Jake Riley thought losing weight would help him win. He found out the hard way how wrong he was.
about thyroid problems in runners—convinced Riley to seek a medical explanation. He made a doctor’s appointment and got bloodwork done.of Hashimoto’s disease, Riley at first thought he might also have hypothyroidism. Because the signs overlap and RED-S can cause some changes in thyroid hormone levels, the two conditions are often confused, especially by doctors who don’t often work with athletes.
In Riley’s case, the answer was quickly clear. His thyroid hormone levels were relatively normal, but he had persistently low vitamin D and iron, despite supplementing. His doctor suggested he meet with Alm. “After a 20-minute conversation, she said RED-S,” Riley said. But what begins with a lack of knowledge can swiftly slide into disordered eating or eating disorders. Why? At first, many runners may see weight loss and improved performances before symptoms begin. “I ran really well at the Trials,” Riley said. “Whether or not it was because of that, or how well my training had been going, who knows?”
Garcia and Alm note that each runner has a unique physiology, a different body composition at which they’re healthiest and fastest. They recommend seeking out reliable advice before making dietary changes, especially if you’re restricting your intake or eliminating food groups to which you aren’t allergic.
To destigmatize and recontextualize disordered eating and eating disorders, Nickols refers to them as “.” Just like physical injuries, they require rest, rehab, and a team approach to treatment, including a dietitian and/or sport psychologist specializing in disordered eating. The effects weren’t swift enough to improve his performance at the Boston Marathon a month later. Riley knew he might not be fully recovered but still wanted to run. At mile 6, he slowed, going from a 5-minute pace to a 2:30:48Currently, he’s between surgeries to repair a defect called Haglund’s deformity, which leads to Achilles problems, in both heels.
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