country skier Kris Freeman. Kris had tremendous success in a sport that is generally dominated by Europeans and he did it while being diagnosed and learning to manage type 1 diabetes. After his skiing career, Kris has turned to triathlon where he continues to have great success and is at the forefront of understanding his disease and how to manage it.

Segments:

[6:11]- Iron deficiency in athletes

[26:35]- Interview with Kris Freeman

Links

Mark Allen YouTube video

Kris on FaceBook

Through 78 episodes the TriDoc podcast has been a resource for athletes trying to make sense of the advertising and marketing that accompanies products aimed at them promising to improve performance. On this episode, joined by the podcast intern Maddy Pesch, I review the ways that such marketing is often deceiving and how consumers can be better attuned to the kinds of common ways that what is promised so very often deviates from reality.Plus, a conversation with the highly entertaining Alex Larson. A nutritionist for endurance athletes who understands that eating is not only something to be enjoyed but a way to fuel high performance training and racing.

Segments:

[5:22]- Decoding the science in marketing

[39:10]- Alex Larson

Links

Alex's website

Instagram: alexlarsonnutrition

YouTube

FaceBook

FaceBook group

training with a running injury is often impossible and can be a real issue if a race is coming up. A new device called the Lever Movement advertises itself as a potential solution allowing runners to 'unweight' themselves and train through injury getting the benefits of improved fitness while allowing for injuries to heal. Similar but much more complicated and expensive technology in the form of the AlterG offers similar claims. So what does the science say? Are these devices worth the investment of money and time or is there a cheaper more accessible solution? Plus, a conversation with Dr. Tracy Cushing. Always smiling, always moving forward no matter what obstacles she faces, this triathlete had to deal with a rare form of breast cancer and through it all used triathlon as one of her main motivators through her darkest moments. Hear how she made it through and returned just as strong as ever.

Segments:

[6:54]- Anti-gravity running

[20:51]- Dr. Tracy Cushing

Links

AlterG website: link

Tracy Cushing on IG: @tracycrushescancer

Information on Lobular Breast Cancer: link

Blood Flow Restriction (BFR) has been around for more than three decades but is only now becoming more widely known among endurance athletes. What is it? How does it work? Does it really offer benefits that make it something that triathletes and other endurance athletes should consider? I look at the science. Plus, a conversation with John Duquette the owner of Blue70 sports on the how and why of wetsuits for triathlon. Are they really that much faster? Am I better with sleeves or without and what about those floaty shorts?

Segments:

[6:45]- Medical question

[22:14]- Interview

Links

TriDoc IM Indiana Race Report

Blue70

Myfirstwetsuit.com

Fall is here and with it comes the switch back to standard time. Why do we go through the annual changing of the clocks and is there any effect on health of doing so? I look at the evidence and include a discussion on a similar subject, crossing time zones for travel. How it impacts performance and why as well as what you can do about it. Plus, a conversation with six time Ironman World Champion and Master Coach Mark Allen.

Segments:

[10:40]- Daylight savings time/Jet Lag

[26:00]- Mark Allen

Links

Kelly O'Mara opinion article in Triathlete (membership required)

Mark Allen Coaching

Are you a morning person? An evening person? Something in between? Whatever it is, that chronotype has implications for when you are likely to best perform as an athlete during the day. Circadian rhythm refers to our internal clock and it has control over many physiologic processes. It turns out that it also has effects on athletic performance but it can be manipulated. In this episode I review the science on what time of day we perform our best and how we can manipulate our biology to work for us when we want it to. Plus, an interview with Detroit attorney and Ironman Foundation fundraiser Bill Ogden. Bill has had an eventful 2020 and 2021 in and out of our sport and he shares his experiences good and bad to help us all see the good that is in triathlon.

Segments:

[9:00]- Circadian rhythm

[20:26]- Bill Ogden

Links

Bill Ogden IMF donation page

Bill's Story with MS

In the third and final episode looking at novel treatments for injury, I look at the evidence supporting the use of Low Levels Laser Treatment (LLLT). This is a widely available procedure with no really well understood mechanism of action. Is there evidence to suggest that it might be useful? Plus, a conversation with up and coming Australian professional triathlete Steve McKenna. After an injury forced him to take time off from Aussie Rules football, McKenna discovered his natural abilities in multisport and he has never looked back.

Segments:

[9:30]- LLLT

[24:25]- Steve McKenna

Tim O'Donnell had a heart attack during a race and just recently announced this to the world. Now, collectively, the triathlon world is quite justifiably freaking out. If this happened to him then couldn't it happen to anyone? In this special bonus episode I discuss what it all means and why most people don't really need to worry. I am also joined by interventional cardiologist Dr. Matt Holland to discuss some of the nuances of what Tim disclosed in his video and leave you with some important take home points of what you should consider going forward to remain healthy.

Links

Tim's YouTube announcement video

Continuing the series on alternative therapies for injuries I look at the evidence in support of platelet rich plasma injections (PRP). While it has attracted a lot of attention and is advocated as a near miracle cure for all sorts of ailments, is there any research that actually bears out some of the claims? I take a look and give you a summary of the findings. Also, a conversation with the editor in chief of Triathlete Magazine, Keely O'Mara. Kelly is a pro triathlete with a lot of experience in and around the sport and has some great insights on all things triathlon.

Segments:

[8:40]- Medical question

[27:26]- Interview

Links

No one wants to get an injury as an athlete let alone be faced with a prolonged period of recovery before being able to return training. For this reason, those with injuries, especially of the chronic kind, are always looking for ways to hasten the healing process and get back to it. On this episode I begin a series of segments looking at the evidence for or against some of the more popular treatments that athletes may turn to. The first one I will examine is the use of steroid injections. Are they helpful? Can they cause harm? Who should consider them? Plus, a conversation with recently retired professional triathlete and the entrepreneur behind Dimond Bikes, TJ Tollakson.

Segments:

[05:53]- Steroids for injury

[19:33]- TJ Tollakson

Links

Dimond Bikes YouTube videos on the history of beam bikes: https://youtu.be/rKqTnuhAVZw

Dimond Bikes

Red Crown Cycling

In episode 66 I covered the benefits of massage as well as the risks if used too close to an event. On this episode I look at what has been done to evaluate the use of massage guns and vibration massage tools. Are they helpful? Are they any different than standard massage? Plus a conversation with High Intensity Interval Training expert and consultant Paul Larsen. He literally wrote the book on how to use this popular modality of training to get stronger and faster. He joins me to discuss the methods, the evidence to back them up and how triathletes can use HIIT to get faster in all three disciplines.

Segments:

[06:55]- Massage guns

[18:56]- Paul Larsen-HIIT

Links

https://hiitscience.com

https://athletica.ai/

Instagram

@hiitscience

@athletica_ai

Injuries are a constant threat for endurance athletes including triathletes but many don't consider swimming as high risk as biking or running because of the no-impact nature of the activity.In reality, shoulder injuries are very common among swimmers including triathletes. I review the evidence on just who is likely to be affected, what kinds of activity in the water is highest risk and what might be done to decrease the likelihood of getting injured.Plus, a conversation with Andrew Patterson the author of the popular Ironman Hacks newsletter, blog and race planning app.

Segments:

[06:25]- Swimming injuries

[26:15]- Andrew Patterson

Links

Tim Crowley

website

The Powerful Triathlete e-book: link

Andrew Patterson

Ironman Hacks

Iron Hack app

It has long been held that what surface you run on is a major contributor to injuries in running. Harder surfaces lead to more injuries than softer ones. Or is the other way around? Is it possible that we have this upside down? Newer analyses and thinking on this matter posits that in fact, the biomechanics of running on softer surfaces might actually be worse for injuries than when running on harder ones. I look at the research and give you the inside scoop. Plus, a wide ranging conversation with six time Kona champion and legend in the sport, Dave Scott.

Segments:

[04:40]- The relationship between running surfaces and running injuries

[14:35]- Dave Scott

Links

Dave's website: Link

Tapering is a well accepted part of a triathlon training program leading up to an event. But how should a taper be structured in order to get the most out of it and how long should it last? There is actually a fair bit of research on these questions and on this episode I take a look to help answer them along with some others like whether or not the 'taper tantrums' are a real thing. Plus, an interview with USAT CEO Rocky Harris. Rocky talks to me about the state of triathlon, the future coming out of the pandemic and efforts to increase diversity and inclusion in the sport.

Segments:

[06:00]- The science of tapering

[24:00]- Rocky Harris

Massage therapy does a body and mind good but is there any science to support the gestalt that we all may share that it really improves recovery or performance? Despite the fact that it has been around pretty much forever and the fact that there are many technological aids that leverage massage to purportedly enhance recovery, the truth is, evidence to support these claims is pretty scarce. I look at the science of a good rubdown. Plus, my conversation with Simon Ward a longtime British triathlon coach with numerous accolades and awards to his name. Simon is the toast of an entertaining podcast that espouses his philosophy of triathlon training-that we should all aspire to be 'high performance humans' as opposed to just high performing triathletes. We discuss what that means and how you can become one.

Segments:

[06:30]- Massage and recovery

[15:50]- Simon Ward

Links

It Could Be Me: https://www.itcouldbeme.org

Simon Ward podcast: link

Simon's website: link

Humans domesticated wheat millennia ago and in so doing created a civilization. Despite a harmonious and fruitful relationship, the past decade has seen a revolution against the grain precipitated by one man and his book 'Wheat Belly'. The subsequent rush to a gluten free lifestyle has been as rapid as it is mystifying. Is there any scientific evidence to support the claims in Wheat Belly or is it all one man's theorizing? And what of claims that being gluten free can enhance athletic performance? I look at the evidence. Plus, the conclusion of my entertaining and thought provoking interview with Sara Gross and Sarah True-in this segment we discuss the role for men in advocating for women in triathlon as well as their thoughts on transgender women in the sport.

Segments:

[06:30]- Gluten free diet

[16:00]- Pt. 2: Sara Gross & Sarah True

Links

FODMAP diet: https://www.monashfodmap.com

Live Feisty Media: link

If We Were Riding podcast

Cold has long been advocated as treatment for sore muscles after a hard workout but recent research is beginning to suggest that heat may actually be a better way to go. Can heat decrease the soreness associated with delayed onset muscle soreness and actually accelerate recovery to improved performance? I review the evidence. Sara Gross and Sarah True are the dynamic duo behind the podcast If We were Riding one of many podcasts that celebrate women in sport and can be found among the many excellent podcasts geared towards women on the Live Feisty Website. In part 1 of my conversation with them we tackle subjects like issues facing women in triathlon and how men can be better allies.

Segments:

[6:10]- Heat for recovery

[17:30]- Sara Gross & Sarah True

Links

USAT & Triathlete webinar on return to racing

Live Feisty Media: link

If We Were Riding podcast

Nutrition is often referred to as the fourth discipline of triathlon and for good reason but there are so many things that can contribute to undoing the best laid plans for a well fed race.On this episode of the podcast I am joined by Patrick Wilson PhD who has done a lot of research on how mental state can play a major role in affecting how the gut reacts during a race. We talk about anxiety and its potential impact on having a successful race. In addition, Dan Empfield, the inventor of the triathlon specific wetsuit, the first triathlon TT bike and the mind behind Slowtwitch joins me for a conversation about his journey through our sport and all the ways that he has made contributions.

Segments:

[04:47]- Anxiety and GI distress

[31:24]- Dan Empfield

Links

• https://twitter.com/SportsRD_PhD
• https://theathletesgut.com/

Asthma is one of the most common chronic respiratory conditions in the world and although it affects more children than adults, a large number of adults still suffer from its effects. In this episode, I look at the evidence that refutes many of the myths associated with asthma and endurance sport such as asthmatics have less ability to perform than non-asthmatics and exercise may be dangerous for people with asthma. In addition, I interview Australian professional triathlete Tim Reed who, it so happens, is an asthmatic himself. Tim shares his experiences as a longtime professional who has had success at all distances in the sport. He gives some insights on racing with underlying illness as well as his secret to success over a lengthy career.

Segments:

[07:03]- Medical question

[19:50]- Interview

Links

Tim Reed

www.timreed.com.au

Instagram- timbo_reed

Twitter: www.twitter.com/timboreed

FB: www.facebook.com/timreedprotri

It's finally time for the TriDoc to take on the keto diet. Although you likely have heard all about how keto can fix pretty much anything that ails you AND make you faster at the same time, the reality is somewhat different from the sales pitch that keto adherents love to espouse.The evidence on keto is actually really consistent: yes you can lose weight quickly but you won't keep it off and you definitely won't perform better. In fact you will perform worse. Nutritionist Celine Evans joins me to discuss the science that has been done on the keto diet and Allen Lim, founder of Skratch Labs talks carbohydrates and race day fueling as well as why you will want to stay away from keto if going fast is of any interest to you.

Segments:

[17:40]- Celine Evans-the science and rationale for the keto diet

[44:00]- Allen Lim-carbohydrates

Links

Womxn's Performance Summit

Celine Evans:

Celine on LifeSport Coaching

Celine's website

Allen Lim:

Skratch

Caffeine is one of the most frequently used drugs around the world and apparently for good reason. New research suggests that drinking coffee with caffeine can reduce heart disease and all cause mortality. There is also research that demonstrates that caffeine can enhance athletic performance. I review all the details and let you know how much coffee you should be drinking in order to benefit. Simon Marshall and Lesley Paterson are the dynamic author duo behind the deservedly successful book 'The Brave Athlete; Calm The F*ck Down and Rise To The occasion'. They join me for a conversation about the book and how it informs their coaching and their lives.

Segments:

[05:24]- Caffeine for performance and for life

[17:11]- Marshall & Paterson

Links

The Brave Athlete on Amazon

Braveheart Coaching

Lesley Paterson site

More data is more better right? Maybe, and then again, maybe not. Just because you can measure something doesn't necessarily mean that you should or that knowing that measurement is necessarily helpful or beneficial to performance. In this episode I review the evidence and discuss the physiology on continuous glucose monitoring. Is this a metric that can be helpful in informing training, racing or recovery? Also, an interview with accomplished ultra runner and producer of the Pain Cave podcast, Jason Friedman. Jason gives some insights on what it takes to start in the sport of ultra running and what it takes to succeed.

Segments:

[05:39]- Continuous glucose monitoring

[15:39]- Jason Friedman

Links

Jason's website: https://www.gunksrunner.com

Pain Cave podcast: https://www.gunksrunner.com/paincave

Jason's coaching site: https://boundless10200.com/bios

Bicarbonate is the latest in a long line of supplements to get the TriDoc treatment. I review the physiology to support the theoretical benefits and then review the scientific evidence to answer the important question: does it work? Then, I have a conversation with Tom Miller, a Colorado ultra-distance cyclist who learned last year that you should always listen to your body and seek medical care when things don't seem right because often, they aren't. Tom shares his cautionary tale as a warning to all.

Segments:

[04:40]- Medical question-Bicarbonate supplementation

[16:00]- Interview-Tom Miller

Links

Linkedin:  https://www.linkedin.com/in/tom-miller-0ba1258/

Facebook:  https://www.facebook.com/tomcolorado

The pandemic continues to be a scourge around the globe but even for those who recover the virus often leaves significant disability for many, many months. I discuss what is known of the post-Covid syndrome and why athletes need to be especially wary of contracting this virus if they haven't already. Plus, I speak with Colorado State University Triathlon coach Jon Mason. Mason is an avid proponent of the Stryd running power meter and he explains how it works and why he thinks you should use it to train and race.

Segments:

[04:33]- Post-Covid syndrome

[11:50]- Jon Mason, running with power

Links

Jon Mason-Coaching

The Inside Tri Show: link

Hunter Allen:

Peaks Coaching Group

Book: Training and Racing with Power

Patreon page for bonus interview and video with Hunter Allen

Inside Tri Show

Dr Michael Papadakis Twitter

Dr Michael Papadakis's work at St George's University in London

My Heart which offers support for young people diagnosed with life threatening heart conditions

Iggy Perillo

IG: @wsl_leadership_coaching

FB: @WSLLeadershipCoaching

Monthly newsletter:  https://www.subscribepage.com/wsl

Books:

Drive

Mindset

Lance Watson Tri Club

LifeSport Coaching

The Powerful Triathlete on Coachtube

TC2 Coaching

Ironman Hacks: https://ironmanhacks.com

Mario Mejia:

Personal Instagram username: @rico.chico

Charity Instagram: @heartsofempowerment

Charity Link: www.heartsofempowerment.org/ironman

The Run Smarter Podcast: www.runsmarter.online 

Triathlete magazine:

https://www.triathlete.com/active-pass/#_active-pass

TriDoc Podcast Patreon page:

https://www.patreon.com/TriDocPodcast

Social media for Michael Bowers:

IG: cyclingmichael

For Campus Cycles:

IG: campuscyclesdenver

campuscycles.com

Medical Question

01:50

Nat Heath interview

09:04