The Road Bach #5 - Set Back

Friday, February 3, 2017 - 10:45

Ugh. It was all going so smoothly, but here I am facing some hefty bumps in the road. My bone density has barely moved, and I've given myself another stress reaction. What happened?!? Here's the scoop:

My health was returning, so I jumped, ran and lifted heavy weights. No problems! It had been 4 months since I had the initial stress reaction and I stopped training, my hormone levels are back to normal, and my hips were feeling fine. No evidence of any bone injury. I had come to believe that my bone density must be coming back nicely, but I wanted to check it out and make sure before ramping up my training more, so I scheduled a DEXA bone scan.

The result: low bone density!

My reaction: "What?!?!? I only gained 9.7% in my spine?!? And I lost 4.0% in my femur!?!? I thought I was on the right track!"

The problem: There are lots of them. First, my expectations weren't set properly. I was under the assumption that I could gain tens of percents in my bone density within a year. My fault. I should have known, by asking my doctors or doing some Googling, that bone density improves really really slowly...to the tune of 10% per year if you're doing well. Second, there is a margin of error of +/- 5% for these tests. Third, the two datapoints, 7 months apart, don't tell the whole story. I was very disappointed at first, but after giving it some thought, talking to my doctors, and looking at the evidence, this is actually a pretty good result. Yes, even the loss of 4% isn't so bad. My first DEXA was done in May 2016, but that probably wasn't my low point. I was injured and had low testosterone, both of which were further hurting my bone density. Further evidence comes from a bone resorption test that I did (it shows how much bone you're breaking down) in late June that showed I was breaking it down pretty quickly. I had another bone resorption test in November that showed a dramatic decrease in the amount of bone I was breaking down. Therefore, the story is likely that my bone density continued downward till a low around July, but then necessarily must have rebounded in order to arrive back at the "nearly unchanged" numbers we see in January 2017. This would suggest that I've actually been progressing since mid-summer, and that I need to just keep doing what I'm doing. Great. So my priorities are: 1.) I'm still susceptible, so don't get a stress fracture 2.) keep hormone levels normal, which is of utmost importance for healthy bones and 3.) keep lifting heavy weights to encourage bone growth

Fastforward three days. I go for a 9 mile run with a few short pickups. It's nothing out of the ordinary as I've been doing pickups recently and have run up to 10.5 miles at a time without issue. Two hours after the run, though, my hip starts aching ever so slightly. It's the same feeling as when I first had the stress reaction. My first thought..."this must just be in my head. I got the disappointing bone density result and bone stress injuries are fresh in my mind. Plus, I've been doing runs like this, and throwing heavy weights around, and jumping and I haven't had any problems, so why would this run-of-the-mill 9 mile run affect me? Are you becoming a hypochondriac? Matt!? Are you!?" Then I ran on Thursday morning, an easy 6 miles. The ever-so-slight achiness returned...hmmm...then I lifted heavy that same day and the achiness moved into the range of undeniability. It felt like soreness deep in my hip area, but only on my right side, the same exact feeling I had back in May 2016. I immediately contacted my doctor to set up an MRI, which I did the very next day. Well I got the result on Tuesday and WHAM! I've got a stress reaction. It's in the same exact spot as before and looks to be approximately the same intensity.

What does this mean? For the short term, it means I won't be running anytime soon, I won't be doing any heavy lifting, and I can't do any hard bike workouts. Chances are slim to none that I will be doing Puerto Rico 70.3 frown. I'm lucky to still be walking without crutches. I can, for now, still bike easy and swim, but if that aggravates it, then I won't be able to do those either. For the longer term, maybe this is God's way of telling me to put this mission aside. "Here, I'm giving you something more important to worry about, a daughter!"

My new priorities: 1.) get ready for the arrival of our little one 2.) heal my stress reaction 3.) maintain hormone levels 4.) restore bone density to levels where I can run without reinjuring myself

I write about this topic so that others will be aware of the health debacle that can occur if you overtrain. So many articles write about overtraining and how it's not good for you, but they don't get into the nitty gritty. What actually happens to your biology? Why does performance suffer? Why do you become more injury prone? Why do you feel tired and why don't you want to have sex?! It's much deeper than "I'm tired from training," and I feel I have a duty to spread that word. I'll be doing a speech on this topic in 2 weeks at a Sports Medicine conference in Greenville, SC, I'm working with a researcher named Dr. David Hooper on a study assessing overtraining in endurance athletes, and I offer consultations to those who are in a hole and need help. To be clear, my point isn't to diminish enthusiasm about training for endurance sports, but just that we need to be smart about it! There is a balance that can be found in each person's life situation that will allow them to fully enjoy triathlon and become better athletes, all while remaining healthy. I encourage you to find your balance!

 

Train happy, train healthy,

-Matt

The Road Bach #4 - Progress!

Thursday, November 17, 2016 - 16:15

BOOM! My testosterone levels are way up and I'm feeling great. I'm making major progress down my road to recovery - the crazy fatigue I was feeling is all but gone, my libido is way back, and my body recovers from workouts and injury faster than last year. In even bigger news, we're having a baby!!! Those of you who listen to Endurance Planet will already know that from our latest episode. The pic on this blog is how we announced publicly (because once it's on Facebook, it's official?).

Her name will be Summer Elizabeth Bach and we're very excited to be bringing her into our lives after trying for a year (and having two early miscarriages). As you might expect, her arrival will affect my athletic plans, but I'll get to that in a bit.

 

I've been meaning to write this one for a couple of weeks now but things kept getting in the way, things that dudes with a lot of testosterone do...like lift heavy things, scarf down steaks, build things, start bar brawls, and women (well...woman in my case. Hi Lauren smiley). I'm only sort of joking.

 

I've been feeling better and better, but then the blood work proved it. My latest number came back at 599!? Here's an updated chart of my testosterone levels with reference numbers so you know what it all means:

Here's what I've done to get these huge results (all done naturally, careful not to have or do anything banned by USADA):

- Decrease my endurance training load from ~15hrs per week of fairly intense training to ~7hrs of mostly aerobic, not-so-intense training

- More sleep! I used to get 7.5ish hours per night while training a lot. Now I'm getting 8-9 hours per night training less. Big swing.

- Increase my strength training from 1-2 sessions per week to 3-4 sessions of fairly intense lifting, including CrossFit twice per week.

- Supplements. I've been taking a host of all-natural supplements since May when I learned how unhealthy I was. These include Omega-3 fish oil (Zone OmegaRx, very pure), zinc, pregnenolone, Mitocore Multivitamin (also helps with my bone density), CoQ10, magnesium, and adaptogenic herbs that help with HPA axis regulation (calming and sleep).

- Being more relaxed, sometimes through meditation and breathing.

- Keeping an eye on nutrition and fueling needs to be sure I'm not causing my body any undue stress (we get enough of it from training and everyday life right!?)

- Packing on some body weight/fat. I'm not sure if it played a role in my hormone issues or not, but just to be safe, I now weigh 163lbs, and strangely still feel lean.

 

You might ask..."is it all worth it? You've sacrificed fitness, training and races, but what do you really have to show for it? Will you ever be able to go back to heavier training loads?" They're good questions and I don't fully know the answers, but I believe it will all be worth it. Yes, I've sacrificed performance to the tune of 15% by decreasing my training, but what I've gained back is my health. With good health as my foundation, I hope to raise that fitness again without sacrificing what I've earned. That's the part that remains to be seen, but pioneers like Cody Beals and Sarah Piampiano have showed me that it's possible, so I am hopeful.

In other news, I've been able to run a whopping 5 miles at a time, outdoors, full body-weight, without any issues with my bones (like recurrences of bone stress injuries) or my Achilles, which had been chronic problems. This is thanks to routine adjustments and therapy by Dr. Todd at All-Pro Health and Josh Grahlman at Clutch Physical Therapy. I highly recommend both of them as they have helped me to keep my body together over the years.

 

Finally, here's a little update on my plan going forward. It's hard to really plan because there is so much uncertainty around the birth of our first child and with the pace of my recovery, but here's what I've got:

Between now and the end of the year: Swimming 4x per week, strength 4x per week (including CrossFit), run 2x per week and get it back up to 10+ miles at once, bike 1-2x per week. Get back some base fitness so that in...

January - March 2017: Build off of that foundation and get into "fighting shape" for Puerto Rico 70.3, my anticipated return to the sport!

April - June 2017: Babytime! No focused training, just caring for my wife and our little one, and getting in what training I can.

July onward: ???Late summer or fall racing??? Only God knows at this point, but I am excited that maybe, just maybe, I'll be Bach.

 

Train Health, Train Happy,

Matt

 

 

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