Saturday, March 29, 2014

The Best Part of Hitting Rock Bottom: Climbing Back Up


I bet you thought that Vertical Turtle had quit blogging, and perhaps even trail running.  I don't blame you since my last blog post was in February of last year and was titled "A Case of the Grumpies."  Most of my runs back then were a huge struggle, and simply completing the miles was hard enough, let alone coming back home and reliving it in my mind to write a blog.  I was quite down on myself and I thought that I was not meant for trail ultra-running.  Everyone else, including Burnout Bear, seemed to be getting stronger and faster, and I was becoming slower and weaker and more tired with each passing month.

But then everything changed and I want to finally share my story about the experience.  

I had hit rock bottom last year... but was able to slowly get back up... and now I am running stronger and faster than I ever thought was possible!

So what happened?  It all began around the end of 2012 when I became a strict Vegan.  The diet was becoming increasingly popular amongst the trail running community at that time, thanks to several famous elite runners' testimonials about how the diet had helped their performance.  There are indeed numerous benefits to Veganism, both for the health of the individual and the environment, but what all of the elite male runners forgot to mention was that menstruating female athletes should supplement their diet with iron.  Unless you have a ton of time to perfect your diet plan and cooking, it is nearly impossible to consume enough iron to make up for a monthly loss of blood, let alone breaking down muscle fibers while training high mileage.  At least, this was my experience and the diet took its toll on me.

The decline took a glacial pace and I simply thought that my fatigue, headaches, and lack of concentration were due to overtraining and was normal for an ultra-runner.  I had just begun the sport and had no idea what the usual side effects were of running 50-60 miles per week.  But my workouts felt harder, my pace slowed, and my race performance suffered.  I couldn't understand what I was doing wrong compared to other ultra-runners that I knew.  So, I paid extra close attention to sleeping well, reducing stress and continuing to eat well, but I still felt tired.  I also was taking vitamins regularly, but the Hammer Premium Insurance tablets that I was taking do not contain iron.  (Note: Not everyone needs to take iron supplements and too much iron is detrimental, so Hammer's decision to not include it in the multi-vitamin is understandable.  I do think that they should create a women's version, though.)

Then in July 2013, I finally hit rock bottom and landed in the hospital just an hour after completing the Tahoe Rim Trail 50 miler.  My Ferritin level was at a meager 6 and the altitude caused the oxygen levels in my body to plummet.  I felt dizzy both during the run and after crossing the finish.  While walking back to the shuttle after the race, I fainted and had trouble regaining consciousness.  The race medical team called for an ambulance and I ended up being admitted into the hospital that night.  What's funny is that the emergency room admitted me into the cardiology unit because of my abnormally high amounts of heart enzymes in my blood that raised their concern.  It ends up that this is normal for most runners after running ultra-marathons.  And let me tell you, there's nothing like being given a Lean Cuisine entree and fruit juice after running 50 miles!  The nurse frowned at me when I scarfed down two and then asked how many they had left in the freezer...

Anyhow, rock bottom became a familiar environment for me for many months.  Unfortunately, my health plan was not the best at the time (Kaiser Permanente HMO) and the only option that the doctor gave me for treatment was taking a daily iron supplement that you can buy over the counter.  The doctor suggested that I take as much iron as my stomach could handle.  This ended up being 2 iron tables (720% daily value total) daily.  Eating mostly vegan still, at least I was eating enough fiber to prevent any constipation.  I eventually found a great liquid iron on Amazon that had even less side effects if you can stomach the icky cinnamon flavor.

After repeated blood tests over five months, my ferritin and hemoglobin levels ever so slowly crept back up to just below normal range.  This is when the doctor said that I was "fine" (!) and I made up my mind to change health plans because I was still feeling tired on a regular basis and during runs.  Fortunately, I had this option and acted quickly before the end of 2013.   I was determined to feel better than "just below borderline" and made it my goal to feel and run better in 2014.  The day I received my new Anthem Blue Cross card in the mail, I immediately found a doctor that also found my thyroid function to be slightly low (which in turn can influence iron absorption and cause symptoms similar to being iron deficient.)  So, no wonder I felt tired and struggled with running for quite some time. To make a long story short, I got all of these internal health problems resolved, both iron and thyroid, and I feel so much better that I could sing!

There is one more big change in 2014 that has helped improve my fitness.  Burnout Bear and I both DNFed at the Quad Dipsea back in November.  I was still experiencing sluggishness due to my poor health, as well as IT band pain due to inconsistent / poor training while still trying to race.  Burnout Bear was experiencing some knee pain concurrently, as well.  Why am I bringing up this race?  Well, that day was also a rock bottom pivot point.  We were both so upset driving back home from the race that we agreed to hire a coach because it was clear that we did not know how to train and were flying by the seat of our pants ever since we began ultra-running.  So, in conjunction with sorting out all of my health problems, I also now have the wonderful opportunity to be coached and monitored by a professional runner.  And the coaching is working out beautifully, resulting in consistent mileage and increased strength.

My first ultra of the year was the Jed Smith 50k in Sacramento, CA.  It was a flat 6 mile loop course, making it a perfect first race back since it was possible to quit at any time if something were to go wrong.  I was excited (and very nervous!) to see how it felt to race again now that I was healthy.  The first few loops felt very easy and I focused on simply maintaining a comfortable pace.  When I passed the marathon point, the clock read 3:19:00, which would have qualified me for Boston by over 20 minutes, and I couldn’t believe how good I felt.  My legs felt tired by the last loop, however, because it was the farthest that I had run in 4 months, but I was on top of the world to be running again - and rather swiftly.  I ended up winning the race and was shocked to see the clock read 3:59:09 as I crossed the finish.  I never thought that I could run a sub-4 hour 50k in my wildest dreams.

All smiles after completing the Jed Smith 50k in 3:59:09 (courtesy of Chris Jones)
Since then, I also set a course record at Coastal Trail Run’s Canyon Meadow 50k (4:24:06) and the time qualified me for the elite field of the North Face Endurance Challenge Championship 50 mile race in December.

I am full of smiles looking at the year ahead.  I can't wait to try out tough terrains, again, improve my strength and technical running skills, and see what is possible.  My next big race is Miwok: a tough, hilly 100k with some technical trails in the Marin Headlands.  I am working with my coach to prepare my legs for this course, but it will be the farthest that I have run since Headlands 100 (which I ran when I was anemic and hypothyroid) back in September.  Hopefully, my improved health will make those hills feel easier than before and my endurance stronger... I am so full of nervous excitement!  
Go turtle go!
 
Enjoying a beautiful training run at the Marin Ultra Challenge 35k with Burnout Bear.