Goal setting

Photo of jars of watermelon and orange in glass jars ogf water with straws.

Most athletes consider the balance of electrolytes when thinking about hydration and recovery, especially over endurance events.  But are salt tablets and electrolytes really necessary?

Before we answer this question, let’s recap on electrolytes and the role they perform in the body.

Sodium is the key electrolyte responsible for controlling extracellular fluid balance while potassium controls the fluid within the cells. Potassium also helps with muscle contraction and supports blood pressure. Electrolytes such as potassium can also impact iron absorption. Potassium (along with other nutrients such as zinc and B vitamins) is essential for hydrochloric acid (HCL) production in your stomach. Without adequate HCL a condition known as achlorhydria can develop where your ability to absorb dietary iron and the successful coordination of iron uptake, export, and iron storage as ferritin is reduced.  This can lead to iron deficiency and anaemia as explained in this article.

Magnesium is well known for its role in nerve function, heartbeat regulation, energy metabolism and blood sugar stabilisation. Your muscles, brain and heart rely heavily on magnesium to do their job. As an electrolyte, magnesium sits both inside and outside cells and binds to water and interacts with other electrolytes.   Calcium is well known for its role in bone health, heart and nerve function and less recognised as an electrolyte. Calcium sits within both intracellular and extracellular spaces. Other electrolytes include phosphates, chloride and bicarbonates.

Sodium and chloride are the two electrolytes lost in large quantities through sweat. The losses of these electrolytes are regulated in response to the balance of sodium consumed in the diet and recent sweat and urine losses.

So is the ingestion of electrolytes or salt tablets really necessary to enhance performance? Well yes and no. Confusing hey!

Why you should consider electrolytes.

Research suggests sodium added to drinks before exercise may improve the amount of that fluid retained, rather than lost through urination and potentially reduce the risk of dehydration. Sodium can also improve the flavour of drinks and encourage consumption when consumed during exercise. This could be handy in warmer conditions and when exercising for two or more hours. Sodium during exercise can also reduce the potential risk of developing hyponatraemia. It is suggested sodium can assist with fluid and carbohydrate absorption from the gut.  If you are a heavy sweater with above average sodium loses (>1g/L) identified through sweat testing, then you may benefit from sodium ingestion during exercise if you are exercising for several hours.

The good news is that most sports drinks and gels contain sodium so it is unlikely the majority of athletes will need to take on additional electrolytes in the form of tablets. Ultra runners and ironman participants may be an exception to this rule.

Keep in mind the body has large stores of sodium that are released into the bloodstream as needed so it is unlikely you will ever run out of sodium unless severely dehydrated. The key reason why sodium is included in sports products is to balance out fluid intake and losses and maintain an appropriate osmolality, while improving the taste and increasing the palatability and consumption of the product, rather than preventing an actual sodium deficit.

And what about cramping?

Cramping is caused by multiple factors that can lead to changes in the nerves that control muscle contraction and muscle fatigue. Therefore, it is a little simplistic to suggest a single nutrient such as sodium or magnesium will prevent cramping.  Further scientific research is required to give us clear guidance around cramp prevention. Many athletes do respond well to magnesium and a suitable hydration protocol.

Don’t forget you can also obtain electrolytes through wholefoods nutrition.

  • Sodium is easily found in most processed foods such as crackers, sardines, smoked foods, pickled foods, roasted seeds and nuts, cheeses, table salt and sauces.
  • Magnesium is found in pumpkin seeds, chia seeds, almonds, spinach, cashews, black beans, peanuts, oats, brown rice, and yogurt.
  • Potassium-rich foods include potatoes, sweet potato, dried apricots, and raisins, beans lentils, spinach, broccoli, avocado and bananas.

So before you reach for more artificial sports products consider if this is really necessary and if there are alternative ways you can provide your body with the electrolytes it requires.

Need specific guidance?  We would be delighted to help.

About the Author: Kate Smyth is a Sports naturopath, nutritionist and female-centric running coach. She is the founder of the Athlete Sanctuary- a holistic healthcare clinic for athletes of all levels and sporting codes. Kate has a thirst for knowledge with two bachelor’s and a Master’s degree under her belt. She has been involved in sports for many decades and competed for Australia in the Commonwealth Games and Olympic Games marathons with a personal best time of 2 hours 28 minutes. For more information visit www.https://https://athletesanctuary.com.au/wp-content/uploads/2023/03/normatec-3-lower-body-system-thumb_720x-1.webp.com.au/wp-content/uploads/2020/05/Seed-Cycle-Blends-scaled-1.jpg.com.au

 

References

Miller KC. et al. An Evidence-Based Review of the Pathophysiology, Treatment, and Prevention of Exercise-Associated Muscle Cramps. J Athl Train. 2022; 57(1):5-15.

Lau WY. et al. Water intake after dehydration makes muscles more susceptible to cramp but electrolytes reverse that effect. BMJ Open Sport Exerc Med. 2019; 5(1):e000478.

Maughan RJ. & Shirreffs SM. Muscle Cramping During Exercise: Causes, Solutions, and Questions Remaining. Sports Med.2019; 49(Suppl2):115-124.

Photo of a female runner with sunglasses on running in the Zurich marathon.

With any goal or challenge, a holistic approach to race preparation can help. It is never too early to start planning. Training for a key event is no different, and you may just be surprised at what else you learn about yourself along the way.

As discussed in an episode of “On Purchase” podcast (with Jay Shetty), growth comes through the process of becoming uncomfortable in situations which challenge and stretch us. Being comfortable with being uncomfortable is a skill everyone needs to work at in order to achieve any goal. It isn’t the goal that satisfies our thirst necessarily but rather what we become as a person in the process of working towards a goal.

Jay suggests being too comfortable or casual may lead to complacency and “crashing”. The opposite is also true.

Building curiosity around new experiences and challenges that take you out of your comfort can lead to competence. When speaking to retired elite athletes, 99% suggest it was building the competence in their chosen sport, inner strength and resilience that paved the way to a fulfilling career, not the medals or accolades they received for their achievements.

 “You don’t have to be great to start but you have to start to be great”  Zig Ziglar

In our Holistic Health and Performance Women’s Mentoring Program we ask the hard questions – what are you willing to consider that will take you out of your comfort zone? What are you curious about but haven’t acted on just yet?

There’s so much more that goes into race preparation, and the earlier you can start the better. A holistic approach ensures all the building blocks are in place ahead of time.

So, what do you need to think about? A holistic approach will consider your overall mental and physical health, work/life balance, nutrition, training and much more. Let’s break it down:

Start by examining your nutrition

This is a great place to start. Time to be self-reflective.

Through our diet, we are either feeding inflammation or fighting it. We are also either eating for performance or inhibiting performance through poor food choices.  There are some great online food diaries to help you track your nutritional profile such as My Fitness Pal, or Cronometer. Some of the key questions to ask yourself are:

  1. Are you getting enough quality protein, carbohydrate and fats in your diet?
  2. Is your overall energy intake adequate for your training requirements?
  3. Are you lacking in any food groups e.g. dairy. If so how are you compensating for this?
  4. Are you restricting or overeating food intake or lacking overall balance in your diet?
  5. Are you taking note of how you feel after consuming different foods? e.g bread makes you feel tired

Work/Life Balance

This is always key. Training for big events can involve a lot of sacrifice, not only for you but for those around you. It takes time and energy, and the physical demands are high. Finding work/life balance can be incredibly tricky -particularly when you’re trying to fit your training and prep around a busy work and family life.

Some key points to help you navigate this and keep stress levels as low as possible include:

  • Communicate your goals and plan openly with your family and friends,
  • Try to be flexible with your training regime to meet other commitments that you may have,
  • Avoid being obsessive with your training and event performance, include flexibility in your mindset and focus on progress over perfection
  • Factor in adequate downtime for yourself. This may be as simple as rest time, an hour with a good book or some time with friends.

Work on preventing illness

Our immune system is equipped with a multi-tiered response to do battle with foreign invaders 24/7 but a poor diet, stress and overtraining can significantly reduce our immune system’s ability to fight infection. This leads to more frequent colds and missed training and racing opportunities.  There are many ways to keep your immune system robust.

(Read our blog > How Robust is Your Immunity?)

Manage your mental health

This one is vital. Training for a big event can becoming all consuming, especially when you’re juggling multiple demands of your time. Stress can be compounded if you’re dealing with unexpected disruptions to your training plan, such as illness or injury.

It’s so important for you to master ways to manage the stresses of each of the elements of your life – including your training regime. Some days that means accepting you simply can’t do everything you’d like to in a day.

Build resilience

Let’s get real- some days will be hard. Working on building resilience and perseverance are key elements of meeting those long, sometimes hard, training sessions – and the road to meeting your goals.

“Resiliency is the ability to face setbacks, failures, crises, and pain (both emotional and physical) with confidence and courage. It is the ability to quickly bounce back from our trials and tragedies. It’s the quality that keeps us from giving up, even when the going gets rough. It’s the ability to stick with something through thick and thin and the power to overcome the temptation to bail out when things stop being easy.” (from “Building Your Resiliency”)

Perseverance is the continued and steadfast effort towards a goal despite difficulties and setbacks. Resilience is what makes you pick yourself up; perseverance is what keeps you moving forward.

Are you ready to take on a holistic approach to performance?

Our Women’s Holistic Health and Performance Mentoring Program designed for endurance runners encompasses all of the elements that align for success – whether it be your next main event or life. Want to know more about this? I’d be really happy to have a chat with you in readiness for the second half of the year.

About the Author: Kate Smyth is a Sports naturopath, nutritionist and female-centric running coach. She is the founder of the Athlete Sanctuary- a holistic healthcare clinic for athletes of all levels and sporting codes. Kate has a thirst for knowledge with two bachelor’s and a Master’s degree under her belt. She has been involved in sports for many decades and competed for Australia in the Commonwealth Games and Olympic Games marathons with a personal best time of 2 hours 28 minutes. For more information visit www.https://https://athletesanctuary.com.au/wp-content/uploads/2023/03/normatec-3-lower-body-system-thumb_720x-1.webp.com.au/wp-content/uploads/2020/05/Seed-Cycle-Blends-scaled-1.jpg.com.au

PMS

Many women suffer from period pain and other PMS symptoms.  But what most women fail to realise is that it is NOT normal to have severe period pain, heavy bleeding, breast tenderness or discharge, debilitating drops in energy or significant mood swings as part of premenstraul symptoms. A healthy balanced woman can observe her period without experiencing symptoms that impact her quality of life and ability to function.  Pain is just one of the many issues women experience around their monthly cycle, however, it tends to be what prevents us from enjoying life the most.

In naturopathic medicine the overuse of NSAIDS (non-steroid anti-inflammatories) for menstrual cramping or period pain (dysmenorrhea) is cautioned as it may contribute to the erosion of the gut lining and contribute to a digestive condition called leaky gut where the tight junctions within the gut lumen come apart.

Commonly used NSAIDS such as Ibuprofen may provide temporary relief,  but they may also suppress some of the compounds that look after your gut lining. Once damaged, the tight junctions in your gut start to drift apart creating a “leaky gut”. This then allows toxins and larger particles to enter the bloodstream and trigger an immune response, inflammation and gastrointestinal distress. This may go on to contribute to a whole range of systemic issues such as food intolerances, skin issues and immune dysfunction. The good news is that there are lots of great natural solutions for period pain.

Ultimately getting your hormones balanced will assist with the symptoms, but while you are doing that here are a few options to make you more comfortable:

  • Athletes who are competing in their premenstrual phase may consider magnesium, zinc and fish oil at therapeutic doses for at least 5 days before their period is anticipated to reduce cramping and lower abdomen and back pain
  • A hot water bottle or heat pack on your abdomen and/ or lower back
  • Herbs such as cramp bark, turmeric and Black Cohosh may reduce PMS symptoms due to their anti-inflammatory actions and calming action on the uterus.
  • Consume more anti-inflammatory foods like cherries, blueberries, avocado and chia seeds. Fish such as salmon, cod, mackerel, sardines, bream, snapper or flathead high in omega-3 fatty acids, are also healthy choices. Consume more calcium-rich beans, almonds, and dark leafy greens. These foods contain compounds that combat inflammation.
  • Reduce coffee, refined foods and high sugar intake, bread, pasta and anything processed high in trans-fatty acids. These foods may contribute to inflammation and encourage period pain and tender breasts.
  • Sipping chamomile tea may inhibit the pain-causing prostaglandins associated with PMS without the side effects on your gut.
  • Seed cycling can help your body maintain a subtle balance and transition throughout your natural cycle.
  • Ginger and cinnamon are our favourite remedies for period pain. Studies demonstrated these two natural wonders provide the equivalent pain relief as ibuprofen when taken at therapeutic doses.
  • Fennel- Fennel extract can assist with severe menstrual cramps.
  • A combination of both 100mg of vitamin B1 and 500mgs of fish oil daily for 2 months has been shown to significantly reduced period pain.
  • Exercising-Most women find that exercising helps relieve menstrual cramps. Some women find yoga and tai chi are gentler forms of exercise that are more comfortable during the premenstrual phase.

As women, we need to consider our periods as the scorecard for our greater health. If you would like to understand how you can balance your hormones through practical nutrition, and natural medicines we welcome the conversation.

 

About the Author: Kate Smyth is a Sports naturopath, nutritionist and female-centric running coach. She is the founder of the Athlete Sanctuary- a holistic healthcare clinic for athletes of all levels and sporting codes. Kate has a thirst for knowledge with two bachelor’s and a master’s degree under her belt. She has been involved in sports for many decades and competed for Australia in the Commonwealth Games and Olympic Games marathons with a personal best time of 2 hours 28 minutes. For more information visit www.https://https://athletesanctuary.com.au/wp-content/uploads/2023/03/normatec-3-lower-body-system-thumb_720x-1.webp.com.au/wp-content/uploads/2020/05/Seed-Cycle-Blends-scaled-1.jpg.com.au

contraception options

We aim to equip women with a balanced perspective so they can make an informed choice about contraception options and what they put into their bodies. We in no way suggest women should come off their medications without due consideration. We also don’t shy away from the fact that there is a dark side to artificial hormones. It is important to consider all the pros and cons of any medication.

The most widely used contraceptive medications include the combined oral contraceptive pill (OCP) (containing synthetic estrogens and progesterone) such as Yasmin or Estelle, or injections, patch and vaginal ring. Progestin-only contraception includes the mini-pill (e.g. Noriday 28), implanon (progestogen) and hormonal IUDs (Mirena). Intrauterine devices such as the copper IUD are also a preferred option for some women.

Although contraceptive medications have similar names and molecular structures to female hormones, they have very different functions in the body. Artificial hormones mimic our natural hormone responses by “approximately” fitting into our hormone receptors but provide a different response. For example, progestin used in medications prevents pregnancy by inhibiting ovulation, changing cervical mucus making it unfriendly to sperm and by reducing the proliferation of uterine lining to inhibit implantation. Natural progesterone, on the other hand, thickens the uterus lining and helps with the implantation of an embryo. Contraceptives are metabolised differently between individuals due to the type, concentration, duration and timing of medication used. Although generally relied upon as contraceptives, they may also be used to manage issues such as acne, period pain, endometriosis and heavy bleeding.

Albeit highly effective as contraceptives, there is a dark side to long-term use of these pharmaceuticals such as toxicity and nutrient depletion through their impact on gut and vaginal microbiomes, liver function, oxidative stress and chemical accumulation.

Let’s now consider the drawbacks and benefits of contraceptive medication.

Pros

  • Up to 99.5% effective as a contraceptive (depending on type)
  • Easy to use (in pill form)
  • May manage symptoms such as period pain, acne, irregular or heavy bleeding
  • Improves predictability and regularity of bleeding
  • May reduce the risk of iron-deficiency anaemia if caused by heavy bleeding, some cancers (colorectal and ovarian) and ectopic pregnancy
  • Prevent bleeding or symptoms on race day or hard training days (if PMS is an issue)
  • Lighten bleeding

Cons

  • They don’t prevent sexually transmitted diseases like other barrier forms of contraception.
  • Not all women will experience side effects, but some may have weight gain, depression, acne, hair growth, irregular bleeding, nausea, mood swings and headaches. Studies show that women on higher doses of OCP had 50% greater incidence of bloating, breast tenderness and nausea than those on low dose options.
  • May impact on the immune system and alter immune response, triggering autoimmune disorders. Studies show an increased risk of developing Lupus in women who take OCPs.
  • OCP use is linked to increased risk of cardiovascular issues, high blood pressure, blood clots, and thromboembolism. OCPs may be potentially contributing to an increased risk of cancer and liver tumours, and reproductive issues including premature menopause and reduced fertility.
  • May alter the intestinal microbiota and vaginal microbiome composition after just 6 months of use. Both IUDs and OCPs may increase the risk of bacterial vaginosis, trichomonas vaginalis and candida albicans infection in sexually active women. Studies suggest OCPs may also contribute to leaky gut through changing tight junction expression in the gut which can contribute to food intolerances and other immune reactions.
  • May indirectly contribute to body toxicity by adversely affecting the capacity of the gut to metabolise and excrete other xenobiotics (e.g. polycyclic aromatic hydrocarbons, pesticides, polychlorobiphenyls, heavy metals, benzene derivatives, dyes, artificial sweeteners) and metabolic by-products.
  • May reduce vital nutrients and contribute to excess accumulation of others. Studies show the OCP reduces zinc, selenium, vitamin E, Co-enzyme Q10 (a cofactor in energy production), B12, phosphorus and magnesium levels but contributes to higher copper and cadmium levels. OCP use may also increase ferritin levels, resulting in enhanced iron absorption, but potentially contributing to iron overload and oxidative damage. The toxic effects of potentially high copper and cadmium in the body deplete antioxidant (glutathione) levels, inhibit antioxidant enzyme activity, and increase the synthesis of harmful free radicals and may damage liver cells.
  • OCP use is also associated with environmental chemical accumulation in the body. An analysis from the Norwegian study of 1090 women over a 5-year period, found higher levels of the harmful chemical PFAF (Perfluorooctanesulfonate) in women who used the OCP for more than 12 months. Elevated PFAF levels have been associated with infertility, preclampsia, cancer and adverse effects on the liver, thyroid organs and endocrine system.
  • High environmental impact from oestrogen contraceptives. Over 700kg/year of synthetic oestrogens derived from contraceptives (OCPs, patches and vaginal rings) are released into the environment and contribute to 16% of the oestrogenic load present in waterways worldwide. Oestrogens and progestin are detrimentally impacting the physiology of fish and other aquatic animals. The impact extends to our water and soils.
  • Although the OCP is widely prescribed to prevent further bone fractures or as a protective measure, however the long-term effect of oral contraceptive use on risk of fracture remains unclear. A 2014 study from the University of Wisconsin School of Medicine and Public Health, involving high school athletes concluded there was no difference in the frequency of musculoskeletal injury between athletes who used the OCP users and non-users. Another 2015 study reported there was no difference in fracture risk for women aged 38-49 years of age between OCP users and non-users. A 2015 study published in the Journal of Women’s Health suggested contraception injections such as DMPA have been shown to be associated with low bone mass and osteoporosis in women.

Minimise the downside to contraception 

  • If you choose to take the OCP or other contraceptive, read up on possible side effects and talk to your prescribing G.P about other options if you experience side effects.
  • Ensure your diet is high in nutrients that help with drug and hormone metabolism and detoxification such as the cruciferous family of vegetables ( broccoli, cauliflower, kale, cabbage, Brussels sprouts, arugula, daikon, bok choy, horseradish, Chinese cabbage, Romanesco broccoli, kohlrabi, radish, turnip, wasabi, turnips and watercress). These vegetables are rich in indole-3-carbinol and glucaric acid which assists with oestrogen detoxification and healthy hormone metabolism. Glucaric acid is also found in many fruits and vegetables with the highest concentrations also in oranges, apples and grapefruit.
  • Speak to your naturopath about your current mineral status. Minerals tests can detect issues in nutrients such as copper, zinc, selenium and other nutrients affected by OCP use.
  • Improve your antioxidant status to counteract any side effects of OCP use by including brightly coloured fruits and vegetables in your diet daily.
  • Speak to a natural awareness fertility (FABM) educator who can explain other contraception options and methods of predicting or calculating the fertile phase of a woman’s cycle. Natural family planning is estimated to be around 85% effective when performed correctly.
  • Speak to your partner about other methods of contraception.
  • Reduce your overall toxin and chemical load by using organic skin and personal hair products and opting for non-toxic household chemicals.
  • Consider natural options (such as herbal medicines, nutritional medications and dietary intervention) for hormone balancing if you are using the OCP for symptom management. Consider natural options to manage PMS.

For further information on the suitability of these options for your particular situation, contact us for an individual assessment.

About the Author: Kate Smyth is a Sports naturopath, nutritionist and female-centric running coach. She is the founder of the Athlete Sanctuary- a holistic healthcare clinic for athletes of all levels and sporting codes. Kate has a thirst for knowledge with two bachelor’s and a master’s degree under her belt. She has been involved in sports for many decades and competed for Australia in the Commonwealth Games and Olympic Games marathons with a personal best time of 2 hours 28 minutes. For more information visit www.https://https://athletesanctuary.com.au/wp-content/uploads/2023/03/normatec-3-lower-body-system-thumb_720x-1.webp.com.au/wp-content/uploads/2020/05/Seed-Cycle-Blends-scaled-1.jpg.com.au