For some time now, it is no longer a question of whether athletes should take supplements. The answer is ‘yes’, but this is only the first step on the road to success. It is necessary to know which supplements each athlete needs, in what amounts and what the supplement protocol is. VerticalMed Tyrol takes care of all this, helping athletes achieve their goals with a holistic approach.
00:00-2:43 Intro
2:44-6:48 Initial athlete condition analysis
6:49-10:58 Nutritional mistakes
10:59-20:00 Vitamin D deficiency
20:01-34:36 Iron deficiency
36:41-43:23 Holistic treatment
43:24-44:22 Till next time
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🇸🇮 ABOUT DR. TIM PODLOGAR:
Dr. Tim Podlogar is an exercise physiologist with a special interest in endurance exercise metabolism and sports nutrition. He is currently a Research Fellow at the University of Birmingham, UK and an assistant professor at the University of Primorska, Slovenia. Outside academia he works as a sports nutritionist in a World Tour cycling team and with many other aspiring athletes. He is himself an avid cyclist pushing his body to the limits.
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🇬🇧 ABOUT DR. TOM KIRK:
Dr. Tom Kirk was an up-and-coming cyclist with a desire to move into the professional ranks. When he realized that a career as a professional cyclist was not a realistic goal he returned to the UK to study for a degree in Sports and Exercise Sciences at the University of Birmingham. He gained a BSc in Sports and Exercise Sciences, and followed up his degree with a Masters in Sports and Exercise Nutrition at Loughborough University. He then gained a PhD in Sports Physiology and Nutrition and a research position at Oxford University. Today he runs Custom Cycle Coaching (https://customcyclecoaching.co.uk/), a progressive cycle coaching and lifestyle consultancy.
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NDURANZ, FUEL THAT MAKES SENSE
Who we are?
We help athletes reach their potential by providing them with sports nutrition products that are based on the latest scientific evidence.
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Learn more about Nduranz, our research, articles, and special offers here:
https://nduranz.com/
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Hi guys welcome back um to the endurance podcast um with Tom and Tim again um this week we’ve got two special guests uh suzan and Marcus who are from vertical Med OT and that’s a company which um kind of specializ in specializes in individualizing um nutrition for
Athletes and especially um I think for athletes for winter sports do you want to tell us a little bit about that guys yeah hello nice for your invitation and thanks a lot for your time and yeah to listen to us uh we are looking forward for the discussion and we are
Happy for some real uh yeah questions in the details about sports and endurance and winter sports and summer Sports as you like we can talk about everything yeah I also say hello to everybody it’s a pleasure to to meet you guys and yeah we are really looking
Forward for a yeah very special um discussion because I think we have a lot of uh yeah topics to discuss about and yeah just just start the the yeah our our FKS okay can I start um by asking a qu very simple question what’s the weather like
In INB these days that’s the easiest question now it’s dark I’m really sorry about that because if we started probably 205 minutes earlier I could you send a picture directly with beautiful view a sunset it’s perfect and blue sky getting a little bit dark red and now
It’s but now it’s dark beautiful weather at the moment yeah for my feeling a little bit too warm yeah we talk about we talk about winter spots but H at the moment we have um yeah temperatures about 50 degrees yeah and it’s very hot and the snow is melting but yeah a
Little bit strange but but perfect for cycling now yeah already not just in Slovenia team you can come to Austria now well I’m a big fan of inbrook um I’ve been there a few times and yeah it’s marathon and yeah that region I know pretty well so
Um a lot of nice uh routes to cycling and not of f nice runs for Mountain running or like this yeah but let’s let’s let’s talk science we appreciate um so let’s say like an I’m an amateur athlete and then um yeah I would like do like some personal I like
Nutrition and like um I know that you also work with um Slovenian bathon Federation so with um yeah world class athletes so just like to get an idea of what your company does so like let’s say that an athlete comes to you what do you
Do then then do um and what do you base your advice On uh can I start yeah okay um I guess the first thing or the most important thing is if a company or a soccer club or like the Slovenian team they asked us about how could we uh support the resilience about getting uh sick or getting an illness in the winter
Training especially and the second thing is uh as I mentioned before the athlets they are more interested on their performance but for our from our side we are more focus on the on the health on the overall health and always the first thing when we start
With an atlet or also within whole team is to ask them okay what’s your goal what’s your Target and then we are doing like kind of a history questionary and then ask them uh how is your sleep do you wake up can you fall in sleep easily
Or do you feel after one hour training you get some crumbs or do you have any any feeling about the deficiency and we are noticing this and then we are coming to a conclusio and then we are deciding okay uh now for you the best is to make
A blood measurement or if you are telling us for example I’m always having problems with uh yeah to go to toilet just every 3 four days or I’m going every day three times and it’s quite thin then we are focusing more on the digestive system and then we are doing a
Measurement from the stool and this is what we are what we are trying to ask before we start uh a personalized nutrition recommendation we always try to find out okay what where are the deficiencies or where is the weakness and then we are trying to make a real good plan with
Them together and after the test yeah it needs some time around one week maximum two weeks let’s say and then we get the results and then we make their own individual recommendations um yeah for us the medical history of the patient is very important because only with these datas we can
Interpretate the lab results that’s very important because the lab results um that you read on the paper you have to know about the history because you can’t say um between a range of can we talk about um yeah for example um yeah I don’t know vitamin B12 you need to know
The history of the athlete of the of the patient because when he maybe he’s a vegan athlete and you don’t know that then it’s yeah we have to know that because then we see the reason why he has so low B2 levels is because of the
Defy in the nutrition or he has problems with his stomach or he has problems with with his digestion system and so with the history of the um uh of his uh yeah past we can make uh individual um yeah individual end recommendations yeah that’s very important for us also in the
Use of medications because that plays a really critical role for lab results so you mentioned um like being kill and um that being the most important like preventing being getting killed to be the most important thing like I definitely like 100% agree with this because like yeah there is no training
When you’re ill um you can’t progress um you just like yeah go back um so for me like having a healthy athlete is the most important thing so what are the like mistakes in nutrition um apart from let’s say the carbohydrate and availability or protein intake that athletes make in terms of like
Deficiencies in micronutrients um what do you mean U when you say that their uh regeneration gets uh to bed I don’t know like yeah like when you like you probably tested like number number of athletes what is like the most common mistake that people do is like let’s say
In the winter times and something that easy this is super easy they are drinking to less that’s probably one of all over the world the number one uh mistake every every athlete is taking too less uh water or yeah let’s say good good good liquids or good drinks but the mostly or
The most of the time we prepar two or three pages uh is let’s say U vitamin D is even if a lot of athlets or people know about vitamin D now still we have around 80% uh deficiency in Austria and Germany for example and in case of
Sports Outlets I guess one of the main problems in in case of performance if you think if we think about performance is Kum Cen also known under uh ubol I don’t know if you know that for sure you will know it but uh if someone is listening cenum Cen is mostly known
As a green Dre for the for the women’s in the face but we also need it to to have a real good good ATB production otherwise we can’t we can’t produce energy and this is one of the main problems in in sports outlets and yeah and another thing is omega-3 a Omega 3
The these yeah these micronutrients we saw uh in our athletes are the main main uh yeah parameters that are very yeah very low and we saw that omega-3 uh acids are yeah in sports especially very needed because with every training with every competition you um you make um
Yeah inflammation and the body has to work against it so the the need is much more higher than in a normal person so probably that’s the top three let’s say vitamin D omega-3 fatty acids quum Cen I guess sometimes this is more sometimes that is more and maybe iodin iodin is
Also one one thing that is more needed in athletes because of the the sweating and because of the nutrition some guys don’t take salt that is not IED and so um they don’t get it in the nutrition and they they have a higher need and so
They they get into a yeah into a degrease and you need iodine for your tyod vent without it you don’t produce your your um T hormones and these are very crucial for power without them you don’t have the energy for for anything so that are the things we we saw by
Working with our atlet but it’s very individual sorry for just keeping keeping asking questions because I’m really interested like so vitamin D like because I I keep getting like the measurement results from my athletes um and like various levels not just like Elites um and is it like we usually
Prescribe vitamin D testing in the winter because we are like yeah in the winter vitamin D is thought to be most like problematic but can vitamin D deficiency also occur in the summer um yeah yeah for sure honestly as an Sports athlet I guess you should take it really
The whole year because I mean there is one really good science study from uh from cyclists and swimmers and they are both in the summertime let’s say mostly they are doing their their training outside and the measurement was in September so at September M it should be
It should be really high after the summer but even at September around 65% had a deficiency in in vitamin D level so this means yeah vitamin D has so many uh problems for the for the uptake because if you are wearing something uh if you are
Using Sun cream for example you can’t uh you can’t metabolize it this is not possible and there are some others you have to be in the sun between a time let’s say 10 to 3:00 otherwise the angle from the Sun is too low you will get brown but you won’t get vitamin
D and that’s a is a good tip if the shadow when you are staying in the sun if the shadow is bigger than you then the O B index is too low to produce on your own vitam vitamin D so you can test it when uh easily when when you are
Staying in the Sun and look at your shadow that a foolproof way to find out if you’re if you’re in the Sun for the right amount of time shs and otherwise you you can just look at the weather app and look at the B IND index then must be
Over three over three yeah then that’s perfect then you can produce vitamin D on your skin but you have to take care because when you take any sun cream or anything like that or you wear a Helm or or anything with a longt a long shirt you don’t produce it and that’s very
Because in summer most athletes yeah take Sun cream on their skin and so you you block the vitamin D production and so you have to measure it in the blood to know if you need Vitamin D or you need not so in the UK I imagine being a
Cyclist means that you never get enough by never I’m so sorry for you team even if it’s sunny then we are really huge problem there there’s no Shadow because there’s no sun or if there is Sun we just use the sunscreen because we are so afraid of the Sun that
Um so what would be the recommended intake then for vitamin D like um what do you propose like as a general like a recommendation there is a lot of science out there I guess vitamin D is one of the best uh best science studies what we have all
Over the world and now at the moment in it’s a little bit different in the countries in Austria and and Germany the the recommended index is around 3 to 6,000 international units per day we are working a little bit different we are trying to ask you uh about your weight
For example my weight is around 70 kg so I need 7,000 internet National units per day so if you’re having 55 kilogram you need 55 uh 5,500 per day and then you are say this is for your daily need if you are in a deficiency we are doing
Like that for two three weeks depends on the result we say okay today please double this dose the daily dose for 3 weeks and after after you can reduce reduce it to the normal intake and you have to take care because in vitamin D there are patients that are
Nonresponders yeah and that’s they take vitamin D but their vitamin D level doesn’t go up so you have to look at the Magnesium uh status because you need magnesium to activate vitamin D in the active form and so many many patients have a magnesium um deficiency and you
Have to take magnesium in combination with vitamin D to raise their levels how is it with absorption of vitamin D given that it’s um soluble in fat isn’t it yes that’s another thing um if you if you take any vitamin D pills you have to take them with a with a
Little bit of fat because otherwise you don’t take it up so you take um vitamin D in oil in drops or pills with a little bit of fat that’s very very important and how much fat would that need to be just with a meal you you
Would have enough fat in just a a normal normal kind of of meal you don’t doesn’t need to be a particularly fatty meal to absorb it no no it this needs just to be really a small amount so not not a lot and if for example I can show you uh Oops this is like you you have to take some some drops like this you just open this and then three four five drops in your on your thong and that’s it and there is some some of these uh supplements are already not everyone but some or let’s say maybe half of them
Including automatically a little bit oil and then it’s perfect for the a really TI man yeah yes you know they are also also the supplement guys are trying to check out the the science studies and if there is a good one and the recommendation is okay you have to take vitamin D with
Some some oil then they are trying to produce these supplements as soon as possible when you when you take vitamin D um in drops um you have a little bit advant uh ad advantages because you take it with your um mucosa and it’s getting better into your body with the mouse
Mosa because it’s getting faster because you um don’t get through the stomach and the uh the whole digestion system so it gets directly into the blood system that would be yeah one one one thing to to to think about it it’s it’s the same like with glucose team you know that if you
Take it just in the mouse it’s really instantly in the in the body in the system also for example if you have some problems because that’s if we for if we watch some some results from the lab this is like a picture for me okay I I
Don’t check just one parameter after the next one I I see the whole system and then I can find ah okay maybe there is a problem in the stomach or or maybe there is a problem in the gut and then I recommend okay please let’s do a
Different way because your gut system is not able to to intake your supplements this is also super super important for us and sometimes we see a picture from the result and then oh our our brain system is working pretty well and fast and we are after some seconds
We know exactly ah this probably is a problem in the gut and we can’t give them supplements like oral supplements we need to do it in a different way like with the mouse or sometimes also we need infusions because the they are not able to to transport it in the uh over the
Pathway from the digestive the gut interesting and I just want to say reading uh lab results is um quite difficult it’s quite difficult because you have to know about the biochemistry you need to know how are red blood cells are produced what do you need for
Producing them and so you saw the whole picture and then you can make decisions yeah like speaking of red blood cells like I that was the next question I had like what’s your like um because very commonly like in endurance athletes we see iron deficiency so very
Low fertin levels and sometimes it feels like it’s really difficult to get the fertin levels up so what’s your like experience with this and like I guess yeah that’s a super good really super good question Tim because I in my in my feeling if I talk even to doctors to
Some Specialists the problem is always the same sometimes they say okay the ftin level is low yeah you need iron but I would say probably 50% uh it’s not necessary to give them iron because the problem is to give iron is one side but to bring it into the
Body is the other side so we also have to focusing on what do you need add to to start the metabolism to bring iron into the the red blood cell or to to increase it and uh it’s really not so easy and it’s not possible just to
Measurement ftin you need also there is a receptor in the brain and if this receptor is not high you don’t need iron you have your iron in your body but you are not able to to bring it to the ftin pathway to transport it yeah there you
Are not possible to transport this and there you have some co-enzymes and these co-enzymes are necessary to measurement if you don’t measure them you you are not able to to make a real good recommendation and we we call it sports package uh we we did for our Sports
Athletes or let’s say for athletes and high performers we created a a system to find also these coenzymes for example also the B vitamines the there are copper sink there are B for example and you really need to know this these results otherwise you are just trying to find
The correct pathway but you are not able to find the correct pathway and another thing is uh about the problem with um Iron it’s our gut because especially in endurance athletes you produce every time inflammation in gut system mhm and this is producing Heine and then you don’t have the
Ability to bring the the iron levels up you don’t uh take it into your Bloods and that’s very very yeah uh difficult and there are yeah products and that’s very individual but there for some athlet it works with maybe um an oral supplement an oral supplement but then
There are is there’s one thing you can with special formulations like Su somal lios somal supplements um but yeah in some athletes the only way is to to to yeah to take infusions uh but that’s where a difficult part when you are um yeah under doping control because you have to
Uh you don’t are not allowed to take the value over 100 milliliters I think so or do you do you know it yeah this is 100 m 100 m in one in one time 100 m so for us it’s the third thing is uh when we have
Um these problems with our uh digestion system to bring that on the level that you don’t have these problems anymore and then you can absorb the iron so when you take iron and you have this inflammation it’s it’s a nonsense you it’s it’s yeah you waste money so the
First thing is to to make the the system right again in your gut Pro probably there are two two main problems in the in case of athlets they like to to have to do their training means inflammation is uh is going up and with inflammation heidin is coming so we have the
Possibility uh there are some kind of Small Tricks what you can do is uh take it every second or third day um the iron supplement because the hepsin level will be lower after 24 hours but even uh and there are some other things in the morning the hepsin level is lower in the
At evening it’s more high from the day also from the normal stress and you also have to check the the uh the intake system we have one gut uh uh transport system for metal ions and iron is a metal so we know if you if your food level is in the
Direction of you you eat for example uh something with a lot of Zink inside so you you are not able to transport iron inside and that’s why the questionary from the history is also important because if I ask you oh you eat a lot of
Nuts or you eating a lot of this and there is a lot of sink that sink level is high it’s automatically we have to know or we have to think about ah this could be the problem with the iron also these things are important and if this happens or if this problem in
The digestive is for a longer time there are some supplements they’re using a different pathway to become in the into the body yeah that that’s kind of like what you mentioned like sounds really interesting and I’ve been thinking quite a bit about it because some really recommend really like going with
Iron like every single morning really high dose um on the top of like training and I’m like well that’s probably not the best idea because it will just increase the haidin levels would be very dangerous so because High dosages of iron could produce pro-inflammatory processes Yeah so basically you’re just
Making it wors right yes so I usually kind of recommend athletes and correct me if I’m wrong to have it basically after the rest day which is basically when they would be mosta in the morning yeah yeah first this is perfect and for me if you like
To know okay because iron is quite fast to absorb it if if you are able to so if you have a blood measurement and I say you’re Fatin let’s say is around let’s say 10 or we have sometimes lower than 10 is also possible uh and then you
Start to taking it doesn’t matter which supplement or just also with eating or beetroots and kind of this uh also good for iron intake but you should measure measurement Again The Blood let’s say after six to eight weeks and then you know exactly oh there is some difference
Or it’s quite the same and then you should instantly change your thinking and your approach because otherwise you’re working for nothing and when you measure ftin you always have to measure also CRP the inflammatory um the reactive protein yeah because that’s an inflammatory power inflammatory parameter and if this
Is high vertin would falsely be maybe correct because vertin is a acute phase protein and when you have imp photine is also is also higher so when the athletes are training very intensive and you measure their fertin level it maybe is all right or in the in the
Right position although they the real ftin uh value is too low because of the inflammation so this is also you have to take care this so means if you are doing a iron measurement not just ftin is important or iron you also need some acute face proteins like CRP and uh yeah
Also some co-actors that’s quite important and then in your process sorry go to yeah um what kind of like because there are many like forms of iron in the market like beast glycinate and um whatever else like what what do you think is find is like the best um in
Your opinion for for sure pit inard is always the best approach at first because this is more easy even in case of magnesia this is pinut is is going more more fast and more easy through the cells and especially in case it’s let’s switch also to magnesia because this is
Also very very important uh it depends on the acid level from the gut if the acid level is in the in the uh U is to too less sour you are not able to to intake the magnesium in case of iron uh it’s a little bit different but we are
Doing like this we starting with like for example biscut and after the first measurement we can see okay there is it’s getting better then we can continue probably a little bit adapt but if we can see after the first measurement okay it’s still the same we
Have to change the the uh from clut to another approach to another pathway yeah because and that’s also a very important thing your stomach acid is very crucial it must be acid because there H iron is from iron 3 plus to iron 2 plus so if you have too low um stomach
Uh acid um then you don’t reduce it so that’s a really important thing in a lot of have too low uh acid in in in the stomach so take care of this also because um yeah otherwise this reduction doesn’t take place and for other things as well H
Maybe for vitamin B12 because in the stomach you need um this intrinsic factor and this intrinsic factor um you need it B on the B12 and then this a transport medium that you can in the in the Dum you can and if you have two low levels of
Acid you don’t produce this intrinsic factor so you can’t take up B12 so um a good tip for all athletes would be eat bit how do you spell it in English um B stare um I just have to look at this team can translate pet St because he know German as well P
Ingredients taste Peter taste ingredi Peter taste uh uh not supplements uh um this is starting to produce the acid in the stomach and also starting the pancreatic pathway the gallbladder pathway so this is starting producing their uh yeah enzymes Rola how do you say all these kinds of fruits and
Vegetables that are bitter in taste so these are producing the AET in your stomach and also the enums in your banre um panas alasa to to digest uh all kinds of carbohydrates fats and proteins h interesting so perhaps if you use too much sodium bicarbonate like definitely it’s not the big yes
Exact or or maybe when they are um yeah coated for against the the um yeah um stomach acid then you go through it and then it’s no problem so they always have to be coated I forgot about that so then you don’t have the problem
Yeah and I guess I as as you we started with iron and iron is really super super super hard to understand and super complicated even in blood results a lot a lot of people are doing really the wrong the wrong approach in this case and you really should take care about to
Give iron because it’s prooxidative then it makes more destroying in your body than supporting take care about on yeah and because the range when you look at the lab results is very tein is about 20 to 300 that is a huge range yeah it’s like this average I don’t know and for for
Sport athletes it has to be yeah almost over 100 that’s very important it should be over 100 well I pretty much never see it over 100 I think it’s probably on average around 50 that’s what I see yeah yeah that’s not I guess there is one more question super is super interesting
Because everyone is talking oh you have to L iron or this or you have to L from that from for us or for our company it’s really super important always we like to know why is that problem and what’s the main problem is it the gut is it because
You are with vegetarian or vegan or is it because of too much training or too less regeneration or then this is what we like to find out and so we are trying to support everyone really as good as possible so you take Bloods then in um
In like in insb or how does it work not not just in inbrook this is possible so we we have uh we have in Germany and in Austria different uh uh partners and you can go to these places or you can also come for sure you can come to inbrook or
Sometimes like for the Slovenian team they had a a training camp in ramsa andin like a it was a winter trainings camp or almost winter trainings camp but they had to L snow so they had have to use their rollers but they did their training and and we started with the
Blood measurement before the training this is also important you should take care uh about the time when you take the blood it’s if you have two days hard trainings this makes no sense so if there is a training camp it’s always good to start at the beginning and then
They can make their trainings camp and then after at the next trainings camp or just one or two weeks later we are doing the recommendations and for the recommendations if we know the arlet well it’s not necessary that they have to come so we can do it also via Zoom or
With a phone call because they are quite clever if they have done this this uh this measurements two three times they know exactly and and what what to do or are they say ah this is too less or this is too high what what
Can we do now this is our yeah that’s I guess the approach I think um in case of of your uh work uh it would be the best way to do this measurements when you do your performance test so then you have a whole picture because uh you always have
To think in a team because then you work together and the the performance and the nutritional status and everything is should be integrated and to find the best solution for for the for the athlete yeah yeah yeah that would make and you should be included Tim or Tom
You are the trainer and the coach right yeah yeah so so if you are a trainer or also if we have a team we also try to ask the physiotherapists and also the president or the sports director uh you should also focus and and you we should include them to feel
For the whole team to feel ah okay everyone is doing really the same and everyone is supporting this idea this is very very uh useful and also when when we working with teams and they have their own Cooks then we talk with them for sure because
When you see they have decreased um um your omega-3 levels you have to take care in their daily nutrition so that that the cookies including more LX more um yeah some kind of foods what what you need so we we diagnose special needs in the team so that’s that’s very or in the
In the individual person when they have the ability ability to to have their own meals for example you you have a cook with your team right team or yeah we have I think three chefs in the team um yeah but yeah all the cycling teams these days have chefs and it’s like in
We are working sometimes also with soccer teams or and they they also having a cook and this is super important because for example if if the deficiency is quite low for sure the normal nutrition pathway or the approach is the best one the gold standard one
But if it’s too less we are our recommendation says okay you should take supplements or you should take this or that this is super super important and and if it’s just a little bit too Less on iron a little bit too Less on let’s say omega-3 fatty acids uh and if it’s
Possible we can use different oils or more fatty fish we we are taking this approach first and second is okay you need to do this or that but maybe one more Super interesting thing but I I guess you will know that there is a consense paper from the ioc from 2019
From Burke and and like uh this content paper describes do you need as a sports professional sports athlet do you need supplements yes or no this is not the question anymore this is already we know that they have to take some supplements but the description is about okay how to
At first the measurements then a professional recommendation from a real uh expert nutr and and then again uh a controlling and yeah that’s the that’s the way if you need this we can send this to you this is no problem or probably you I think we should like yeah
Um probably like it’s it’s getting a bit late so I don’t want this episode to be too long but I would definitely want another one because this discussion was really interesting and I myself even though I am from the field learned quite a few new things so so um I don’t know
You told me if you have some other questions but yeah and yeah I just had one question I was um thinking about earlier than what you just said about the teams kind of brought that up again do you often see a pattern within a within a team or within a certain should
We say similar group of individuals winter athletes versus Summer athletes or within a team specifically in the in the kinds of deficiencies that you see with these tests or is it very very random between the individuals um I think um you have patterns when we look at the genders
Because between wom and Men we look at different needs we see them um we see uh yeah if you are a vegan if you are a vegetarian if you are omnivoros that we all all see in the in the the lab results and and the funny thing is that
Uh when we look at vegan person and they just think they are uh yeah eating very very healthy and and yeah they think they are eating good food perfect food they have the most problems because sometimes they don’t have the sources um from they don’t get that much uh resources that
The body need and by available forms maybe as well I guess yeah yeah and yeah marus what yeah pattern I guess also for example uh in in runas uh the iron deficiency is probably higher than in other adlets a little bit higher because they are not just doing
The inflammation part I don’t know if you know that if you are running you are having some uh impact on your feet and this is also destroying red blood cells yeah and we didn’t expect it that high but we measurement uh we need a measurement on a really a huge group
Around 30 over 30 uh running outlets and I guess from 31 or 32 29 uh having a problem with the iron deficiency and one thing in in um in Bas or in C athletes we see because of maybe some have very low body weight is the problem with osteoporosis
Because they don’t have the input on their yeah on their um on their bones that problem is not that big on Runners although they have a low body weight they don’t have these problems um it’s bigger in cycling Cy athletes yeah that’s very important yeah that’s a lot of discussions in the
Cycling World about this because it’s a big issue um and that’s why more and more cyclists are actually doing strength training to actually do some loading on the bones as well yeah this is super important some corrective or yeah corrective exercises for the bone or yeah and then they have low vitamin D
Levels and they don’t have the calcium in their bones and so uh yeah the problems are getting bit bigger yeah I think we should really like let’s say stop here and then yeah for sure arrange another time and continue the discussion um like the listeners can can ask us
Questions and then or we can W up with more topics we covers pretty much vitamin D and iron today I think two really important topics and then we can pick up others next time um if you would be willing to yes for sure we appreciate it always that would be a pleasure for
Us always nice to discuss you team Tom also with you for sure I’m sorry you I really enjoyed that thanks uh thanks a lot and yeah let’s try and arrange another another another talk soon we are looking forward to It
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Interesting podcast, nice one! @vertikalmed at which level would you call Vitamin D levels deficient in athletes?