Tuesday, December 31, 2024

Meet list 2024 - season in review

 

2024 Meet Summary

Year started out well, ran my fastest 400m race early season in Jan.  That time held up as the #2 time overall in the US for the indoor and outdoor seasons combined.  One of only two M60 in the US to run under 59 seconds all year.  Got to run in 4 college meets, including a DI college meet at Vanderbilt on ESPN's SEC Network.  Injury in training on 2/2 began to take effect in March.  

#5 World Ranked Indoor 400m M60 - 58.84   
#1 USA Ranked Indoor 400m M60 
#2 USA Ranked Indoor and outdoor combined 400m M60
#15 World Ranked Indoor and outdoor combined 400m M60

Penn Relays - 100m Champion M60 - 13.23

Relays: 
Penn Relays Silver Medal M60 4x100 (anchor leg)
Penn Relays Silver Medal M60 4x400 (anchor leg)


-- INDOOR--

Jan 5 - Birmingham, AL - AL vs the South
400m - 59.60 

Jan. 13 - Nashville - Vanderbilt, Commodore Invititational
400m - 58.84 

Jan. 21 - Birmingham, AL - KMS college meet
400m - 59.33

Feb. 11 - Gainesville, FL - USATF SE Masters400m - 59.84
400m - 59.22 

Feb. 17 - Sewanee, TN - Tiger Indoor (160m flat track)
400m - 60.56

 

March 21 - Chicago, IL - USATF Masters indoor nationals

          400m - DNF


 -- OUTDOOR-- 

March 2 - Mt. Berry, GA - Berry College

          400m - 59.75


April 20 - Sewanee- Mt. Laurel
          
          400m - 61.00


April 27 - Philadelphia, PA - Franklin Field - Penn Relays
4x100m Relay - Silver

          100m - Gold - 13.23  

          4x400m Relay - Silver (61.16 split)



May 25 - Madison, AL - PTC
100m - 13.09

          200m - 27.00 



June 8 - Powder Springs, GA - Dynasty Elite
200m - 27.46 (interfered with by injured athlete) 


Total: 
2024: 11 meets / 14 races
9 - 400m
2 - 200m
3 - 100m

Compare:
2023: 13 meets / 30 races
2022:  8 meets / 11 races 
2021: 16 meets / 28 races 
2020: 4 meets / 7 races 
2019: out for season 
2018: 11 meets / 22 races 
2017: 12 meets / 29 races 
2016: 18 meets / 40 races 
2015: 12 meets / 30 races  
2014: 22 meets / 45 races 
2013: out for season
2012: 17 meets, 41 races 
2011: 15 meets, 28 races
2009: 1 meet, 1 race

MASTERS CAREER TOTAL:
326 races
160 meets (including 64 sanctioned NCAA college track meets)
(not including eight 5k road races and one 1 mile road race)

Turning point

Here it is, New Years eve.  Later I'll write up my season summary, and wonder if it will be my last.  It very likely could be.   To my surprise, Dr. LaPrade responded sooner than expected today saying that he doesn't think he can do a complete repair of my meniscus.   It was devastating news.  

But, I scheduled an appointment with whom many say is the #1 surgeon in the country for this injury, Justin Saliman, inventor of the Novostitch device specifically for complex meniscus repair.  His practice is called the "Knee Preservation Center."   Check out his website.    mailed him my MRI today, and my zoom appointment with him is Jan 15.  So, I haven't given up completely.  Even if it can not be repaired, I'm sure it will heal to the point that will allow some occasional running on turf, maybe track.  I know of masters with knees far worse than mine who have competed for yrs, bone on bone.  Seriously.  (Ben J.)  A few who have resurfaced and replaced joints.  Even as it is now, I could probably get a season out of it, but that wouldn't be good long term.  I really don't want to compete if I can't train 100%.  But, not yet ready to announce my retirement from masters track.  I can still carry 60 lbs of firewood up the stairs with no pain... so there's that.  My legs are still strong.  

There is the question, even if I can sprint, and I can compete, should I?  Probably not.  My dad had his knee replaced at age 71, but he was sedentary and overweight through much of his 60s.  It's pretty routine procedure now.  I'm assuming that it will be in my future.  

But, if it's my last yr, stings that I didn't win Indoor Nationals as I should have, but I ranked #5 in the world indoors, #1 US indoor (by a lot), top 15 in the world overall outdoor and indoor combined, and #2 in the US.  Not bad for the last yr in my age group.  I ran under 60 five times before the outdoor season really started.   I even won my first and only individual Penn Relays Championship in the 100m.  Masters Rankings maintains a world list of the top 25 performances of all time by age group and event.   My 2021 56.23 ranks 21st world wide in M60, 11th for 61 and older, 8th in the USA in M60 and 4th in the USA over 61.   I'm in good company, people like Collins and Allie. 

If I leave, I will leave the sport with 9 USATF National Championships, a World title, and 4 individual world medals.   Regardless, it was a good run.   Me and Francois were only M60 in the US to run under 59 this yr.  (Francois had an amazing yr, Silver at worlds, WL in 2 events).    Just thinking about how hard I was training a year ago and how quickly life can change.  2024 would have been even better if that proximal ham didn't pop on 2/2, although it didn't really manifest for a month.  At least I stayed competitive til the end if this is it.

I guess I should perhaps be happy to hang up the spikes and just run once a week some intervals on turf and focus more on longevity.  I wonder where I'd be if I didn't feel that snap in my knee on Friday the 13th?  Would it have happened eventually?  Is it really just a pain management issue like my foot that should dictate?  Or should I anticipate far worse issues?

My main fear is that without the motivation of track competition, it will compromise my health and life.  Causing me to age quicker, live shorter, be less deliberate in how I live my life.   It took a great deal of sacrifice for someone who has to stretch to measure 5'7" ... a bowlegged white guy with not real good running form to become the fastest 400m runner in the world over 60.  I was literally pushing to the extreme edge.  The lifestyle, keeping the regimented schedule, food and supplement choices, weight, strength, etc...etc.. etc...   I look over to that chair where sits boxes of training shoes, racing spikes, bags of spikes-risers-wrenches, my rollers, tubing, massager, back pack with timers, tape, training clothes for all conditions, the weight dragging harness, orange marker cones, measuring wheel, starting blocks, and the trusty water bottle that has layers and layers of tape with pen scrawled interval times collected over weeks and months up to and including that last 3x300 on Friday the 13th.   

I should know more after Jan 15 and later in the spring.  

Wow, can't believe I made my first post on this blog on April 16, 2011.   Between then and now, that's a big chunk of my life.  I want to thank all those readers that have been with me for so long, you know who you are.  This is post # 2362 on this blog since it all began.  

Even if I retire from track competition, I'll probably keep this blog going because I do believe in sprint interval training, even if it's not running on the track.   







My last healthy workout where I ran a 13.32 100m.

Weight just under 140 lbs.

Dec. 9, 2024. 





























Sunday, December 29, 2024

Life change and test results

It will be end of coming week before I hear anything from Dr. LaPrade.  He will have both my Xrays and MRI arriving before he comes in on Jan. 2.   

Previously with my other knee injury, I trained on it for almost 2 months before surgery but not this time.  I'm doing nothing really except pullups, pushups, rubber tubing shoulder rotations, weighted bicycle crunches, ab wheel, but nothing to raise the heart rate near max and run the engine hot.  I fear it may affect my CV health and promote faster aging.  The best thing to do would be to get into the pool but it's closed til 1/13.   I could probably bike or row with no pain but I don't want to make my meniscus worse.  It will be already a difficult enough repair, assuming it can be.

During my normal lifestyle when training, so many things are centered around this.  What and when I eat, when I go to the bathroom, the weather (wind direction, rain, etc...), what type of workout I will do, what my goals for the session are, etc... It is a total life change.  It has brought me back strongly to guitar practicing where I'm playing so much more.  I played a community concert in FL on xmas night with a guitar I purchased and had sent to my parents house.  It turned out to be a spectacular guitar, a 48 yr old Takamine C136s in near mint condition, worth 3 or 4x the $500 I paid for it.  Definitely among the best guitars I own.  Astonishingly loud and easy to play.  

LIPID Blood work

I had the blood drawn for 4 lipid tests and I have results of 3 of them:  Apolipoprotein B1/A ratio, standard lipid panel, and MMR Lipid fractionation.   (They screwed up and didn't take enough blood for the Lipid ion mobility fractionation test).

Results were generally ok, some good and bad.   It had only been 8 weeks since my previous blood draw and I tried 3 things:  500mg niacin, bergamot juice and capsules, and cutting down on espresso coffee.  

Here is the standard lipid panel - first number Oct 18 blood draw, second - Dec 12.

Total Cholesterol: 215 - 169 
Triglycerides: 152 - 107 
LDL: 158 - 113 
HDL: 42 - 35 
Ratio: 5.17 - 4.8 

Slight improvement, but the HDL dropped with the LDL, which always has been a problem.   Overall, improvement, showing the supplement regime working.  Odd that all three indicators:  Total Chol, LDL, and TriG all dropped by the same exact amount, 45-46 points, which is significant - especially in just 8 weeks.   

My Apolipoprotein B/A1 ratio came in at 1.05. B was 104 - considered borderline high, A1 was 99 considered too low (under 120). Any ratio over 0.9 is considered higher risk (Mayo C).   Pretty much confirms the bad ratios I've always had, around the borderline risk area.   
A study showing this as the best prognosticator of CVD risk: 

The lipid fractionation MMR came in with mixed results, but mostly that I have more small dense LDL and less large molecule HDL.   

Confusing because the small LDL-P came in at 853 nmol/L which is high risk, however, the overall LDL size was in the normal range - 20.9 nm (over 20.5 is good).   

HDL-P, Large HDL-P came in low, which is considered high risk,  especially the Large HDL-P.  The overall HDL size was just into the high risk level (8.4 nm, anything under 8.7 is high risk) 

My most anomalous reading was VLDL-P (Large VLDL particles).   Elevated levels of large VLDL particles is bad.  Anything under 3.7 nmol/L is considered optimal, mine was off the charts low, listed as <1.5 nmol/L ...  which is very good.  My overall VLDL was also good, anything under 47.1 nm is optimal, mine was 43.8 nm, also good.  

Very hard to understand what all this means.  It's a very complex science, a lot of intangibles.

I also found another interesting food supplement I'm going to try.  It's called mangosteen juice.  I read some studies on it and heard some anecdotal testimonies from someone I know that it is has strong anti-malignancy and anti-inflammatory properties.  Recent study on that: https://www.sciencedirect.com/science/article/pii/S104366182200576X 
  
I met up with my friend Jeff for dinner, a multi-millionaire physician.  We again went to his facility and looked at our carotid arteries with the ultrasound, we both were clear.  No sign of calcium on the walls of the artery, just a tiny amount on the outside.   He and another physician friend of mine are really against statins for non obese people.  He insists that it won't do much to extend life.  But I think it has for my parents.  

I visited my parents in FL last week.  I did gain a few lbs but by today I was back just under 141 lbs.  The worst thing I ate was a cannoli.  I snacked mostly on fruits and nuts besides my one meal / day.  

I think my parents look great.  Mom will be 83 in a month, dad 85 in April.  My dad is 25 lbs lighter than last yr at this time, weighing about 205 lbs.  My mother is definitely a bit overweight at 5'4" 140+ lbs.  My parents... they eat steak and potatoes, processed food like store-bought cookies and pies (with mile-long lists of ingredients), artificially flavored and chemically sweetened beverages and foods, they don’t read food labels, they eat butter, eggs, ice cream …. all the stuff I would never eat.  My mother at least eats vegetables, my father eats nothing really that is healthy.  He hates all the good stuff, berries, cruciferous vegetables, greens.   They are both on statins, my dad had a CAC scan Agatston score of over 1200 12+ yrs ago, they both have had a stent installed. Me, age 64, no beef or pork in 33 yrs, Mediterranean diet, only organic chicken and wild caught seafood, organic produce. I try to get my parents to eat better, but they say…"But we’re 85."   What can you say to that? 

We celebrated their 65th anniversary day after Christmas.  They were married Dec 26, 1959.   My mother was a month away from her 18th birthday, and my dad was to turn 20 that April.  Growing up in a hurry.
































Sunday, December 22, 2024

Injury update

 I've made contact with Dr. LaPrade and he will be reviewing my MRI on Jan 2 and hopefully arrange for a consult and surgery.  I can walk fairly comfortably, no swelling, almost no pain, but I know it's not right.  I only feel any discomfort at all with the leg fully extended and weight bearing.  I can do any type of resistance including weighted single leg squats as long as my knee is bent.  But, I'm avoiding ALL types of exercise involving my legs to give the repair the maximum chance of success.  

The old school MO for complex meniscus tears is debride and inject.... sometimes removing most of the meniscus... which really is the fast track to a failed joint and knee replacement.  New technology, particularly with the invention of new tools (like the Novostich Pro) and techniques make complex meniscus repair a reality.  LaPrade is even doing meniscus transplants.  

I see masters colleagues with knee problems continue to run, even with obvious pathology like swelling, and just think they're going to self cure by 'getting the knee stronger'.   Bad idea!  Not smart.  

I got the call from the local Dr's office on his response to the MRI.  This is the guy who did my ACL after a skiing accident 34 yrs ago, definitely old school.  Sorry to say it was absolute nonsense.  He suggested injections and maybe a shoe orthotic.  Ridiculous.  

The key to a successful repair is that the meniscus damaged is not too macerated by degeneration over time.  A traumatic type injury is better than degenerative.  

So, now a week after my last workout, I'm still very light, 139.5 even after eating party food last night, but had a big carb meal tonight, paella, our last meal in Sewanee before Roya and I part to go to our families tomorrow.  

I did a sets of pullups, ab wheel, pushups, and bicycle crunches w/ ankle weights today.  But pretty sedentary otherwise.  All that hard work on V02 max will soon be lost.  

I have MRI disc and will send it to LaPrade tomorrow before my flight.  



Thursday, December 19, 2024

Out for the season

Couldn't have happened in a worse year, just as I was about to ascend to the new age group, Nationals in Huntsville one hour away.  I was finally showing some progress, fighting my way back into shape, my weight was good, resting HR going down, etc...  

Anyway, the MRI report wasn't good.  Probably some combination of degenerative and incident related injury.   However, never had any pain before this injury so not sure of the level of degenerative wear.  Report shows a complex tear of medial meniscus:

"Complex tearing of the medial meniscus is present with horizontal and radial posterior horn component and horizontal body component."

The xray shows good space between the bones, so perhaps Dr. LaPrade can repair it.   I do think if Dr. LaPrade can't repair it, then it can't be done.   So, it's not out of the question that this injury may mean retirement from masters track.  So, maybe more than out for the season, maybe no sprinting forever.   We'll see.  I've sent the report and requested a consult and surgical appt with Dr. LaPrade.  

----

On a separate note, I'm getting results from my advanced lipid tests.  I'll post more about that in my next post.


Friday, December 13, 2024

3x300 tempo, injury?

Bad Luck on Friday the 13th

Reminded today that all of this could be over in an instant.  Was completing my first 3x3w/3 of the season and in literally the last 2 steps of the last rep!  ... the last 2 steps of several hundred meters of sprints ... I felt a snap in my R knee, lateral side.  Maybe it was because I was braking at the end?   It was not painful so it was not really alarming, but I tried to run a 100m 3min after my last 300m and I felt a small amount of pain after 50m so I stopped.  Now 2 hrs later it hurts a bit more.  This is so reminiscent of my Oct 14, 2018 meniscus root tear because it kind of sounded and felt the same, although that was L knee, different location, medial.  That meniscus root tear that required surgery and stopped me from running for 6 mo and competing for 18 mo (also due to pandemic), was so unremarkable at the time, I didn't even mention it on my blog that day!  This would be my luck, to lose my M65 season with Nationals just 9 days after my birthday and an hour away.   Damn.  Damn.  Damn.  Friday the 13th, indeed.  

Looking back at fall '18, after the injury and before the surgery, I was still running 100s on turf,  stationary and road bike, rower, weights, and even stairmaster.  I really didn't know how bad the injury was til I actually had the report in my hands.  I was told there was 'meniscus wear' and that they would 'try some injections.'  Such total BS!!!   I started to develop swelling, Baker's cyst.  Thankfully, I went to Dr. LaPrade.  If this requires a surgical repair, I won't hesitate to return to him, he is now in Minneapolis.  

I'm not guessing on this one.   MRI scheduled for Wed.  

Today's workout was just getting it done, my first 3x3w/3.   Not fast at all.  I had enough juice left to press a little on the last 100m, and at the end of the straight into the wind, is when I felt it.  Don't want to be too dramatic about this, I may wake up tomorrow and it may be better, but I doubt it.  

Hoka trainers on

stretches, drills, bands, 2x70m

Hoka rocket xs on

3 x 300m w/ 3 min rest - 51.93, 55.68, 56.84

Probably the slowest 3x3w/3 I've done, but got it done.  For all the good it did me.  Last two days I had been doing squats, wonder if that had any affect on my injury susceptibility, or those hard sprints I did last time out.   I actually started feeling proximal ham soreness for the first time on the R side.  

One weird thing is that last night I went to a food bar and ate a huge amount of meat - fish, shellfish, chicken.  I went to bed weighing 146 lbs.  Today after workout, 139.5 lbs... one of the biggest weight drops I've had in 22 hrs.  

I had the blood drawn for 2 lipid fractionation tests (MMR, ion mobility) yesterday, as well as standard lipid profile, and apolipoprotein A/B evaluation.  It's going to take weeks for the results of the advanced tests.  Wonder if anything changes from my Oct 17 blood draw, 8 weeks ago.  May receive some results before Xmas, the rest hopefully by end of year.

 

Wednesday, December 11, 2024

bike climb/ training methods debate

After Monday's speed session, I felt soreness in my lower back, hams, and in the right proximal ham, which is new, (it had always previously been the left).  Nothing serious but it made me think of the two basic rules in the Bill Collins masters training book that strongly guided my entry into masters track:

1. Don't train in spikes

2. Don't run 100% all out in training 

What I take #2 to mean is all out top speed like 40m - 100m.   Allan recently criticized me for not doing both of the above, but to me, getting to the start line healthy is #1.  Allan is the fastest man in the world over 60, but I have run literally more races in one season than he has run in his master career.  Also, my injury to race ratio is at least 20X better than his.  As I age, I think I need to stick closely to these 2 rules.  I've ignored both and they have come back to bite me.   Running at 400m race pace is not 100% all out running, so that is fine.  It's ridiculous to believe that running a half or 3/4 second off your 100m PR in training shoes is going to adversely affect your top speed development.   The strength derived from submaximal tempo training certainly will increase speed.  But, then again, I'm not a 100m specialist like Allan.  

The newest "fad diet" of training methods is Tony Holler's "Feed the Cats" regime that is basically a training method emphasizing a high percentage of all-out short sprint training.  Flying 30s, 60s, etc...  Now this can make sense for a high schooler, as he is a HS coach, but NOT for the aging masters.  A lot of masters subscribe to this and I see it as risky and of limited effect, especially for anything longer than 100m.  Frankly, I find it an attempt at a 'shortcut' to doing the hard intensive tempo interval work that has been proven successful in elites from Michael Johnson to Jeremy Wariner, or anyone who trained under Clyde Hart.  Face it, not many masters have the stones to do intensive tempo 200m and 300m repeats, especially week in and week out.  However, I do understand that the best speed reserve is top speed, and if you don't have it, it's hard to get it.   But at the very least, top short speed work should be used sparingly toward mid and championship season.  And, there is a difference between 98% and all out 100%.   I've found many times I've run faster at an apparent 98% effort as opposed to 100%.   Bottom line is that no masters over 60 is going to run a faster 200m or 400m if all they do is 30s and 60s.  

Anyway... 

Very cold today, mid 30ºs with gusty winds.  Light snow dusting overnight.   Quite a change from the low 60ºs yesterday.   If the weather were better I might go to the track, but with some lingering soreness, I'm going to pass and do some strength today.  


Yesterday, I did a Roarks cove bike climb.  Modest pace, just under 25 min.  HR stayed under 170 for the whole climb except for 30 sec at the end.  It was under 164 for most of the climb despite the fact I was breathing pretty hard at times.  


I was given a Cervelo biking kit with pants, shirt, cap by my tenant, so I tried out my first pair of bicycle pants on this ride.  I guess they were too big as I was always pulling the padding back up from the rear as it kept getting pushed forward.  Probably won't wear them again.  

Tomorrow, I am going for my appointment with the oral surgeon.  The tooth feels better, almost normal now.  I wonder if I should even get the surg
ery?  Probably so.  Since I will be in town, I'm going to get a blood draw for some of my tests purchased from Ulta.  

Yesterday, I ate some boiled hulled barley for variety.  It was ok.  Nutritionally, oat bran seems superior having less carb and calories, more protein.

About 141 lbs this morning.   
 


Monday, December 9, 2024

2x100, 4x50, weight pulls

Warmer today, almost 60º so I ran a few hard sprints.  Cloudy, calm winds, track was wet.  

Hoka trainers on

stretches, drills, 100m, bands, 50m stride  

Hoka rocket X2s on

2 x 100m - 13.32, 13.45

2 x 50m - 6.60, 6.89

4 x 50m weight pulls on turf w/90 lbs

Cut it short because I was feeling a little irritation in my lower back and R ham.  Nothing serious.  Only the first 100m felt decent and it was a decent time for not being all out, in trainers, and on a wet track, (but it was a 3 step rolling start).  Need work on my form. Sometimes I over stride and am actually braking, I can hear it in my foot strike, especially on the wet track.   The weight pulls felt pretty hard.   Will do some strengthening tomorrow.  

Enjoyed my interview with Graham today for his new book being published by Forbes, "Faster than you over 60".   Will be out next yr.  

I have my oral surgeon consult on Thurs and I'll get some of my Ulta lipid tests done while I'm down there.   Finally on antibiotics as of today.  Hope it's not too late.


139.6 lbs after workout.   

Saturday, December 7, 2024

2x300,200,100 tempo

Back on the track for the first time since Tues.  3 days with not much training due to the tooth infection and end of school.  A little weak perhaps, have not slept the entire night through in 3 days.  Tooth infection seems to be slowly improving.  My friend Dr. Scott seemed incredulous that I'm not on antibiotics.  It only seems bad at night, jaw hurts, can't open mouth fully (maybe a good thing?)  

Sunny, N breeze, 48º, not bad training weather.  But the workout sucked.  No speed.  I need to get back to short speed training, form, strength.  Just generally lame today.  

Hoka trainers on

stretches, drills, bands, 100m

100m stride - 16.7

Hoka rocket x2s on

2x300, 200, 100m w/ 3 min rest - 51.79, 54.56, 38.11, 14.44

If I had gutted out the final 300, it probably would have been 56+.   Here's the HR data:

300m - HR peak 176, recovered to 133

300m - HR peak 185, recovered to 145

200m - HR peak 170, recovered to 147

100m - HR peak 164, recovered to 142 in 1:30

138.4 lbs after workout.  Lightest this season.   Didn't help me run fast though.  

Planning on being back out on Monday, late afternoon, maybe just do some 50s and 100s. 

Made some cookies this evening out of oat bran and protein powder with walnuts and chocolate chips.  So far that's all I've eaten today as of 8pm (not good).   I need to eat more and better.  Thinking about eating more varied whole grains for carbs instead of just oat bran, like barley and quinoa.  

UPDATE:

I put a call into Dr Scott, I'll be on Augmentin antibiotic tomorrow, I'm afraid this infection isn't done yet.


Friday, December 6, 2024

wood

Cut the remainder of the firewood I'll need for the year.  My wisdom tooth infection is gone but it still hurts but is slowly improving.  Best I could do is a month before I can consult with the oral surgeon.  What if this were an emergency?  

Didn't get out of the 30ºs today but tomorrow is supposed to be at least 5º warmer and sunny.   3 days with no running feels like a long time.  I'll be out tomorrow for sure.   

Only benefit from this tooth issue is my body weight.  After the wood cutting, I weighed 138.5 lbs.  




Thursday, December 5, 2024

infection

A sudden infection hit me last night in my LL wisdom tooth.  I briefly had a temperature of 102ºF.   The tooth is susceptible to problems because it has just barely breached the surface of the gums.  It came on rather suddenly and I did the only thing I could to combat the infection, vigorous cleaning of the site with alcohol, swabs, gauze.  I only slept a few hours but when I did wake up at 8:30am, the fever was completely gone.   In order to keep the mouth completely clean, I did not eat for 48 hrs except for 2 Kind Bars yesterday and coffee through a straw this morning.   My Dr. retired and his practice taken over by a very young new Dr.  He's about 30.  He didn't seem too concerned about the infection now that there is no fever, but it went pretty much as I expected, paid $300 for the appt and a full mouth xray and he referred me to a few oral surgeons.

I was able to eat dinner tonight, cod and cauliflower, despite being only able to open my mouth about 3/4".   Didn't hurt to chew so hopefully it gets better.  I will really hate to have surgery, especially during holiday season so I'll get a consultation with the surgeon, so I can just call to book the surgery.  Oral surgery will be a significant setback in my training when I choose to do it.  Yesterday was a bitch of a day, didn't get home til after 11pm and the last thing I wanted to do was to go back to Murfreesboro today.  Necessary, but I've been super neglectful about my dental health, haven't been to the dentist in 9 yr except to re-glue a crown

Coldest night of the season so far, low of 12ºF expected.   I think I may wait til Saturday to train and cut firewood tomorrow.  One more session will cover me for the season.   I need to send my truck in for some issues so might as well do firewood now before the rain comes Sun-Tues.   

One positive thing, my weight hit 138.8 lbs during the fast.   

 

Tuesday, December 3, 2024

frigid 2x300, 150 tempo

 Same workout as last time but slower.   Was thinking about gutting out my first unholy trinity today (3x3w/3) but I decided to wait for better conditions.  Still not tough enough.  Sunny but an occasional NE breeze today, temperature holding steady at freezing, 32º.  This time of yr, after 2pm the sun is pretty low and it starts to get cooler.  Still ok for sleeveless t-shirt and shorts during the actual sprints, track suit on for warmups, and jacket in between reps.  

Just basically getting it done today.

Hoka trainers on

stretches, drills, bands, 100m

Hoka Rocket X2s on

2 x 300, 150m w/ 3 min rest - 51.84, 54.78, ~26

Certainly slow but hard effort anyway.   HR hit 173 at end of first rep, and it didn't feel hard, and  recovered to 129 before second.  Despite the slow pace, HR hit 184 at end of second rep and I wasn't pressing that hard at the end.  HR was 145 just before 3rd rep.   Only my hands suffered in the cold, as I was using finger gloves to operate my timers.  

Wed is my last day at MTSU for the yr.  Frigid weather continues.  Sunny Thurs - Sat.  Thur-Friday same as today, but bitterly cold wind chills on Thurs.  Sat looks good.  Sunny, light winds, mid 40s.  I may bike on Thur and wait til Sat to go to the track, or I may go Fri and Sun.   Sun - Tues a change in weather, low-upper 50º cloudy and rainy.  I might do bike on Sunday, and visit the wet track on Mon or Tues.  

Weight holding at 140.6 lbs after workout 



Saturday, November 30, 2024

2x300, 150 tempo

Cold and mostly cloudy, about 41º at the Sewanee track, light N breeze.  Not bad training weather.  I was debating on wether to stay on turf or track today.   I decided to push toward the unholy trinity (3x3w/3), knowing I'm not there yet.  Close.  Soon.  I ran these 300s under control and didn't push #2 to give me a shot at another rep.

Hoka trainers on

stretches, drills, bands, 100m, 50m

Hoka rocket x2s on

2 x 300m, 150m w/ 3min rest - 51.46, 52.26, 25.48

I was surprised my HR hit 176 shortly after the first one, because I didn't feel really winded.   It dropped into the 120s before the second rep.  Second rep about the same max HR, however, afterward HR only dropped to 146 before my last rep.   Usually if I'm below 150 I can get the next 300m rep in despite the pain.  I probably could have finished the 3rd 300m today if I were mentally tougher and more determined.   But, I'll do it soon.  Will have to be really conservative on the first 2.

Running in spikes 2 days ago was really hard on my body.  Felt it in my feet and knees.  But, I was pleased that my foot tolerated the workout and felt ok afterward, and with this small amount of volume, I may be able to be out there again sooner.   Tomorrow looks like much better weather than Mon, so maybe I'll go out and do something tomorrow, weather looks similar to today.   Yesterday I did 2 sets of pullups, pushups, and ab wheel.  Need to do that every day.   

Considering the holiday, weight is excellent.   140.1 lbs after workout.   Been sleeping a lot lately.  Went to bed late, 2am but slept til 9 and then took an hour nap around noon.  

Diet is good.  Organic grilled chicken breast and raw veg tonight.   Also eating berries and oat bran sometimes at night.  

UPDATE: Decided not to train on the track today, Sunday, (for the second day in a row).  Instead I cut and manually split a load of firewood and did a set of resistance exercises.  I should be good for the winter with wood.  Most of my wood heating is in the next 2 months.   Next track workout will likely be Tues as I'm hostage to wait for a home delivery on Mon.  Tues is expected to be the coldest day of the week, highs only mid 30s, wind chills below freezing.   

Wednesday, November 27, 2024

300m in spikes, weight pulls

This being the last warm day, 58º, partly sunny, but unfortunately, some wind, I decided it was time to see where I am.  And it was pretty disappointing.  I ran a 300m time trial in spikes, my first consecutive day on the track this season and my first time in spikes in almost 6 mo.  

Hoka trainers on

stretches, drills, 100m, bands, 50m

Hoka Rocket x2s on

100m - 13.38

Adidas Prime Sp2 spikes on 

300m - 44.97 (13.53, 14.54, 16.90)

Hoka trainers on

2 x 50m weight pulls w/ 90 lbs 

I was hoping for at least 44 or mid 43 on the 300m. Something like 14, 14, 15.5.   Well, it started out ok, first 100m easy, 2nd 100m ok, then I got the headwind in the home stretch and rigged toward the end, barely breaking 45.  Lame.  This indicates I probably couldn't break 63 in a 400m right now and shows I'm about 6-8 weeks behind where I was last yr at this time.   I guess that's understandable, after taking the summer off.  Last Feb 2, I ran a 41.17 ... in trainers!   (I was also 139 lb then).  Last yr in Nov I was already up to 3x3w/3 avg 50.68, and I ran a 400m TT in 61.12 in mid Nov.  Yesterday, I barely made it through a 2x3w/3 at 51.8 avg.   Long ways to go and a lot of suffering to get in 400m shape.     I did cruise through the 200m at 28 without running all out so I know it's a matter of that long sprint conditioning and form.  

I did 2 weight pulls afterward and they were really tiring and my foot hurt so I just did 2.  Spikes are always tough on the feet but my feet are a bit better in general.

Not going to run again til Sat and it will be cold.   No more speed for a while, too cold and I really need to do some strength work like hills and weight pulls as well as conditioning.  

141.0 lbs after workout.  Happy Thanksgiving.

Tuesday, November 26, 2024

2x300m tempo / more cardio discussion

Sunny, breezy, dry, low 50ºs today in Sewanee.  Did a brief workout on the track, very brief.  Simply accomplished what I failed to do last time in more harsh conditions, 2x300 w/ 3 min rest.  Wasn't fast, but baby steps.  

Hoka trainers on

stretches, drills, 100m, bands

50m on turf 

Hoka rocket X2s on

2 x 300m w/ 3 min rest - 51.65, 51.96

Just wanted to get it done and actually complete the workout.  Definitely felt the lactic afterward, pushed hard on the last one to get it under 52.  HR hit 174 on the first one but recovered quickly to 110 in a minute, then hit 181 on the second one and took much longer to recover... was 153 after 3 min.   I don't foresee myself graduating to the unholy trinity (3x3w/3) for quite some time.  

A very quick workout, 5 min, after a 20 min warmup.  I was going to do more but instead, I may come out tomorrow and do the same exact workout since my foot is feeling ok, then take Thurs and Friday off.  I have to winterize my boat on Friday, nasty job in the cold.   Friday, winter arrives.  For the following week, it will be highs in the low 40s and lows as cold as 18º.   

-----

Cardio discussion on CAC

I happened across a video by Peter Attia on CAC scoring.  Now, I don't agree with everything he says and have openly called him a fraud at times, but this was interesting.  I sent the video to Dr. Gary (heart surgeon) for his reaction.   In essence, Attia says CAC scoring is looking backward at your body's reaction to disease that already exists, and it is not a great prognosticator for the future of potential CVD.  Most troubling he said,  "Nearly 50% of fatal MI’s occur in non-calcified areas of coronary arteries." ...  Qualified by the disclaimer, "This data is also a bit misleading because many of those patients had calcifications elsewhere."

OK then.  Gary had a different perspective: "The doctor [Attia] is correct.  Any visible coronary calcification on a CT scan signifies established, albeit often mild coronary artery disease. He is incorrect to say it does not predict risk of future events. In large populations, calcium scan number most certainly does."

Dr. Gary went on to say regarding me:  "Given you have zero calcium on TWO scans, a coronary CT angiogram would only show non-calcified plaques....if you have any.   And, the only use for this information in your case given your lipid numbers is to help you make a decision about starting a statin drug.  If you do not want to pursue a statin even if you have plaque....then there is no reason to get this scan.   In current medical practice, we would NOT get a coronary CT angiogram study on an asymptomatic patient with two zero CT calcium studies.  Unfortunately, the simulations have been run to show that if you were to offer scans to a 1000+ people in your situation, there would be statistically more unnecessary and potentially risky further testing or even interventions than if the scan was not ordered."  

In other words, I took this to mean that I need not be in an obsessive hurry to radiate my chest again with further testing anytime soon. Perhaps in a year or two, especially if the advanced lipid tests show risk. 

I found this website called MDsave.com that is a search for medical procedures for out of pocket payers.  Seeks out the cheapest rates.  Totally legit.   I found a coronary CT angiography procedure for only $311 near where I live.  As I said, at some point I'll get it. 

Attia's video was filled with interesting case studies and analogies.  For example: he likened bad lipid blood work as "living in a dangerous neighborhood."   CAC score above zero as "how many times your house has been broken into."    He highlighted one case study of a late 50s woman, presumably an athlete with rocking metabolic fitness but terrible blood lipid levels.  Attia had her do both a CAC scan and and angiogram due to her "dangerous neighborhood".   If clear on both, she was "living in a dangerous neighborhood but had a pit bull to keep the bad guys away."   I assume the "pit bull" was her lifestyle routines.  I'd like to believe I have a pit bull too.  

Here's the video:  https://youtu.be/Z7MrZRInjvI?si=qLqGZRAFne-NeJfp  


Bike climb Raccoon Mtn

Change of plans.  With fair weather this Sunday, I met Bill for the 4th time in 5 weeks for one last climb up Raccoon Mtn for the year.  We did it a bit quicker than last time.

Bike climb  Raccoon Mtn - 37:30

12.75 miles 

Avg HR - 135

Max HR - 177

HR over 170 - 5:33

HR 153-170 - 26:35 

I stayed the night and really enjoyed my time there.  It was quite cool at night, low 40ºs but I was fine with the full canvas up, propane fireplace, and electric blanket.  Boat ran great, it was only the 5th time I had it out this yr.  Knowing it would be the last time for the year, I almost stayed a second night, but I pried my self away from the river solitude and came home Monday evening, expecting to be on the track Tues afternoon.  Saw one giant bald eagle toward the end of my stay fly low directly above the boat.  

Massive change in weather coming.  After Thanksgiving, winter weather hits with a vengeance.   Must winterize the boat on Friday as the low will hit 20º that night.  Highs in the 30ºs to low 40ºs, lows in the teens to low 20ºs for the following week.  Will make training more difficult.

Here's some photos, one more for '24...























Friday, November 22, 2024

tempo 100s on turf

Coldest workout of the fall so far, 45º and breezy but it wasn't too bad because there was a little sun.   I went to the soccer field because the football field was occupied.   It's a nice facility and the bathrooms are far superior to the football stadium's.   They are clean and new, with both hot and cold water sink.  And, it's a little better sheltered from the wind than the football field.  

Hoka trainers on

stretches, drills, 100m, bands

Hoka rocket X2s on

6 x 100m w/ 30 sec rest - avg ~ mid 16s

2 x 100m w/ 30 sec rest - 14.10, 15.35

2 x 100m w/ 30 sec rest - 14.38, 15.98

10x100m, decent volume, but when in shape, I can get 10x100m w/ 30 sec.   I did almost the same workout in Aug here but 2 less 100s.  

Love this time of year as my semester of teaching is over, I just have to go back in 12 days to do finals.  Weather looks good Sun-Tue, with Sun and Mon being the last days in the 60ºs before the bottom drops out and freezing weather returns. So, I may try to do another track workout on Sun instead of bike.  We'll see.

I'm going to heat my boat for the following week when necessary so as to give myself the option for one last outing before winterizing.   Should go out this weekend but will stay in and practice guitar.   Bought two guitars in the past week.  

Weight is good, 140.5 after workout.   


Tuesday, November 19, 2024

wet, windy, 3-2-1

 I went out to the track, it was windy, wet with mizzle, drizzle, fog, and occasional light rain, about 62º.   I thought, 'no my foot's not feeling great and I'll come back in the morning' and went back to my car.  Then I thought, 'Well, I'm here,' so I went back out.   Ran a failed tempo workout.   At least I went out and got something done.

Hoka trainers on

stretches, drills, 100m, bands

Hoka rocket X2s on

300, 200, 100 w/ 3 min rest - 51.11, 35.50, 14.98

I had intended just 2x300m w/ 3 min rest but I had to work too hard on the first one, HR went to 179.   On the second one, I took off fairly slowly but the head wind caught me hard at 200m and I just quit, sadly. Pathetic.  So, I rested 3 min and ran a 100m.

Shoes sound funny on the new wet track, squeak-squeak-squeak....   I guess I'll have to try this again in better weather.   Back on turf on Friday.  It's going to be cold, weather changing, windchills in the upper 30ºs.   

141.4 lbs after workout 

Monday, November 18, 2024

Met up with Bill at Raccoon Mtn for another bike climb.  We took it easy.   I waited for Bill and just made the east overlook in 39 min.  (31+ is PR). 

It was not as hard an effort as previous climbs.  Was a little tired from doing sets of hexbar 200 lb deadlifts in the gym last night among other things.  

Raccoon Mtn bike climb - 12.73 miles round trip

Avg HR - 139

Max HR - 176

HR over 170 - 3:11

HR definitely coming down as compared with previous climbs.   

Looks like rain on Tues, so may have to go out Wed morning. 

I was going to take the boat into Chattanooga to have lunch with a friend, but noticed my voltage meter a bit low (+12.1 vs normal +13.7). With a new alternator, this was worrying, so I cancelled.  Looking at the engine, I noticed the hot lead had completely broken off the alternator.  Whew.  Glad I saw it in time and did a quick temporary repair.  It's working now.  Lesson of the story, watch your gauges!


















Bill M. at the East Overlook.

Saturday, November 16, 2024

Press: Geezer jock interview

 My interview with Ray Glier for his article in Geezer jock:

https://geezerjocknews.com/blogs/news/how-a-world-class-musician-and-world-class-runner-reached-for-his-ceiling


Not real big on the name of Ray's publication.  I won't even wear the Senior Games t-shirt ... because it says "senior".  I don't wanna be a geezer.  lol

Friday, November 15, 2024

volume tempo 8x150 on turf

Cool and clear today, not shirtless weather, about 50º.   Good workout today, getting better.  Times coming down little by little.   2x3x150m, 2x150m w/ 30 sec between reps, 10m between sets.  

With today's announcement of the USATF Masters Outdoor Nationals being held just 1 hr away in Huntsville, I have a solid goal.  35 weeks from today will be 400m final in my first nationals at M65.  It's a long time.  I'll probably not up my training volume anytime soon.  This seems to be enough for now.  2 running and one bike a week.  

Normally this would be a speed day but due to the cold, I decided to stay on turf and do conditioning.

Hoka trainers on

stretches, drills, 100m, bands

Hoka rocket x2s on

3x150m w/ 30 sec - 24.50, 25.73, 25.31 

3x150m w/ 30 sec - 24.47, 25.13, 26.60

2x150m w/ 30 sec - 24.17, 25.09

Quite a bit faster than the same workout on 10/22 and the HR was lower, reaching 179 max on the first set only.   On 10/22, I hit 180+ every set and a max of 187.   

Planning a bike climb again Sunday, then on the track Tues for maybe some 300s or 200s.  

141.7 lbs after workout.     

Big NEWS: 2025 USATF Masters Outdoor Championships announced!!

HUNTSVILLE, ALABAMA!!!!

This is the closest a USATF Masters National Championship has ever been held to my home.  Just one hour away.  My M65 debut, 9 days after my birthday.  Couldn't be a better time or place.  I must be ready!  

Finally, I have a goal and a target date.





Track at Milton Frank Stadium was just resurfaced last yr.








Tuesday, November 12, 2024

300m, 200m

Back on the track after a long hiatus.  Beautiful weather, 68º sunny.   I ran my first 300m today on the new track and followed up with a 200m.  Not all out but at a brisk pace.  Both sprints, I predictably faded at the end, but it's a good start.  My foot was feeling better, and would have felt much better if I hadn't hiked yesterday on some rocky trails.  Couldn't resist the beautiful weather.

Hoka trainers on

stretches, drills, 100m, 60m, bands

Hoka rocket x2 trainers on

50m stride ~ 7.2 

300m - 46.34. (14.44, 15.30, 16.60)

200m - 28.40 (13.48, 14.92)

I wanted to do more but I waited a bit too long after the 200m while talking with the track coach.  HR hit 181 at the end of the 300m, 174 in the 200m.  Have noticed an interesting phenomenon in regard to HR and breathing.  Sometimes during recovery, my HR can drop below 130 while I'm still breathing hard.  I remember times on the bike when my HR was 160 and I wasn't breathing hard at all.   Don't know what this means.

Anyway, as I build up, maybe next time I can try 2x300m w/ 3min rest and aim for avg of 50 or so.  My 46sec 300m might have been faster since I seemed to have drifted to the outside lane on the turn.  Again, first time running turns on this track and the setting sun was in my face.  This would equate to a mid 60s 400m pace.  I think I could run about a 64 right now.   Long time to go before outdoor Nationals.  I hope they pin down a date by Xmas.  

140.9 lbs after workout.   Now that Roya is gone, I can be a bit more conscientious, both in my training in music and athletics.  Still planning a bike climb Sunday with Bill.  

Sunday, November 10, 2024

Bike climb

Bike climb today, pretty hard effort, just under 23 min to do the Roark's Cove Rd climb.  Must be getting in better shape as the heart rate per effort is less than it was.  Cool tonight, in the low 60ºs, not cold.  Still t-shirt weather.  

Roarke's cove rd. bike climb - 22:58

Max HR - 180

Avg HR - 159

HR over 170 - 4:40

HR 164-170 - 9:11

Will try to do some resistance tomorrow and track on Tues.  Next 2 days in the upper 60ºs and sunny.  Friday cooler, only about 60º but sunny.  No freezing weather in the forecast.   They predict a colder and snowier winter than usual.  

Love this time of year.  Work for the semester is winding down, student concert over, just 2 work weeks left (but they'll be just 10 hr weeks).

Planning on another boat trip on Sunday and bike climb with Bill.  

Happy to say, foot is feeling better.  May try a 300m Tues.  Sure is taking a long time to get back in 400m shape.  Not even close.   

Saturday, November 9, 2024

100s, 50s

Short speed session.  Still very little speed.  Guess it's going to take time.

Hoka trainers on

stretches, drills, 100m, bands

100m on turf - 15.70

Hoka rocket X2s on

2 x 100m - 13.53, 13.66

2 x 50m - 6.90, 6.83

Sprints were 3 or 4 step rolling.  

141.7 after workout.

Foot felt a little better, may try running longer sprints on Tues.  Maybe start doing some weight pulls as well.


Tuesday, November 5, 2024

tempo 150s on turf

Good training weather, mid 60ºs, partly cloudy, breezy.  I ran 7x150 today in 3 sets.  It was hard.

Hoka trainers on

stretches, drills, bands, 100m

Hoka Rocket X2s on

3x150m w/ 30 sec rest - avg ~26.5

2x150m w/ 30 sec rest - 23.75, 25.08

2x150m w/ 30 sec rest - 24.85, 27.5

Heart rate hit a max of 183 on the first set.  

141.0 lbs after workout.  

I think I'll stick with the Tue, Fri, Sun workouts, with Sunday being bike, Friday speed, and Tues conditioning/tempo.  Maybe I'll try a 300m some Tues to see where I am.  Doubt I can break 45, maybe 46.  Wonder how my foot will hold up to running a turn, haven't tried in months.  

Weather looks ok for Friday, still 70º.  Weekend rain, but Tues looks good.   Still no freezing weather in the forecast.  

Need to get on the weights/resistance on Sat and Mon.   




Monday, November 4, 2024

Bike climb


Bike climb up Raccoon Mtn with Bill again.  We took it much easier this time, a few minutes slower than last Sunday.  

HR was much more reasonable this time.  Over 170 for just 5:48 total, over 179 for less than 2 min.  Peak at 181.  

Cloudy. fair weather.  Temperatures generally in the 60ºs.   Fall colors are late this year.  Warm weather forecast to continue.  Highs upper 60ºs to low 70ºs in Sewanee.   T-shirt weather down the mountain. 

Hard to believe just 3 full weeks of school left this yr.

View from the top, and an unusual fellow mariner this morning on the river. 


  





Friday, November 1, 2024

short speed - 50s

Foggy and cool at the Sewanee track, about 61º, mostly calm winds.   I did my first short speed workout, not much but it was a start.  50s with a 3 or 4 step rolling start.  

Hoka trainers on

stretches, drills, bands, 100m

50m on turf - 7.40

Hoka rocket Xs on

4 x 50m (track) - 6.71, 6.81, 6.79, 6.50

Wasn't much but ok.  Just the last one felt right in terms of form, last one was all out.  I wanted to do more but I felt a soreness in my R quad.  Probably a slight tweak.  Typical for early season short sprints.  

I'm planning to do the same bike climb on Sunday with Bill and then a tempo workout on Tues.  Forecast for Sunday, perfect... low 70ºs.  

Really getting tired of 150s on turf, would like to run something further, but I know my foot can't handle much volume on the track.  Maybe just a 2x200m w/ 1min ... or something.  Really depends if I have full use of the field.  When I do, I should use it.  One of these days, I'm going to put the spikes on and try to float through a 300m.  It'll be hard on the foot though.  

141.5 lbs after workout.

Today was one of those spooky cozy days in Sewanee as the fog descended at evening.  



  


Thursday, October 31, 2024

Coronary calcium scan - UPDATED

Today, the result of my coronary calcium scan:  Zero.  Again.  Same as 7.5 yrs ago.

The scan comes with a disclaimer:

TECHNIQUE: Computerized axial tomography of the mediastinum was performed without contrast material. This study is performed without intravenous contrast and its sensitivity for pathology is reduced. This includes the detection of neoplasms, abscess, pulmonary embolism, and aortic dissection.

I asked Dr. Gary about a more detailed scan, but he said this was good enough, without me exhibiting any obvious pathology.  

Researching on this test, I found:

"...guidelines make a large distinction between CAC = 0 and CAC >0. ... Once detected, CAC progresses... Because of the exponential nature of CAC, its relationship with risk is logarithmic, that is, each successive increase in CAC translates into a smaller increment in risk. Thus, quantifying high scores versus very high scores contributes only moderately to improved risk prediction. An important concept is that most of risk stratification occurs with the CAC score range between 0 and 100."

So, it seems that CAC = 0 is way better than CAC = 1, because once established, it progresses.

In terms of mortality, I read that:

Cancer was the leading cause of death for patients with baseline CAC = 0, whereas CVD overtook cancer above a threshold of CAC >300.

OK, so I'm probably more likely to die of cancer than heart disease.  

My scan did show a hepatic cyst on my liver, so maybe that will be my death?  These are somewhat common, usually benign, and in 18% of the population.  Anyway, added a liver cancer test to my Ulta test package.  I'm getting both lipid fractionation tests, standard lipid panel, alipoprotein profile (A&B), and the AFP liver cancer screening...  all these tests for less than $170 with the Halloween discount.  I'll probably do it in Dec sometime.  Afterward, I'll be able to further assess my CVD risk and make a decision about statins.  

Dr. Gary had some encouraging words:  

"Zero means you have incredibly low cardiac risk. We usually don’t repeat this as we don’t have a handle on what progression means in terms of risk. Zero make less of a case for a statin drug. Hepatic cysts are very common. No need to pursue this further. Means nothing. Annual Skin cancer screening with a dermatologist and colonoscopies every 5-10 years are what I would recommend for cancer screening. Also, prostate cancer screening with annual PSA testing IS worthwhile despite historical commentary that it is not. And you do not need a stress echo or ECG. Given your cardiopulmonary fitness and CAC = 0, an ECG and/ or stress test will add nothing to determine your risk."

And... JP said it is immoral and impure to take drugs.

UPDATE:

I spoke with Allan T., orthopedic surgeon, fastest man in the world over age 60 (60m, 100m).  He sent me this form that assesses the 10-year risk of the following ASCVD events: 1) CHD death, 2) Nonfatal MI, 3) Resuscitated cardiac arrest, 4) Coronary revascularization in patient with angina (bypass?).

According to this form, my risk of a 'cardiac event' in the next 10 yrs is not 'incredibly small' but is listed at 6.9%.   

Allan has values similar to mine and worse, has a family history with his father having a heart attack at age 55.  But he eschews statins.  

Although not a cardiologist, he agrees with my theory that 'running the engine hot' or pushing HR to max a couple times a week may have anti-arteriosclerosic benefits.  



Tuesday, October 29, 2024

150s on turf ... again. CVD studies.

 Low 70's, sunny, light breeze and dry as the exceptional weather continues.  Happy to have the field.  Took down the volume and upped the speed a bit. 

Hoka trainers on

stretches, drills, bands, 100m

Hoka Rocket X2s on

3 x 150m w/ 30 sec rest - 24.71, 26.08, 27.40

2 x 150m w/ 30 sec rest - 22.48, 24.74

150m - 22.01

Only 900m total but a little speed.  It was plenty hard.  HR maxed at 182 1st set, 179 second set, and 167 on the last one.

Staying relatively light, eating more fiber and fruit, and less meat and vegs past few days, mostly because Roya is gone.  

Weight is decent, 140.5 after workout

CV Health

Seeing contradictory findings about LDL and CVD, it seems that the technology is improving beyond the standard lipid panel.  This study, really a commentary on recent research, says...

There are several subclasses of LDL-C, including large floating (lb), intermediate, and small, dense (sd) LDLs. Recent studies have shown that sdLDL is more atherogenic than other LDL subfractions and that sdLDL-C is a higher-accuracy prognostic biomarker for overall CVD than total LDL-C....   Apolipoprotein B (ApoB), containing lipoproteins of less than 70 nanometers in diameter, can traverse the endothelial barrier, particularly when the endothelium is compromised, where they may become ensnared following interactions with extracellular components such as proteoglycans. Subsequently, they are retained within the arterial wall and further begin a very complex process that ultimately leads to an atheromatous plaque.  

There are now tests that are reasonably priced and available called Lipoprotein Fractionation NMR test that utilizes Nuclear Magnetic Resonance (NMR) spectroscopy to give values of these subclasses of LDL.  However, the study warns:  "further studies are needed to establish a series of standardized methods and guidelines in order to evaluate sdLDL subfractions and properly adjust the current clinical practice."

Affirming this link of sdLDL with CVD in this study discussion:

 - The Quebec Cardiovascular Study showed that small LDL subfraction levels were independently correlated with coronary heart disease (CHD) risk in 2072 men over a 13-year follow-up period. Contrariwise, large LDL particles were proven to have no predictive value in this matter. 

- Atherosclerosis Risk in Communities (ARIC) and the Multi-Ethnic Study of Atherosclerosis (MESA), proved a directly proportional relationship between small, dense LDL-C levels and the risk for ischemic heart disease. 

- Quebec Cardiovascular Study, no relationship with large LDL particles was found. 

- The Stanford Five Cities Project and the Physician’s Health Study also proved that a small LDL-C diameter is an important univariate predictor for coronary artery disease (CAD).

Within this study review, some other interesting results:

- We have multiple pieces of evidence to show that lowering the LDL-C beyond the recommended goals can further reduce the number of ASCVD events (heart attacks).

- The Study of the Effectiveness of Additional Reductions in Cholesterol and Homocysteine (SEARCH) study compared the effects of two different doses of simvastatin (20 mg and 80 mg) on 12,064 people who had previously suffered a heart attack in a double-blind trial. After two months, the 80 mg group had a 0.51 mmol/L (19.7 mg/dL) lower LDL cholesterol level than the 20 mg group, but this difference was reduced to 0.29 mmol/L (11.2 mg/dL) after five years. There was a nominal reduction in nonfatal myocardial infarctions in the 80 mg group, but the primary endpoint of major vascular events was reduced by only 6%

- A study published in 2020 by C.D.L. Johannesen et al. prospectively evaluated 108,243 subjects with a median follow-up period of 9.4 years in order to evaluate the correlation between the serum levels of LDL-C and all-cause mortality, and concluded that the association between LDL-C and the risk for all-cause mortality was U-shaped, with both low and high levels associated with an increased risk of mortality the lowest overall risk being observed at an LDL-C concentration of about 140 mg/dL–3.6 mmol/L. (so maybe LDL 150 isn't terrible? But which type!)

- Another prospective study based on a cohort of 14,035 adults aged 18 years and older, with a median follow-up period of 23.2 years (with a mean age of 41.5 years, 51.9% women), noted that both very low and very high LDL-C levels were associated with increased risk of CVD mortality. In particular, very low LDL-C levels were associated with a higher risk of stroke and all-cause mortality

- Other study suggested a link between low LDL-C and stroke, but not clinically confirmed as caused by statin therapies.  


Cleveland Clinic posts some values that are helpful in assessing risk from the test result:



 

However... there are other methodologies for measuring lipid fractionation.  Ulta lab offers both.  The other is called "Ion Mobility Lipoprotein fractionation"

This study says it's better:  "Ion mobility appears to provide greater resolution of the pro-atherogenic effects of VLDL than other methodologies"

More on Ion Mobility test here from Quest

This LDL fractionation isn't the endall, as Quest states:
"  ... based on large population studies showing that people without coronary heart disease tend to have an abundance of large, buoyant LDL particles (pattern A), and people with coronary heart disease tend to have an abundance of smaller, dense LDL particles (pattern B). However, the literature suggests that CVD risk is conferred by a trio of factors that define the atherogenic lipoprotein profile (ALP). The ALP includes elevated small LDL particles (pattern B), low levels of HDL-cholesterol, and often an elevated fasting triglyceride concentration."

UPDATE:  I asked Gary about this (heart surgeon), his response:

"I have been aware of small particle LDL as possibly a stronger prognostic indicator of overall cardiovascular risk. I would encourage you to pursue the measurement of the subclasses of LDL. While I suspect there is indeed some merit in the notion that the small particle LDL is a more potent instigator of atherosclerotic disease, I am much less sure that diet, exercise and even any of the medications we currently have available can impact (lower) the level of this subclass. There is ample data, however, to show that getting your LDL-C below 100 (and if you are a diabetic, closer to 70) will lower cardiovascular event risk (heart, stroke). As a cardiac surgeon, I do believe this and have seen positive results in my patients who lower LDL-C...usually with medication as diet and exercise can only do so much when the liver is genetically programmed to churn our LDL-C."

Monday, October 28, 2024

Bike climb - Raccoon Mtn

Joined Bill M. for a big bike climb up Raccoon Mtn.   To the first overlook in a respectable 35 min or so.  Quite a workout, almost 13 miles, 1624' total climb.  

I attacked the climb pretty hard and died at the end where my HR was at or above 179 for nearly 8 min (179-184).  Overall, above 170 for 17:09, 153-164 for 19:57. 

In regard to CV health, Bill agrees ... good to 'burn the engine hot' a couple times a week.

Bill M.'s HR by contrast (via watch) peaked at 158.   My average was 148, including breaks sitting around.  

I was biking comfortably, not out of breath with HR over 160. 

We got the photo below from a guy with a drone.  

Decided it was time to start wearing my helmet

About 2 weeks from peak color.  I may possibly come out a few more times before Dec.  This is my boating season.   

Will do a running workout tomorrow, I hope, but since I'm here, tempted to do the climb again today, Monday.