Latest / Eat More Carbs | A Period Recovery Podcast / 94. Running on Empty: The Boston Marathon Study
Transcript
- 0:00This journey of fueling your body and even navigating low
- 0:03energy availability is so individualized.
- 0:05And a lot of the times I see so many athletes who are so
- 0:08frustrated because they're trying to follow blanket advice
- 0:11off the Internet. If they don't have a period,
- 0:14they're looking at, OK, I just need 2800 calories and I'll get
- 0:17it back, or I just need to eat more carbohydrates or I need to
- 0:19do these three things and that will get me my menstrual cycle
- 0:22back. That will help me overcome low
- 0:24energy availability and that's not the case.
- 0:32Hello, welcome back. It's Jenna here with Riley.
- 0:34This is the Eat More Carbs podcast.
- 0:35Welcome to another episode today.
- 0:37We've kind of been teasing that we're going to do this episode
- 0:39for quite a bit of time now. I'm so excited that we're
- 0:41finally doing this episode. We're going to be talking about
- 0:44a very interesting study that has to do with Le A and rides.
- 0:47So we're going to get into that in a minute.
- 0:49But before we do, Riley, update me on your week, your first week
- 0:52of 2025. Welcome to the new year.
- 0:54How have things been for you? It is 2025.
- 0:57I cannot believe it is January. Charlie's 1st birthday is in a
- 1:02couple of weeks, which is wild. I'm also very impressed that
- 1:06I've been able to keep a child alive for a year.
- 1:09So go baby family. As we are looking into kind of
- 1:142025, we all are wanting to talk about like goals and I guess
- 1:18like resolutions. And my high kind of has to do
- 1:22with that. When I was pregnant in like
- 1:242023, I started to read again. I've always loved reading.
- 1:29That is something that I did a ton as a child in pregnancy.
- 1:33And then throughout 2024 I was able to start reading again.
- 1:36And I read 33 books in 2024 between like Audible and Kindle,
- 1:42Libby and using the Internet sometimes to get copies of
- 1:46things. So I'm hoping to continue that
- 1:51trend into 2025. So that's something that I don't
- 1:55know, I just really have enjoyed in 20240.
- 1:58You go girl. She's a reading girlie.
- 2:00I have a. Lot of time when I was lactating
- 2:03and you know, walks and different things like that.
- 2:05So it is a combination of a couple of things.
- 2:08And a side note about my reading is I've actually probably read
- 2:11more books than that because of the way I read.
- 2:13I read really fast through my first go because if I'm going to
- 2:17get invested in a book, I need to make sure that it happens
- 2:20like the way that I want it to happen.
- 2:21Like I need to make sure that there's like some sort of a
- 2:23happy ending situation. So I usually will read a book
- 2:26very fast and then I will go back and I will read it again.
- 2:29She's got an L. It's very rightly coded.
- 2:33My low unfortunately is, I don't know, a story that rubs me a
- 2:38little bit of the wrong way and it happened to one of our
- 2:40clients recently and I just wanted to share because you
- 2:43might have had a similar situation if you are listening
- 2:47to this podcast. It has to do with period
- 2:49recovery. That is something that we do a
- 2:51lot at RBSN. We help, you know, female
- 2:53athletes get their periods back. Unfortunately, we hear a lot of
- 2:57these stories and it's just not really siloed to this one
- 3:00experience. But one of our clients who is
- 3:03working to period recovery right now went to her annual visit on
- 3:07her OBGYN, shared that she was a runner, shared that, you know,
- 3:11she had been working really hard over the last six months with a
- 3:15sports dietitian to get her period back because her period
- 3:19went away. Anytime she started training for
- 3:22a race or any type of like high load activity, she would see her
- 3:26period go away. This points to low energy
- 3:29availability, which coincidentally we're talking
- 3:31about in today's episode. Unfortunately, the physician
- 3:33would not listen to her. Her physician kept saying like
- 3:36you have PCOS, you need to go on birth control and she didn't
- 3:39have any symptoms of PCOS besides an irregular period.
- 3:44I'm not a physician, I'm not going to give medical advice.
- 3:46The physician never even brought up the fact that this could be
- 3:49connected to low energy availability.
- 3:51She was just so quick to give a PCOS diagnosis even though that
- 3:56there was number elevated labs, there was number cysts on the
- 4:00ovaries. It was just because of this
- 4:02irregular period and she wanted this athlete to go on birth
- 4:05control, and she was really pushing it.
- 4:07And again, I'm not a physician. I'm not getting any medical
- 4:09advice. And we, you know, we work
- 4:11closely with physicians, But I don't know, it just is
- 4:14disheartening that it's 2024-2025 now and we're still
- 4:18having this conversation. That rubs me the wrong way too.
- 4:22I know that like the updated care for physicians, they talk a
- 4:24lot more about if you have a female athlete that comes in
- 4:28that referring to a sports dietitian is the correct method.
- 4:31So I don't really love to hear that to know that that's still
- 4:33going going on. So that's unfortunate that this
- 4:36member of RBSN had to go through that.
- 4:37But I'm glad that this member of RBSN did already have the
- 4:40knowledge going on as far as this is likely connected to low
- 4:43energy availability. And that's why I am working on
- 4:45it with a sports dietitian rather than just going and
- 4:48saying, oh, it must be this because a physician is a trusted
- 4:51professional most of the time. So that's tough.
- 4:53And I didn't even include that the physician wanted her to go
- 4:56on a vegan diet. Oh, I'm out.
- 4:58I'm all the way out now. She.
- 5:01Was like, I'm actually working with a dietitian, like I'll ask
- 5:03them about my nutrition. I was like, yes, if you are
- 5:08listening to this episode, you are a female athlete with a
- 5:11regular menstrual cycle. This is something that you might
- 5:14have encountered and you should definitely reach out.
- 5:16We can help provide some support and also point you in the
- 5:19direction of maybe the path of care that you need to take.
- 5:22Again, we're not physicians. We cannot provide medical
- 5:24advice. But if you're concerned about a
- 5:27lack of a period, definitely reach out.
- 5:29I'm glad we're talking a little bit more about low energy
- 5:31availability and all of that today.
- 5:33I we'll just quickly share my high and low.
- 5:35I know we have a lot to talk about as far as the study
- 5:37results and all of that good stuff that we're going to get
- 5:39into. My high for the week is just
- 5:41that I had a really great run the other day where I was
- 5:43hitting mileage pace that I hadn't seen in a little while.
- 5:46So it's always just exciting to see that kind of number improve
- 5:49or get closer, move closer to a goal that you might have.
- 5:52So being fueled properly, recovering properly and all of
- 5:55those things have really helped me increase my chance of meeting
- 5:59my goals this year for my running.
- 6:01So that's always just exciting. So a good thing to see my low is
- 6:05actually just New Year's resolutions, which like, let me
- 6:08share about this. I think it's wonderful to set
- 6:11goals, to set intentions and things like that.
- 6:13It helps us stay accountable to things that helps us accomplish
- 6:16things. I love that.
- 6:17But right now I've been seeing so much online about New Year's
- 6:21resolutions that have to do with physical appearance and things
- 6:23like that. And it just like you don't need
- 6:25to do it. There's it's, it's, it's not
- 6:28necessary. It's not something that we need
- 6:30to say on January 1st. We're going to change so many
- 6:32things and I'm going to look next year or anything like that.
- 6:35So that's what I mean when I say New Year's resolutions.
- 6:38I think it's great to have goals and have New Year's resolutions
- 6:40that are productive and help you become the person that you want
- 6:43to be. But becoming the person that you
- 6:45want to be does not necessarily mean living life in a different
- 6:47body size. So.
- 6:48That has actually been one of the themes of our last couple of
- 6:51episodes where we are so food positive at RBSN and we're so
- 6:57positive with body image and we're so like, let's fuel our
- 7:00bodies, let's carbs that sometimes we forget about all of
- 7:04the shenanigans out there when it comes to New Year's
- 7:08resolution and just like weight loss and the pressure that we're
- 7:11putting on female athletes, like just all of those kind of things
- 7:14in general. It's kind of shocking when you
- 7:16take a step back or when you start to like really look at
- 7:18some of the stuff. I I'm sure that you see this too
- 7:20from like your personal page, but like just the things that
- 7:23you get targeted with and stuff like that.
- 7:25Shenanigans is the best way to describe it.
- 7:27All of those shenanigans that I've been seeing maybe on my
- 7:29personal page because my food page is really like our corner
- 7:33of the Internet. And sometimes I am really
- 7:34sheltered and seeing like a lot of food forward, very positive,
- 7:37like approaches to nutrition so that I don't always see the
- 7:40other side of things, which is like heavily focused on like
- 7:42body image. And today we're going to talk a
- 7:44little bit, I think about performance and stuff like that.
- 7:48So I'm really excited to get into that.
- 7:49We're actually going to skip our training update this week.
- 7:51Riley and I do have marathons that we're running really,
- 7:54really soon actually, which is crazy.
- 7:55But we're going to skip training update this week because we want
- 7:58to just make sure we have enough time to talk all about this
- 8:00study. So Riley, do you want to
- 8:01introduce this study and talk a little bit about it?
- 8:03Yeah. Yeah, I'm so excited to chat
- 8:06about this study. This study came out in October
- 8:09ish of 2024 and it is just kind of pretty interesting to see a
- 8:14lot of the stuff that we're seeing with our clients almost
- 8:18put on paper. So to kind of jump in a little
- 8:21bit, so you thought we're going to be talking about today is the
- 8:24Boston Marathon athlete performance outcomes and inter
- 8:27event medical encounter risk associated with low energy
- 8:30availability indicators. That is a very long title for
- 8:34this study, but to quickly summarize what kind of the topic
- 8:38that we're going to be talking about is basically this study
- 8:41looked at certain performance indicators and low energy
- 8:44availability among participants in the 2022 Boston Marathon.
- 8:49Before we get into all of the details of the study, like the
- 8:51methods and the results, we're just going to define a couple
- 8:53things before we start chatting about all of that.
- 8:56I'm actually just going to read it right from the study, just so
- 8:58that way everybody is aware of what we're talking about when we
- 9:00say low energy availability and when we say Reds.
- 9:03So relative energy deficiency in sport or Reds is a syndrome that
- 9:06is associated with problematic low energy availability or L EA,
- 9:11which is prolonged and or severe mismatch between energy intake
- 9:15and exercise expenditure. The causes of L EA are
- 9:18multifaceted and sometimes can result from eating disorders or
- 9:21disordered eating behavior and or unintentional energy
- 9:25mismatch. L EA exists on a spectrum
- 9:28ranging from adaptable L EA, which is characterized by short
- 9:31term L EA with mild and reversible effects, to
- 9:34problematic L EA, which may eventually be associated with
- 9:36various Reds features including negative health like impaired
- 9:40bone health, reproductive dysfunction, gastrointestinal
- 9:43problems, and performance, which means decreased training
- 9:46responses, decreased endurance performance, and decreased
- 9:49muscle strength effects. So those are just kind of the
- 9:51things that this study is talking about when we say L, EA
- 9:53and Reds I. Think it's really important to
- 9:56point out that L EA can happen with or without disordered
- 10:01eating behaviors. And before we jump into the
- 10:03method and the results, I just want to make that super clear
- 10:06because a lot of the time athletes can think, oh, well, I
- 10:09don't have an eating disorder. Like I don't have disordered
- 10:11eating thoughts or behaviors. That means I don't have L EA or
- 10:14have Reds and L EA can happen with or without an eating
- 10:19disorder. A lot of the time athletes are
- 10:21unintentionally under fueling because as a society, we have
- 10:25kind of taught them that you don't need to fuel, you don't
- 10:28need to eat carbohydrates, you need to avoid processed foods.
- 10:31And we've kind of, you know, said that like 2000 calories as
- 10:35the standard for consumption. And for a lot of our elite
- 10:39female athletes and just female athletes in general, this number
- 10:41is way too low. So that's just something to
- 10:44remind yourself as you're listening to this podcast that
- 10:47Lea happens in all different types of athletes.
- 10:50Exactly. So definitely something to keep
- 10:52in mind. Riley, can you talk a little bit
- 10:54about like the methods that we saw used in this study to kind
- 10:57of collect the data that we were looking at, so looking at?
- 10:59The study it's a wonderful opportunity to collect data and
- 11:03to look at data and trends for athletes that are competing and
- 11:06training outside of a lab. This study was conducted for the
- 11:092022 Boston Marathon. The study included 1030 runners
- 11:15who were competing and racing in the 2022 Boston Marathon.
- 11:19Data was collected using an e-mail survey and participants
- 11:23self reported the data within the questionnaire.
- 11:25The questionnaire looked at low energy availability, their
- 11:28current training patterns, their medical history, and looked at
- 11:30things like illnesses and injury.
- 11:32De identified survey data was then linked to wearable time
- 11:36chips and any type of medical encounter that the athletes had
- 11:40while on the course. A variety of different
- 11:42questionnaires were utilized to gather the data and then as I
- 11:46mentioned before, the wearable chip tracked the athletes
- 11:50performance at the start and 5 kilometer increments and at the
- 11:54finish. Time The thing that I found
- 11:55really interesting about this specific survey was that there
- 11:58was a high correlation between if you scored positive on these
- 12:01survey results that you actually did have L EA.
- 12:04So while we couldn't actually test all of these athletes to
- 12:07see whether or not they did have L EA, those high scores indicate
- 12:11that there is a very high probability that those athletes
- 12:13do in fact have L EA. So that was the first thing from
- 12:16the methods and looking at the survey that was given to all of
- 12:19the athletes that I noted was just like a good measurement as
- 12:22far as whether or not this data was valuable.
- 12:24And if you are interested in the specific questionnaires that
- 12:27were used in the study, we are linking the full study below so
- 12:31you can check out those questionnaires for yourself.
- 12:33What about the results from this study?
- 12:35So looking at these individuals, there was 546 females that were
- 12:40tested and then 484 males that were tested.
- 12:43When we looked at low energy availability, about 42.5% female
- 12:49athletes tested positive for low energy availability and 17.6% of
- 12:55the male athletes tested positive for low energy
- 12:58availability. When we looked at athletes with
- 13:01low energy availability, those athletes had a significantly
- 13:05higher risk for an intra event medical encounter.
- 13:09They had significantly decreased performance than those athletes
- 13:13who had normal energy availability.
- 13:15So. Basically the take away from
- 13:17this is that if you had a positive survey score, there was
- 13:20a higher likelihood of a major medical event, a higher
- 13:24likelihood of other medical issues or other medical
- 13:27indicators that could potentially impact your
- 13:29training. And then all of those things
- 13:31kind of led to some other setbacks as well.
- 13:32So one of the things that I saw, and I think you probably noticed
- 13:35this too, was how training was impacted leading into the race.
- 13:39So not only did we see performance indicators during
- 13:42the race, but there were also some things that impacted
- 13:44training before the race like a higher likelihood of injury and
- 13:47also illness with those who scored positive with Lea.
- 13:50I think that illness piece is such an important thing to note
- 13:54because with injuries, a lot of the time we at least associate
- 13:58an injury with under fueling because we think, OK, you have a
- 14:01stress fracture, OK, weakened bones, we need to look at
- 14:04calcium, we need to look at energy consumption.
- 14:06And obviously an injury can keep you out of training, right?
- 14:09And that's something that they talked about in the study was if
- 14:11you're injured, you're not going to be training the best that you
- 14:14can. But we forget that illness
- 14:16effects training in a similar way.
- 14:18Yeah, I found it very interesting that those who had L
- 14:21EA or scored positive on the survey, meaning that they likely
- 14:24had L EA, had several missed days of training due to illness,
- 14:28which is going to set you back in overall performance because
- 14:31you're not training to your full capacity.
- 14:33And that's something we forget a lot about with like Reds and L
- 14:37EA is that illness component, because we're often just looking
- 14:40for some of those, like more physical or direct symptoms of L
- 14:44EA, like a missed period or a stress fracture.
- 14:47We're not looking at some of the other side effects that are
- 14:49happening to the body in a negative way.
- 14:51Yeah, I think it's really easy to kind of chalk up illness to
- 14:54being like, oh, I have a weak immune system or I don't have a
- 14:56strong immune system or even being like, oh, well, it's flu
- 14:59season, everybody gets sick this time of year, it's colder, of
- 15:02course I'm going to get sick. And instead of saying, hey, is
- 15:04there something else going on here, we just kind of like brush
- 15:06it off and be like, everybody gets sick this time of year.
- 15:08Exactly like why do you have a weakened immune system?
- 15:11Yeah. I also found it interesting from
- 15:12a medical perspective that there was a correlation between
- 15:15positive scores and values that could potentially cause other
- 15:18medical issues. They specifically talked about
- 15:20this in the male athletes and the significance of potentially
- 15:24having some other lab value markers that could negatively
- 15:28impact health. So that's just another kind of
- 15:29interesting take away that I saw from we were looking at like
- 15:32just the scores in general, like what that potentially means for
- 15:35those athletes. Yeah, I found it really
- 15:37interesting as well. What did you find particularly
- 15:39surprising about the results? First off, I think that it was
- 15:43just really, and I already said this before on this episode, but
- 15:46it's something that we're seeing all the time with our clients.
- 15:48But the idea that if you're not feeling properly, if you have
- 15:52low energy availability, your performance is not going to be
- 15:56as good. And this is something that you
- 15:57and I preach all the time. And if you've listened to this
- 15:59podcast, you know, we're talking about this all the time, but it
- 16:02was just really interesting to see it on paper with this
- 16:05specific population, especially with like the running community,
- 16:08there's such an emphasis on like, if you lose weight, go be
- 16:11faster. And it's like that's not the
- 16:13case. And we say this all the time,
- 16:16but it was just a reminder that you have to be fueled if you
- 16:19want to perform. That kind of goes into the
- 16:21section where they talked a little bit about the BMI, which
- 16:25I know we've talked a little bit about BMI before as far as that
- 16:28not being like the best indicator of things that might
- 16:30be going on. But they really highlighted the
- 16:32fact that BMI was not correlated to performance indicators.
- 16:35So it's important to screen all athletes for Ellie A regardless
- 16:39of their BMI because there was number correlation between a BMI
- 16:43score that was lower and those who had Ellie A.
- 16:45So no matter what the BMI was of the athlete, there was Ellie A
- 16:49present in all groups. Yes.
- 16:51And even when you specifically look at BMI, with the BMI that
- 16:54was reported, the mean BMI was about 21.1.
- 16:57And then when you even looked at the data further, the standard
- 17:00deviation of that BMI number was about 2.7, 2.9, which is going
- 17:05to put you in a normal range on both sides of that BMI.
- 17:11So the athletes that we were looking at, it wasn't even like
- 17:14the data was skewed a certain direction.
- 17:16You almost have like exact bell curve of a normal BMI with this
- 17:21energy and availability. So this kind of goes back to
- 17:23like your body size or your BMI does not equal speed or
- 17:26performance. The other thing that I found
- 17:28incredibly interesting about this was that the prevalence of
- 17:32L EA was the same name when we looked at those who had
- 17:35qualified for Boston off of time qualifications and those who had
- 17:39been entered in the race off of charity.
- 17:41There are different ways to enter the Boston Marathon.
- 17:43You basically have two different ways to enter the Boston
- 17:45Marathon. One is off of time.
- 17:47So you've run a marathon previously and you've met the
- 17:49qualification standards based on time, which are really, really
- 17:52fast regardless of your age group.
- 17:54And then you also have charity, meaning you've entered the race
- 17:56in a different way that is not time based.
- 17:58Not saying that any of those athletes are not athletes
- 18:01because they haven't met maybe the same time standards those,
- 18:03there's still people who have completed marathons and they've
- 18:06run the Boston Marathon, but we don't see any difference in the
- 18:09prevalence of L EA between those two groups.
- 18:11So it doesn't matter if you are considered an elite runner or a
- 18:14recreational runner, L EA is still prevalent in all of the
- 18:17groups as far as where you fall within that running community,
- 18:21as far as what you're considered from a time standpoint.
- 18:24So that was something that I found extremely interesting.
- 18:26Also did. You see the average age for the
- 18:29participants that were surveyed. Yes, it's 46, right?
- 18:33Yeah, 46 and I think it was 42 for the women.
- 18:36It did also note that there was a slightly higher prevalence in
- 18:39Lea among younger athletes I believe when we looked at all of
- 18:43the data. And I think too, it's just a
- 18:45good reminder that Lea effects all types of runners, all ages.
- 18:51And even looking at some of the study participants who
- 18:54responded, the majority of the individuals who were looked at
- 18:57were in that like recreational competitive bucket.
- 19:00It wasn't like your elite athletes.
- 19:03There was. I think .9% of the population
- 19:06that was surveyed was considered an elite athlete.
- 19:09Which we don't know whether or not those elite athletes fell
- 19:12into which bucket of, you know, Ellie ape or not, Ellie A can
- 19:15impact any runner at any age. And it's something to be aware
- 19:19of because it doesn't mean that just because you're elite or
- 19:21recreational you would do or do not have LE A.
- 19:24The study really kind of missed us.
- 19:26The idea that smaller is faster, or being in a smaller body makes
- 19:31you faster, or that idea that eating food is going to make
- 19:36you. Slower, I think that there are
- 19:37some really big positives that we can take away from this.
- 19:40The first being that surveys are a very low cost way of
- 19:43identifying something. So we know from this that these
- 19:46surveys if you test positive, there's a high likelihood that
- 19:49you do have L EA. So if someone was curious as to
- 19:51whether or not they potentially have L EA, this is a very low
- 19:54cost option to maybe find out if there is some type of an energy
- 19:58availability issue going on and then we can implement things to
- 20:01correct that. So I think that that's a really.
- 20:03Really big positive that we can take from this and potentially
- 20:06implement with athletes in order to identify if there is L EA and
- 20:10correct it if there is. That is such a good point
- 20:14because sometimes we just let some of these things slide under
- 20:17the radar. I think, yeah, absolutely.
- 20:19You just shared a big take away from this study as a
- 20:22professional, but if you're a athlete who is listening to this
- 20:25episode right now, what are some recommendations, let's say top
- 20:29three recommendations that you have for somebody who feels
- 20:32like, hey, maybe I'm trying to qualify for a major or I'm a
- 20:36high level athlete and I might have low energy availability.
- 20:39Where should these athletes start?
- 20:40Without talking to a professional, we don't want to
- 20:43just say that you can diagnose yourself, but if you are
- 20:46noticing that you have frequent injuries, you are having a lot
- 20:49of illness, you're having a lot of setbacks in training, you do
- 20:52have an irregular menstrual cycle.
- 20:53Let's talk to a professional. Let's get in front of somebody,
- 20:56whether that be your physician, a dietitian, or something like
- 20:58that, just so that way we can address and make sure that
- 21:00there's nothing else going on. Now would be a great time to
- 21:03meet with a diet, a sports dietitian, a running dietitian
- 21:05who can help potentially correct any of those energy deficits
- 21:08that are going on. And then we want to potentially
- 21:10focus on increasing our energy availability, which can be done
- 21:13in a couple of different ways. I know that's not necessarily
- 21:15three things to take away, but I would definitely say like, let's
- 21:18make sure there's nothing else going on.
- 21:19If you are experiencing some signs or symptoms.
- 21:21If you're not experiencing signs or symptoms and you just want to
- 21:24make sure that you are fueling properly as an athlete, whether
- 21:26you're a runner or not, another great thing to do would again be
- 21:29to connect with a dietitian to make sure that you are properly
- 21:32fueling your body just as a person.
- 21:34Not even just as an athlete, but just to make sure that you're
- 21:36properly fueled. Definitely this journey of
- 21:39fueling your body and even navigating low energy
- 21:41availability is so individualized.
- 21:43And a lot of the times I see so many athletes who are so
- 21:46frustrated because they're trying to follow blanket advice
- 21:49off the Internet. If they don't have a period,
- 21:51they're looking at, OK, I just need 2800 calories and I'll get
- 21:55it back, or I just need to eat more carbohydrates or I need to
- 21:57do these three things and that will get me my menstrual cycle
- 22:00back. That will help me overcome low
- 22:02energy availability. And that's not the case.
- 22:05We get so many questions every single day about do I need to
- 22:08stop training? How many calories do I need to
- 22:10eat? And it's it's so individualized.
- 22:12And if we just provided that blanket advice, we'd be doing
- 22:15you a disservice in your journey because we don't know if 2800
- 22:19calories is enough for you or we don't know if you can be removed
- 22:23from exercise or where are we cutting down an activity.
- 22:26We don't know that until we're going through your fueling on an
- 22:31individualized level, looking at your training schedule, and I
- 22:34think that's where a lot of people get so frustrated with is
- 22:36they're just trying to follow blanket recommendations off of
- 22:39the Internet. 100%, I definitely agree with you.
- 22:42It can feel really frustrating when you do follow those advice
- 22:45pieces that you see online and then you don't see any changes
- 22:48from that. So working with a professional,
- 22:49getting in touch with people that can look at all of the
- 22:52areas that we have kind of to look at in order to determine
- 22:55whether or not we have adequate energy availability is super
- 22:58important. We can't just look at one thing
- 23:00and say let's fix that and then we're magically OK.
- 23:03I will say though, so if you are working on getting your period
- 23:05back or overcoming low energy availability and you have been
- 23:08doing something for three to four months and you're not
- 23:10seeing any success, then that means that something has to
- 23:14change. I talked a lot about this
- 23:16recently on my Instagram, but if you're doing the same thing and
- 23:20expecting different results, you're never gonna get anywhere.
- 23:23You're going to stay stuck and you're going to stay frustrated.
- 23:26So you really have to maybe push yourself outside of that box if
- 23:30you are working on getting your period back and you're not any
- 23:34changes or any success with it which can.
- 23:36Be really hard for sure is to have to sit down and say what
- 23:39I'm doing right now isn't working and I need to try
- 23:40something else because that's not not necessarily the result
- 23:43that we wanted from changing something in the first place.
- 23:45Definitely. And that's probably a hard
- 23:47truth. I don't know if you're
- 23:48listening, if you are ready for that, but you know, that's
- 23:50something that we do. Our VSN is we do like to tell
- 23:53you the truth about certain things.
- 23:55You can always reach out to Riley and I if you have
- 23:57questions about this, questions about Le a, about Reds, about
- 24:00period recovery. That's what we're here for.
- 24:02You can leave them in the comments of this podcast or if
- 24:05you'd prefer, you can DM us on Instagram.
- 24:06You can find Riley at easy Sports Nutrition and you can
- 24:09find me at Jenna dot Fisher dot nutrition.
- 24:11Thank you so much for listening to this episode of the Eat More
- 24:13Carbs podcast. Please make sure you rate,
- 24:15subscribe and review. And as always, remember to eat
- 24:18more carbs.