You train hard and have a great plan, yet you're still not getting the results as an endurance athlete. Maybe you're feeling exhausted or battling mood swings? Something is off and the dots just aren’t connecting - but you don’t know why. It is frustrating! It could be your fueling strategy. In Episode 38, Dr. Kate Ackerman, Harvard professor, sports medicine doctor, and team physician for USA Rowing at the Paris 2024 Olympics, sheds light on the often-overlooked issue of Relative Energy Deficiency in Sport (RED-S) and its profound impact on both athletic performance and overall health. Key Topics: Insights from the IOC’s 2023 Consensus on RED-S, including the difference between short-term and chronic low energy availability. How to recognize the red flags of under-fueling and its effects on physical health, bone density, reproductive function, and mental well-being. Practical advice for athletes, coaches, and healthcare professionals on maintaining proper energy balance to support peak performance. Challenges athletes face when increasing calorie intake after periods of restriction, including body image and mental health considerations. Guidance on fostering healthy development in young athletes, emphasizing skill growth over energy manipulation. Resources Mentioned: Visit Redinsport.org for tools like the RED-S CAT2 clinical assessment tool. Follow Dr. Kate Ackerman on X (Twitter) at https://x.com/DrKateAckerman for more insights on athlete health and performance. Subscribe to Imperfect Progress with Anne Guzman on Apple Podcasts, Spotify, or wherever you listen. If you love what you're hearing, please leave a 5-star rating to help spread this credible information to more people worldwide. Your support is greatly appreciated!

Welcome to Imperfect Progress!! We're talking all things KNEE PAIN today with Orthopedic Surgeon Dr. Howard Luks who specializes in sports medicine. Dr. Luks was Chief of Sports Medicine and Arthroscopy at New York Medical College for over 20 years, where he taught the next generation of Orthopedic Surgeons about the needs of athletes of all ages.  Inside the podcast I ask the burning questions about: When you push through knee pain, and when is it a sign to dial it back? The complexities of inflammation and pain management. When knee surgery might be necessary and who is a suitable candidate. Mysteries of joint health and aging. Are your joints really "torn" or wearing out? Why can some people run marathons well into their 80s, while others struggle with joint agony in their 40s? Dr. Luks shares insights into the impact of factors like excess weight, diet, and lifestyle on inflammation and joint pain, offering a holistic perspective on the issue. We explore intriguing new research emerging from GLP-1 drugs like Ozempic, which show promise for alleviating joint pain (this is INTERESTING!). Dr. Luks provides valuable advice on steps patients can take before considering knee surgery, emphasizing the importance of holistic approaches to joint health. And finally, we confront the realities of aging and joint pain, discussing how individuals can navigate these challenges while maintaining an active lifestyle. If you're anything like me, you NEED this episode! Tune in today and embark on this enlightening journey with Dr. Howard Luks, uncovering the secrets to managing knee pain and optimizing joint health.

Have you ever pushed yourself to the limit in a ride or race, only to be held back because you're struggling to breathe? You're not alone - as many as half of athletes face respiratory issues. During this episode of the Imperfect Progress Podcast, Dr. James Hull, a pulmonologist and Professor at the ISEH- the Institute of Sport Exercise and Health at UCL unpacks what athletes may be struggling with and why a diagnosis can be complicated. We'll explore the differences between asthma and exercise-induced laryngeal obstruction - EILO - and why the sensations and solutions differ. Dr. Hull shares how misdiagnosis can hamper athletic careers when the root cause goes unaddressed. And how conditions are influenced by factors like local pollution levels and lung infections. When you listen you'll gain tools to advocate for your own respiratory health evaluation. Proper diagnosis is key to treatment maximizing performance potential long-term. Don't let breathing hold you back - tune in to improve your understanding and keep advocating for yourself with this knowledge in hand. To learn more from Dr. Hull follow him @Breathe_to_win on X (Twitter). To learn more from me and get updates about podcasts, sports nutrition, and mindset, follow me on X (Twitter) @guzmannutrition, and here on LinkedIn and Instagram. If you haven't yet subscribed to my newsletter, head to anneguzman.com. You'll get more sports nutrition, sports science, and mindset insights to help you succeed in sports and life. Head to the footer of any page on my website and join over 500 athletes and active people in this curious and driven community today. Now let's step inside and learn how to breathe easier.

Dr. Lora Giangregorio, expert in osteoporosis and bone health, discusses practical ways to improve bone health such as resistance training, the impact of under-eating, and the significance of a holistic approach. They also explore the role of DEXA scans, yoga, vibration boards, and sports nutrition in maintaining bone health. Prevention is key for maintaining the freedom to do all the exercises you love.

Pro cyclist Haley Smith is no stranger to the cycling world. She's a force on two wheels, and vulnerability and her willingness to share her inner struggles is a super power in and of itself. If you struggle with confidence, are always comparing yourself to others, and obsess about watts per kilo or data, listening to conversation is guaranteed to help you loosen your grip a bit and enjoy the process of sport more. And isn't that the point of it all? During this powerful conversation Haley lets us into her mind as we unravel and discuss how she: Survived anorexia Builds confidence Measures progress Uses data in training Plans to use her Sport Psychology degree Practices mindfulness Changed her mindset about watts/kilo Came to realize that she is ENOUGH Manages comparison to competitors Sets process goals and what they mean to her I've been waiting for this conversation because I knew it would be meaningful, helpful for others and authentic. I know that every athlete, coach, parent and person can take something away from Haley's insights that will help them to shift their process in sport and their mindset, tipping it towards a more positive direction. Understanding more about how Haley thinks makes it easy for me to understand why she's crushing. A big part of that is that she's found JOY in the process and sees beauty in the sport of cycling. You can follow Haley here. Before you jump in, if you would like to support me and this podcast, please take two minutes now and head over to Apple or Spotify and give my podcast a rating, leave a comment about what you thought of the episode! THIS REALLY HELPS PUSH THE PODCAST OUT to more listeners. I do this podcast to share quality information and conversations and I want as many people as possible to hear these important messages. THANK YOU IN ADVANCE! Follow me here: IG: ⁠⁠⁠@guzmananne⁠⁠⁠ and ⁠⁠⁠@imperferctprogresspodcast ⁠⁠⁠Twitter: ⁠⁠⁠@guzmannutrition⁠⁠⁠  LInkedIn: ⁠⁠⁠AnneGuzman ⁠⁠⁠ TikTok: @guzmananne. Interested in a podcast topic? Shoot me an email. Do you want to partner with my podcast as a sponsor? Contact me at Anneguzman.com and let's see if we align! Thank you for being a part of this amazing positive community and thank you for listening. Share this episode on your favourite social media platform and tag me! I love meeting listeners from across the world.

Are you tired of the frustration and disappointment of struggling to follow through on your habits? Have you ever experienced the pain of starting a new routine only to find yourself skipping days or abandoning it altogether? It's a disempowering cycle that leaves us wondering why we can't stay on track. During this podcast episode, I've had an enlightening conversation with renowned Neuroscientist and Psychologist Dr. Scott Frey. Join us as we dive deep into the realm of limiting self-beliefs and discover powerful tactics to help you finally break free from the cycle of unfulfilled habits. It's time to follow through and reach your true potential by beginning a transformative journey of habit-building success. Embark on Dr. Frey's captivating journey as a neuroscientist shaped by his upbringing by his incredible single mother who lived with Multiple Sclerosis. Dr. Frey's story is inspiring and a huge reminder that we can overcome self-limiting beliefs, create new habits, and intentionally change our lives. When you listen today you'll learn about: Overcoming obstacles with specific tactics for habit formation. Strengthening neural pathways to achieve your goals. Breaking free from self-limiting beliefs: and understanding the danger of absolute statements. Unveiling the power of imagery in the mind. The differences between the flow state of cycling and running and intentional meditation. Harnessing the power of your environment to stick to your habits. The science behind stroke recovery and learned disuse. Fascinating insights into the brain's adaptation after limb loss. The 30 day deal we made LIVE together to keep one another accountable! How you can connect with Dr. Frey and his new business to learn about his coaching for transformative results. This conversation moved me. It takes many different turns, and there's much to act on after you listen. You can learn more about Dr. Scott Frey and his business Cerebral Performance here. If you'd like to support me in my mission to amplify and translate science to active populations like you, please head to my podcast where you listen and give it a 5-star rating!  I would be super appreciative! This moves it up on the rankings, and this means MORE PEOPLE GET CREDIBLE SCIENTIFIC INFO! You can find it here on Apple or here on Spotify. If you're here listening you have a hunger for knowledge! There's more to learn from my monthly newsletter. Visit Anneguzman.com, swiftly scroll to the bottom of the page, and seize the opportunity to subscribe to my exclusive monthly Performance Hub Newsletter. Join an elite community of 500+ passionate athletes, practitioners, and coaches who stay ahead of the game by embracing the latest sports science insights every month. Your voice matters too! Share your desired topics, and I'll curate content that truly resonates with your interests. Email or message me about what you're keen to learn. Become a part of this transformative community today. I look forward to seeing you in the community. Follow me on my social platforms to keep learning and being inspired to be your best. Like what you're learning and hearing? Tag me! IG: ⁠⁠⁠@guzmananne⁠⁠⁠ and ⁠⁠⁠@imperferctprogresspodcast ⁠⁠⁠Twitter: ⁠⁠⁠@guzmannutrition⁠⁠⁠ LInkedIn: ⁠⁠⁠AnneGuzman ⁠⁠⁠TikTok: @guzmananne. And with that, let’s jump inside the podcast and build some lasting habits!

How can under eating, over exercising, high stress events and losing your period as a result, potentially contribute to poorer heart health? The science is surprising and it isn't being talked about enough. My guest today sheds light on all of these. It's important information that's not getting out to many athletes and coaches. Today’s guest Dr. Chrisandra Shufelt is an expert in women’s heart health and menopause, Dr. Shufelt is Professor and Chair of the Division of General Internal Medicine, Senior Consultant at the Mayo Clinic Women’s Health, and Associate Director of the Women’s Health Research Center at Mayo Clinic in Jacksonville, Florida. Dr. Shufelt is awomen’s health internist with fellowship training in vascular biology and women’s health and a certified menopause practitioner. She’s the immediate past president of the North American Menopause Society where is now on the board of trustees. Her NIH-funded research focuses on young women with hypothalamic amenorrhea evaluating the impact on immune and vascular health. During this podcast we discuss: The effect of early and late onset of a female's first period on future heart health. How losing your period from over exercise, under nutrition or high stress events could impact bone health.  How estrogen impact vascular health and how this can impact your performance as an athlete. Early and late menopause, hormone replacement guidelines and considerations. Hormone replacement for bone health in young female athletes with amenorrhea. Prevalence of amenorrhea in athletes. Estrogen throughout your lifespan and how this relates to heart health. Dr. Shufelt's NEW STUDY and how to join because she is recruiting athletes NOW. There's so much to learn in this episode. EVERYONE should listen, male or female, coach, parent or athlete. To learn more about Dr. Shufelt's study (women 18-40 who have missed more than 3 periods in a row due to stress, over exercise or under nutrition) call the study coordinator at this number: 904-953-9805. You can follow Dr. Shufelt on twitter here: https://twitter.com/cshufeltMD If you're here listening you're hungry to learn, whether it's for health, performance or both. That means you should head over to Anneguzman.com, scroll to the bottom of the page and subscribe to my monthly Sports Science Minute newsletter! Join 500+ athletes, practitioners and coaches who are learning the latest in sports science monthly. Have topics you'd like to hear about? Email me! Follow me on my social platforms to keep learning and being inspired to be your best. Like what you're learning and hearing? Tag me! IG: ⁠⁠@guzmananne⁠⁠ and ⁠⁠@imperferctprogresspodcast ⁠⁠Twitter: ⁠⁠@guzmannutrition⁠⁠ LInkedIn: ⁠⁠AnneGuzman ⁠⁠TikTok: @guzmananne. If you'd like to support me in my mission to amplify women in science and translate science to active populations like you, please head to my podcast where you listen and give it a 5 start rating!  I would be super appreciative! And with that, let’s jump inside the podcast!

Welcome to episode 31 of the Imperfect Progress Podcast! On today's podcast I had the pleasure of speaking with Dr. Meagan Wasfy, a sports cardiologist and echocardiographer at the Mass General Hospital Brigham, Massachusetts. Dr. Wasfy completed her undergraduate degree is from Harvard College and medical degree from Harvard Medical School. She serves as team cardiologist for Harvard Athletics and co-medical director for the Boston Athletic Association. Her research focus is on optimizing the clinical utilization of cardiac imaging and exercise testing in athlete patients, with an emphasis on sex-based differences. She’s also an avid runner herself and has extensive experience working with endurance athletes, as well as the NFL and also the general population in relation to heart health. Dr. Wasfy and I discussed heart health, aging, and endurance athletes. When you listen, you'll learn about: How menopause can affect our risk of heart disease. Why endurance athletes are not invincible to aging and heart health issues. Preventing sudden cardiac arrest in young and masters athletes - what can be done? Atrial fibrillation and endurance athletes. Which sex is at higher risk? The optimal level of exercise for improved health. Is extreme exercise good for heart health? CPR - why we should all learn it. How wearable technology can be an asset to cardiologists. Which age group wearable technology is not useful for and why. Tune in to learn more about these important topics! After this episode, I am taking my movement seriously, and every bit counts towards my heart health. To learn more about Dr. Wasfy follow her here on Twitter today! If you’re not signed up for my monthly newsletter about all things sports nutrition, sports science and mindset, head over to ⁠Anneguzman.com⁠ now and subscribe. I dive deeper into podcast topics and share resources for those who want to learn more. I’m also very open to hearing from you the listeners about topics you’d like to learn about in my newsletter! Join the 500+ other members of the community today! If you love what you see please share it with friends on social media or by email. Did you learn something interesting? Share it on social and tag me! IG: ⁠@guzmananne⁠ and ⁠@imperferctprogresspodcast ⁠Twitter: ⁠@guzmannutrition⁠ LInkedIn: ⁠AnneGuzman ⁠TikTok: @guzmananne. If you'd like to support me in my mission to amplify women in science and translate science to active populations like you, please head to my podcast where you listen and give it a 5 start rating!  I would be super appreciative! And with that, let’s jump inside the podcast!

Welcome! Today's episode is about all things carbohydrates, insulin and blood sugar, at rest or during cycling and other endurance exercise. My guest Dr. Javier Gonzalez is deeply invested in research in the area of Nutrition and Metabolism and has over 159 papers published in the field. He's deepling interested in understanding human fuel use, specifically how we obtain fuel from our diet, how we burn fuel during exercise, and how we store fuel when we have more than we need. As a Professor at Bath University Dr. Gonzalex also consults with sports teams and industry and he himself participates in cycling, putting his science into motion! If you eat carbohydrates during an intense bike ride do you think you will 'spike;' your blood sugar? If so, press play and start listening. I loved this conversation! Here's some of what you'll learn during this episode: · The basics of sugar, carbohydrates, and the roles hormones such as insulin, glucagon, and catecholamines in regulating blood sugar during  exercise. · How carbohydrate intake during exercise impacts blood sugar and insulin, which may surprise you! · Insulin sensitivity and resistance, and how they play into our overall health and can change in response to different factors, including endurance exercise. · Differences in glycogen storage and use (carbs stored in muscle and liver) between untrained vs trained endurance athletes. · The different types of sugars (glucose, sucrose, fructose) and how the body is able to absorb these, and in what amounts. · Carbohydrate intake on the bike during and after training and why the TYPE of sugars you ingest can matter depending on your context. · Why competitive and elite cyclists perform best on a high carbohydrate diet. · The limitations of relying on body fat as fuel for competitive cyclists. How Dr. Gonzalez navigates imperfect progress and adversity in his own life (great answer!). There's a lot more to this conversation but those are some of the key areas we touch on. You'll also learn about what types of carbohydrates help you recover the quickest and examples of carbohydrates to eat on the bike/run and why multiple types of carbs is important for training that lasts more than 90 minutes. This is a good one! I’ve been waiting to find the right person for this topic for some time. I hope you enjoy it as much as I did. If you’re not signed up for my monthly newsletter about all things sports nutrition, sports science and mindest, head over to Anneguzman.com now and subscribe. I dive deeper into podcast topics and share resources for those who want to learn more. I’m also very open to hearing from you the listeners about topics you’d like to learn about in my newsletter! Join the 500+ other members of the community today! If you love what you see please share it with friends on social media or by email. Did you learn something interesting? Share it on social and tag me! IG: @guzmananne and @imperferctprogresspodcast Twitter: @guzmannutrition LInkedIn: AnneGuzman TikTok: @guzmananne. If you'd like to support me in my mission to amplify women in science and translate science to active populations like you, please head to my podcast where you listen and give it a 5 start rating!  I would be super appreciative! And with that, let’s jump inside the podcast!

Dr. Eimear Dolan discusses the often overlooked topic of bone health in athletes, particularly cyclists. She explains the impact of poor bone health on athletic performance and the role of nutrition and exercise in maintaining healthy bones. Topics covered include signs of potential bone health concerns, strategies for optimizing bone health during training, and the effects of calcium loss through sweat. The podcast also emphasizes the importance of prioritizing bone health in youth and adolescence.