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Hello everyone, and welcome to 
the Doctors of Running podcast 

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where we, a group of doctors of 
physical therapy, discuss the 

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art and the science of the stuff
that we're putting on our feet. 

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I'm Andrea Myers, and today we 
have a very special guest with 

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us, Doctor Alan Lim, the founder
of Scratch Labs. 

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Doctor Lim, thank you so much 
for joining us today. 

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We're so excited to have you on 
the. 

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Pod Yeah, thanks for having. 
Me Scratch is also this year's 

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sponsor of the pod, so we also 
are very appreciative of all of 

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your support of our podcast. 
We love your products. 

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I've been using them, I think 
since you started Scratch Labs 

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back in 2012. 
So thank you for providing many,

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many great products over the 
years. 

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For those of you who aren't 
familiar with Doctor Lim, he 

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received his doctorate from the 
Applied Exercise Science 

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Laboratory at the University of 
Colorado at Boulder. 

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His doctoral work focused on the
use of portable power meters to 

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better understand the demands 
associated with professional 

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cycling. 
After graduating, Allen worked 

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on the Pro Cycling Tour as a 
sports scientist and coach for 

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the FONAC, Garmin and RadioShack
professional cycling teams. 

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After leaving the Pro Tour in 
2012, Allen founded Scratch 

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Labs, a sports nutrition company
based in Boulder, Co where he 

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leads product development and 
innovation. 

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He has also helped co-author 3 
cookbooks with Chef Bo Thomas, 

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The Feed Zone Cookbook, Feed 
Zone Portables and the Feed Zone

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Table which I have all three. 
They are awesome and highly 

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recommend. 
So again, thanks so much for 

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joining us. 
And 1st off, can you just tell 

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us what led you to starting 
Scratch Labs? 

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You know, I think the start of 
Scratch Labs, like many things 

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in life, was a bit of a happy 
accident. 

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I never really identified or saw
myself as an entrepreneur or a 

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business person. 
But you know, my time at on the 

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Pro Tour was up. 
I needed a way to support 

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myself. 
I had been making sports drinks 

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and different, you know, sports 
nutrition products for the 

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athletes I worked with when I 
was on the Pro Cycling tour. 

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And a lot of these athletes who 
I formerly worked with were 

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asking me for these products. 
And so with my really good 

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friend Ian McGregor and Aaron 
Foster, we literally started 

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making this stuff in, you know, 
first some little blenders at in

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in my own kitchen and then using
paint shaker at our local 

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hardware store. 
Initially we thought it was kind

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of, you know, maybe a funny 
little joke. 

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But we started to really hear 
from, you know what, what I 

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might call everyday athletes 
that we're having a big, big 

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impact on making the best part 
of their day even better. 

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And found, you know, a lot of 
learning, a lot of meaning, a 

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lot of curiosity out of it all. 
And so just followed our nose 

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and, you know, decided to try 
something new with the aim of 

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helping others to become better 
while still participating in, 

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you know, the the sports that I 
love. 

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I think that being a sports 
scientist and coach on the Pro 

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Cycling tour is a really, really
hard life. 

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You're on the road all the time.
I wanted to continue to 

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participate in that life, but I 
wanted to have a more 

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unconditional relationship with 
it, which meant that I had to 

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find a way to become financially
stable. 

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So you know, in many ways 
Scratch Labs has allowed me to 

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continue working at a very high 
level in sport, but instead of 

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the athletes having to worry 
about hiring me, Scratch 

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effectively sponsors me to help 
the athletes. 

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That's awesome. 
And also, when you're working on

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the Pro Tour, there's not a lot 
of time for your own personal 

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enjoyment of cycling or running 
or whatever your own outlet is. 

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So I'm sure you probably have a 
little more time to get out on 

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the bike these days. 
Yeah, it, you know, initially in

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the first couple of years of 
starting scratch, probably the 

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first decade, it was really, 
really hard. 

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I mean, it probably got worse 
before it got better. 

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But, you know, the last two or 
so years, yeah, I've been able 

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to enjoy getting out on the bike
more and taking better care of 

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myself as the company has grown 
and become more stable. 

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And, you know, it's been a nice,
a nice thing. 

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That's awesome. 
Well, congratulations. 

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It's good to be at that point. 
And yeah, I remember when Secret

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drink Mix had first come out and
people were talking about it. 

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And back then, the options for 
electrolyte drinks really were 

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not that great. 
I remember 1 brand in 

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particular, if you didn't wash 
your bottles 30 minutes after 

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you rode, you had a science 
experiment pretty quickly. 

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Yeah. 
And some just didn't taste that 

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good and some just didn't have 
the ingredients that you needed.

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So you guys have really nailed 
it on the head with the various 

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offerings that you have, but 
your products have kind of 

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evolved since you started. 
So can you tell me kind of how 

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that development process worked 
and how you've come to the line 

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that you have currently? 
It always comes from the 

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athletes, it always comes from 
conversations and from, you 

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know, the, the, the solving of 
problems for them. 

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Our sports drink mix hasn't 
changed all that much. 

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If anything, it does have a 
little bit more sodium. 

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We keep the formula 
extraordinarily simple. 

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It's really just sucrose and 
glucose, so simple sugars. 

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It has an amount of sodium that 
is on average, the amount that 

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someone loses in sweat, which is
about 800 milligrams of sodium 

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per liter. 
And then we just use freeze 

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dried fruit or dehydrated fruit 
juice to flavor the drink and 

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that's it. 
This was the first product that 

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we started with, and since then 
we've added other products to 

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our line. 
We've added a very complex 

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carbohydrate drink mix, 
something we call super high 

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carb to the line, which is made 
out of a complex starch called 

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highly branched cyclic dextrin. 
This allows more calories to be 

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put into a given volume of water
so that you can get more 

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calories through liquid fuel. 
The carbohydrate is complex 

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enough that it digests at a rate
that better matches the 

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absorption of carbohydrate or 
glucose through the small 

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intestine. 
So what that means is 

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effectively you don't get a 
traffic jam, you don't get a 

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bunch of little molecules into 
the gut that could cause GI 

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distress at once. 
What you have is very, very big,

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very dense carbohydrate that 
breaks apart in slower time 

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frame. 
You've added a recovery drink 

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mix, which is basically, you 
know, our version of chocolate 

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milk or or orchata or strawberry
milk. 

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We also have a vegan recovery 
drink mix product. 

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And then we have some products 
like energy chews and energy 

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bars. 
And finally, you know, my whole 

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adage has always been you can 
cook your own food, you can make

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your own sports trips. 
You don't necessarily have to 

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buy products from our, you know,
from scratch or from other 

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companies. 
And so This is why we wrote the 

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Feed Zone Cookbook series with 
Chef Bijou. 

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In the same light, this is also 
why we started the Scratch Labs 

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Cafe in Boulder, Co, a place 
where athletes can come and 

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connect, learn, be inspired and 
have great food before and after

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their, you know, big adventures.
I haven't had the chance to 

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visit your guys in Boulder, but 
I've heard that your cafe is 

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quite a place, so hopefully 
someday and I. 

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It's awesome. 
I think your cookbooks really 

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for cyclists in particular, 
change just options of what you 

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could eat on the bike 'cause you
go on a six hour ride. 

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I don't know if you know this. 
I was a professional cyclist 

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2015, 20 years ago. 
You get tired of bars and gels 

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and you know, I, I don't need to
tell you that, but just being 

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able to make something like 
those rice cakes in your book 

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where it tastes, it is real 
food. 

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You can vary up the ingredients 
so you don't get tired of it. 

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It makes you want to keep 
eating. 

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That was really a revolutionary 
for cycling and I'd love to get 

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your input on, you know, runners
would love those same options. 

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It's just we're a little more 
limited by storage issues and 

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digestive issues. 
I can't really imagine myself 

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eating a rice cake while, you 
know, doing a 20 mile long run. 

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So do you have anything that you
recommend to runners? 

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Like if they just don't want to 
use a gel or chews or whatever, 

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they want real food. 
What are some go TOS that you 

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recommend to your athletes? 
I think it really depends on how

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long they're running and what 
the intensity is, the duration. 

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I do think that first and 
foremost if an athlete is well 

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fueled and they have a high 
carbohydrate diet, then they 

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will have enough glycogen on 
board to cover, you know 

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anywhere from 15 to 20 miles. 
So I think that there is at 

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times an over concern about, you
know, consuming a lot of of of 

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food and drink when we're 
working out when those workouts 

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are under 2 hours. 
So if the workout is under 2 

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hours, my general recommendation
is just make sure that you're 

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eating properly during the week 
during your training life and 

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especially 3 hours before you 
work out. 

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And that if your blood sugar is 
a little low or you feel a 

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little under or it's going to be
a particularly intense workout, 

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I'll usually have athletes 
drink, you know, anywhere from 

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250 to 500 mills of carbohydrate
right when they start their 

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workout. 
So that's yeah, 50 to 100 grams 

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in 250 to 500 mills of water. 
So we'll use our super high carb

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product and make it at about a 
20% carbohydrate solution. 

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That's 20 grams per 100 mills 
and you know they'll have a 

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bolus of carbohydrate right when
they start. 

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And usually that allows runners 
not to have any GI distress, but

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it allows them to keep their 
blood sugar at a much higher 

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level during their workout. 
I think that for the ultra 

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endurance runners and crowd, it 
really depends on the intensity,

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right? 
You've got to make some 

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calculations to figure out what 
is the minimum amount of 

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carbohydrate you need to have to
keep your blood sugar off. 

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There is a lot of research 
that's involved because or using

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a combination of fat and 
carbohydrate during exercise and

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that ratio can change depending 
upon the intensity for a given 

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individual. 
Usually sports drink mix is 

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enough. 
And usually, you know, some 

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simple foods can work as long as
there's not a lot of fiber, as 

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long as it's very, very simple 
and there's not a lot of kind of

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access. 
So, you know, as an example, 

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I've had runners boil just 
little potatoes, add a little 

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bit of salt, maybe a little bit 
of Parmesan or olive oil and 

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wrap them up in paper foil. 
And that's usually simple enough

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that it works out OK, You know, 
But this is about a lot of 

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experimentation, both what you 
eat when you're not exercising 

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as well as what you're eating 
during exercise. 

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There is a limit to what the gut
can absorb. 

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And often times those 
limitations are also based upon 

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temperature. 
And so if you're overheating or 

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you have heat stress or you're 
not keeping yourself cool, that 

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could actually be the real 
bottleneck to absorbing 

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carbohydrate and, you know, 
keeping your blood sugar up. 

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So yeah, lots of options. 
I'd start with making sure 

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you're well fed. 
And that is the number one most 

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important recommendation, I 
think, you know, and as 

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endurance athletes, we can get 
caught up in like the 1% where 

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is we need really need to focus 
on the 99% sleep, proper 

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nutrition most of the day when 
we're not exercising, decreasing

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stress where we can strength 
training, you know, all of the 

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basic things that people know 
they should do, but they're not 

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as exciting is talking about 
like, oh, this fancy new 

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nutrition product or yeah. 
Yeah, yeah, you can't eat your 

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way into fitness. 
And I think that there is a 

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misnomer when athletes here, 
what is being consumed by the 

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most elite athletes who have the
highest level of fitness, who 

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have the highest level of energy
expenditure, For those athletes,

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they have to eat proportion to 
their energy expenditure. 

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So a lot of this also depends 
on, well, how many calories are 

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you burning? 
And I do think that a lot of 

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people overestimate how much 
work they're doing when they're 

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out on a run. 
You know, I think a very, very 

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simple rule this is, you know, 
over generalized, but every 

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mile, whether you walk or run is
going to burn about 100 

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calories. 
So and you know for most people,

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if they are on a high 
carbohydrate diet, they'll 

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likely have about 2000 calories 
worth of glycogen on board, 

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which is the storage form of 
carbohydrate which your body can

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use as that, you know, high 
octane fuel during high 

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intensity exercise. 
So I was listening to you on 

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00:13:31,400 --> 00:13:34,920
another podcast recently and you
had mentioned, you know, that 

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you have your athletes drink a 
high carb bottle right before 

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starting and that you also 
recommend not eating in the one 

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00:13:42,560 --> 00:13:45,960
to two hours before exercise, 
which of course makes sense 

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because you don't want a blood 
sugar crash. 

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So that interested me because I 
work out in the morning, I get 

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up an hour before I'm going to 
go run. 

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I eat a bowl of oatmeal and I 
can go run. 

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And I don't have any symptoms 
of, you know, blood sugar crash.

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00:14:01,800 --> 00:14:06,040
But for people like me, would it
actually be better to not eat 

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that hour before and just take 
something right before heading 

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00:14:10,000 --> 00:14:12,080
out? 
Or is it more so you figure out 

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what works for you? 
Yeah, I, I don't know. 

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I would say it's what works for 
you and that's a very easy 

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00:14:19,200 --> 00:14:24,720
experiment for you to do. 
So I'm not, I'm not a believer 

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00:14:24,720 --> 00:14:28,680
in any particular way or like 
fact per SE. 

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00:14:30,040 --> 00:14:32,960
I'll say that differently. 
I'm not a believer in any 

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00:14:33,000 --> 00:14:37,160
particular fact. 
I am a believer in the process 

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00:14:37,160 --> 00:14:42,360
of the scientific method as a 
way and so you can do that 

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00:14:42,360 --> 00:14:47,520
experiment yourself and actually
try a different approach. 

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00:14:47,520 --> 00:14:53,160
Meaning sleep an extra hour, 
have you know, 50 to 100 grams 

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00:14:53,160 --> 00:14:56,840
of carbohydrate right as you 
start your workout and see if 

247
00:14:56,840 --> 00:14:59,480
you perform better, see if you 
feel better, see if you go 

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00:14:59,480 --> 00:15:02,800
faster. 
Do this a few times on the same 

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00:15:02,800 --> 00:15:06,680
course and then go back to the 
oatmeal and see how you feel. 

250
00:15:07,440 --> 00:15:10,920
You can also buy a blood glucose
sensor and monitor your blood 

251
00:15:10,920 --> 00:15:14,960
sugar and see which results in a
more consistent and elevated 

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00:15:14,960 --> 00:15:19,000
blood sugar during the exercise.
And you can monitor whether or 

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not that increase in blood sugar
during exercise is associated 

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00:15:22,240 --> 00:15:25,880
with better performance as well.
So I would encourage you to 

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00:15:25,880 --> 00:15:29,080
experiment. 
I would also say that being able

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00:15:29,080 --> 00:15:33,040
to eat an hour before exercise 
is not the norm, so while it 

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00:15:33,040 --> 00:15:37,240
might work for you, it's usually
not where I would start someone.

258
00:15:37,920 --> 00:15:40,760
Yeah, understood. 
Yeah, we're all an end of one, 

259
00:15:40,840 --> 00:15:42,240
right? 
What works for me is going to 

260
00:15:42,240 --> 00:15:47,520
work for you. 
So we know scientific facts, but

261
00:15:47,760 --> 00:15:50,840
that doesn't mean that those 
facts applied the same to 

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00:15:50,840 --> 00:15:52,840
everybody. 
Well, yeah, that's right, 

263
00:15:52,840 --> 00:15:55,160
because most scientific facts 
are based on an average. 

264
00:15:55,200 --> 00:15:56,720
They're based on a normal 
distribution. 

265
00:15:57,000 --> 00:15:59,840
And depending upon where you end
up on the scatter plot, you 

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00:15:59,840 --> 00:16:04,680
know, if you're on one far side,
you know, 1 standard deviation 

267
00:16:04,680 --> 00:16:07,840
over versus 2 standard 
deviations over, you're talking 

268
00:16:07,840 --> 00:16:09,680
about being a totally different 
beast. 

269
00:16:10,120 --> 00:16:14,360
Of course, and also, you know, 
thanks to Stacey Sims and other 

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00:16:14,360 --> 00:16:18,680
researchers, there are finally 
some exercise Physiology 

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00:16:19,640 --> 00:16:22,560
research studies being done 
specifically on women. 

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00:16:22,560 --> 00:16:26,160
But for many, many years, most 
studies were done on men. 

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00:16:26,520 --> 00:16:30,240
So a lot of the nutrition 
research that, you know, I had 

274
00:16:30,240 --> 00:16:35,880
access to 20-30 years ago didn't
apply to me as accurately as 

275
00:16:35,880 --> 00:16:39,720
perhaps it could have now. 
Yeah, yeah, yeah. 

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00:16:40,040 --> 00:16:41,800
I think what's important when 
you read the scientific 

277
00:16:41,800 --> 00:16:45,320
literature is you read the 
methods and you try to 

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00:16:45,320 --> 00:16:48,960
understand whether or not you 
can replicate those methods, you

279
00:16:48,960 --> 00:16:53,040
know, for yourself. 
Obviously, you know, today it's 

280
00:16:53,040 --> 00:16:56,000
a lot easier to do than in the 
past because there are so many 

281
00:16:56,000 --> 00:17:00,000
tools available to us to self 
monitor, whereas in the past 

282
00:17:00,000 --> 00:17:03,160
there were not, You know, you 
had to go to a laboratory to 

283
00:17:03,160 --> 00:17:05,720
measure power output. 
You had to go to a laboratory to

284
00:17:05,720 --> 00:17:08,880
measure, you know, blood lactate
or you know, your blood sugar 

285
00:17:08,880 --> 00:17:12,160
during exercise. 
Now you can make most of those 

286
00:17:12,160 --> 00:17:15,440
measures with very common 
devices that are connected to 

287
00:17:15,440 --> 00:17:16,520
your phone. 
Right. 

288
00:17:16,520 --> 00:17:19,839
It's pretty incredible what is 
available at the consumer level 

289
00:17:19,839 --> 00:17:21,880
now. 
I think blood glucose monitors 

290
00:17:21,880 --> 00:17:25,240
are going to become more and 
more popular for all endurance 

291
00:17:25,240 --> 00:17:27,880
athletes. 
I wanted to, I'm glad you 

292
00:17:27,880 --> 00:17:30,280
brought that up. 
I wanted to ask you what you 

293
00:17:30,280 --> 00:17:35,960
think about sweat rate sensors. 
Some companies have, you know, a

294
00:17:35,960 --> 00:17:38,880
little sticker you put on and 
then it reports to an app and 

295
00:17:38,880 --> 00:17:41,520
helps you figure out your sweat 
rate and sodium loss. 

296
00:17:41,960 --> 00:17:44,920
Do you have an opinion on those?
Is there one that's better than 

297
00:17:44,920 --> 00:17:47,560
others? 
Or how would you have athletes 

298
00:17:47,560 --> 00:17:49,440
figure out their sweat and 
sodium? 

299
00:17:50,160 --> 00:17:54,360
Yeah, I think that the easiest 
way to measure sweat rate is and

300
00:17:54,360 --> 00:17:56,560
the most accurate way to measure
it is using a scale. 

301
00:17:57,040 --> 00:18:00,560
So if you simply measure your 
body weight before and after, 

302
00:18:00,960 --> 00:18:03,560
and you do a little bit of 
accounting as to what you drink 

303
00:18:03,560 --> 00:18:07,120
during your activity, then you 
can basically take the weight 

304
00:18:07,120 --> 00:18:11,840
difference, add back the water 
volume that you consumed and 

305
00:18:11,840 --> 00:18:16,480
that amount of body weight loss 
where 1 kilogram is equal to 

306
00:18:16,520 --> 00:18:20,720
1000 mills, right? 
And you know, you add up the 

307
00:18:20,720 --> 00:18:24,840
rest of your fluid in mills 
divided by your time of exercise

308
00:18:24,840 --> 00:18:29,120
is your sweat rate. 
And that's very, very simple to 

309
00:18:29,200 --> 00:18:32,840
understand. 
What's harder to understand is 

310
00:18:32,840 --> 00:18:35,360
what your sodium concentration 
is. 

311
00:18:35,360 --> 00:18:39,040
And this bears, this is really, 
really important because 

312
00:18:39,840 --> 00:18:42,480
dehydration, hydration is not 
just about water volume. 

313
00:18:42,480 --> 00:18:44,680
It's also about electrolyte 
balance. 

314
00:18:45,080 --> 00:18:47,880
And so, you know, our body is 
trying to do 2 things. 

315
00:18:47,880 --> 00:18:50,120
It's trying to maintain or 
replace. 

316
00:18:50,160 --> 00:18:52,880
It wants to maintain or replace 
the water that we've lost, but 

317
00:18:52,880 --> 00:18:55,880
it also wants to maintain an 
appropriate concentration of 

318
00:18:55,880 --> 00:19:00,400
sodium in our bloodstream. 
When we sweat, we also not just 

319
00:19:00,400 --> 00:19:02,440
lose water, but we also lose 
sodium. 

320
00:19:02,480 --> 00:19:06,080
And the sodium that we lose can 
be highly, highly variable. 

321
00:19:06,320 --> 00:19:12,640
It's, you know, probably amongst
one of the top most genetically 

322
00:19:12,640 --> 00:19:15,400
variable traits and 
phenotypically variable traits 

323
00:19:15,400 --> 00:19:19,040
in the human species. 
So whereas, you know, there 

324
00:19:19,040 --> 00:19:24,640
might be a, a range of height, 
the range of sodium loss is, is 

325
00:19:24,640 --> 00:19:28,560
like, you know, threefold that, 
fivefold that tenfold that of 

326
00:19:29,040 --> 00:19:32,280
differences that you might see 
in normal adult height for a 

327
00:19:32,280 --> 00:19:37,040
gender. 
Because of that, understanding 

328
00:19:37,040 --> 00:19:39,800
how much salt you lose can be 
very, very important. 

329
00:19:40,040 --> 00:19:44,400
But there's one very easy way to
do that beyond direct measure, 

330
00:19:44,680 --> 00:19:49,640
and that is simply to weigh 
yourself and to drink to thirst,

331
00:19:49,960 --> 00:19:53,680
because the thirst mechanism is 
triggered by two basic things. 

332
00:19:53,680 --> 00:19:56,760
It's triggered by the 
maintenance of electrolyte 

333
00:19:56,760 --> 00:19:58,640
balance. 
So there is what's called 

334
00:19:59,120 --> 00:20:02,840
hypernatremic trigger, where if 
your blood sodium concentration 

335
00:20:02,840 --> 00:20:06,520
goes up too high because you're 
losing water, then you get 

336
00:20:06,520 --> 00:20:09,040
thirsty. 
The other trigger is something 

337
00:20:09,040 --> 00:20:11,640
called the hypovolemic trigger. 
So if you're losing water and 

338
00:20:11,640 --> 00:20:14,840
your blood volume is going down.
Your blood pressure goes down. 

339
00:20:15,040 --> 00:20:16,520
That's another trigger for 
thirst. 

340
00:20:16,680 --> 00:20:19,160
There are many other triggers 
for thirst, but those are 

341
00:20:19,160 --> 00:20:22,800
probably the most substantial. 
Now, assuming that during 

342
00:20:22,800 --> 00:20:26,200
exercise your blood pressure is 
up, then a primary trigger now 

343
00:20:26,200 --> 00:20:28,280
is going to be the maintenance 
of electrolyte balance. 

344
00:20:28,640 --> 00:20:35,080
So if I lose 1000 milligrams of 
sodium per liter of sweat and I 

345
00:20:35,080 --> 00:20:39,160
exercise for an hour on a very 
hot day and lose an entire liter

346
00:20:39,160 --> 00:20:41,760
of sweat, a whole Nalgene model,
right? 

347
00:20:43,200 --> 00:20:47,680
Because that liter of sweat at 
1000 milligrams is more dilute 

348
00:20:47,680 --> 00:20:51,600
than blood, which is about 3000 
milligrams of sodium per liter 

349
00:20:51,600 --> 00:20:55,080
of blood. 
What ends up happening is my 

350
00:20:55,080 --> 00:20:59,880
sodium concentration increases, 
I get triggered to want to 

351
00:20:59,880 --> 00:21:04,800
drink, and if I drank plain 
water I would only end up 

352
00:21:04,800 --> 00:21:11,560
drinking about 2/3 of a liter or
750 mills in order to satiate my

353
00:21:11,560 --> 00:21:16,600
thirst or bring my electrolyte 
concentration back to normal 

354
00:21:16,960 --> 00:21:22,360
because there's not as much salt
in the pool right since I've 

355
00:21:22,360 --> 00:21:27,280
lost some. 
So what's very interesting is 

356
00:21:27,280 --> 00:21:32,600
that if I am drinking plain 
water to thirst and I am losing 

357
00:21:33,160 --> 00:21:38,680
a decent amount of sodium, your 
thirst mechanism will never get 

358
00:21:38,680 --> 00:21:42,200
you to drink more water than 
what you've lost. 

359
00:21:42,200 --> 00:21:45,160
Because your thirst mechanism 
doesn't want you to dilute out 

360
00:21:45,520 --> 00:21:48,600
your blood sodium value, doesn't
want you to get hypernutrientic.

361
00:21:49,160 --> 00:21:52,400
Diluting out your blood sodium 
concentration can have a ton of 

362
00:21:52,840 --> 00:21:56,880
impact on your nervous system. 
Sodium is essential for 

363
00:21:56,880 --> 00:22:00,280
conducting nerve signals across 
our body from our brain and an 

364
00:22:00,280 --> 00:22:03,160
important kind of control 
element. 

365
00:22:03,880 --> 00:22:09,640
So here's the deal. 
If you go out and exercise and 

366
00:22:09,640 --> 00:22:13,080
you lose a certain amount of 
body weight and say you're 

367
00:22:13,080 --> 00:22:16,880
drinking plain water to thirst, 
all you have to do to kind of 

368
00:22:16,880 --> 00:22:20,560
calibrate your sodium intake is 
start adding back some salt. 

369
00:22:20,560 --> 00:22:25,440
And eventually you'll find a 
point where you make your drink 

370
00:22:25,440 --> 00:22:30,400
mix salty enough that by 
drinking to thirst, there is no 

371
00:22:30,400 --> 00:22:33,920
longer a weight lost. 
And so there's a way to kind of 

372
00:22:33,920 --> 00:22:36,920
self titrate how much sodium you
need. 

373
00:22:37,440 --> 00:22:41,040
So rather than just assuming 
that there's a prescriptive 

374
00:22:41,040 --> 00:22:45,720
amount of either sodium or water
you need to drink, you can do a 

375
00:22:45,720 --> 00:22:48,520
simple experiment of weighing 
yourself before and after 

376
00:22:49,120 --> 00:22:53,320
incrementally increasing the 
sodium you intake until you get 

377
00:22:53,320 --> 00:22:57,080
to a point where you're no 
longer losing body weight. 

378
00:22:57,400 --> 00:22:59,720
And if you know how much water 
that is and how much salt that 

379
00:22:59,720 --> 00:23:03,760
is, you know, the concentration 
of the sodium in your sweat in 

380
00:23:03,760 --> 00:23:07,280
theory or at least 
pragmatically, you know how much

381
00:23:07,280 --> 00:23:11,120
salt you need to consume to 
encourage your thirst so that 

382
00:23:11,120 --> 00:23:14,720
you staying in both electrolyte 
balance as well as water 

383
00:23:14,720 --> 00:23:18,000
balance. 
You can also, you know, go to 

384
00:23:18,000 --> 00:23:21,880
different laboratories or you 
know, exercise, you know, phys 

385
00:23:21,880 --> 00:23:24,720
labs or you can come to the 
Scratch Labs office and we can 

386
00:23:24,720 --> 00:23:29,600
directly measure how much sodium
you lose in your sweat and that 

387
00:23:29,600 --> 00:23:32,480
will get you in the ballpark. 
There are a number of different 

388
00:23:32,480 --> 00:23:35,760
devices that do it now. 
They range in their consistency.

389
00:23:37,080 --> 00:23:42,840
I generally like the H drop, 
which is both a sweat rate 

390
00:23:42,840 --> 00:23:49,000
analysis wearable as well as a 
sodium concentration wearable. 

391
00:23:49,240 --> 00:23:53,240
I find that my experience with 
it has been that the sweat rate 

392
00:23:53,240 --> 00:23:59,200
is not very accurate, but that 
the sodium concentration is 

393
00:23:59,200 --> 00:24:03,000
within range of what we measure.
So it's not a bad device, but 

394
00:24:03,000 --> 00:24:05,560
it's hit or miss. 
We've gotten some bad devices, 

395
00:24:05,560 --> 00:24:09,560
We've gotten some really, really
good devices from them, but I 

396
00:24:09,560 --> 00:24:13,160
think that it's probably the one
that I would recommend. 

397
00:24:13,640 --> 00:24:15,960
I would back up the sweat rate 
with a scale though. 

398
00:24:16,760 --> 00:24:20,680
And I think the very, very 
simple conclusion of that whole 

399
00:24:21,000 --> 00:24:23,840
little dissertation there is 
replace what you lose. 

400
00:24:24,640 --> 00:24:27,280
We lose salt and we lose water 
when we exercise. 

401
00:24:27,600 --> 00:24:31,040
We also burn fuel. 
If you can replace at least half

402
00:24:31,040 --> 00:24:33,960
the fuel you're burning and 
replace most of the water and 

403
00:24:33,960 --> 00:24:36,960
salt that you're losing during 
exercise, you will perform 

404
00:24:36,960 --> 00:24:38,120
better. 
Right. 

405
00:24:38,560 --> 00:24:42,480
And I like how you explain this 
because you it's not a simple 

406
00:24:42,480 --> 00:24:46,560
concept, but it is simple to 
figure out for yourself. 

407
00:24:46,560 --> 00:24:49,040
It doesn't have to be some 
magical system. 

408
00:24:49,040 --> 00:24:54,560
You don't need to pay for some 
crazy, you know it's just figure

409
00:24:54,560 --> 00:24:57,360
out what you lost, replace it, 
see how you feel. 

410
00:24:58,000 --> 00:24:58,880
That's right. 
That's right. 

411
00:24:59,240 --> 00:25:01,080
You need some salt. 
You need a scale, you need 

412
00:25:01,080 --> 00:25:05,160
water. 
We're in a good place and in the

413
00:25:05,160 --> 00:25:07,360
States to to have access to most
of those things. 

414
00:25:07,480 --> 00:25:11,160
I think so, yes. 
So we've really dovetailed 

415
00:25:11,160 --> 00:25:14,320
nicely into the first topic I 
wanted us to talk about. 

416
00:25:14,320 --> 00:25:16,920
But here at Dor, we love to go 
on tangents. 

417
00:25:16,920 --> 00:25:19,360
So thank you for these excellent
tangents so far. 

418
00:25:19,720 --> 00:25:24,800
So you, the podcast I listened 
to on you are very good at 

419
00:25:24,800 --> 00:25:29,000
explaining scientific concepts. 
And you know, I think back to my

420
00:25:29,000 --> 00:25:34,280
college days and all of the 
best, smartest professors taught

421
00:25:34,680 --> 00:25:38,840
the one O 1 level classes 
because if you can teach basic 

422
00:25:39,160 --> 00:25:44,240
concepts to undergrads, then 
it's that's much harder than 

423
00:25:44,240 --> 00:25:46,880
teaching advanced concepts to 
people who already get it. 

424
00:25:47,200 --> 00:25:50,920
So I would like you to do a 
little sports nutrition one O 1 

425
00:25:50,920 --> 00:25:53,920
for us because, you know, you 
and I understand all of these 

426
00:25:53,920 --> 00:25:55,880
terms. 
But you know, when I deal with 

427
00:25:55,880 --> 00:25:59,120
patients or bike fitting 
clients, a lot of people would 

428
00:25:59,120 --> 00:26:02,640
have a, you know, minimal 
understanding of even what the 

429
00:26:02,640 --> 00:26:06,080
word glycogen means. 
So if you could just help our 

430
00:26:06,080 --> 00:26:08,640
listeners understand some of 
these basic terms. 

431
00:26:08,640 --> 00:26:11,080
So first, let's just start with 
glycogen. 

432
00:26:11,400 --> 00:26:13,720
What is it? 
Why do we always talk about it? 

433
00:26:14,000 --> 00:26:17,440
Why is it so important for us as
endurance athletes? 

434
00:26:18,200 --> 00:26:20,360
Yeah. 
So glycogen is the storage form 

435
00:26:20,360 --> 00:26:24,800
of carbohydrate and muscle. 
We have 3 primary fuels that we 

436
00:26:24,800 --> 00:26:28,560
we can use to exist. 
We can use fat, we can use 

437
00:26:28,560 --> 00:26:31,360
carbohydrate. 
And in some extreme cases we can

438
00:26:31,360 --> 00:26:36,000
break down protein and use the 
carbon backbone from protein to 

439
00:26:36,000 --> 00:26:38,600
fuel ourselves. 
And, you know, that's kind of in

440
00:26:38,600 --> 00:26:43,280
a extreme starvation type of 
state or an extreme exercise 

441
00:26:43,280 --> 00:26:46,120
state. 
But primarily we use fat and 

442
00:26:46,120 --> 00:26:49,080
carbohydrate to fuel. 
The relationship between fat and

443
00:26:49,080 --> 00:26:52,800
carbohydrate in terms of when we
use it for a fuel depends on 

444
00:26:52,800 --> 00:26:55,640
intensity. 
So when we're sitting here just 

445
00:26:55,640 --> 00:26:57,920
talking to one another, we're 
primarily using fat. 

446
00:26:58,280 --> 00:27:03,040
It costs more oxygen to use fat,
and there are more steps in 

447
00:27:03,040 --> 00:27:06,840
utilizing fat. 
As we increase intensity and 

448
00:27:06,840 --> 00:27:10,920
oxygen becomes more scarce, we 
start to use proportionately 

449
00:27:10,920 --> 00:27:15,680
more carbohydrate. 
That carbohydrate, which is 

450
00:27:15,680 --> 00:27:21,400
critical for high intensity 
work, though, is limited because

451
00:27:21,600 --> 00:27:24,720
the storage capacity for 
carbohydrate is much, much 

452
00:27:24,720 --> 00:27:27,040
smaller than the storage 
capacity of fat. 

453
00:27:27,320 --> 00:27:32,440
We could probably walk for days 
for, you know, a hundred 200 

454
00:27:32,440 --> 00:27:37,120
miles on fat, but only be able 
to run at a high intensity for 

455
00:27:37,120 --> 00:27:40,640
20 miles on stored glycogen. 
And so there's a 

456
00:27:40,640 --> 00:27:43,440
disproportionate amount of fat 
in our body that we can use for 

457
00:27:43,440 --> 00:27:47,040
fuel, but that necessitates that
we slow down and go very slow. 

458
00:27:47,320 --> 00:27:52,000
Whereas if you're a competitor, 
you need that carbohydrate to be

459
00:27:52,000 --> 00:27:56,560
able to go hard and to go fast. 
The other thing is, is that we 

460
00:27:56,560 --> 00:28:00,200
can't completely utilize all of 
the fat we have unless we 

461
00:28:00,200 --> 00:28:04,360
maintain the metabolic pathways 
that help us to burn fat. 

462
00:28:04,640 --> 00:28:08,240
And those metabolic pathways are
dependent upon the breakdown of 

463
00:28:08,240 --> 00:28:12,560
carbohydrate as a substrate 
because that carbohydrate 

464
00:28:12,720 --> 00:28:15,840
provides some of the backbone 
material for those biochemical 

465
00:28:15,840 --> 00:28:18,680
pathways. 
One simple analogy is this is 

466
00:28:18,680 --> 00:28:24,080
that carbohydrate is like the 
Wick and fat is like the wax, 

467
00:28:25,040 --> 00:28:28,680
and you can't burn the wax 
without a little bit of Wick. 

468
00:28:29,600 --> 00:28:32,640
A Wick, if you had a bunch of it
and only burned that would burn 

469
00:28:32,640 --> 00:28:34,640
really fast and really, really 
hot. 

470
00:28:35,320 --> 00:28:39,640
The wax is more ample. 
It burns for a very, very long 

471
00:28:39,640 --> 00:28:41,360
time. 
But if you don't have a little 

472
00:28:41,360 --> 00:28:45,200
bit of that Wick to burn it, 
then you just have a big puddle 

473
00:28:45,200 --> 00:28:49,520
of melted wax, right? 
That that isn't being used for 

474
00:28:49,520 --> 00:28:54,120
any useful work. 
With that in mind, glycogen, 

475
00:28:54,360 --> 00:28:56,680
again, is how we store that 
carbohydrate. 

476
00:28:57,000 --> 00:29:00,040
It's a very, very complex 
molecule. 

477
00:29:00,920 --> 00:29:06,600
It's a molecule that is 
comprised of individual glucose 

478
00:29:06,600 --> 00:29:11,480
units, which is the basic 
currency for fuel for the human 

479
00:29:11,480 --> 00:29:16,760
body, for all cells. 
That glucose you can think of as

480
00:29:16,880 --> 00:29:20,800
a little Lego piece. 
You can think of different types

481
00:29:20,800 --> 00:29:25,840
of starches like sugar, for 
example, sucrose AS2 Lego pieces

482
00:29:25,840 --> 00:29:30,240
click together one say blue, one
say yellow. 

483
00:29:30,840 --> 00:29:33,840
There's different types of of 
simple sugars, glucose and 

484
00:29:33,840 --> 00:29:37,600
fructose. 
You can think of something like 

485
00:29:37,600 --> 00:29:42,560
maltodextrin as a straight chain
of say blue Legos just all 

486
00:29:42,560 --> 00:29:44,760
connected together. 
These glucose units, in a long, 

487
00:29:44,760 --> 00:29:49,800
long Choo Choo train, you can 
think of a very complex starch 

488
00:29:49,800 --> 00:29:53,320
like a potato, and something 
that has more branches. 

489
00:29:54,160 --> 00:29:58,760
You can think of muscle glycogen
as a bunch of Lego pieces all 

490
00:29:58,760 --> 00:30:00,840
stuck together in a big old 
ball. 

491
00:30:01,080 --> 00:30:05,760
So it's in essence maybe one of 
the most efficient ways to get a

492
00:30:05,760 --> 00:30:10,120
bunch of Lego pieces crunched 
together into a single little 

493
00:30:10,120 --> 00:30:13,000
space. 
And as the body needs glucose, 

494
00:30:13,000 --> 00:30:17,480
it breaks off these individual 
glucose units off that glycogen 

495
00:30:17,480 --> 00:30:20,440
molecule at a very, very high 
rate to be able to fuel the 

496
00:30:20,440 --> 00:30:24,240
body. 
What is very interesting though 

497
00:30:24,480 --> 00:30:28,120
is that we use the glycogen in 
the muscle that we are 

498
00:30:28,120 --> 00:30:30,680
contracting. 
So even though I have glycogen 

499
00:30:30,680 --> 00:30:35,160
in my arms, if I am cycling and 
using my legs, I can't use the 

500
00:30:35,160 --> 00:30:37,560
glycogen or carbohydrate stored 
in my arm. 

501
00:30:37,720 --> 00:30:41,240
I can only use it in the muscle 
that is contracting because 

502
00:30:41,240 --> 00:30:44,760
there's a direct pathway where 
that glucose breaks down and 

503
00:30:44,760 --> 00:30:48,720
feeds the active muscle. 
We can't break down glycogen and

504
00:30:48,720 --> 00:30:51,000
release that glucose from 
another muscle circulated 

505
00:30:51,000 --> 00:30:52,720
through blood to that active 
muscle. 

506
00:30:52,920 --> 00:30:56,560
And so it's ultimately limited. 
The only place where that 

507
00:30:56,560 --> 00:30:59,920
happens is through the glycogen 
stored in liver. 

508
00:31:00,400 --> 00:31:03,200
And so when we have a good 
breakfast or a meal before 

509
00:31:03,200 --> 00:31:06,400
exercise, we replenish that 
liver glycogen. 

510
00:31:06,600 --> 00:31:10,320
And the liver can be a 
storehouse for glucose along 

511
00:31:10,320 --> 00:31:13,320
with muscle glycogen. 
The Lego analogy is excellent. 

512
00:31:13,320 --> 00:31:16,520
I love that. 
And so next, if we can talk a 

513
00:31:16,520 --> 00:31:19,520
little bit about protein. 
So we all know we should eat 

514
00:31:19,520 --> 00:31:21,800
protein and we probably don't 
eat enough of it. 

515
00:31:21,800 --> 00:31:25,080
But why is protein important for
endurance athletes? 

516
00:31:25,120 --> 00:31:29,160
And two, we've also all heard 
about this recovery window after

517
00:31:29,160 --> 00:31:32,840
exercise, like first 30 minutes,
you've got to get some protein 

518
00:31:32,840 --> 00:31:35,720
in you, some carbs in you. 
Well, why is that? 

519
00:31:35,720 --> 00:31:37,600
And is there really a recovery 
window? 

520
00:31:37,600 --> 00:31:40,560
Do I really need to freak out 
about getting it in in 30 

521
00:31:40,560 --> 00:31:42,720
minutes or is there a longer 
window? 

522
00:31:42,720 --> 00:31:46,880
Well. 
First and foremost, protein. 

523
00:31:48,560 --> 00:31:51,360
They're the, they're the 
building backbone of all of our 

524
00:31:51,360 --> 00:31:55,320
structure, our muscle, of our, 
you know, much of our tissue is 

525
00:31:55,440 --> 00:31:59,320
ultimately protein. 
And when, you know, we exercise 

526
00:31:59,320 --> 00:32:02,480
or even if we don't exercise, we
are constantly turning over 

527
00:32:02,480 --> 00:32:04,520
cells, we're constantly turning 
over protein. 

528
00:32:04,840 --> 00:32:08,160
And so we need a little bit of 
protein just as a substrate to 

529
00:32:08,160 --> 00:32:11,640
replace the broken bricks in our
house, right? 

530
00:32:12,640 --> 00:32:17,200
That's ultimately it. 
But, you know, you might have 50

531
00:32:17,200 --> 00:32:19,080
kilograms worth of bricks in 
your house. 

532
00:32:19,440 --> 00:32:25,920
You probably only need to take 
in, you know, 50 grams of 

533
00:32:26,560 --> 00:32:31,200
protein, not kilograms. 
So, you know, a lot less to 

534
00:32:31,200 --> 00:32:36,320
replace the bricks that are 
turning over in endurance 

535
00:32:36,320 --> 00:32:42,200
exercise where you might get in 
a severe energy deficit and you 

536
00:32:42,200 --> 00:32:44,120
might start using protein as a 
fuel. 

537
00:32:45,280 --> 00:32:48,280
That's a state that some, you 
know, people may may have 

538
00:32:48,280 --> 00:32:51,600
experienced. 
They'll smell a lot of urea or 

539
00:32:51,640 --> 00:32:55,400
in their sweat, which is like 
literally their sweat smells 

540
00:32:55,400 --> 00:32:57,320
like pee. 
It's gross. 

541
00:32:57,640 --> 00:33:00,080
If you've exercised long enough 
to break down protein, you'll 

542
00:33:00,080 --> 00:33:02,520
smell that ammonia in your 
sweat. 

543
00:33:03,520 --> 00:33:08,960
You'll also smell it in your 
urine more so than than normal. 

544
00:33:09,880 --> 00:33:12,720
In those cases, you might need 
to increase your protein intake 

545
00:33:12,720 --> 00:33:17,840
to 1.5, even 2G per kilogram. 
The only other situation is if 

546
00:33:17,840 --> 00:33:21,040
you're trying to build muscle 
mass, but that also takes the 

547
00:33:21,040 --> 00:33:23,960
stimulus of strength training. 
So if you are in a strength 

548
00:33:23,960 --> 00:33:28,200
training mode and you're lifting
enough weights that especially 

549
00:33:28,200 --> 00:33:31,040
eccentric loading where you're 
getting a little bit of damage 

550
00:33:31,040 --> 00:33:34,280
to tissue and that, you know, 
muscle is beginning to remodel, 

551
00:33:34,640 --> 00:33:37,840
you may need more protein so 
that you have the bricks to 

552
00:33:37,840 --> 00:33:41,840
build that the new house. 
Outside of that though, for most

553
00:33:41,840 --> 00:33:44,440
endurance athletes, it's 
carbohydrate that primarily 

554
00:33:44,440 --> 00:33:46,960
rules in the amount of 
carbohydrate you need. 

555
00:33:47,400 --> 00:33:52,400
You know, maybe say loading for 
a big endurance event a few days

556
00:33:52,400 --> 00:33:55,760
before at 10 grams per kilogram 
is 10 times more than the 

557
00:33:55,760 --> 00:33:58,720
protein that you might actually 
need. 

558
00:34:00,320 --> 00:34:03,680
You know, with respect to a 
recovery window, yes, there is a

559
00:34:03,760 --> 00:34:08,199
recovery window and maybe the 
idea of recovery window is not 

560
00:34:08,320 --> 00:34:11,560
as good of a term as a refueling
window. 

561
00:34:13,159 --> 00:34:19,520
One thing to realize is that 
glucose, carbohydrate can only 

562
00:34:19,520 --> 00:34:23,280
get back into muscle to 
resynthesize glycogen. 

563
00:34:24,480 --> 00:34:29,199
If you have a hormone called 
insulin in your bloodstream, 

564
00:34:29,960 --> 00:34:35,360
insulin can basically allow a 
cell to recapture that Lego 

565
00:34:35,360 --> 00:34:40,120
piece or that glucose. 
The only other thing that can do

566
00:34:40,120 --> 00:34:45,960
that is a contracting muscle. 
So if you are exercising and 

567
00:34:45,960 --> 00:34:48,840
you're consuming a lot of 
carbohydrate, the mere fact that

568
00:34:48,840 --> 00:34:52,840
a muscle is contracting can pull
glucose into the muscle without 

569
00:34:52,840 --> 00:34:58,840
the need for insulin. 
That effect creates a 

570
00:34:59,720 --> 00:35:04,680
sensitivity or enhances the 
sensitivity to insulin post 

571
00:35:04,720 --> 00:35:08,960
exercise. 
So towards the end of workout, 

572
00:35:08,960 --> 00:35:12,640
if I eat a lot and I'm still 
exercising, I'll pull more of 

573
00:35:12,640 --> 00:35:17,800
that glucose into the muscles 
that are contracting than other 

574
00:35:17,800 --> 00:35:19,680
tissue. 
And so I'll preferentially 

575
00:35:19,680 --> 00:35:24,720
refuel the muscles that were, 
you know, depleted after 

576
00:35:24,720 --> 00:35:28,920
exercise up to say, an hour, 
hour and a half after exercise, 

577
00:35:29,720 --> 00:35:32,720
the food that I eat which raises
blood sugar, which causes 

578
00:35:32,800 --> 00:35:36,880
insulin to be released, that 
effective insulin will be 

579
00:35:36,880 --> 00:35:39,880
stronger on the muscles that 
have been active. 

580
00:35:40,080 --> 00:35:45,240
And so more of the food that I 
eat after exercise goes back to 

581
00:35:45,240 --> 00:35:48,760
the specific muscles that were 
used during exercise. 

582
00:35:49,280 --> 00:35:52,680
One way to think of it is the 
refrigerator versus the freezer,

583
00:35:53,040 --> 00:35:55,520
right? 
Where the refrigerator is the 

584
00:35:55,520 --> 00:35:59,320
muscle and the freezer is kind 
of everything else that can 

585
00:35:59,320 --> 00:36:04,400
store say fat or carbohydrate, 
but that it takes a long time to

586
00:36:04,400 --> 00:36:07,720
thaw. 
If I am sedentary and I haven't 

587
00:36:07,720 --> 00:36:13,000
exercised for a long time and I 
eat 1000 calories, insulin will 

588
00:36:13,000 --> 00:36:15,360
have effect of all the cells in 
my body. 

589
00:36:15,520 --> 00:36:19,440
Insulin will open up the freezer
as well as the refrigerator and 

590
00:36:19,440 --> 00:36:22,560
pack all those calories in 
preferentially. 

591
00:36:23,240 --> 00:36:26,760
But after exercise, especially 
immediately after exercise, 

592
00:36:28,240 --> 00:36:33,080
insulin will primarily open up 
the refrigerator and not just 

593
00:36:33,480 --> 00:36:36,840
the whole entire refrigerator, 
but the refrigerator that leads 

594
00:36:36,840 --> 00:36:41,640
to the to to muscles that were 
actually used during exercise. 

595
00:36:42,720 --> 00:36:44,560
Another great analogy. 
I really like that. 

596
00:36:44,560 --> 00:36:49,800
Thank you for that description. 
I know that we have a time limit

597
00:36:49,800 --> 00:36:52,840
here, so I have a ton of 
questions for you, but I think 

598
00:36:52,840 --> 00:36:56,080
that one of the more interesting
ones for our listeners, and you 

599
00:36:56,080 --> 00:36:59,080
alluded to this earlier. 
So a lot of us are marathon 

600
00:36:59,080 --> 00:37:03,320
runners who are on this podcast 
or who listen, and we've all 

601
00:37:03,320 --> 00:37:05,320
experienced bonking at some 
point. 

602
00:37:05,640 --> 00:37:09,160
So what happens from a 
physiological perspective when 

603
00:37:09,160 --> 00:37:11,760
someone bonks? 
And why in the marathon does it 

604
00:37:11,760 --> 00:37:15,040
seem to always happen at mile 18
to 20? 

605
00:37:15,680 --> 00:37:21,840
Yeah, first bonking is when our 
blood sugar drops and we become 

606
00:37:21,840 --> 00:37:25,280
effectively hypoglycemic. 
Our brain and our nervous system

607
00:37:25,480 --> 00:37:28,240
can only use glucose as a fuel 
source. 

608
00:37:28,600 --> 00:37:31,680
So even though our muscles, as I
said earlier, can use both fat 

609
00:37:31,680 --> 00:37:36,240
and carbohydrate as well as 
protein, our brains can only use

610
00:37:36,920 --> 00:37:41,160
glucose or broken bits of 
glucose as a fuel source, say 

611
00:37:41,160 --> 00:37:46,920
like lactate. 
When our blood sugar drops, our 

612
00:37:46,920 --> 00:37:53,000
brain basically falls apart. 
And when our brain doesn't get 

613
00:37:53,000 --> 00:37:55,080
the fuel it needs, when our 
nervous system doesn't get the 

614
00:37:55,080 --> 00:37:59,840
fuel it needs, there is this 
idea that our brain shuts us 

615
00:37:59,840 --> 00:38:02,520
down. 
And so as long as you're 

616
00:38:02,520 --> 00:38:05,920
hypoglycemic, even if you have 
plenty of fuel on board, you're 

617
00:38:05,920 --> 00:38:08,960
not going to be able to exercise
at a high capacity because your 

618
00:38:08,960 --> 00:38:14,160
brain is going to govern that 
intensity #2 the reason why it 

619
00:38:14,160 --> 00:38:19,160
happens At mile 18 to 20, again,
as a gross generalization, we 

620
00:38:19,160 --> 00:38:23,240
burn about 100 calories for 
every mile that we go. 

621
00:38:23,280 --> 00:38:27,360
So at 18 to 20 miles, that's 
1800 to 2000 calories. 

622
00:38:27,760 --> 00:38:33,200
And in lower leg muscle mass in 
general, people store about 1800

623
00:38:33,200 --> 00:38:36,400
to 2000 calories worth of 
glycogen. 

624
00:38:36,720 --> 00:38:39,800
The marathon is an event where 
people are trying to run the 

625
00:38:39,800 --> 00:38:42,520
distance as hard as they can, 
which means that they're 

626
00:38:42,520 --> 00:38:46,680
primarily burning carbohydrate. 
So at mile 18 to 20 you can 

627
00:38:46,680 --> 00:38:50,800
expect that someone is going to 
be between 600 to 800 calories 

628
00:38:50,960 --> 00:38:54,560
short of a Happy meal. 
One way that you can improve 

629
00:38:54,560 --> 00:38:58,280
that is by greatly increasing 
the carbohydrate you take in the

630
00:38:58,280 --> 00:39:01,640
week before that marathon so 
that you can go up from 1800 or 

631
00:39:01,640 --> 00:39:08,720
2000 to maybe 2200 or 2300 right
calories worth of glycogen. 

632
00:39:09,040 --> 00:39:13,760
The other thing that you can do 
is you can onboard probably or 

633
00:39:13,800 --> 00:39:18,920
in the range of 400 to 500 
calories right at the start of 

634
00:39:18,920 --> 00:39:21,760
the marathon. 
And this was a tactic that we 

635
00:39:22,560 --> 00:39:25,520
had developed with Gwen 
Jorgensen when she was kind of 

636
00:39:25,520 --> 00:39:30,920
between her triathlon world and 
her kind of marathon stint with 

637
00:39:31,160 --> 00:39:34,640
Nike Bauerman. 
That's how the Super high carb 

638
00:39:34,920 --> 00:39:38,200
product was actually developed. 
It was developed for Gwen to 

639
00:39:38,200 --> 00:39:43,400
figure a way to give her an 
extra 100 grams or 400 calories 

640
00:39:43,640 --> 00:39:47,280
right at the start line so that 
she didn't have to fuel at all 

641
00:39:47,360 --> 00:39:50,360
and only needed to hydrate 
during the marathon. 

642
00:39:51,160 --> 00:39:56,640
The marathon is so intense that 
you're breathing at a rate that 

643
00:39:57,080 --> 00:40:00,080
you can't even really drink or 
eat. 

644
00:40:00,520 --> 00:40:04,120
So another tactic, and I've seen
this done before with elite 

645
00:40:04,120 --> 00:40:06,920
marathoners, is as they come 
through a feed zone to get those

646
00:40:06,920 --> 00:40:10,240
precious calories and that 
hydration in, they literally 

647
00:40:10,240 --> 00:40:13,160
stop. 
They drink, they consume their 

648
00:40:13,160 --> 00:40:15,040
fuel, and then they start 
hauling ass. 

649
00:40:15,240 --> 00:40:19,680
Maybe they lose 10 seconds. 
That they gain back that extra 5

650
00:40:19,680 --> 00:40:23,080
to 6 miles. 
Oh yeah, and you see that if you

651
00:40:23,080 --> 00:40:28,600
watch Pona or Niece, all of the 
top athletes are walking the aid

652
00:40:28,600 --> 00:40:30,720
stations just to get their 
calories in. 

653
00:40:31,440 --> 00:40:32,400
That's right. 
That's right. 

654
00:40:32,920 --> 00:40:34,840
Yeah, that's right. 
So there you go. 

655
00:40:35,760 --> 00:40:39,200
All relates back to, you know, 
to glycogen. 

656
00:40:39,680 --> 00:40:43,680
And glycogen is the key. 
All right, well, we will get you

657
00:40:43,680 --> 00:40:45,360
to your next appointment on 
time. 

658
00:40:45,360 --> 00:40:49,960
So if people want to find out 
more about Scratch, just go to 

659
00:40:49,960 --> 00:40:54,640
www.scratch.com. 
You've got all your nutrition 

660
00:40:54,640 --> 00:40:57,040
products on there. 
You've got links to the books I 

661
00:40:57,040 --> 00:41:03,160
believe, and Scratch is kind 
enough to give our listeners a 

662
00:41:03,200 --> 00:41:07,160
discount code on their first 
purchase on the Scratch website.

663
00:41:07,160 --> 00:41:09,440
It's just Doctors of Running all
caps. 

664
00:41:10,160 --> 00:41:12,960
We'll throw that in the show 
notes so you guys can use it. 

665
00:41:13,320 --> 00:41:14,880
And as always, leave us a 
review. 

666
00:41:14,880 --> 00:41:18,840
We love hearing from you and 
maybe we can convince Dr. Lim to

667
00:41:18,960 --> 00:41:22,120
join us again and maybe answer 
some of your guys's questions. 

668
00:41:22,560 --> 00:41:24,560
Yeah, I'd be very, very happy to
do so. 

669
00:41:25,520 --> 00:41:28,480
This is a rabbit hole and it's a
lot of fun to talk about. 

670
00:41:28,720 --> 00:41:33,080
It is well, thanks again so much
and hope to see you again soon. 

671
00:41:33,800 --> 00:41:34,800
OK. 
Thank you.

