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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 and the 
stuff we're putting on our feet.

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I'm Andrea Myers, and today we 
have a mailbag episode where I 

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answer your questions. 
We try to answer as many of your

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questions as we can, and these 
episodes are a really nice way 

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to do it. 
If you do have a question for 

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us, please leave it below in the
comments on YouTube or send us 

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an e-mail at 
doctorsofrunning@gmail.com. 

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Before I get into your 
questions, I want to give a 

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shout out to our podcast sponsor
Scratch Labs, who I am so pumped

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that they are our podcast 
sponsor this year because I've 

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been using their products for 
many years. 

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I started using them when I was 
bike racing and continued using 

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them as I got back into running.
My favorite drink mix is their 

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sport drink mix, which is here. 
The Strawberry lemonade is 

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definitely my current favorite 
flavor, although the lemon lime 

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is pretty good too. 
I like it because it has 400 

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milligrams of sodium per serving
in addition to 20 grams of 

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carbs. 
Good amount of potassium, 

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calcium, and magnesium per 
serving. 

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One of the things I like the 
most about their products is 

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they don't have artificial 
sweeteners unlike many other 

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brands. 
I just don't see any reason for 

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a sport nutrition product to 
have artificial sweetener. 

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We need those calories, and 
there's so much evidence about 

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the potential negative health 
effects of consuming artificial 

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sweeteners that I just don't see
any reason to consume them now. 

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One Scratch product I hadn't 
tried before Scratch decided to 

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sponsor us is there Everyday 
Hydration Mix, which has really 

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become my favorite this summer. 
So it's been really hot and 

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humid here in Connecticut this 
summer, more so than usual. 

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And after my runs, which I 
almost always do in the morning,

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I really needed more than just 
water to help me get rehydrated.

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So this everyday drink mix also 
has 400 milligrams of sodium. 

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It only has 10 calories, but it 
doesn't have artificial 

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sweeteners. 
It's just got a nice, tart, 

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pleasant taste. 
So I really recommend it for 

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people who live in hot climates 
who are trying to rehydrate but 

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don't necessarily need the sugar
after a run. 

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They just need the electrolytes 
to get rehydrated. 

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So we love Scratch products so 
much that we all want you all to

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be able to try them at a reduced
price. 

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So we have a discount code for 
you. 

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Use code Dor 24 for 25% off your
first order at Scratch la-bs.com

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So before we get into your 
questions, Bach asked me to give

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you a quick update on some of 
the shoes that I have been 

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liking recently this year. 
Let's see. 

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Well, I was going to raise the 
Osaka Marathon in February, but 

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I got COVID 2 weeks before, so I
would have used the Mizuno Wave 

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Rebellion Pro 2 for that. 
But alas, I didn't race so I 

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didn't get to test that shoe 
out. 

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But ever since then I've been 
focusing on shorter races. 

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I've mainly done 5 KS. 
I did A7 mile race last month 

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and I did a couple of mile Rd. 
races. 

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And actually the shoe I've been 
racing in the most is not a shoe

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from this year, it's from last 
year. 

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It's the On Cloud Boom E3, which
I just have been loving racing 

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in. 
I've actually found it to be 

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kind of the elusive replacement 
for alpha Fly one that I've been

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looking for. 
It doesn't really have the same 

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feel as Alpha Fly 1A Fly one 
definitely has more of that like

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explosive feeling from the air 
pods, but on cloud Boom E3's 4 

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foot comes close. 
I like how light it is. 

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And one thing that's surprising,
this shoe has a stated 9 1/2 

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millimeter drop, but it 
absolutely doesn't feel that 

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away because of this really well
done heel bevel. 

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So I land at my lateral midfoot 
and I don't notice the heel at 

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all in the shoe even if I'm 
running easy in it. 

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So it's for me has performed 
best in the five KS I've used it

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in. 
I used it in the Vic 7 last 

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month and it was great there. 
I'm going to use it in the New 

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Haven 5K next weekend. 
The other 5K shoe that I really 

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enjoyed running in this year was
the Saucony Endorphin Pro 4. 

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As I was training for the Bix, I
realized I liked the Cloud Boom 

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E3 better for like Hillier 
terrain, so that's why I've been

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racing more in it. 
But I think I'll definitely use 

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Endorphin Pro 4 in another 5K 
before the end of the year 

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because it just for me, it feels
better the faster I run in it, 

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which I know is the opposite of 
what a lot of people have found 

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in that shoe. 
So I'll keep you guys updated if

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I do another 5K in that. 
So the most recent shoe that 

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I've gotten that I've got a few 
easy runs and I don't have 

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enough miles on it for a full 
review yet, but I'm getting 

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there. 
This year has really surprised 

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me with how much I like it. 
So it is the Puma Magmax Nitro. 

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Look at that shoe. 
It's a 47mm stack in the heel, 

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39 in the four foot. 
This is a beast of a shoe, but 

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it doesn't feel that way when I 
run in it. 

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It's got Pumas Nitro foam, so 
definitely it has a little bit 

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of bounce to it. 
It doesn't feel super heavy on 

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foot. 
I think the women's weight is in

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like the low 9 oz range, 
although I don't have exact 

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specs for that. 
But it's just it feels great 

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running easy, like slow easy. 
I can pick it up a little bit if

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I'm just doing like a normal 
easy run. 

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I definitely wouldn't use it for
like marathon pace or anything, 

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but for a shoe, if you just want
something super protective, a 

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little bouncy, not soft, this 
shoe is definitely a contender. 

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So I'll get some more miles on 
it and hang tight for the 

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review. 
The other guys are testing it 

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too. 
So we'll get our full team 

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review out to you soon. 
And then the other shoe that 

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I've really been enjoying, which
I already wrote a review on, is 

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the Brooks Hyperion 2. 
No surprise to you guys there. 

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So when I wrote my review, I 
said that I thought that this 

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shoe was very similar to the 
original Brooks Hyperion Max, 

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which is one of my favorite 
shoes of the past several years,

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compared only to the New Balance
Beacon 3. 

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But we won't talk about my love 
and sadness for that cheer 

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disappearing. 
I've talked enough about that. 

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But the Brooks Hyperion 2 got 
some more miles on it since I 

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reviewed it, and it is 
definitely the replacement for 

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Hyperion Max 1. 
So I've used it for some longer 

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easy runs for some easy runs 
with pickups. 

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I've used it for a ton of 
workouts and it's just great for

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everything. 
So Hyperion Max 2 is definitely 

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higher stack, it's firmer than 
the Hyperion 2. 

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So if you loved Hyperion Max one
like I did, just get Hyperion 2 

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and you'll be happy. 
The only main differences 

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between the two, the upper of 
Hyperion 2 I actually like 

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better than original Hyperion 
Max one. 

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And there's a little less of a 
heel bevel in Hyperion 2 

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compared to Hyperion Max one. 
But it doesn't really. 

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I don't really notice it at any 
pace where it's like affecting 

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how I run. 
It is noticeable if I pay 

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attention to it, but it's not. 
Oh I wish I was in Hyperion Max 

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1. 
So Hyperion 2 continues to 

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impress. 
I continue to highly recommend 

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it. 
Hyperion Max two I've also 

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really been enjoying. 
I did 12 miles at like 45 

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seconds slower than marathon 
pace yesterday and it's great. 

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It's just like a great rolling 
shoe. 

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Lots of under foot protection 
from the additional stack 

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height. 
It's very stiff. 

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So definitely different than 
Hyperion Max One. 

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But I really think, and I put 
this in my written review, that 

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Hyperion Max 2 truly is what 
Hyperion Max I think was 

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intended to be, which is like a 
marathon trainer, easy runs, up 

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tempo runs. 
But it's definitely not like a 

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5K pace interval shoe anymore 
the way that I found Hyperion 

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Max One to be. 
Now for 5K pace intervals, I 

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would definitely use Hyperion 
too. 

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So that's my little shoe update 
for you guys. 

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I'll be sure to get that Mag Max
review written once I've got a 

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few more miles on it, but so far
I'm really loving running in it.

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So now we're going to move on to
your questions. 

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These are some really great 
questions this time, so I hope 

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that you all learned something 
from them. 

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So the first one is from Joseph 
and he asks a question related 

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to our recent podcasts on Stable
Neutral Shoes. 

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That was really great episode by
the way, if you guys haven't 

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checked it out both on YouTube 
and on the podcast app. 

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So Joseph says thanks for all of
the outstanding work the team 

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does on the podcast and she 
reviews. 

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I always use your reviews before
buying new shoes. 

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I'm 71 years old and have been 
running for more than 50 years. 

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That's awesome. 
Congratulations Joseph. 

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I try to run 4 times a week for 
about 20 miles. 

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This varies based on how I feel 
an injury, which seems to happen

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more often these days. 
I have always had issues with my

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left hip and knee, in part I 
believe from repeated ankle 

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twist playing sports in high 
school and running over the 

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years. 
I find stable slash stability 

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shoes helpful, but many of the 
shoes on the market have more 

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significant heel bevels. 
Have you found a more aggressive

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heel bevel to affect stability? 
Thanks. 

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That's a great question. 
We like to talk a lot of a lot 

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about heel bevels here, 
especially Matt who is 

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particularly critical of heel 
bevels of shoes. 

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So what is a heel bevel? 
So let me grab Hyperion Mix 2 

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here for those of you watching 
on YouTube. 

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So a heel bevel is basically a 
rear foot rocker of the shoe 

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where under the heel is a little
bit cut out. 

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And the whole point of this is 
to mimic the shape of your heel 

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bone, which is called your 
calcaneus. 

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So if you are walking barefoot 
and you land on your heel, 

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you're going to land on your 
heel and then you're going to 

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roll forward. 
So the heel bevel is, well, 

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should be designed to mimic how 
you would roll forward on your 

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heel bone. 
And without a heel bevel, you'll

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potentially have an earlier heel
strike than you normally would, 

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which will potentially stress 
your tibial C anterior muscle, 

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could contribute to developing 
shin splints or just pain in the

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front of your shin. 
So a good heel bevel mimics the 

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shape of your heel bone. 
And to do that, it should also 

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be angled slightly laterally to 
the outside, which is to mimic 

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where most people land at their 
posterior lateral heel, meaning 

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the rear outside part of their 
heel. 

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So if you look at Hyperion Max 
here, you can see that it is 

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angled more to the outside than 
to the inside. 

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So if you're going to land on 
the heel, you're going to land 

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on this part first. 
That's what when we talk about, 

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is this heel bevel, a good heel 
bevel? 

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That's what we're talking about.
Is it designed well? 

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Does it mimic the natural shape 
of the heel bone? 

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Does it help a person who heel 
strikes progress smoothly from 

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initial contact on their heel to
mid stands where they're 

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progressing from the heel to the
mid foot? 

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If you have a heel bevel that is
very large, it can potentially 

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make you land and roll forward 
quicker than your body is ready 

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for, and that can create 
feelings of instability 

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depending on your muscular 
control, depending on your ankle

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and foot mobility, depending how
flexible the midfoot and 

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forefoot of the shoe are. 
A heel bevel that is too 

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aggressive or place too far 
forward can make a shoe feel 

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more unstable. 
And of course, this will depend 

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on your individual mechanics. 
Specifically for Joseph, if you 

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have lateral ankle stability 
issues because of all of your 

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ankle sprains, you're going to 
want a shoe that helps you 

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transition your weight from 
posterior lateral initial 

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contact and progress your weight
medially instead of allowing you

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to stay on the lateral aspect of
your foot for too long, which is

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often something that happens to 
people who have sprained their 

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ankle. 
Many times when you have that 

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ligamentous laxity on the 
outside of your ankle, it makes 

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your foot more likely to stay in
an inverted position or turned 

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in. 
And you know, if you're running 

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on uneven ground, you're running
on like a gravel trail, that 

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could even make it more likely 
that you're going to roll your 

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ankle. 
So for Joseph specifically, 

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you're, you will not want a heel
bevel that is angled too far 

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laterally or a heel bevel or 
sorry, a running shoe that has 

224
00:13:58,560 --> 00:14:01,400
more medial sole flare than 
lateral sole flare. 

225
00:14:01,400 --> 00:14:04,960
Because again, that's going to 
keep you on the outside of your 

226
00:14:04,960 --> 00:14:09,680
foot for too long. 
And if your ankle sprains truly 

227
00:14:09,680 --> 00:14:13,440
are a significant problem for 
you, then that is going to make 

228
00:14:14,000 --> 00:14:17,560
the shoe feel more unstable. 
So I hope that answers your 

229
00:14:17,560 --> 00:14:19,800
question, Joseph. 
If not, send us an e-mail and 

230
00:14:19,800 --> 00:14:23,280
let us know if we can give any 
follow up answers. 

231
00:14:24,040 --> 00:14:26,480
So the next question is from 
Irwin. 

232
00:14:26,720 --> 00:14:29,280
He's got a unique shoe question.
But I love this because I've 

233
00:14:29,280 --> 00:14:33,920
actually just heard about High 
Rocks and it's interesting to 

234
00:14:33,920 --> 00:14:35,800
hear what kind of shoes people 
are wearing. 

235
00:14:35,800 --> 00:14:39,840
So Irwin says hello. 
I recently purchased a pair of 

236
00:14:39,840 --> 00:14:42,200
Hyperion Tears to train for High
Rocks. 

237
00:14:42,680 --> 00:14:45,920
If unaware, high rocks is an 
obstacle style race where you 

238
00:14:45,920 --> 00:14:48,880
alternate between 1K runs and 
stations. 

239
00:14:49,440 --> 00:14:52,320
Row, erg, farmer carry, sled, 
push, etcetera. 

240
00:14:53,320 --> 00:14:57,280
General consensus is to train 
and race in an up tempo shoe 

241
00:14:57,720 --> 00:15:01,080
because the running portion is 
the most important but have 

242
00:15:01,080 --> 00:15:03,040
enough stability for the 
stations. 

243
00:15:03,400 --> 00:15:07,360
Most pros use deviate Nitro twos
or endorphin pro threes. 

244
00:15:08,320 --> 00:15:11,320
I was originally training in the
endorphin speed fours but I 

245
00:15:11,320 --> 00:15:14,640
would get calf tightness every 
run and I think in general the 

246
00:15:14,640 --> 00:15:17,680
shoe was too soft for me. 
I'm used to training and 

247
00:15:17,680 --> 00:15:21,720
minimalist training shoes like 
Vivo barefoots or MEC Cons but 

248
00:15:21,720 --> 00:15:25,120
haven't run since the pandemic 
when I ran in Endorphin speed 

249
00:15:25,120 --> 00:15:27,560
shoes. 
All that to say, I ran in the 

250
00:15:27,560 --> 00:15:30,840
Hyperion shoes and loved the 
light nimble feeling and the 

251
00:15:30,840 --> 00:15:34,560
firmness of the midsole for the 
stations but felt a bit of 

252
00:15:34,560 --> 00:15:38,480
Achilles pain as I was running 
when I got fit in. 

253
00:15:38,480 --> 00:15:42,600
I moderately pronate so it may 
be my gait but I was thinking of

254
00:15:42,600 --> 00:15:46,200
purchasing the GTS but as I'm 
strapped for cash I don't want 

255
00:15:46,200 --> 00:15:49,360
to be spending and returning 
every shoe I get without giving 

256
00:15:49,360 --> 00:15:52,920
them a chance to break in. 
Any thoughts or recommendations 

257
00:15:52,920 --> 00:15:55,800
would be appreciated. 
So this is a great question. 

258
00:15:55,800 --> 00:15:59,160
I actually really enjoyed 
thinking about what would be 

259
00:15:59,160 --> 00:16:02,320
good options for your cuz High 
rocks is definitely a unique 

260
00:16:02,320 --> 00:16:07,880
event. 
So Hyperion 2 and Hyperion GTS 2

261
00:16:07,920 --> 00:16:09,880
are both relatively flexible 
shoes. 

262
00:16:10,240 --> 00:16:13,080
And for those who don't know, 
the difference between Hyperion 

263
00:16:13,080 --> 00:16:19,400
2 and Hyperion GTS 2 is that 
Hyperion GTS is a mild stability

264
00:16:19,400 --> 00:16:23,560
shoe compared to Hyperion 2 
which is really a neutral shoe. 

265
00:16:24,040 --> 00:16:29,160
So I've got Hyperion 2 here. 
I don't have the GTS 2, but the 

266
00:16:29,160 --> 00:16:32,920
four foot's got some decent flex
to it and when running in it, it

267
00:16:32,920 --> 00:16:36,840
actually feels even more 
flexible than it looks here. 

268
00:16:37,400 --> 00:16:41,960
So I actually think that it's 
the lower longitudinal bending 

269
00:16:41,960 --> 00:16:45,560
stiffness that is contributing 
to your Achilles pain as 

270
00:16:45,560 --> 00:16:48,920
compared to the lack of medial 
guidance in the regular Hyperion

271
00:16:48,920 --> 00:16:52,200
2. 
So thinking about the shoes that

272
00:16:52,200 --> 00:16:56,400
you've run in, if you liked the 
Endorphin Speed fours but found 

273
00:16:56,400 --> 00:17:00,240
them too soft, you might 
actually like the Endorphin Pro 

274
00:17:00,240 --> 00:17:04,720
4, which is significantly firmer
than the Pro 3 or Speed for 

275
00:17:04,800 --> 00:17:08,359
Speed 4, but very responsive at 
faster paces. 

276
00:17:08,359 --> 00:17:10,000
Let's see, I've got that shoe 
here. 

277
00:17:10,359 --> 00:17:14,480
So here's Endorphin Pro 4. 
Of course, it's just about as 

278
00:17:14,480 --> 00:17:17,240
stiff as they get. 
It's a racing shoe. 

279
00:17:17,520 --> 00:17:22,839
He mentioned that a lot of pros 
use Endorphin Pro threes. 

280
00:17:23,200 --> 00:17:26,599
The Endorphin Pro 3 is 
definitely a softer shoe, and 

281
00:17:26,599 --> 00:17:30,240
softer might also contribute to 
some Achilles painter 

282
00:17:30,240 --> 00:17:32,880
instability. 
So if you're looking for a 

283
00:17:32,880 --> 00:17:36,960
firmer racing shoe, Endorphin 
Pro 4 might be really good one 

284
00:17:36,960 --> 00:17:40,480
for you to try. 
If you are looking for a 

285
00:17:40,480 --> 00:17:44,800
somewhat lower stack shoe with a
stiffer sole, 1 shoe you might 

286
00:17:44,800 --> 00:17:47,560
try is the ASICS and you so try 
16. 

287
00:17:48,000 --> 00:17:51,480
I didn't bring that one up here 
with me, but it has a 5mm drop. 

288
00:17:51,880 --> 00:17:56,800
It's 7.6 ounces in the min size 
9 and the stack height is 34 

289
00:17:56,800 --> 00:17:59,960
five and the heel 29 five in the
four foot. 

290
00:18:00,920 --> 00:18:06,040
The new so try might actually be
like a pretty ideal shoe for 

291
00:18:06,040 --> 00:18:09,040
what you're doing. 
It's got like a fairly wide 

292
00:18:09,040 --> 00:18:13,640
base, so it would be good for 
like the obstacle type part of 

293
00:18:13,640 --> 00:18:18,040
the run or part of the event. 
But it's certainly a light 

294
00:18:18,040 --> 00:18:22,960
enough shoe to handle the 1K 
runs in between the obstacles, 

295
00:18:23,320 --> 00:18:27,680
so definitely try that one out. 
If you want something a little 

296
00:18:27,680 --> 00:18:31,400
higher stack but still on the 
firm side, you might try the 

297
00:18:31,400 --> 00:18:35,760
original Topo Spectrum. 
I wouldn't recommend Specter 2 

298
00:18:35,840 --> 00:18:40,320
because they extended the 
posterior soul flare in version 

299
00:18:40,320 --> 00:18:44,480
2, and Matt and I both found it 
kind of clunky, but the original

300
00:18:44,480 --> 00:18:50,720
Topo Specter was great for like 
10K pays, half marathon pays. 

301
00:18:51,440 --> 00:18:56,320
I know that you're doing 1K runs
in between these obstacles, but 

302
00:18:56,800 --> 00:19:01,000
you might like Spectre for these
events, so you might give that 

303
00:19:01,000 --> 00:19:03,360
one a try to. 
And again, it's got a nice broad

304
00:19:03,360 --> 00:19:07,160
base, so it's still going to be 
nice and stable for the obstacle

305
00:19:07,160 --> 00:19:11,000
parts. 
All right, so let's move on to 

306
00:19:11,000 --> 00:19:14,400
Stephanie's question. 
She has a question about shoes 

307
00:19:14,400 --> 00:19:17,720
for metatarsalgia. 
Stephanie says. 

308
00:19:17,720 --> 00:19:21,040
Hi doctors, I was just one. 
I was just diagnosed with 

309
00:19:21,040 --> 00:19:24,720
metatarsalgia for the second 
time in the last three years and

310
00:19:24,720 --> 00:19:27,960
I'm wondering if there are any 
shoes that may be helpful for 

311
00:19:27,960 --> 00:19:30,880
someone with this condition 
because man it is painful. 

312
00:19:31,000 --> 00:19:33,640
Yes it is. 
I currently run in the New 

313
00:19:33,640 --> 00:19:38,520
Balance 860 and Ultra experience
form for the rumored for their 

314
00:19:38,520 --> 00:19:42,440
roomier toe boxes and foot shape
fit as aside from the 

315
00:19:42,440 --> 00:19:45,880
metatarsalgia, I've always had 
discomfort in my toes when 

316
00:19:45,880 --> 00:19:48,640
running. 
The ultras however feel very 

317
00:19:48,640 --> 00:19:53,080
tight on my upper foot and I do 
not have a wide foot so I'm not 

318
00:19:53,080 --> 00:19:56,040
running in them as much lately 
and have been relying on my 

319
00:19:56,040 --> 00:19:59,000
eight 60s. 
Do I want to look for a shoe 

320
00:19:59,000 --> 00:20:00,800
with more cushion? 
Thanks Steph. 

321
00:20:02,120 --> 00:20:05,480
So I think the reason that 
you're not liking the ultra 

322
00:20:05,480 --> 00:20:09,640
experience form is that it has a
significantly no narrower toe 

323
00:20:09,640 --> 00:20:12,440
box as compared to most other 
ultra shoes. 

324
00:20:13,240 --> 00:20:16,960
I didn't get to test the 
experience form, but I tested 

325
00:20:16,960 --> 00:20:20,360
the original ultra forward 
experience and I'm another 

326
00:20:20,360 --> 00:20:24,640
person who has just loved ultra 
shoes, particularly for their 

327
00:20:24,640 --> 00:20:27,600
foot shaped toe box. 
But I would say in the past 

328
00:20:27,600 --> 00:20:31,360
couple of years, they have 
definitely narrowed several of 

329
00:20:31,360 --> 00:20:35,680
their shoes, the Escalante 4 in 
particular. 

330
00:20:36,040 --> 00:20:41,600
But the experience forward and 
the experience form are both 

331
00:20:41,600 --> 00:20:46,920
narrower and lower volume than 
almost any other ultra shoe I've

332
00:20:46,960 --> 00:20:48,720
tried. 
So for someone with 

333
00:20:48,720 --> 00:20:52,000
metatarsalgia, that's pretty 
much the worst thing you can 

334
00:20:52,120 --> 00:20:56,320
choose because it's one, going 
to squeeze your forefoot, 

335
00:20:56,720 --> 00:21:00,840
compressing your metatarsals and
likely increasing your pain. 

336
00:21:01,960 --> 00:21:07,320
And two, that shoe has a pretty 
significant toe spring and that 

337
00:21:07,320 --> 00:21:12,680
is going to put your toes in 
more extension just sitting in 

338
00:21:12,680 --> 00:21:16,560
the shoe, and that also could 
potentially contribute to your 

339
00:21:16,560 --> 00:21:20,160
pain. 
The 860 is a New Balance 860 is 

340
00:21:20,160 --> 00:21:25,040
a great shoe for you because 
it's got a nice stiff sole. 

341
00:21:25,440 --> 00:21:29,720
It doesn't have toe spraying. 
It's got some stability, which 

342
00:21:29,720 --> 00:21:33,120
it sounds like you might need 
just based on the two shoes that

343
00:21:33,320 --> 00:21:38,440
you've been running in. 
But besides those two shoes, I 

344
00:21:38,440 --> 00:21:41,080
would recommend that you look 
for a shoe that has a stiffer 

345
00:21:41,080 --> 00:21:46,160
forefoot and minimal toe spring.
So let's see if I have a shoe 

346
00:21:46,160 --> 00:21:48,880
that demonstrates toe spring. 
Here we go. 

347
00:21:49,600 --> 00:21:55,960
So here's the Endorphin Pro 4. 
You can see how the toes bend up

348
00:21:55,960 --> 00:21:58,160
here. 
That's toe spring. 

349
00:21:58,640 --> 00:22:01,960
A four foot rocker is where the 
front of the shoe comes up off 

350
00:22:01,960 --> 00:22:07,280
the ground, helps you roll off. 
But some shoes also have toe 

351
00:22:07,280 --> 00:22:11,960
spring, where your toes are 
actually bend upwards when 

352
00:22:11,960 --> 00:22:14,480
you're in the shoe. 
And that can work for some 

353
00:22:14,480 --> 00:22:17,720
people, but it definitely 
doesn't work for people who 

354
00:22:17,720 --> 00:22:21,520
don't have the range of motion 
to be in that extended position.

355
00:22:21,960 --> 00:22:26,080
But two, for people with 
metatarsalgia, positioning those

356
00:22:26,080 --> 00:22:30,720
joints in an extended position 
is also more likely to 

357
00:22:30,760 --> 00:22:34,640
contribute to pain. 
So you will want to avoid shoes 

358
00:22:34,640 --> 00:22:37,760
with toe spring. 
As far as whether you need a 

359
00:22:37,760 --> 00:22:41,800
shoe with more cushion or not, 
maybe maybe not, but it doesn't 

360
00:22:41,800 --> 00:22:44,400
actually sound like that's your 
primary problem. 

361
00:22:44,920 --> 00:22:48,680
You really just need to focus on
finding a four foot that is 

362
00:22:48,680 --> 00:22:52,000
pretty stiff, it doesn't bend 
much, and that does not place 

363
00:22:52,000 --> 00:22:56,280
your toes in an extended 
position due to toe spring. 

364
00:22:57,280 --> 00:23:00,520
Besides the eight 60s, you might
check out the original Brooks 

365
00:23:00,520 --> 00:23:04,000
Ghost Max, which are actually 
currently on sale because 

366
00:23:04,000 --> 00:23:06,000
version 2 is coming out very 
soon. 

367
00:23:07,200 --> 00:23:10,440
I would definitely recommend the
original Ghost Max over version 

368
00:23:10,440 --> 00:23:15,640
2 because the toe box in version
2 is not quite as wide or high 

369
00:23:15,640 --> 00:23:19,000
volume. 
So check out the original Ghost 

370
00:23:19,000 --> 00:23:22,920
Max or just stick with your 
eight 60s if those are working 

371
00:23:22,920 --> 00:23:25,880
well for you. 
But I wouldn't just assume that 

372
00:23:25,880 --> 00:23:29,800
you need a softer shoe or a shoe
with more stack height. 

373
00:23:31,680 --> 00:23:34,120
All right. 
Our next question is from Adam 

374
00:23:34,880 --> 00:23:37,280
and he has a question about 
trail shoes. 

375
00:23:37,280 --> 00:23:40,600
He says. 
Do you have any advice regarding

376
00:23:40,600 --> 00:23:42,840
trail running shoes without a 
heel counter? 

377
00:23:43,400 --> 00:23:46,440
I've been dealing with Hagelin's
deformity and the associated 

378
00:23:46,440 --> 00:23:50,080
issues for the last decade or 
so, but I'm currently struggling

379
00:23:50,080 --> 00:23:53,040
mightily to find a trail shoe 
that doesn't leave my heel and 

380
00:23:53,040 --> 00:23:55,880
Achilles screaming. 
Now that's a great question. 

381
00:23:55,880 --> 00:23:59,560
And actually there aren't a lot 
of trail shoes that don't have a

382
00:23:59,560 --> 00:24:03,600
heel counter. 
So the only ones that one I 

383
00:24:03,600 --> 00:24:05,400
could think of. 
And then I confirmed with the 

384
00:24:05,400 --> 00:24:10,280
other guys there's the Ultra 
Temp 5, the Ultra Lone Peak, 

385
00:24:10,840 --> 00:24:12,440
neither of which I have here to 
show you. 

386
00:24:12,600 --> 00:24:16,240
But then you might also check 
out the Saucony Endorphin Edge. 

387
00:24:16,760 --> 00:24:20,440
Let me grab that here. 
So the Saucony Endorphin Edge is

388
00:24:20,640 --> 00:24:23,840
a plated trail shoe. 
It's actually one of my favorite

389
00:24:23,840 --> 00:24:26,440
trail shoes. 
This shoe came out three years 

390
00:24:26,440 --> 00:24:29,880
ago, I think. 
But you can see that the counter

391
00:24:29,880 --> 00:24:35,360
is very flexible. 
It's just got this little 

392
00:24:35,480 --> 00:24:39,720
plastic piece here. 
But there's a significant enough

393
00:24:39,720 --> 00:24:43,680
amount of padding in here that I
don't think it would bother you.

394
00:24:44,960 --> 00:24:48,160
It's certainly not like 
completely without a counter. 

395
00:24:48,160 --> 00:24:51,440
So if you're super sensitive, 
this might not be the shoe for 

396
00:24:51,440 --> 00:24:54,160
you. 
But if you can, you know, order 

397
00:24:54,160 --> 00:24:56,960
it from from some place that 
allows you to return it, this 

398
00:24:56,960 --> 00:25:02,280
might also be a good option. 
So, yeah, not a lot of options 

399
00:25:02,280 --> 00:25:04,840
out there for trail shoes for 
people with Hagglunds. 

400
00:25:05,560 --> 00:25:10,720
Just so you know, Adam, we do 
have a page on our website of a 

401
00:25:10,720 --> 00:25:13,880
list of shoes that are great for
people with Hagglunds, so you 

402
00:25:13,880 --> 00:25:17,560
can check that out. 
All right, let's move on to the 

403
00:25:17,560 --> 00:25:21,760
next question here. 
This question is from Kuba, who 

404
00:25:21,760 --> 00:25:25,320
says, hey there, I've been 
researching for a while, but I'm

405
00:25:25,320 --> 00:25:27,760
still unsure about which shoes 
to pick. 

406
00:25:28,200 --> 00:25:32,120
I currently own the Puma Deviate
Nitro 2 for tempo runs which I 

407
00:25:32,120 --> 00:25:36,320
bought last year. 
I weigh 220 lbs and recently 

408
00:25:36,320 --> 00:25:41,120
underwent ACL reconstruction 
surgery in January 2024, so I'm 

409
00:25:41,120 --> 00:25:44,800
still in the recovery process. 
I have strong muscles from doing

410
00:25:44,800 --> 00:25:46,720
a lot of CrossFit before my 
surgery. 

411
00:25:47,360 --> 00:25:50,920
I think I need stability or 
stable neutral shoes due to my 

412
00:25:50,920 --> 00:25:54,240
surgery and the need to build 
stability for my knee. 

413
00:25:54,920 --> 00:25:58,200
I also want shoes with a good 
amount of cushioning to support 

414
00:25:58,200 --> 00:26:01,040
my weight. 
It's important for me to avoid 

415
00:26:01,040 --> 00:26:04,000
the sinking and sensation which 
may cause instability. 

416
00:26:04,600 --> 00:26:07,680
I'm not sure what drop I should 
have since I had some plantar 

417
00:26:07,680 --> 00:26:10,840
fasciitis before and it comes 
back sometimes. 

418
00:26:11,800 --> 00:26:13,760
I've been looking at the topo 
atmos. 

419
00:26:14,120 --> 00:26:19,320
I have wider feet, Saucony 
Tempest, Nimbus 26, and any 

420
00:26:19,320 --> 00:26:21,920
other shoes worth considering in
my situation. 

421
00:26:22,000 --> 00:26:24,360
Would you mind sharing doctors 
runnings advice? 

422
00:26:24,360 --> 00:26:27,200
Thank you, this is a great 
question. 

423
00:26:27,200 --> 00:26:31,040
I'm really glad that your 
recovery is going well and that 

424
00:26:31,040 --> 00:26:33,200
you are strong going into your 
surgery. 

425
00:26:33,600 --> 00:26:37,000
That is key for coming out with 
a successful outcome. 

426
00:26:37,400 --> 00:26:43,080
I hope you're still keeping to 
your PT exercises, really 

427
00:26:43,080 --> 00:26:45,800
focusing on higher level 
strength at this point, but it 

428
00:26:45,800 --> 00:26:47,360
sounds like you're well on your 
way. 

429
00:26:47,960 --> 00:26:50,800
So without knowing more about 
your particular running 

430
00:26:50,800 --> 00:26:55,520
mechanics or current needs, here
are some firmer stable neutral 

431
00:26:55,520 --> 00:26:58,480
trainers to consider. 
So yes, I agree with the Saucony

432
00:26:58,480 --> 00:27:02,320
Tempest out of the shoes that 
you mentioned, that is 

433
00:27:02,320 --> 00:27:07,440
definitely the firmest and I 
would say just the most overall 

434
00:27:07,440 --> 00:27:11,200
stable neutral. 
It works well for people with a 

435
00:27:11,200 --> 00:27:13,800
variety of like mild stability 
needs. 

436
00:27:13,800 --> 00:27:17,360
It worked really well for me and
I tend to do poorly with shoes 

437
00:27:17,360 --> 00:27:19,360
with any sort of stability 
features. 

438
00:27:20,120 --> 00:27:22,480
It worked well for Matt. 
He and I pretty much have 

439
00:27:22,480 --> 00:27:26,720
opposite stability needs. 
So and it is definitely on the 

440
00:27:26,720 --> 00:27:28,840
firmer side. 
There is no sinking in 

441
00:27:28,840 --> 00:27:31,320
sensation. 
It doesn't feel soft. 

442
00:27:31,640 --> 00:27:36,600
It's got enough stack height to 
be very protective under foot, 

443
00:27:36,920 --> 00:27:39,560
but it is absolutely not a soft 
shoe. 

444
00:27:40,360 --> 00:27:43,360
I've used it. 
I probably have 200 miles on my 

445
00:27:43,360 --> 00:27:47,840
pair and I've used it a lot on a
dirt rail trail near us and even

446
00:27:47,840 --> 00:27:51,280
with like the rocks on the trail
I don't feel them very much. 

447
00:27:51,280 --> 00:27:53,880
So that would be a great option 
for you. 

448
00:27:54,680 --> 00:27:57,520
The Topo Atmos is another nice 
option. 

449
00:27:57,520 --> 00:28:02,680
I brought that one up here. 
So the Atmos has a pretty high 

450
00:28:02,680 --> 00:28:04,720
stack height. 
I don't remember off the top of 

451
00:28:04,720 --> 00:28:08,440
my head but I'm pretty sure it's
like high to mid 30s in the heel

452
00:28:08,840 --> 00:28:13,000
and it's a 5 mil drop shoe so 
it's probably like 3433 in the 

453
00:28:13,000 --> 00:28:15,920
forefoot. 
Even though it's higher stack. 

454
00:28:15,920 --> 00:28:19,760
This has topo zip foam so it's 
not soft. 

455
00:28:20,040 --> 00:28:25,480
I love the shoe for easy runs. 
I think I've probably got 150 

456
00:28:25,480 --> 00:28:29,840
miles on this shoe and it's all 
just easy recovery runs, cool 

457
00:28:29,840 --> 00:28:33,920
downs after races. 
So this would be another great 

458
00:28:33,920 --> 00:28:36,720
option. 
It is definitely stable neutral.

459
00:28:36,720 --> 00:28:41,240
It's got a wide base. 
It's got nice balanced soul 

460
00:28:41,240 --> 00:28:45,800
flare. 
The rocker profile isn't 

461
00:28:45,800 --> 00:28:48,520
aggressive. 
Of course it does have topos 

462
00:28:48,520 --> 00:28:51,000
late toe spring. 
So as long as you don't have any

463
00:28:51,000 --> 00:28:54,720
reasons why toe spring doesn't 
work for you then I think this 

464
00:28:54,720 --> 00:28:57,800
would be a nice option. 
It is slightly softer than The 

465
00:28:57,800 --> 00:29:02,000
Tempest, but I would also say 
this is not a soft shoe. 

466
00:29:02,000 --> 00:29:05,120
It definitely does not have a 
sinking and feeling to me 

467
00:29:05,120 --> 00:29:09,480
either. 
Another shoe you might try is 

468
00:29:09,480 --> 00:29:14,280
the Brooks Hyperion Max 2. 
Definitely stable, neutral, 

469
00:29:14,720 --> 00:29:18,720
really well done, balanced sole,
flare in the rear foot and 

470
00:29:18,720 --> 00:29:24,360
forefoot, well designed heel 
bevel, nice 4 foot rocker 

471
00:29:24,360 --> 00:29:27,640
without being aggressive. 
You heard me talking about it 

472
00:29:27,640 --> 00:29:29,480
earlier. 
It's one of my favorite shoes 

473
00:29:29,480 --> 00:29:32,000
for easy runs and up tempo long 
runs. 

474
00:29:32,640 --> 00:29:39,200
Again, not soft, plenty of stack
to be protective, but no sinking

475
00:29:39,200 --> 00:29:42,720
and feeling. 
It really feels oriented towards

476
00:29:42,720 --> 00:29:46,920
forward motion, but never feels 
like it's forcing motion. 

477
00:29:47,240 --> 00:29:49,480
So this would be another one to 
check out. 

478
00:29:50,000 --> 00:29:53,360
And then the fourth option I 
would recommend would be the 

479
00:29:53,360 --> 00:29:56,600
Brooks Ghostmax one. 
Again, I recommend the Ghostmax 

480
00:29:56,600 --> 00:29:59,680
one over the two. 
The fit of the two just isn't as

481
00:29:59,680 --> 00:30:02,680
nice as the one the two is 
heavier. 

482
00:30:03,040 --> 00:30:06,160
Our review on that is coming out
pretty soon, actually maybe even

483
00:30:06,160 --> 00:30:10,200
before this podcast is released,
but Ghost Max 1 is one of the 

484
00:30:10,200 --> 00:30:12,360
best stable, neutral shoes out 
there. 

485
00:30:13,320 --> 00:30:18,920
Again, not soft, very balanced. 
Sole flare works well for people

486
00:30:18,920 --> 00:30:21,280
with a range of mild stability 
needs. 

487
00:30:21,280 --> 00:30:24,960
So and it's on sale, so you can 
check that one out too. 

488
00:30:25,560 --> 00:30:28,720
So hopefully one of those four 
shoes will work well for you. 

489
00:30:29,640 --> 00:30:32,520
The only shoe I really wouldn't 
recommend that you mentioned is 

490
00:30:32,520 --> 00:30:37,320
the ASICS Nimbus 26. 
That shoe is definitely soft and

491
00:30:37,320 --> 00:30:42,120
it definitely has both a sinking
in feeling and to me it just 

492
00:30:42,120 --> 00:30:45,760
felt a little unstable because 
of how soft it was as I was 

493
00:30:45,760 --> 00:30:48,200
progressing from initial contact
to push off. 

494
00:30:48,640 --> 00:30:52,280
I definitely did not enjoy 
running in that shoe because of 

495
00:30:52,280 --> 00:30:57,280
its softness, so I wouldn't 
recommend it over the other 

496
00:30:57,280 --> 00:31:00,680
shoes that we just talked about.
And probably the number one 

497
00:31:00,680 --> 00:31:03,360
recommendation I would have for 
you is the Saucony Tempest. 

498
00:31:04,080 --> 00:31:07,760
So let's move on to Dan's 
question, which is a question 

499
00:31:07,760 --> 00:31:10,320
about shoes and hip flexor 
injuries. 

500
00:31:10,880 --> 00:31:14,760
So Dan says hi, I'm a long time 
listener of the Dorr Podcast and

501
00:31:14,760 --> 00:31:17,920
I appreciate all of the work and
content you guys make for the 

502
00:31:17,920 --> 00:31:21,600
running community. 
He's 26 years old, fairly 

503
00:31:21,600 --> 00:31:25,440
experienced runner that averages
about 50 to 55 miles a week. 

504
00:31:26,000 --> 00:31:30,040
A few months ago he started to 
wear the Vomero Seventeens for 

505
00:31:30,040 --> 00:31:34,800
easy runs and was previously 
using the Nova Blast Threes and 

506
00:31:34,800 --> 00:31:39,080
on Cloud Monsters for a while. 
I noticed after a few weeks of 

507
00:31:39,080 --> 00:31:42,600
using the Vomeros that I started
to develop hip flexor pain and 

508
00:31:42,600 --> 00:31:45,440
tightness. 
I took it easy for a week and 

509
00:31:45,440 --> 00:31:48,720
switched back to the Cloud 
Monsters for easy runs while 

510
00:31:48,720 --> 00:31:50,440
doing some rehab on the hip 
area. 

511
00:31:51,200 --> 00:31:54,560
Once the pain was gone, I 
decided to try the Vomeros again

512
00:31:54,960 --> 00:31:57,920
and noticed that after a week or
so, the pain and tightness came 

513
00:31:57,920 --> 00:32:01,640
back in the same way. 
I switched back to the Cloud 

514
00:32:01,640 --> 00:32:04,080
Monsters and the pain slowly 
went away again. 

515
00:32:04,800 --> 00:32:08,240
Do you think it's possible that 
a specific shoe can cause pain 

516
00:32:08,240 --> 00:32:11,680
in the hip flexor area? 
If so, what aspect of the 

517
00:32:11,680 --> 00:32:14,640
Vomeros could be causing it? 
Since I never experienced that 

518
00:32:14,640 --> 00:32:18,200
issue while using the Nova Blast
Twos or Threes, the Cloud 

519
00:32:18,200 --> 00:32:22,200
Monsters, and the Nimbus 20 
Fives, does that have something 

520
00:32:22,200 --> 00:32:24,720
to do with the softness or drop 
of the shoe? 

521
00:32:25,200 --> 00:32:30,080
Thanks for all that you guys. 
Dear Dan OK, so the main 

522
00:32:30,080 --> 00:32:34,520
difference between the vomero 17
and the Nova blast twos and 

523
00:32:34,520 --> 00:32:40,920
threes and the clown monsters is
that the vomero 17 has zumex 

524
00:32:40,920 --> 00:32:43,760
foam. 
So it's got nikes super foam in 

525
00:32:43,760 --> 00:32:46,520
it same one that's in the vapor 
fly and then the elf fly. 

526
00:32:47,480 --> 00:32:51,000
I loved running in the Vomero, 
but it definitely feels like 

527
00:32:51,000 --> 00:32:57,000
Zumex, meaning it is a soft 
bouncy super foam and there's no

528
00:32:57,000 --> 00:33:01,080
plate in here. 
So this shoe both has more 

529
00:33:01,080 --> 00:33:05,480
compliance, meaning when you 
load it, it sinks in, but it 

530
00:33:05,480 --> 00:33:10,280
also has more resilience. 
It's quite bouncy when you it's 

531
00:33:10,280 --> 00:33:15,280
going to push back at you as you
push off the rocker profile 

532
00:33:15,280 --> 00:33:18,760
really isn't anything to write 
home about The four foot rocker 

533
00:33:18,760 --> 00:33:22,200
is pretty tame. 
So it's not like it's the rocker

534
00:33:22,200 --> 00:33:25,080
that's adding to the propulsion,
but it really is the difference 

535
00:33:25,080 --> 00:33:28,960
in the foam. 
So the Nova blast 3 is on the 

536
00:33:28,960 --> 00:33:31,960
firmer side. 
It's definitely not a super 

537
00:33:31,960 --> 00:33:37,880
foam, it's not super soft, it's 
not super firm, but it feels 

538
00:33:37,880 --> 00:33:40,400
nothing like the Zoom X in the 
Vomero. 

539
00:33:40,840 --> 00:33:42,440
Same thing with the Cloud 
Monster. 

540
00:33:42,560 --> 00:33:47,680
That's a pretty firm shoe. 
So I think that the main 

541
00:33:47,680 --> 00:33:52,960
variable here is just the 
softness of the Vomero 17 and 

542
00:33:52,960 --> 00:33:55,800
the responsiveness of the Zoom X
foam. 

543
00:33:56,520 --> 00:33:59,320
So why is that affecting your 
hip? 

544
00:34:00,720 --> 00:34:06,800
When you run in a bouncier shoe,
it may move you into push off 

545
00:34:06,800 --> 00:34:09,840
more quickly than you do in less
bouncy shoes. 

546
00:34:10,360 --> 00:34:15,440
So of course, when we're pushing
off our hip, knee and ankle are 

547
00:34:15,440 --> 00:34:17,719
all an extension. 
That's if you've ever heard 

548
00:34:17,719 --> 00:34:19,880
people talking about triple 
extension, that's what they're 

549
00:34:19,880 --> 00:34:22,639
talking about. 
So as you're pushing off and 

550
00:34:22,639 --> 00:34:27,159
your hip is moving into 
extension, if a bouncier shoe is

551
00:34:27,159 --> 00:34:31,679
pushing your hip into extension 
faster, that means that your hip

552
00:34:31,679 --> 00:34:37,520
flexors have to stretch or 
elongate faster than they would 

553
00:34:38,000 --> 00:34:42,480
if you were running in let's say
your Cloud Monsters or your Nova

554
00:34:42,480 --> 00:34:45,960
Blast. 
If your hip flexors are not 

555
00:34:45,960 --> 00:34:50,080
accustomed to running like this,
especially if you're using a 

556
00:34:50,080 --> 00:34:54,400
bouncier shoe for your recovery 
runs, your recovery runs, your 

557
00:34:54,400 --> 00:34:58,080
limbs should be moving slower. 
But it's possible that the 

558
00:34:58,080 --> 00:35:02,560
bounciness of the foam is making
your limbs move differently at a

559
00:35:02,560 --> 00:35:05,240
slower pace than you normally 
would. 

560
00:35:05,880 --> 00:35:10,720
Then that could over stress your
hip flexors and overtime lead to

561
00:35:10,720 --> 00:35:14,920
pain and injury. 
So I think, I mean, obviously 

562
00:35:14,920 --> 00:35:17,640
you figured it out already, but 
the Vomero probably isn't the 

563
00:35:17,640 --> 00:35:20,800
shoe for you for easy, easy 
runs. 

564
00:35:21,360 --> 00:35:24,440
You seem to do better in firmer 
shoes. 

565
00:35:24,440 --> 00:35:27,080
So I would stick with what's 
been working for you. 

566
00:35:27,640 --> 00:35:31,760
You might find that you can do, 
you know, faster runs in the 

567
00:35:31,760 --> 00:35:37,160
Vomero. 
Maybe if like you're longer runs

568
00:35:37,160 --> 00:35:40,720
or at a, you know, slightly more
up tempo pace, it might work 

569
00:35:40,720 --> 00:35:43,760
better for you there. 
Or it might just be a shoe that 

570
00:35:44,040 --> 00:35:46,800
you donate or, you know, sits in
your closet. 

571
00:35:48,680 --> 00:35:50,920
Let's move on to Michael's 
question. 

572
00:35:50,920 --> 00:35:54,320
This is a very timely question 
about heat training. 

573
00:35:55,240 --> 00:35:58,240
So Michael says hi. 
I started listening to your 

574
00:35:58,240 --> 00:36:00,840
podcast a few months ago and I'm
really hooked on it now. 

575
00:36:01,840 --> 00:36:04,920
In a recent podcast about long 
runs, you had a section on how 

576
00:36:04,920 --> 00:36:08,040
to adjust for heat. 
I'm curious if your advice 

577
00:36:08,040 --> 00:36:13,160
changes as runners get older. 
I'm 57 and living at the live in

578
00:36:13,160 --> 00:36:16,800
the Atlanta area and I've been 
running competitively since high

579
00:36:16,800 --> 00:36:19,760
school, so more than 40 years. 
That's awesome. 

580
00:36:19,760 --> 00:36:22,320
Love hearing from people who are
lifelong runners. 

581
00:36:22,880 --> 00:36:26,640
I run 40 to 65 miles a week just
depending on whether I'm 

582
00:36:26,640 --> 00:36:30,760
training for a marathon or not. 
Since I turned 50, it seems like

583
00:36:30,760 --> 00:36:33,120
every year it gets harder to 
handle the summer heat. 

584
00:36:33,680 --> 00:36:36,360
Drinking water and electrolytes 
only helps so much. 

585
00:36:36,800 --> 00:36:40,520
I spandana's get me through up 
to 12 miles at 830 pace. 

586
00:36:41,040 --> 00:36:44,440
I'm a heavy sweater. 
I can lose 3% of my body weight 

587
00:36:44,440 --> 00:36:47,520
in an hour even running in the 
early morning, so maybe that's 

588
00:36:47,520 --> 00:36:50,360
part of it. 
Is it typical of older runners 

589
00:36:50,360 --> 00:36:52,920
to struggle with heat more as 
they get older? 

590
00:36:53,760 --> 00:36:57,640
Mike, this is a great question. 
You know, many of us have been 

591
00:36:57,640 --> 00:37:02,600
suffering through a very hot and
humid summer, and we've all been

592
00:37:02,600 --> 00:37:05,160
trying to figure out how to deal
best with it. 

593
00:37:05,160 --> 00:37:10,120
So yes, absolutely. 
As we get older, our ability to 

594
00:37:10,120 --> 00:37:14,960
exercise in the heat decreases. 
There are a few main reasons for

595
00:37:14,960 --> 00:37:19,000
that. 
So 1 is our body's control of 

596
00:37:19,000 --> 00:37:23,400
blood flow to the skin can be 
altered where we just don't 

597
00:37:23,640 --> 00:37:27,360
release heat as effectively as 
we did when we were 20. 

598
00:37:28,520 --> 00:37:31,640
Some people as they get older 
also experienced decreased 

599
00:37:31,640 --> 00:37:36,080
thirst. 
So typically we don't feel 

600
00:37:36,080 --> 00:37:39,160
thirsty until we're already 
dehydrated, even at younger 

601
00:37:39,160 --> 00:37:42,200
ages. 
But as we get older, the 

602
00:37:42,200 --> 00:37:46,120
sensation of thirst can be 
delayed even longer, so by the 

603
00:37:46,120 --> 00:37:49,200
time we actually have that drive
to drink, we're even more 

604
00:37:49,200 --> 00:37:52,560
dehydrated than we would have 
been when we started feeling 

605
00:37:52,560 --> 00:37:57,360
thirsty at age 20. 
The third reason is potential 

606
00:37:57,360 --> 00:38:00,320
increased excretion of water by 
our kidneys. 

607
00:38:01,160 --> 00:38:04,480
There are a multitude of reasons
why this happens, but basically 

608
00:38:04,760 --> 00:38:09,160
our bodies get rid of more water
than they used to when we were 

609
00:38:09,160 --> 00:38:11,360
younger. 
Now that doesn't mean that all 

610
00:38:11,360 --> 00:38:15,120
three of these things are 
happening with you, but those 

611
00:38:15,120 --> 00:38:18,560
are the main causes of 
age-related heat intolerance. 

612
00:38:18,560 --> 00:38:21,400
Now, you're a lifelong athlete, 
it's not like you took up 

613
00:38:21,400 --> 00:38:26,240
running a couple of years ago. 
So your body is probably better 

614
00:38:26,240 --> 00:38:30,080
trained to deal with heat than 
the average person. 

615
00:38:30,080 --> 00:38:35,520
Of course, other reasons that 
you could develop heat 

616
00:38:35,520 --> 00:38:39,480
intolerance related to age are 
thyroid issues. 

617
00:38:40,080 --> 00:38:43,840
Both hypothyroidism, meaning 
having too low of thyroid 

618
00:38:43,840 --> 00:38:47,480
hormone in your body, and 
hyperthyroidism, meaning having 

619
00:38:47,480 --> 00:38:52,600
too much, can both cause heat 
intolerance during exercise. 

620
00:38:52,600 --> 00:38:56,000
So if you haven't had your 
thyroid levels checked recently,

621
00:38:56,440 --> 00:38:58,600
I would recommend having your 
doctor do that. 

622
00:38:59,640 --> 00:39:03,240
But the other thing is there a 
lot of common medications that 

623
00:39:03,240 --> 00:39:07,040
can affect our heat tolerance 
during exercise. 

624
00:39:07,520 --> 00:39:10,920
A few examples are beta 
blockers, antihistamines, and 

625
00:39:10,920 --> 00:39:14,200
antidepressants. 
Now, if you're on any of these, 

626
00:39:14,200 --> 00:39:18,000
that doesn't mean stop taking 
them, but it also might mean 

627
00:39:18,000 --> 00:39:21,920
have a conversation with your 
doctor about, OK, I'm on these 

628
00:39:21,920 --> 00:39:25,760
medications. 
This is I'm a marathon runner, 

629
00:39:25,760 --> 00:39:29,360
I'm lifelong runner. 
I've noticed I don't respond as 

630
00:39:29,360 --> 00:39:34,240
well in the heat as I used to. 
What can I do to mitigate this? 

631
00:39:34,480 --> 00:39:36,760
If you're on a medication, 
you're on it for a reason. 

632
00:39:37,480 --> 00:39:41,560
But your doctor may advise 
switching to one that is less 

633
00:39:41,560 --> 00:39:45,480
likely to cause heat intolerance
or have some other suggestions. 

634
00:39:45,800 --> 00:39:50,160
So no matter what, next time you
see your primary care doctor, I 

635
00:39:50,160 --> 00:39:53,280
would just bring it up and they 
might run some blood tests to 

636
00:39:53,280 --> 00:39:57,280
look at your thyroid levels and 
you might also just talk about 

637
00:39:57,280 --> 00:39:58,760
your medications with the 
doctor. 

638
00:39:59,640 --> 00:40:02,680
So what else can you do besides 
talking to your doctor? 

639
00:40:03,320 --> 00:40:07,040
1 Figure out your sweat rate and
plan your hydration electrolytes

640
00:40:07,040 --> 00:40:09,640
accordingly. 
You've already calculated how 

641
00:40:09,640 --> 00:40:14,520
much of your body weight you 
lose in sweat during a run, but 

642
00:40:14,520 --> 00:40:18,800
you also need to figure out how 
much sodium you lose per hour. 

643
00:40:19,680 --> 00:40:21,400
There are different ways to do 
that. 

644
00:40:21,680 --> 00:40:25,360
You can look that up online. 
There are sports dietitians who 

645
00:40:25,360 --> 00:40:28,760
can help you with that. 
There are patches you can wear. 

646
00:40:29,440 --> 00:40:32,400
That connect to apps. 
So figuring out your sweat rate 

647
00:40:32,400 --> 00:40:36,160
is important because it helps 
you figure out how much sodium 

648
00:40:36,160 --> 00:40:38,440
you need to take in per hour of 
exercise. 

649
00:40:39,240 --> 00:40:43,120
Continue to use cooling 
strategies like ice bandanas, 

650
00:40:43,520 --> 00:40:47,120
but also remember that your 
wrist, the inside your wrist, 

651
00:40:47,480 --> 00:40:50,360
and the back of your neck are 
both cooling points that are 

652
00:40:50,360 --> 00:40:55,200
easily accessed while running. 
So you might take your bandana 

653
00:40:55,200 --> 00:40:58,320
off and just touch it to your 
wrists a few times while you're 

654
00:40:58,320 --> 00:41:00,400
running or put it on the back of
your neck. 

655
00:41:01,400 --> 00:41:05,280
Or maybe you can plan shorter 
loops where you have a cooler 

656
00:41:05,280 --> 00:41:08,600
outside your house and you stop 
by and grab some ice cubes, you 

657
00:41:08,600 --> 00:41:11,520
know, every 3 miles just to help
yourself cool off. 

658
00:41:12,560 --> 00:41:16,040
And during races you can also 
use those same strategies if 

659
00:41:16,040 --> 00:41:20,160
they have ice available. 
The third thing you can do, make

660
00:41:20,160 --> 00:41:22,960
sure you go into your workouts 
properly hydrated. 

661
00:41:23,320 --> 00:41:26,240
I know during the summer, 
hydration can feel like a 24 

662
00:41:26,240 --> 00:41:28,760
hour job. 
It's not just hydration during 

663
00:41:28,760 --> 00:41:31,920
the run, it's hydration 
beforehand and afterwards. 

664
00:41:31,920 --> 00:41:35,440
Because after your run you've 
got to rehydrate so you're ready

665
00:41:35,440 --> 00:41:38,400
for your run tomorrow. 
So just keep that in mind. 

666
00:41:38,960 --> 00:41:43,280
It's so easy to mess up and not 
rehydrate well enough. 

667
00:41:43,600 --> 00:41:47,080
And then the next day you just 
feel terrible because you didn't

668
00:41:47,080 --> 00:41:49,400
get enough sodium back in your 
body. 

669
00:41:49,400 --> 00:41:51,440
You didn't get your plasma 
levels back up. 

670
00:41:51,880 --> 00:41:56,000
So just you probably are already
very aware of this, but just 

671
00:41:56,000 --> 00:42:00,320
make sure that you're staying on
top of your hydration 24 hours a

672
00:42:00,320 --> 00:42:03,600
day. 
Great question and I hope that 

673
00:42:03,840 --> 00:42:06,360
some of this helps you figure 
out some better solutions. 

674
00:42:07,600 --> 00:42:11,920
So our last question is from our
scratch social media takeover 

675
00:42:11,920 --> 00:42:13,680
last week, which was a lot of 
fun. 

676
00:42:13,680 --> 00:42:17,760
We got a lot of questions from 
scratch followers and maybe 

677
00:42:17,760 --> 00:42:19,880
people who had not heard of us 
before. 

678
00:42:20,720 --> 00:42:25,800
So we got to answer a lot of 
your questions in the stories on

679
00:42:25,800 --> 00:42:29,280
Scratches Instagram page, but we
didn't get to all of your 

680
00:42:29,280 --> 00:42:32,720
questions. 
So I chose one question to 

681
00:42:32,720 --> 00:42:34,720
answer today. 
And of course, it's a little 

682
00:42:34,720 --> 00:42:40,680
biased because of what I like. 
So Sharik 1989 asks, can bike 

683
00:42:40,680 --> 00:42:44,720
rides be used to replace easy or
recovery runs during the week? 

684
00:42:45,240 --> 00:42:49,320
Well, as a former professional 
cyclist, I would like to say you

685
00:42:49,360 --> 00:42:53,960
absolutely can use bike rides to
replace easy and recovery runs. 

686
00:42:54,400 --> 00:43:00,560
Cycling is such a great adjunct 
to running in your overall 

687
00:43:00,560 --> 00:43:03,440
training. 
So if you're injured, you can 

688
00:43:03,440 --> 00:43:07,600
use cycling as a way to get 
workouts in without, you know, 

689
00:43:07,600 --> 00:43:10,520
putting stress on your body if 
you're dealing with like a 

690
00:43:10,520 --> 00:43:15,000
tendon issue. 
But if you're just looking to 

691
00:43:15,000 --> 00:43:19,760
maybe not run as many miles per 
week but still get the duration 

692
00:43:19,760 --> 00:43:25,160
in, replacing maybe two of your 
or two or even three of your 

693
00:43:25,160 --> 00:43:28,600
easy runs during the week with a
bike ride is a great idea. 

694
00:43:28,600 --> 00:43:32,240
It's less pounding, it still 
helps you loosen up and recover 

695
00:43:32,240 --> 00:43:34,000
from your harder training 
sessions. 

696
00:43:34,400 --> 00:43:37,640
There are just a couple of 
things to remember if you do 

697
00:43:37,640 --> 00:43:42,160
this biking because you can 
coast. 

698
00:43:43,080 --> 00:43:47,880
You don't take a 60 minute bike 
and say that it's the equivalent

699
00:43:47,880 --> 00:43:51,320
of a 60 minute run. 
Depending on the level of 

700
00:43:51,320 --> 00:43:56,640
cyclist you are, you might need 
to bike up to twice as long as 

701
00:43:56,640 --> 00:43:59,360
you run to get the same 
stimulus. 

702
00:43:59,680 --> 00:44:04,920
That's kind of the math that I 
do if I'm using cycling as a 

703
00:44:04,920 --> 00:44:08,320
replacement for running. 
If I would have done a 30 minute

704
00:44:08,320 --> 00:44:11,880
easy run, I'm going to do a 60 
minute easy bike. 

705
00:44:13,160 --> 00:44:17,200
Second thing is make sure you're
probably set up properly set up 

706
00:44:17,200 --> 00:44:19,720
on your bike. 
You don't want to get a new 

707
00:44:19,720 --> 00:44:23,360
injury because your saddle is 
too high or your handlebars are 

708
00:44:23,360 --> 00:44:26,520
too low or too far away. 
So if you're going to be 

709
00:44:26,520 --> 00:44:29,520
spending a fair amount of time 
on the bike, then it's 

710
00:44:29,520 --> 00:44:31,640
worthwhile to get a bike fit on 
it. 

711
00:44:31,840 --> 00:44:34,880
I'm also a bike fitter so I'm 
also biased towards that, but 

712
00:44:34,880 --> 00:44:37,840
bike fitting is just as 
essential as getting the right 

713
00:44:37,840 --> 00:44:41,800
pair of running shoes. 
So do some research, see who the

714
00:44:41,800 --> 00:44:43,680
good bike fitters are in your 
area. 

715
00:44:44,040 --> 00:44:46,400
There are some physical 
therapists who are bike fitters 

716
00:44:46,400 --> 00:44:49,040
so you've if you have one of 
those around I would recommend 

717
00:44:49,040 --> 00:44:52,840
going to one of them. 
If you don't have APT bike 

718
00:44:52,840 --> 00:44:57,000
fitter around, ask around for 
who the good bike fitters are 

719
00:44:57,360 --> 00:44:59,440
and make an appointment with one
of them. 

720
00:45:00,640 --> 00:45:03,760
Another thing to keep in mind 
when riding is that you want to 

721
00:45:03,760 --> 00:45:07,520
focus on using a higher cadence 
and choose flatter routes to 

722
00:45:07,520 --> 00:45:09,800
make sure that your rides are 
actually easy. 

723
00:45:10,280 --> 00:45:14,400
If you're new to riding, it's 
common to self select A lower 

724
00:45:14,400 --> 00:45:19,480
cadence, but that puts more work
on your muscles, which if your 

725
00:45:19,480 --> 00:45:24,280
goal is to recover from your 
running, it's not going to be as

726
00:45:24,280 --> 00:45:27,840
effective as if you're able to 
spend a spin at a slightly 

727
00:45:27,840 --> 00:45:31,400
higher cadence. 
A good initial goal for newer 

728
00:45:31,400 --> 00:45:35,520
cyclists is to be in like the 80
to 90 RPM range. 

729
00:45:36,080 --> 00:45:38,960
If you are a more experienced 
cyclist, it would be good to 

730
00:45:38,960 --> 00:45:42,080
keep your cadence in the 90 to 
100 RPM range. 

731
00:45:43,320 --> 00:45:46,680
Also remember that your maximum 
heart rate and heart rate zones 

732
00:45:46,680 --> 00:45:49,480
on the bike are going to be 
potentially different than 

733
00:45:49,480 --> 00:45:52,160
running, so make sure to go by 
feel. 

734
00:45:52,160 --> 00:45:55,960
So if you're just setting out to
do an easy bike ride, make sure 

735
00:45:55,960 --> 00:45:59,720
it feels like an easy bike ride.
Your breathing should be normal.

736
00:45:59,720 --> 00:46:02,400
You should be able to carry on a
conversation. 

737
00:46:02,640 --> 00:46:06,640
Your legs shouldn't be burning. 
Don't go by your running heart 

738
00:46:06,640 --> 00:46:09,680
rate zones because again, if 
you're newer to cycling, you're 

739
00:46:09,680 --> 00:46:12,640
going to notice that it's harder
to get your heart rate up during

740
00:46:12,640 --> 00:46:14,680
your bike ride. 
That's OK. 

741
00:46:14,680 --> 00:46:17,800
Just go by how it feels. 
If you're an experienced 

742
00:46:17,800 --> 00:46:22,320
cyclist, use your heart rate and
power zones for cycling. 

743
00:46:23,440 --> 00:46:28,240
But cycling, cycling and running
go really well together. 

744
00:46:28,680 --> 00:46:33,320
I've had people who are coming 
back from injury and training 

745
00:46:33,320 --> 00:46:37,400
for marathon or even an ultra 
who just can't get their running

746
00:46:37,400 --> 00:46:41,560
mileage in, but we're able to 
successfully train and complete 

747
00:46:41,560 --> 00:46:45,920
their race by using a large 
amount of cycling to get volume 

748
00:46:45,920 --> 00:46:50,960
in to save their legs from too 
much mileage too soon. 

749
00:46:51,560 --> 00:46:57,920
So cycling can be a huge part of
your training no matter what 

750
00:46:57,920 --> 00:47:01,240
distance you're training for. 
When I was getting back into 

751
00:47:01,240 --> 00:47:03,120
running, I was coming from 
cycling. 

752
00:47:03,600 --> 00:47:07,960
I think I was running 20 to 25 
miles a week, probably cycling 

753
00:47:07,960 --> 00:47:15,160
another like 06 to 8 hours. 
And that amount of training got 

754
00:47:15,160 --> 00:47:17,920
me to an hour and a half half 
marathon. 

755
00:47:18,400 --> 00:47:22,640
So you absolutely can do it. 
You've just got to be smart with

756
00:47:22,640 --> 00:47:26,680
your training, know where you're
at with your cycling, and plan 

757
00:47:26,680 --> 00:47:31,120
your routes accordingly. 
So I hope that you guys learned 

758
00:47:31,120 --> 00:47:33,080
a lot from today's mailbag 
episode. 

759
00:47:33,560 --> 00:47:36,280
Like I said, we really love 
answering your questions and we 

760
00:47:36,280 --> 00:47:39,440
like that you ask us more 
complex questions. 

761
00:47:39,800 --> 00:47:42,920
That's what we're here for. 
We love being able to use our PT

762
00:47:42,920 --> 00:47:45,920
backgrounds and our racing and 
training backgrounds to really 

763
00:47:45,920 --> 00:47:49,520
help you guys figure out these 
complex questions that aren't 

764
00:47:49,520 --> 00:47:53,160
just like, you know, basic 
running shoe questions. 

765
00:47:53,160 --> 00:47:56,520
So keep them coming. 
The more interesting the better.

766
00:47:57,520 --> 00:48:01,640
Thanks for listening and don't 
forget to leave us a review that

767
00:48:01,640 --> 00:48:07,000
really helps out the podcast. 
So on your favorite podcast app 

768
00:48:07,400 --> 00:48:12,000
or on YouTube, make sure to like
and subscribe and we'll see you 

769
00:48:12,000 --> 00:48:12,480
next time.
