Tuesday, November 13, 2012

Battling with Anemia

The last couple of months since Redman have been rough. So many ups and downs. So much struggling. Too much rest. No desire to write. No desire to read. Or do anything, at all.

The week after Redman was a struggle, mentally, to move. At this point, I think I simply needed rest. Racing the Sprint and Half back to back took a lot more out of me than even I thought it would. For awhile though, I couldn't understand why I couldn't get myself off the couch. Motivation was non-existant.

I tried after a couple days, but literally failed. Two workouts had my legs feeling fatigued to the bone and I was back on the couch for another couple days.

This time I started slow and tried to build even slower. By day 3 of easy workouts, I was struggling just to finish a slow, 4 mile run. Something was very wrong.

My first guess? Anemia. Since easy training was not making things better, but instead worse, I popped an iron supplement to see what it would do. The next day I had the best run interval workout I've ever had. I thought for sure I had things figured out. I mean, problem solved, right?

Well what happened is I listened to everyone else tell me that I was simply overtrained and that it was a coincidence and taking iron supplements was risky. So I stopped. I figured if it was iron deficiency, I would just cut out the enormous amount of fine Japanese green tea that I brew and drink every day and focus on a high iron and vitamin C diet to help it absorb.

Well it didn't exactly work, as I had a terrible race at the US Open, and then proceeded to run my body into the ground for the next couple of weeks with a lot of hard run training. Though I was able to do quite a bit more work on the high iron absorption diet, I still wasn't close to right. By the time, I was getting prepped for my next race, the Fall Classic Duathlon, I knew something was very wrong. This time I ascribed it to overtraining.

Surprisingly, I still raced fairly well at the duathlon, taking 3rd for the state championship event. However, I felt like I had been racing for 5 hours afterwards, and not the hour and a half that it took. I decided to try a week off and see what happens.

After struggling to keep myself indoors for a solid week of good weather, I couldn't wait to get back to training. But when I did, it felt like my fitness had completely deserted me. I felt very fresh, but I was very slow. My watts were down about 10% on the bike and my run pace had slowed by more than a minute per mile. And I simply wasn't really recovering from the easy workouts I was doing. How could I expect to qualify for Kona, much less Vegas again, like this!?

By the next week, I wasn't just back where I was a month ago, struggling with slow, easy 4 mile runs, I was even starting to get sick. I never get sick. Not without so much training stress, work stress, and lack of sleep that my entire body breaks down and finally succumbs to illness. No way I could get sick while resting and sleeping all the time without something being very very wrong.

The illness also did not go away in a day like normal. So for three days I suffered along, until, finally I decided I had to revisit the anemia hypothesis and go get my blood tested. Well I decided not to wait on those test results. There were just too many signs. My systolic blood pressure had magically dropped 10-15 points consistently. I got a slight headache. I never get headaches. I felt tired during and after recovery workouts. My body was even starting to ache in a way that was dull, but constant and uncomfortable enough to make getting to sleep difficult.

It was time. I was ready to try anything. I again popped an iron supplement, and the very next day I was miraculously not sick anymore and running 20 seconds per mile faster for the same heart rate while actually feeling good during and after the run. The next day I rode half-Ironman watts at the same heart rate and effort as I did while in taper and racing at Redman! A few days of iron supplements later and another 20 seconds per mile had dropped off my run pace!

It was unbelievable. The energy started flowing back. In a matter of days. I'm now even writing again! Turns out that my fitness hadn't completely deserted me after all.

Now here's the kicker. The blood tests show that my iron levels are good, and that my hematocrit is actually 2% higher than when I was tested last year. I'm not anemic. Am I now completely and utterly confused? Absolutely. But as long as I'm on track to getting my training back to normal, I'm at least happy.

My First Win!

After the Redman Halfmax National Championship was done and over, I immediately got to eating and drinking as much as I could stand in the hopes that I could get my weight and glucose stores back up enough that I might be able to race the Redman Sprint the next day.

Possibly, it was a good thing that I felt tired, sluggish and like my legs could seize at any moment, becuase, I had no expectations on race day morning. During the pre-race meeting at the swim start, I realized I didn't have my chip. No worries, I simply jogged the half mile to transition and back to get it. If I missed the start, oh well. No expectations. Just start the race and enjoy it.

As soon as the gun went off though, my body was moving. I was off to a great start by lining up on the shallower end and next thing I know I'm sitting in a small front group with only a few off the front. It gets shallow again in the middle and I dolphin dive for a bit, but realize I have nowhere to go as the guys off the front are way off and not remotely catchable, so I settle back in and let myself get pulled to the swim finish. Without my heart exploding through my chest.

Transition goes well and fast as usual despite struggling with coordination quite a bit more than normal. That is until I jumped on my bike and somehow managed to slip off the top of my shoe and have to come to a complete stop for a second before getting to speed again. At the time though, I wasn't worried, I could feel it in my legs and they just were not there. For the first two miles, the half-Ironman watts I had easily put out yesterday were a struggle.

But then, instantaneously, everything changed. My legs woke up. I mean really really woke up. All of a sudden, I was putting out more power with ease than I ever had. I caught a first guy and then a second and looked to the next, so far ahead I could barely see him. Within a mile he was mine. And then another one bit the dust. And another one, until finally, the last one was in sight.

But he was moving. I had been barely gaining the whole time. I made the pass, but we were too close to transition, there was going to be no time to gain additional ground on the bike, I was going to have to do it on the run.

I flew through transition as fast as I ever have and immediately surged out onto the run course at a pace I knew I couldn't keep for long. After a few minutes, I chanced a look back. No one in sight. I stepped it down to threshold and held on as I blazed through the run course with my first lead in a race ever.

The whole time my legs were threatening to seize up and stop me from moving, but I couldn't risk slowing up, I had no idea who might be behind me. At the turnaround, I saw the gap I had on the others and knew I had it, as long as I could hold this pace. I kept the pressure on and held it all the way with a determination I'd never felt before. The legs held up, and I flew into the finish with a big lead. That feeling, of running into the finisher's area past all the triathlon clubs and spectators, is one I will never forget. My first win in an outdoor triathlon!

Redman Halfmax National Championship

After dehydrating and struggling just to run at the World Championship in Vegas, I was determined that this race would be different. Well it was. I made the opposite mistake. Two miles into this run, my legs were fresh, I was well-hydrated, I was running relatively fast, but I was already battling horrendous side stitches from running with a stomach too full of fluid.

Two weeks ago, I had recovered surprisingly well from my disastrous and tough race in Vegas. But as soon as I arrived in Oklahoma, I was immediately battling allergies worse than any I'd ever had. Which, once again, put a hamper on the intense, finishing workouts I wanted to get in before race day. However, on race day, it didn't matter all that much, the fitness was once again there.

After a long (literally, it was a long course), but solid swim, I was again on the bike and feeling very strong. Surprisingly though, this was a much faster national championship than I had thought, and I had to hold myself back as I was passed by several riders at the start. For most of the first half of the ride, I was mostly alone, riding at my specific power output. However, at the turnaround, I was caught and passed by a paceline of riders. At first I thought it to be a draft pack, but closer inspection showed that they were mostly riding legal, if maybe taking a bit long to pass each other at times. It was perfect. I picked the power up a bit to latch on and make sure I wasn't going to be left behind.

This is when I realized exactly how much a benefit a paceline can have. Sitting around 5 or 6 bikes back, each bike at a legal distance apart, my power went way down. However, when passing, I was often having to put out over 50% more power than my target at times just to make sure I could pass everyone in the required amount of time (to stay legal). After awhile, I started to realize it was probably a good idea just to sit in somewhere if I could.

Unfortunately, it was at this time that I could no longer hold it in. I had been overcompensating for underhydrating two weeks ago, and now I had reached a point where I could no longer stand it. I had to go. So for the first time, I stopped pedaling, and watched as a stream gushed out of my shorts and down my leg and all over my bike. And the paceline disappeared in the distance.

I was now in the last hour of racing though, and still felt very fresh. Heart rate was very low this time, and I felt it was time to bump the power up and see what happens. It took miles to catch the paceline, but once I did I soon left them behind as they started to drop off. In no time, I was back on the edge of the lake, racing around it in anticipation of a blazing fast run.

And there it was again. Except way worse since I was running. My stomach was not only too full of fluids, but my bladder as well. As I blazed out of transition, I started to realize the mistake I had made. There was no bathroom anywhere in sight. I had just left it behind. I was going to have to run quite a ways before I was going to find one.

I did, of course, but I barely made it another mile before the side stitches started to get really bad. At this time, I made the decision to stop taking in fluids, except for a few sips at each aid station. Since I was also getting my nutrition from aid stations I knew it was going to be dicey if I could make it to the end before I bonked. However, the side stitches were keeping me from dropping under a 6:30/mi run pace, and I did not want them getting worse.

It turned out to be another mistake. The last several miles I slowed considerably from the lack of nutrition, and of course, still had to battle side stitches. Still though, at least I wasn't hot and extremely dehydrated. In fact, with temps under 90 and plenty of ice and cold spongues it felt almost cool at times. I was likely still very dehydrated at the finish, but it was nothing like my experience two weeks ago. Overall, it was a solid race that taught me yet another lesson about race nutrition and ended with a very positive 2nd in age group placement and a PR of 4:36:01 (not bad considering the long swim and rough roads).

Still though, like always, for more than an hour after the race was over, the pain was almost as bad as it had been during the last few miles of the race. Fairly normal for me after a race of this distance. But, how the heck was I going to get up and race again tomorrow!?