
The TriDoc Podcast, triathlon and health in one place
Jeff Sankoff is the TriDoc, a physician who will do the research so you don't have to in order to understand if any of those things marketed to endurance athletes can deliver close to what they promise. Before you put anything in or on your body, understand what the science says by listening to an expert who has done the work for you.
Latest episodes

Dec 1, 2023 • 1h 8min
Ep 133: NAD+ supplementation/Gustavo Cadena, inventor of the Omius
In this episode:NAD+ is an important co-factor in many biochemical processes in our cells including the metabolism of glucose. There is research that suggests that as we age we may develop a deficiency of it and that supplementation might help with performance. We review the science. Gustavo Cadena Schlam is an engineer and the inventor of the Omius headband cooling device. We discuss how it works and what led to its development.Segments:[08:27]- Medical Mailbag: NAD+[33:43]- Interview: Gustavo Cadena Schlam Links@omiustech on Instagram Gustavo's Website

Nov 17, 2023 • 1h 12min
Ep. 132: IM medical misadventures/Heath Dotson on aero dos and don'ts
In this episode:What injuries are most common while training for an Ironman and how can they be avoided? How often do athletes present to the medical tent at an IM event and what problems are they going with? On the Medical Mailbag we review recent research that explores a wealth of data to answer those questions. Plus, an interview with national cycling champion and self-described aero geek Heath Dotson on what kinds of trends make sense for age groupers to consider for their own set ups and what they should just skip.Segments:[time stamp]- Medical Mailbag: Ironman Medical Misadventures[time stamp]- Interview: Heath Dotson LinksTriathlon Magazine Canada article on Louise Atkinson Clark@Hdcoaching on Instagram @Heathdotson on X Heath's Website

Nov 3, 2023 • 1h 4min
Ep 131: Ozempic/Edward O'Malley designer of the Velo Vetta bike shoe
In this episode:Ozempic and Wegovy, both trade names of the drug semaglutide have led a kind of weight loss revolution because of the success patients who use them have had in dropping and keeping off weight. The mechanism by which this drug works does have some consequences for any multisport athletes who use or are considering using it and so on the medical mailbag we look at this drug and what multisport athletes should know. Edward O'Malley is an engineer and age group triathlete who saw a need for a better bike shoe so he designed one himself and the result is the VeloVetta. With its unique closure lever and aerodynamic features the shoe has some real promise for making your transitions and bike splits faster. Meet the man behind the shoe and hear why he did what he did.Segments:[03:53]- Medical Mailbag:[32:52]- Interview: Edward O'Malley LinksEdward's Facebook page @velovetta on Instagram Edward's Website Edward on YouTube

Oct 20, 2023 • 59min
Ep 130: Dream Recovery/Alex Harrison
In this episode:The Dream Recovery is a piece of tape that you apply over your mouth at night to promote nose breathing and promises to improve sleep quality, recovery and a host of other processes. Is there anything to these claims? We take a look. Plus, a conversation with writer, coach and developer of the nutrition app Saturday Morning, Dr. Alex Harrison.Segments:[08:38]- Medical Mailbag: Dream Recovery[33:23]- Interview: Dr. Alex HarrisonLinksDr. Alex's Website Dr. Alex's Facebook group Dr. Alex's Facebook page @Dr_Alex_Harrison on Instagram @Dr_AlexHarrison on X Dr. Alex on YouTube

Oct 6, 2023 • 1h 5min
Ep. 129: Tart Cherry Juice/Jen Rulon
In this episode:Tart cherry juice was all the rage at the Vuelta a Espana last month. Is there any evidence to support its use and if so, what are the benefits of using it? Coach Juliet Hochman and I look at this beverage in the Medical Mailbag. Plus, an interview with Coach Jen Rulon. A former multiple time Ironman athlete, Jen has slowed down and is living large in beautiful Costa Rica where she continues with her coaching business but has embraced a more laid back approach to her life and focuses on strength training and mindset. Hear her philosophy and what else she is doing in our conversation.Segments:[07:30]- Medical Mailbag: Tart Cherry Juice[35:52]- Interview: Jen Rulon LinksJen Rulon has been a triathlon/fitness coach for 22+ years and owns JenRulon.com. She received her Master's Degree in Kinesiology with an emphasis in Exercise Science. Her knowledge as an author and speaker includes Triathlete Magazine, Runners World, on the TED Stage and the University of Wisconsin-Whitewater Commencement Speaker, Men's Journal Online, "Self Motivation Strategies for Women," (Amazon), and the New York Times.
Jen practiced what she preached-she's a 15× Ironman Triathlete who qualified and participated in the World Championship in Kona, Hawaii, on October 14, 2017.
Jen is "retired" from the sport of triathlon as an athlete but still coaches athletes worldwide and lives a life of abundance, strength training, walks, and catching the sunsets in Costa Rica. Jen's Facebook group Jen's Facebook page @CoachJenRulon on Instagram @CoachJenRulon on X Jen's Website Jen on YouTube

Sep 22, 2023 • 1h 9min
Ep. 128: Hacks for handling the heat/Dylan Davison, stomach cancer survivor & Ironman athlete
In this episode:Record breaking temperatures across the northern hemisphere this past summer are more than likely a harbinger of what is to come as climate change becomes more and more a feature of our lives. How to manage training and racing in the heat will become vital to staying healthy and to finding success. In the medical mailbag coach Juliet Hochman and I discuss some novel ways to hack your physiology and cool yourself down when things get hot. Plus, a conversation with Ironman age group athlete Dylan Davison. Dylan has had to overcome more than most on his way to the start line of the 2024 Ironman Chattanooga including the loss of his stomach. He hopes to become the first athlete to complete a 140.5 after a total gastrectomy. Learn about his journey and how he perseveres.Segments:[07:43]- Medical Mailbag: Hacking the heat[40:46]- Interview: Dylan Davison LinksDylan's Facebook page @dylan_davison on X Dylan's Website

Sep 8, 2023 • 1h 2min
Ep. 127: Accidental hypothermia/Lesley Smith
In this episode:Cooler temperatures brings colder water for open water swimming. With that comes the risk of hypothermia. What happens to the body when we get cold and how can we prevent the worst complications of lower core temperatures? Are there ways that we can adapt to the cold in order to better resist the dangers? I go over the science with Juliet Hochman in the medical mailbag. Then, an interview with professional triathlete Lesley Smith who has more than twenty 70.3 podium results to her name in her ten seasons as a pro.Segments:[07:19]- Medical mailbag: Accidental Hypothermia[31:18]- Lesley SmithLinksLesley's Facebook page @lesleyesmith on Instagram @LesleySmithTri on X

Aug 25, 2023 • 1h 4min
Ep. 126: Vitamin C for endurance performance?/Jen Szabo volunteer coordinator for Boulder 70.3
In this episode:Vitamin C has been advocated as a means to boost immunity and stave off colds as well as an anti-oxidant that can help prevent cell damage. Some athletes and coaches have felt that taking this vitamin can help with endurance performance as well. What does the research say? Plus, a conversation with the volunteer coordinator of the Boulder 70.3 race, Jen Szabo. Hear what it takes to get as many as a thousand people to come and help make this event happen and why getting volunteers is becoming more of a challenge.Segments:[09:57]- Medical mailbag: Vitamin C[time stamp]- Interview: Jen Szabo LinksJen's Facebook page @RockstarSzabo on X @rockstarszabo on Instagram

Aug 11, 2023 • 1h 4min
Ep. 125: Carbon fiber plate shoes and increased risk of injury/Coach Michelle Lake
In this episode:So called super shoes have been all the rage since they were first released back in 2016. These running shoes with high tech foam and a carbon fiber footplate embedded in the sole have proven to be significantly faster across all distances and have been worn by elites and age groupers in track and field, running events and multisport. Recently, research has emerged that raises the specter that these shoes might be associated with an increased risk for injuries. In the medical mailbag, we discuss this research and what to do about it. Plus, a conversation with Michelle Lake. Michelle is an athlete, a coach and more recently, a coach's coach. We discuss her advice for coaches to make their hobby a full time job.Segments:[05:02]- Medical mailbag: Carbon fiber footplates and increased injury risk[31:44]- Michelle Lake LinksMichelle's Facebook page @CoachMichelleLake on Instagram Michelle's Website

Jul 28, 2023 • 1h 8min
Ep. 124: The microbiome and athletic performance/Tamara Jewett
In this episode:More and more, researchers are coming to understand how significant a role our gut has in many wide ranging physiologic processes. One important reason for that may have to do with the gut microbiome. What is the gut microbiome and how does it impact our health? How does diet affect the microbiome and what is the relationship between the microbiome and endurance exercise performance? In this episode's medical mailbag, we look at recent research that suggests our microbiome may have an outsized role in how we perform when training and racing. Plus, a conversation with the incredibly fast and increasingly successful professional triathlete Tamara Jewett. Tamara's path to the top of the pro ranks in triathlon was not a straight line and she continues to impress with her actions both while racing and when not. Hear more about who this woman is and why she is so impressive.Segments:[04:17]- Medical Mailbag: The gut microbiome and athletic performance[32:35]- Tamara JewettLinks@tamarajewett on Instagram Tamara's Website One Tree Planted