Some Work, All Play

285. The Strange Uncertainty of Hemoglobin A1c in Athletes, Thyroid Function and Fueling, Elevated Heart Rate, and Running Form 101!

37 snips
Nov 18, 2025
Dive into the fascinating world of athletic physiology as unusual findings emerge about hemoglobin A1c in elite athletes. Discover the connection between suppressed thyroid hormones and low energy availability, revealing the complexities of athlete health. They also share amusing tales of post-run mishaps and normalizing on-course 'pee bowl' moments. From running form to fueling winter races, there's tactical advice for every level of athlete. Plus, tackle the nuances of elevated heart rate with clever insights and practical tips!
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ANECDOTE

Ranger Trail Run, Dehydration, And Rapid Recovery

  • Megan ran two reps of Ranger Trail: 4,000ft elevation and 16 miles, finished with severe dehydration but felt surprisingly good after recovery nutrition.
  • She credits immediate carb+protein recovery and beta recovery drinks for rapid quad recovery.
ADVICE

Practical Steps For Plantar Foot Recovery

  • Treat plantar foot pain with topical Voltaren, a night splint, calf strengthening, eccentric calf drops, and percussive massage.
  • Use conservative anti-inflammatories short-term and progressive loading rather than drastic changes.
INSIGHT

Athletes Can Have Higher A1c Despite Healthy Glucose

  • Hemoglobin A1c can be higher in elite athletes despite low fasting glucose and good insulin sensitivity.
  • Training-induced glucose spikes and longer red blood cell lifespan can nudge A1c upward, complicating diagnosis.
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