Friday, October 18, 2024

100s, hills, aging, health

Incredibly gorgeous weather in Sewanee, 63º, dry sunny, calm winds.  I hadn't intended to start 2x/ week running but looks like I am.   I went to the track to warm up, decided to run 2 hard 100s. Then went to the hill and ran 2 more.  A bit discouraging.  

Stretches, drills, bands, 100m

Hoka rocket X2s on

2 x 100m - 13.90, 14.01

2 x 100m hills - 21.90, 21.90

I was hoping to run at least mid 13s in a 100m with a rolling start.  I could probably do it in spikes.   Afterward, I went to the steep on Roarks cove rd. to run 100s.  Wow, they seemed soooo hard.  I have routinely done this hill 5x100 at 19-20, and even 5x200 at 42-44.   I've seem to have lost significant speed.  Probably due to the fact that my stride is shortened and maybe asymmetric due to the fact I can't deliver much force with my R foot.  Only if I could train like I used to.  I'm still going to try.  

Getting lighter and now I need to work on strength and speed.   Thinking I'll keep Mon or Tues for tempo conditioning work, and do a short speed or hill session on Friday.  

I saw an article recently about aging. The Stanford study said that there are two periods of accelerated aging, one in the mid 40s and one in the early 60s. I’ve really seen an unusually high decrease in my speed this fall and I’m thinking I’m in one of those ‘aging spurts.'  Hard to fathom how hard I was able to train just 8 months ago compared with now.  

Will get my bloodwork results in a few days hopefully.  I have my physical next week.  I'm going to ask for another calcium CT scan, it's been 7 yrs since my last one I had (zero score).  I requested a cystatin c test (as recommended by JP), but it was denied by the physician on call as my primary Dr was on vacation this week, he would have to order it.    My mother said she is not on any kidney medication and seems to be ok.  I hope to qualify for the yearly $250 incentive.  It's not a high bar.  I can get most of it through these screenings but I had to take a required call from a insurance co. 'health coach'.  This guy was clueless.  He had never heard of a coronary calcium CT scan.  He offered absolutely zero useful information.   My Dr. is too easy on me and is sometimes reluctant to order tests.  I live in a state where 40% of men my age are obese, 72% are overweight, so compared with most... for example, the women nurses and desk workers at the medical clinic are all obese, 90% at least.  The BMI requirement for the incentive is under 30 (not obese).  Interesting that the incentive program doesn't care about LDL, all they want is HDL over 40, and triglycerides under 130.   Last time tris were just under at 127.  Oddly, on that outlier 3/21 test where I had super high LDL (202), my triglycerides were very low (71).   That was the egg diet experiment.  I would have qualified for the incentive as my HDL was also higher at 59.  

After fasting for about 20 hrs before my blood work, I ate badly yesterday after the test.  Had 2 Panera pastries in the morning, 2 at night, and some chocolate.  Other stuff was fairly ok.  I'm back on track and hope to be down to 139-140 soon.  

140.9 lbs after workout.

2 comments:

  1. Medicine is really designed for the 95th percentile which means for 2 to 5 percent diagnosis is missed or delayed sometimes with tragic results. (I could list multiple examples with my wife and I). It also moves slowly in adopting new methods and tests and most physicians don’t even know of cystatin c tests. There are multiple reasons why they resist additional tests ranging from avoiding unnecessary effort to insurance companies incentives. They can be very skillful and good at what they are trained to do and do regularly but their problem solving skills suck, generally. If you have some weird disease it takes on average seeing 20 doctors to figure it out. Each one does a test or two and gives up.

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  2. For instance about your mom - assuming she has, as you said, kidney dysfunction, did her physician educate her on the CVD risks as well as SGLT2 and GLP1 treatments? Unlikely. I met the proteinurea criteria for SGLT2 but even though I was seeing a nephrologist I had to bring it up. She didn’t and she’s the expert. Also both her and my urologist missed that my high nut, legume and vegetable consumption combined with enhanced absorption of oxalate from surgery was elevating my plasma and urinary oxalate levels. I had to argue for the tests to confirm it, which they did, and now that I’m on a low oxalate diet with calcium supplements to bind it my eGFR
    improved from 68 to 100. Looking back at my urinalysis results I had calcium oxalate crystals which they never brought up, they just plain missed it. On specific topics I end up more knowledgeable than my doctors sadly.

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