Sun Warrior

I tried a new protein powder -- Sun Warrior Raw Vegan Protein, in vanilla.  It has 70 calories per serving with 16 grams of protein.  The number one ingredient, interestingly, is raw sprouted whole grain brown rice, and according to the label it is one of the most easily digested proteins.

And yet, it tastes terrific!  I've mixed with soy yogurt, and this evening I made a smoothie with one scoop of vanilla Sun Warrior, one cup of strawberries, half a cup of blueberries, and a cup of ice.

At 200 calories, this smoothie is very filling.

Ironman -- The Day in Pictures

Out of the water after two miles, pulling my wetsuit off.

Beginning the bike ride

Beautiful scenery on the ride....

Leading the pack!  Okay not really, but the picture sure makes it look like I am.

Running the marathon.  Having fun. :)

The finisher shot!!!!!!!!!!!

Limping on an excruciatingly painful knee, and somehow couldn't get the grin off my face.  I'm an Ironman!!!!!

After the Ironman...

It's been ten days since Ironman Lake Placid.

To answer the question I've heard the most:  How's the knee?  -- It is still sore.

I took off the two days following the race from exercising.  I was traveling, but my knee still hurt, and it's hard to exercise while limping.

I was back in the pool last Wednesday and swam 1000 meters in about 28 minutes.  I was slow.  I was tired.  But it felt good to get back in the pool.

I've worked out every day since.  I have taken it easy though.  I've swam a few times, went to a spin class, got on an elliptical, and even took a choreographed dance class.  It's been really interesting being without a coach and a schedule.

On Sunday, I tried to run.  I had been pain-free in my knee for two days and thought I could do it.  Nope.  About three quarters of a mile in, it hurt.  It hurt worse at a mile so I turned around.  A mile and a half into the run, I had to walk.

While nothing would make me happier right now than going for a run, I know that I can't.  I've learned from past experiences that ignoring minor injuries turns them into more major injuries that will keep me out of running for even longer.

I've changed the focus of my training.  Rather than focusing on endurance, I'm focusing on bodybuilding.  I'll be weight training five days a week.  I've never done this before, but I look forward to the challenge.

Food as Medicine

One of my new favorite shows is "Losing It with Jillian Michaels," and one of the points that she makes is that your food can be the poison that kills you, or it can be your medicine that makes you healthy.

I love to eat.  Over time, my diet has evolved from grilled cheese, fries and coke, to far healthier choices.  Needless to say, salad was not always part of my repertoire.

Above is one of my favorite salads.  It's healthy too.  On a bed of organic lettuce, I add some of my favorite veggies, like carrots and peppers, slices of fruit like mangoes and apples, tomatoes, avocado, and 150-200 calories worth of protein like lentils, marinated tofu, Field Roast, or Chick'n-free Chicken from Follow Your Heart. 

I don't add salad dressing.  Rather, I let the salad marinate in the tomatoes and fruit, and no calorie-laden dressing is needed.

I get my organic lettuce and bulk veggies and fruit at Costco.  Or I buy from local farmer's markets.  Trader Joe's has marinated tofu or lentils in their refrigerator section, and Follow Your Heart in Canoga Park (if you live in LA) has lots of "fake meat" options, including my favorite, Chick'n-free Chicken.  Field Roast, a soy-free "grain meat" sold at Whole Foods, has a meaty texture and tastes great sliced in sandwiches, cubed in salads, or cooked with veggies and mashed potatoes.

Ironman Lake Placid -- The Race Report

This may be my longest blog post ever, but it was an amazing day that I will never forget, and there are so many things that I want to share.

My goals for the day: Finish in under 15 hours, preferably without a glow-stick – racers who are out well after dark are forced to run with a glow stick so that they are visible.

Pre-Race

We arrived at 5 am to be body-marked with our race numbers written on our arms and legs with permanent markers, inflate the tires of our bikes, drop off our “special needs” bags, and pee about three or four times (luckily the port-o-potty lines moved fast). I then handed off my morning clothes to my parents, who were so fabulous to drive all the way to Michigan to watch me race.


Swim – 2.4 miles

The swim was a two loop course in Mirror Lake. I entered the water and the nerves kicked in. Though there was an underwater cable which could be used to sight the direction of the swim easily, that area was incredibly crowded so I elected to position myself in an area a bit less crowded to the side. My swim distance would be a bit longer, but it would be less stressful and hopefully with fewer kicks, elbows, and scratches. I treaded water as we waited for the start gun at 7 am.

There were over 2,600 of us starting the swim, and triathletes can be aggressive. Within thirty seconds, someone kicked me in the chin. I tried to find clear space, which was challenging amongst this cluster of people. My ankles got scratched numerous times by other swimmers’ watches. By about five minutes in, I finally had some clear space in front of me, though throughout the swim people constantly were knocking into me.

I completed my first lap in just over forty minutes. This was definitely on track to my goal of finishing in less than an hour and thirty minutes. For some reason, the cluster of men in front of me were taking their time getting out of the water. I dashed around them and back into the water for my second loop, rejoicing in my excellent first loop time. This time I managed to find my way onto the cable, at least for about five minutes. But, even though we had spread out a bit, the cable was still crowded and I again drifted to the outside.

Total swim time: 1:23:09. Well under my goal of 1:30.



First Transition

Again, people were way too slow getting out of the water. I dashed around various stragglers, pulled my wetsuit down to my waist, and found a wetsuit stripper. It’s a cool process – the athlete lies down and two people pull the wetsuit off of you. It’s much faster than taking it off yourself. I threw the wetsuit over my shoulder and ran, and again, most people were not running or were barely shuffling, so it was a process of darting around people again to get to the transition area, which was a block away and across the street.

Transition at an Ironman is entirely a different process from at any other triathlon. I grabbed my bag of bike transition items and dashed into the women’s changing tent. Forget modesty – clothes are coming off quickly and there are volunteers in the tent to help us with whatever we may need. I tore off the swimsuit, which took a bit of effort, and put on my shorts and tri-top. As I put on my bike shoes, took a few bites of my Purefit bar, put on my hemlet, stashed my sunglasses for the time being (it was very dark in the tent), and stuffed my swim gear into my bag, I asked a volunteer to put sunscreen on me. I handed the bag off to a volunteer and ran out of the tent holding my banana, trying to figure out where to stash it because I wasn’t ready to eat it quite yet. As it was too big for my pockets, I stuffed it under my sports bra strap, which held it in place.

Transition #1 time: 12 minutes (could have been a little faster, but with a long bike ride ahead I prefer to be prepared and comfortable)


Bike (112 miles)

I ran out of the transition area with my bike and saw LA Tri Club friends Gerardo, Ray, and Karen. I waved, pumped my fist in the air, and nearly fell off my bike in all of the excitement.

Start of the bike course.  Banana stashed at top of shirt.  Fist in air and almost falling off my bike.

The bike course at Ironman Lake Placid is known as one of the toughest. It consists of two loops of the course. While the first thirty miles includes a nice long downhill and some rollers, the last twenty-six includes a long steady climb followed by some flats and then yet another set of climbs. Living in Los Angeles, we have the Santa Monica Mountains nearby. Early in the season I did a lot of long steady climbing, and my training has consistently included hilly portions of PCH (Pacific Coast Highway), so I was ready for this course.

The biggest mistake that one can make on the Ironman Lake Placid course is to ride it too hard, especially in the first loop. 112 miles is a long way to travel, and killing one’s legs on the bike leaves little reserve to run a marathon.  Therefore, I made a consistent effort to not push all-out on the bike.

A lot of the bikes had fancy wheels, and many riders had the sophisticated aero helmets.  I was amused that with my Cervelo P2C, standard wheels, and normal helmet, I was able to ride faster than some of those with the fancy equipment. That said, the bike is still my weakness, and with that in mind, I knew that I would be passed frequently.  One very important rule: Two kinds of people will pass by on the bike – those who are faster, and those who will be walking the marathon course.

The first few miles had some gentle climbs.  Then there was a nice, several mile long descent into the town of Keene.  My speeds were up to 45 miles per hour, which was a little scary with the rain coming down, but I held onto the handlebars as opposed to my aero bars.  Then there was a fairly flat ride north, an out-and-back on a slight hill.  Then the race really began as we turned out of the town of Jay and headed uphill into Wilmington.  While not a very steep hill, it was a long and challenging hill.  Once into Wilmington, the course flattens for a while, and as we head back to Lake Placid, there are several climbs followed by flats.

The loop back through Lake Placid is exciting – spectators are screaming and cheering. I stopped to get my “special needs” bag, with a Tofurky sandwich in it, and I eagerly explained to the volunteer who gave me my bag exactly what Tofurky is.  I saw my parents and I saw my friends again. Then I did the bike loop all over again, just a bit slower, but still feeling strong.

I have to give huge props to the volunteers at the aid stations. They were kind, encouraging, and upbeat. I would get off the bike to use the port-o-potty, and a volunteer would hold my bike and ask if I needed anything, like another bottle of water or sports drink. When I came out, I would have that bottle and be ready to go. I thanked the volunteers every chance that I could; they made my day.

Bike time: 7 hours, 38 minutes. The second loop was only a bit slower than the first. Surpassed my goal time of 8 hours.


Transition #2

I passed my bike off to a volunteer with the bike shoes still clipped in, and ran barefoot to grab my transition bag. This time, I did not need to change clothes, though I did have a spare shirt in case I felt the need. I chose not to go into the dark and smelly changing tent and instead sat down on the grass to put on my shoes, socks, and visor and stuff my pockets with my snacks. I had a peanut butter and jelly sandwich which definitely hit the spot, took a few bites, then ran into the changing tent for more sunscreen and to drop off my bike equipment, and out for the run.


Run – 26.2 miles

Starting the run -- PBJ sandwich in left hand, high-fiving someone with the right

Up to this point, I felt great. My energy level was high. I ran the first half mile stuffing my face with PBJ. Yum. I knew to keep my pace conservative at the beginning in order to conserve energy for the end, but with the downhills it was hard to hold back. I wanted to run eleven-minute miles, and considering that in my best marathons my pace has been about 9:40 per mile, I thought this would be no big deal. Little did I realize just how much a long swim and bike would take out of me.

The first six miles went well, and I averaged 10:55 per mile. Then I slowed down. My knees were aching, and my pace gradually became 12-13 miles per hour. I felt like I was running faster, but I definitely was not.

The aid stations were fully loaded – sports drink, water, pretzels, bananas, orange slices, Powerbars (not vegan, so I had my own Clif bars in my pockets), energy gels, cola, and chicken broth (another non-vegan item, but no big deal since I didn’t feel like I needed more salt). At each aid station, I would drink a few ounces of sports drink and a few ounces of water. I walked those few steps as I drank, because with this long of a day, it wasn’t worth the few seconds I could save as I choke on my drink while trying to run with it. I ate well while on the bike so I had enough energy and didn’t need to worry too much about eating while running. And, I definitely was hydrated enough since I was peeing quite frequently, perhaps a bit too frequently, but that is better than the alternative -- dehydration.

The run was an out-and-back twice. Again, running back into Lake Placid, the crowds were amazing and encouraging. There’s a hill heading back toward the Olympic Oval, and while most other people were walking, I was running up that hill with the biggest grin I could muster, which helped me find more crowd encouragement. I run hills – I love them!

I saw my parents as I started the second loop and handed them a few extra items from my pockets and gave them a high-five. “Go have dinner – I’ll see you at 9:30!” I yelled.

My right knee gradually ached more and more on that second loop. I ran into Mark, an athlete of my former coach Mary Eggers, who I had met just a few evenings earlier. I talked to him through miles 14-15, which took my mind off the pain. He walked, and I kept running. The second loop felt longer than the first as my knee ached.

Around mile 19, the pain was getting severe and occasionally sharp. But, I kept running. My run pace hovered around a miserable 13 minutes per mile. At mile 22, I realized that continuing to run in excruciating pain was not a sustainable strategy, so I started to power-walk. I’m sure I looked ridiculous, swinging my arms and taking big steps. My pace was not that much slower than my jog/shuffle, and my knee was not nearly as painful.

There were a lot of ambulances – over the last half of the run I saw over a half dozen of them. I reminded myself that I was lucky that I was still on two feet and not on my way to a hospital.

As we got into town, around mile 23, Mark from Rochester caught up with me – he said, “Run this with me” or something like that. I said, “I don’t know if I can, but I know I should.” I started to run again. The knee hurt, and I winced with every step. Luckly, we were heading back to town with all the crowds, and their energy carried me. Again, I put on my biggest grin, a smile hiding me gritting my teeth with pain. I saw the hill back into town and I kept on running it. I saw my roommate Liz, who qualified for Kona that day, who in spite of already having finished and having spent time puking in the medical tent still mustered the energy to wait to cheer me on. “You’re the only one running up this hill!” she yelled. And on I went. At mile 25, I started to walk again. Mark caught up with me, and I looked at him and said, “I need to run now,” and off I ran.

The crowd was great – “You’re almost there!” That last mile was the longest of my life. As I headed into the Olympic Oval to finish, I saw Gerardo, Ray, and Karen, and they took this picture. Looking at it, you have absolutely no idea how much pain I was in, but from that point, endorphins carried me forward.

On my way into the Olympic Oval -- Can you tell that my knee is killing me?

The crowd was amazing and loud as I ran into the Olympic oval. One runner passed me, and I let him go ahead of me so that he would have his few seconds to himself as he finished. As I approached, I heard the voice of the infamous Mike Reilly, who announces all of the Ironman races, “Heather Shenkman, of Sherman Oaks, California…. YOU ARE AN IRONMAN!”

I remembered to smile and keep my arms high in the air so that I’d look good for my finisher picture.  The finisher picture looks awesome, and I'm carrying it around in my white coat pocket to share with everyone.  Once I have a digital version, I'll post it.

A volunteer held onto me as I nearly passed out at the finish line. I posed for my finisher picture, received my finisher’s hat and shirt, and limped over to meet my parents. I had just completed 140.6 miles and now I could barely walk. Mom and Dad carried my stuff (and luckily they did not need to carry me!) and helped me get my bike to the area to be transported back to Los Angeles, and then drove me back to my hotel. If they were not there, the end of that race would have been grueling – I have no idea how I would have hobbled with my belongings and my bike and how I would have gotten back to my hotel.

Overall time: 14:45:25. Better than my goal of 15 hours. And without a glow-stick. My splits were pretty consistent, and even with my knee issues my run time didn’t drop off at all.

The day after the race....

It was an amazing day. But I will never do another Ironman. Why? I’ve done one and I am now and Ironman. I have nothing more to prove. I value my free time, and I look forward to spending that time with my family, my two nieces, and my friends, and fulfilling one other dream:  getting a dog.
 
Two days later, and my right knee still aches and I am still limping.  With ice and ibuprofen, it should feel better soon, and I will slowly get back to a scaled-down workout routine.

I Am An Ironman!!!!

I did it!!!

It was an amazing and challenging day.  My finishing time was 14:45, which was within my goal of finishing in under fifteen hours.  I feel great, though my right knee is a bit sore.

The full race report in all its glory is coming soon.

Tomorrow is the Big Day!!!

Tomorrow is the Ironman.

I did a short swim in Mirror Lake this morning, dropped off my bike, and then a short run.  Now I'm relaxing.  Drinking water.  Trying not to be nervous.

My goal is fifteen hours.  If I have a good day I might be able to pull this off in under fourteen hours. 

You can track my progress at IronmanLive.com.  My bib number is 2553.

I've put in the training and I'm ready.  Here goes nothing.

Live from Lake Placid!

Sunday is the big day.

We arrived on Wednesday night, after two flights cross-country and a 2 1/2 hour drive from Albany.

Race Check-In at the Lake Placid High School gym

On Thursday, we checked in for the race.  The details are mind-boggling.  We were ID'ed at least twice, weighed in (so that if we end up in a medical tent that the personnel will know our healthy weight), and received our race numbers and bags.

The product expo

LA Tri Club friends

We bought schwag with the race logo on it, including t-shirts, workout clothing, water bottles, and the obligatory M-dot sticker that will go on the back of my car to commemorate this event.

Then we went swimming in Mirror Lake.  It's a beautiful lake, very clear, and on Sunday will be very crowded.

Bike course -- sketchy roads, beautiful scenery

On Friday morning, we went for a 45 minute bike ride followed by a 20 minute run, all at relatively easy paces.  The bike ride was over one of the more challenging parts of the course, which I had no trouble on, and gave me a little bit more much-needed confidence.

Tonight (Friday) is the welcome dinner, followed by the mandatory pre-race "talk".

More to come....

It all started in Upstate New York...

Five years ago, I was a cardiology fellow-in-training and a repeatedly injured recreational runner.  To stay in shape, I dusted off my clumsy mountain bike that I bought in 1992 at Toys R Us before heading to college.  I also did spin classes and I swam.

My spin class instructor, Mary Eggers, was a triathlon coach.  One day, once I could finally start to run again, I asked her if she thought I could do a triathlon.

I spent the entire summer of 2005 training under Coach Mary's guidance for a sprint triathlon.  Then in September 2005, I completed my first triathlon, the Finger Lakes Triathlon.  I had a blast that day.  And, from there on out, I was hooked.

In the past five years, I moved to Boston and then to Los Angeles.  My world has changed more than I could have ever imagined -- new jobs, new people, new homes.  But, triathlon training has stayed constant.  It has been my link to meeting some amazing friends.  It has been my stress relief.  And it has been my source of strength when I have had tough days, to go pound the pavement for a run or jump in the water for a few laps to sort out my thoughts or to escape.

This week, I will be returning to upstate New York, to Lake Placid, for my first Ironman distance triathlon.  That's a 2.4 mile swim, 112 mile bike, and 26.2 mile run.  140.6 miles in one day.  I'll get to see Coach Mary who hooked me on this sport.  And, I'll have the chance to complete my biggest physicial challenge yet:  The Ironman.

Taco Dip

I love entertaining, and now that I have my own home I have an opportunity to do it.  It's an opportunity to share delicious vegan food.  Here's one of my favorite recipes:  Taco Dip.

There are four layers, from bottom to top:
Refried beans

Guacamole

Tofutti brand sour cream

Daiya "cheddar" cheese

This dip goes fast, and guests are left wondering if this comfort party food really is vegan.

The Ironman Blues

After all of this training, who would do an Ironman again? 

I did my long workout today, on call.  64 miles on the bike, along the same nine mile loop, so that I'm close enough to my hospital in case I need to tend to a sick patient.  I was exhausted the minute I got on the bike.  Four and a half hours later, I was wiped out, my eyes dry from riding, perhaps a bit woozy from the heat.  Then I put on a pair of running shoes and ran six miles.

Don't get me wrong -- I want to be an Ironman more than anything else.  I love exercise and the way it makes me feel.  But, this is more than I ever care to put my body through again.

One more long workout tomorrow.  Then I taper.

Sixteen more days to Ironman Lake Placid.

The Secrets of Thin People

There is no such thing as naturally thin.

If you are looking to lose weight, watch thinner people -- they have different habits.  Watch at a party what they are eating.  How often do you see them hitting up the buffet table?

A few other secrets of thinner people:

They eat breakfast.

They eat several times a day.

They exercise regularly.

You'll often find them taking the stairs instead of the elevator.

There's no need to obsess over diet and weight, but if you watch closely, you'll see that thinner people have different habits that keep them at a healthy weight.

With a Little Help From My Friends

Finding others to exercise with makes a workout more fun and sometimes challenges us to do more than we might do on our own.

If I tried to do all twenty or so hours a week of Ironman training all by myself, I don't know if I would get through it.

While I do a long run alone at the crack of dawn , and a 1-2 hour bike ride alone one evening per week, I have a number of workouts with others.  I join a coached pool swim, a group ocean drill swim, and I usually find people for my long bike ride.

My weekly e-mail to several women in my tri club who cycle at about my pace goes something like this: 

"I'm doing 112 miles, starting at PCH and Temescal at 7:00 am, meeting up with the PCH 101 ride at 8:30, heading out past the Oxnard fruit stand to Ventura, and then turning around and coming back.


I'd be eager to have someone start with me at Temescal, or start at Zuma and ride out past Oxnard with me, or ride with me at the end, or join me for any amount of time on the ride. Let me know if you're in :)"

There's no one on my exact schedule, but usually I can find people to ride pieces of the ride with me.  Thank goodness for my friend Lee who accompanied me for at least two thirds of my 125-mile ride a few weeks back.  It was fun talking to her as we rode up toward Ventura.  While her strength is riding on flat roads, mine is on hills, and she really pushed me on the flats of the ride.  And, as we got tired out we took turns drafting off one another to give each other a break. 

Similarly, though even if you're not training for an Ironman:  Use the buddy system.  It makes exercise a whole lot more fun.

One Month until Ironman Lake Placid

I look forward to becoming an Ironman.  But, I don't think I need to do another one.

It wasn't until yesterday that I truly got excited about this adventure.  Several of my friends raced Iroman Coeur D'Alene yesterday.  I tracked their progress online and watched the live feed at the finish line.  It is quite fascinating -- the live camera captures everyone after they cross the finish line.  The announcer states the names of the finishers, so that when I cross the finish line (and I will!), he will say, "Heather Shenkman, You are an Ironman!"  People looked tired, but they definitely looked elated to finish.

This weekend, I rode 75 miles on my bike on Saturday.  On Sunday, I swam a total of 2250 yards and ran 16 miles.  Next weekend, I get to ride 112 miles then run 6 miles on Saturday, and on Sunday swim 2 miles and then run 15 miles.

It is interesting how my skills have evolved with my training.  Surprisingly, I've become a faster swimmer.  Through coached swimming and a few pointers, my swim stroke has improved and I am faster than I was at the beginning of the season.  On the other hand, I'm a slower runner.  I haven't done any speed work at the track for months, but then again, that's not necessary when training for an endurance event like an Ironman.  While my long run pace earlier this year may have been 9:30-9:45/mile, I find myself chugging along at 10 minutes per mile or slower, and after a long swim or bike, my pace for 15-16 miles may be closer to 11 minutes per mile.

I've been contemplating my nutrition during the race.  I've found that a Tofurky sandwich on whole wheat with lettuce, tomato, and avocado fuels me well.  I have also found that I can wrap this sandwich in foil and duct tape it to my seat post for consumption later on in my ride.

The event is sponsored by PowerBar, which is a bit of a dilemma for me as a vegan.  Their Ironman Perform electrolyte beverage, which they've sent samples of to all of us since it's not available in stores yet, fuels me well for my long workouts.  But, the PowerBars contain dairy, as do several of the energy gels.  That means I'll have to carry more food on my bike, which shouldn't be a problem.  I'll have one Tofurky sandwich, one PBJ, a PureFit bar, and some Clif Blocks.  I'll also take a banana, which I usually consume in the first hour on the bike.  On the run, I usually go with less solid nutrition, like the blocks and gels.

I've figured out my goal times:  1 hr 30 minutes for the swim, 7 hrs 30 minutes for the bike, and 5 hours for the run.  That should put me well toward my goal of finishing in under 15 hours.

Turmoil in the Water

I like to think that after three years of living as a triathlete in Southern California, having swam in the ocean dozens of times, that I'm an adept ocean swimmer.

Then again, sometimes in multisport training, we have experiences that humble us.  Today was one of those days.

Today was scheduled to be my first two mile open water swim before Ironman Lake Placid.  Now, granted, I've swam nearly two miles in a pool, but an open water swim is a bigger challenge without the walls of a pool to push off of.

I ran into my coach and started chatting with him as the group ambled down the beach to start swimming.  He cut me off, "Not to be rude, but you need to catch up to those people, so start running."  Or something like that.  And I realized, the superstars who planned on swimming two miles were far ahead of me, jogging down the beach.  I took off after them.

I arrived, catching my breath as the two mile group was suiting up.  The group was mostly men, and those who I recognized were definitely what I would consider to be elite athletes.  My friend Gail, who I would say is part fish, was getting ready to do the two miles.  Knowing my relative speed was quite a bit slower than the rest, I asked her to tell me if anyone there might be around my pace, and she introduced me to someone named John, who I asked to keep an eye out for me, though I knew that Gail would look out for me at the end even though she is considerably faster.  For ocean swims, we use the buddy system -- given the possible dangers of the ocean.

The group headed in.  The waves were bigger than usual.  Some of the elite types dove on in and headed out like it was nothing.  Being from the Midwest (or at least that's what I use as my excuse), I tend to get into the ocean a bit slower.  John dashed off.  Gail was quick behind him.  The rest were well ahead.  And there I was -- me and the waves.  Big waves.  One after another.

One thing I've learned is that if you see a big wave coming, go with it.  Put your arms straight out in front, tuck your head, and dive under it.  Do not turn to the side.  Do not cower.  Those are surefire ways to get knocked over, lose goggles, get tossed under, etc.

The waves kept coming.  One after the next.  And they were big.  I'd barely swim one stroke when another wave faced me and I prepared to dive under.  There was absolutely no break.  After five minutes of this, I turned to the shore and realized I'd barely moved forward.  In the distance I saw that several members of the group had taken off.

I was alone, floundering in the ocean, trying to get out past the waves, and I just couldn't do it.  I was tiring out.  After about eight minutes of no progress, hyperventilating, and fatigue, I turned around and swam back to the beach.  I was really upset.  Like as in crying, tears, that kind of upset.  The last time I cried was a year and a half ago when I was unable to finish the Surf City Marathon due to gastrointestinal upset that led to me dehydrating like a raisin.

As I got out of the water, the thoughts in my head were of course disappointment in my abilities to swim through the waves when everyone else in my group seemed to have no problem.  I must have looked quite distressed because one of the lifeguards approached me.  I don't recall exactly what I said, something to the extent of, "I've done this before, I'm not a newbie, I don't know what happened."  He could tell I was pretty shaken up, suggested walking down the beach, catching my breath and getting in at a lifeguard stand closer in.

I walked back toward the start.  I wistfully saw the others who managed to get past the waves, their tiny swim caps bobbing in the ocean as they swam toward the Manhattan Beach pier.  As I came up to the one mile mark, I saw another woman standing in a wetsuit and swim cap, looking shaken up as well.  As it turned out, she was another member of my club who similarly had issues of getting past the waves.

I stood and chatted with her for a few moments.  I felt better.  I suggested that she and I try again, and we could stick together and get a mile swim done.  We saw a few others trying to get into the ocean, and we saw that with the size of the waves that it took them longer than usual.  The waves, while choppy, looked calmer here than they did down at the Hermosa Beach pier, so I felt ready to give it another shot.  My new friend said she would stand by while I tried to swim out.

I was ready.  I swam a few strokes, dove under a few waves, and it felt like deja vu.  But then there was a break in the waves, enough time for me to get out far enough from the shore to a point where the water was calm.  I swam forward, prepared to travel the one mile to the Manhattan Beach Pier.  I did take one break, where I rolled onto my back, looked up at the sky, and as I thought about that day started to hyperventilate again.  From there, I decided I needed to finish, and I could do it.  I would count a hundred strokes and see how much closer I was to the pier.  And then another hundred.  And gradually, I made progress.  At the pier, conditions became choppy and I felt like I was swimming in a washing machine, but with a bit of extra effort I managed to get around, and while almost being hit by some idiot on a wakeboard I did finish the mile swim.

I did see Gail at the end, and she and John had waited for me after getting past the chop -- I just couldn't see them beyond the barrage of waves at Hermosa Pier.

I'm afraid to try the two mile swim from Hermosa Beach to Manhattan Beach again.  But then again, I feel like I won't be complete until I do it.  Next time, I will start early so I don't have to run down the beach.  And, Gail has offered to accompany me next time, and I think I'll take her up on that.

Racing and Training... the beat goes on

My legs hate me.

They're tired.  They're wiped out from yesterday's training ride of 125 miles on PCH from Santa Monica to Ventura and back.  And they were mad that I made them work again today at the Redondo Beach Triathlon.

I wanted to do a race before Ironman Lake Placid.  So, I chose the Redondo Beach Triathlon and I raced it as an Athena, which is the category for women over 150 lbs.  While I'm a normal weight for my height, I'm a tall girl, and just a hair over that weight.  These long legs are no advantage on a bike, so I feel justified in racing that category.

The race was a half mile swim, 6 mile bike, and 2 mile run.  That relatively long swim compared to the bike and run put me at a disadvantage since I'm not a great swimmer.

As we started, I saw one Athena girl take off into the water and I never saw her again.  While she finished the swim five minutes faster than me, overall her time was only 50 seconds faster.  My swim was definitely more tired than usual after yesterday's 125-mile bike adventure. 

The bike portion was an out-and-back two loop course.  My legs were absolutely screaming at me with soreness.  But, I pushed on through.  The mostly flat course of two three-mile loops was crowded initially but then thinned out.

Then there was the run, always my favorite part in a race, because it's where I'm strongest.  And, surprisingly, my legs felt good to run.  Since we Athenas started in the last wave, there were plenty of people ahead.  I passed at least thirty people over the course of two miles and not a single person passed me.

I landed on the podium -- second place Athena!  Had I raced my age group, I would have done well too at seventh out of seventeen.

Horrible picture.  Nonetheless, it's me on the podium, which is pretty cool.

Tomorrow will be a well deserved rest day.  But after this, I have two more Build weeks, a recovery week, and then a Peak week prior to my taper for IM Lake Placid on July 25.

The Doctor's Cholesterol

I just got my own cholesterol numbers back:
Total cholesterol - 160
Triglycerides - 86
HDL - 71
LDL - 72

Thought I'd share what a healthy vegan diet and exercise have done for me. :)

The Paradox of the Hospital Cafeteria

Have you seen the offerings of your local hospital cafeteria?

The hospital is a place of healing.  Many people who are hospitalized have illnesses that are at least partially due to poor diet choices.

So, then, why is it that the cafeteria serves up unhealthy fare?  Fried chicken.  Hamburgers.  Bacon and sausage and biscuits with gravy.  A delicious vegan noodle dish, but with 2200 mg of sodium per serving.  Sure, there is a salad bar and plenty of fruit, but why do we need to serve the junk too?

Why not make the cafeteria a place where the loved ones of patients can learn about healthy food choices?

Eat. Train. Work. Sleep.

That's life training for an Ironman.

Ironman Lake Placid is on July 25.  Two months from now.

I'm in my "build" phase.  That's coach lingo for "arse-whupping".  Last weekend was an 80 mile bike on Saturday, and then on Sunday a 1.5 mile swim followed by a 15 mile run. 

Next weekend's training:  Saturday 100 mile bike followed by a 3-4 mile run.  Sunday is a 1.5 mile swim followed by a 16 mile run.

So far, I'm keeping up....

NiceCream Vegan Ice Cream

This is an incredible concept: A Vegan Ice Cream Parlor!

I met a friend for dinner at Sunpower Natural Foods, then walked over to NiceCream, which opened just over a week ago. They have soft serve, hard-packed ice cream, milkshakes, truffles, and other amazing treats. All are raw.

I tried a scoop of chocolate and a scoop of pistachio.  My friend got some soft serve and I helped myself to some of that too.  Yum!

Nicecream -- 3701 Cahuenga Blvd, Studio City, CA

Appetizers

Healthy appetizers:  Hummus and Spinach Dip with carrots, pita chips, pepper slices, and broccoli.

Cheese for Vegans!!!

No I have not fallen off the Vegan Wagon and gone to the dark side of dairy.

This is a grilled cheese sandwich that I made for dinner with Daiya cheese.

Daiya is the first vegan cheese that I've ever had that melts like dairy cheese.  I've had it on vegan pizza from Whole Foods, on nachos, and in macaroni in cheese.  The texture and the taste are amazing!

Daiya cheese has 90 calories per 1/4 cup serving, with six grams of fat, 2 grams of it being saturated fat, 1 gram fiber, and 1gram protein, with 15% of the daily requirement for calcium.  Interstingly, it is not soy-based like most other vegan cheeses, but its main ingredients are tapioca or arrowroot flours, canola oil, safflower oill, coconut oil, and pea protein.

I enjoyed my grilled cheese sandwich with a spinach salad topped with Follow Your Heart Chick'n Free Chick'n and ground flax seeds. Yum!

Wildflower Race Report

We have good races and bad races, and while it's no fun to not attain our goals, a bad race is something we can learn from.

Two nights before the race, I was busy on call seeing patients in the hospital.  On the day before the race, I had to work, and thanks to Ventura County traffic, I didn't arrive at the campground until well after 10 pm, and was chugging Coke Zero wtih caffeine to stay awake for the drive.  Thank goodness for terrific friends who brought my tent up with them and pitched it during the day so that I didn't have to wrangle with it at night.  But, as I'm not one who enjoys camping, even though I was tired, I didn't sleep very well on the night before the race.

My day just started out bizarre.  Just before our wave of women 35-39 started (I'm 34, but because I turn 35 this year, my "triathlon age" is 35.  Depressing), we had the chance to get in the water to warm up.  I jumped in, swam a few strokes, and noticed that my timing chip felt loose around my ankle.  So, I tightened the velcro.  Apparently, adjusting wet velcro is a bad idea, because as the gun fired at the start of the swim portion, I felt the chip come loose again.  I had to stop in front of a bunch of women running into the water to readjust it.  Then as I swam through a crowd of bodies, getting kicked once in the face, the chip was lost and gone!

Now, athletes do not get to finish a race without a timing chip.  I panicked as I thought of what I would do.  I'd try to find a race official upon getting out of the water.  Or maybe I'd borrow my friend Jessica's chip, since she was registered but wasn't racing and might have it with her.  Nonetheless, I was quite distracted as I swam, trying to figure out what to do without a timing chip.

Meanwhile, as I swam in the lake, overhead on the microphone to the thousands of spectators and athletes:  "Heather Shenkman, we have your timing chip.  Please come and get it."  That did me no good since obviously I couldn't hear.

I got out of the water, panicked.  My time was 44 minutes.  Same as last year.  I looked for a race official to tell that I didn't have my timing chip.  I couldn't find one.

When I got back to my transition area, I looked down and right on top of my bike shoes, there was my timing chip!!!  What a relief.  I fastened it tightly around my ankle and took off with my bike.

That's me taking my bike out of the transition area to start the 56 mile bike portion of the race.

As always, Lynch Hill is the first hill we encounter as we ride out of the transition area. It's steep. It's tough. Then came some rolling hills, and about 25 miles of mostly flat road. Then there was Nasty Grade, this monster of a hill that's a couple miles long, around mile 42. And I got up it. The ball of my left foot was burning, along with my toes, but around mile 53, the pain was pretty bad. To try to ease it, I stopped pedaling with my left and pedaled strictly with my right foot for about a minute. The brief rest helped somewhat.

I felt a little slow on the bike. And, as it turns out, I was slow on the bike. Over four hours. Last year, the 56 mile ride took me 3 hours and 50 minutes.

As I transitioned from bike to run, I knew I wasn't moving very fast. I knew my goal of breaking 7 hours was gone. Maybe I could break last year's time of 7:11?

The first mile of the run was 11 minutes. The second was about 12. My left foot was in excruciating pain, especially trying to run any hills. I walked about half of mile 3, as I winced and thought, can I really finish this? Will this pain ever go away. Luckily it did. I ran/walk through mile 5, through more tough hills that I should have been able to run. Those five miles took me over an hour! I couldn't believe how slow I was!

Negative thoughts kept creeping into my mind.  If this race is going this poorly, can you really do IM Lake Placid?  Are you really as good an athlete as you think you are?  I am tough on myself, no question.  To quash those thoughts, I tried to remember what I had said to other athletes who were disappointed after a disappointing race -- "You're a good athlete who is having a bad day."  Right?  I wasn't sure.

Then, even on the flats, my run pace was 11-12 minutes per mile though I felt like I was moving faster. Clearly I was not. But, unlike many athletes out there, I was still running. Just one foot in front of the other. I was going to finish.

The half marathon run took me two hours and 40 minutes. My most recent half marathon before this was 1:58. Yikes.

My finish time: 7 hours 39 minutes. That's 28 minutes slower than last year.
That evening, LA Tri Club had an amazing dinner, and it was just a lot of fun to hang out at camp and relax after the race.

I put in the training for this event.  I just wasn't rested, and that darn plantar fasciitis (I think that's what was going on with my left foot) flared up.  I know I shouldn't beat myself up over this.  It wasn't my "A" race -- Ironman Lake Placid is, and I have just under three months to get ready.
 
I'm staying positive.  I've learned from Wildflower, and I will be as rested as can be when it's time to race Ironman Lake Placid.

I Hate Exercise

This is exactly what one patient said to me this week.  He had exercised in the past, but it became such a chore that he absolutely abhorred it.

I probably have several other patients who clandestinely feel the same way.  Some grit their teeth, do everything they can to get out the door and do their walk, the same walk every day, because they know they need to do it for their health.  Others with those feelings may choose not to exercise at all.

I can understand that.  If I did the same workout every day, day in day out, month after month, I'd get bored.  I'd probably quit.

My mother gets on the treadmill for an hour five days a week.  She walks at 3.5 miles per hour, or a little faster, with maybe a 2% incline while watching TV.  That's her workout.  She rarely walks outdoors.  Somehow she sticks with it, but I think that after nearly two years it's getting a little monotonous for her.

I think exercise needs to be interesting in some way.  Whether it be choosing from a few different treadmill workouts, perhaps one with an incline or another with intervals, or doing different exercises, like golf one day, bicycling another, dancing the next, and so forth, mix it up!

That's what I love about triathlon.  There are three different sports to master -- swimming, bicycling, and running.  No two days in the row have the same exercise.

What I told my exercise loathing patient:  Just get up a couple times a day and go for a short walk, even if just for a few minutes -- it'll make you feel better.  I didn't use the word "exercise", because if I did he would likely tune me out completely.  And he even agreed, he could use the stress relief of a brief walk in the middle of the day.

Exercise needs not be a chore -- make it interesting and fun and it will be easier to keep the habit.

Sugar and Cholesterol Levels

We know that our cholesterol levels are impacted adversely by consuming cholesterol, saturated fats, and trans fats.

An article from JAMA (Journal of the American Medical Association) on April 21 2010 finds that the higher the intake of added sugar, the lower the HDL "good" cholesterol, and the higher the LDL cholesterol and triglycerides.

It is likely that this is due to fructose, which leads to increased production of lipids by the liver and decreasing removal of lipids from the blood stream.

So, as part of a healthy diet, here is yet another reason to stay away from foods with added sugar.

Found My Nemesis

It's a bike climb in Brentwood called "The Three Bitches".  Three successive hills.  Relatively short, but extremely steep.

On this morning's ride, a group of us split off to climb "The Three Bitches".  I climbed the first, standing on my bike the entire time, huffing and puffing.  At the top, I looked to my right to see an even steeper hill, the second of the three "Bitches".

I'm always up for a challenge.  However, I'm racing Wildflower Long Course next weekend and am supposed to be tapering, or cutting back on my exercise so that I am well-rested for the race.  Now is not the time to do insane things.

But, I do promise:  I will be back.  (as I say that, ironically, I do believe that the Guvernator, Arnold Schwarzneggar, did drive by us during our ride.  No joke.)

Two Weeks to Wildflower

I am racing Wildflower Long Course again this year.  It is one of the toughest half-Ironman-distance races -- 1.2 mile swim, a very hilly 56 mile bike, and a similarly challenging 13.1 mile hilly run.

For the most part, my training has been going well. Today's workout was a 3000 yard swim in the pool, my longest swim workout yet, followed by a 5 mile run at just under a 9:00/mile pace. I did have a lousy workout yesterday -- I was supposed to ride for two hours and then run for 45 minutes. I was not in the mood to ride, though my legs felt okay. I just wasn't feeling it, and with the lack of mind to override the body, so to speak, I ended up with a side stitch and quit at an hour and twenty minutes of riding.

We all have good days, and we all have bad days. Yesterday was a lousy day, and today was pretty great.

I've been riding and running lots of hills lately.  I have found some killer hills in my new neighborhood -- for those of you familiar with the San Fernando Valley, I run a route that includes a nearly two mile climb from Ventura Boulevard due south to Mulholland.  It's tough, but it's helped make me a strong hill runner.  My bike rides have taken me up several of the canyons from PCH up through the Santa Monica Mountains.

Last year's Wildflower was a pretty good race for me. But this year I want to do better. Last year I finished in 7:11; this year I want to break seven hours. I am more experienced and I think I'm more fit.  Coach Jamie of Triathlon Training Series, my coach for over two years, who has really helped me to grow as an athlete, continues to put together my workouts.  There have been changes, though.  Since January, I have a new personal trainer who pushes me very hard. Also, I also think my nutrition is better, incorporating more protein and less sugar and processed foods.

I have two more weeks to train.  This week will be challenging, and the following week will be a taper so that I am well rested for the race.

Plavix Controversies

Several patients have had questions about Plavix (clopidogrel) lately.

Before you read on, if you are on Plavix, DO NOT STOP TAKING IT!  You are likely on it for good reason, and depending on your clinical situation, stopping it may be extremely dangerous.  Talk to your doctor if you have any concerns.

I am not going to get into the scientific nitty-gritty here, just simply an overview.

Combination with a proton pump inhibitor (PPI), such as omeprazole, Protonix, Nexium:
There has been concern that taking Plavix and a PPI together reduces the effectiveness of Plavix.  Small studies on healthy volunteers demonstrated decreased platelet inhibition when Plavix was taken with a PPI.  However, a larger randomized trial, the COGENT trial, which enrolled thousands of patients showed that outcomes were no worse when Plavix and a PPI were combined, and in fact the combination of the two medications reduced risk of gastrointestinal bleeding complications.
Bottom line:  If you are on both Plavix and a PPI, it is likely safe to continue to take both medications.

Resistance to Plavix:
Recently, the FDA published a warning that people with certain genetic mutations may have resistance to Plavix, and these patients tend to have worse outcomes.  This statement certainly sent a flurry of phone calls and questions to cardiologists nationwide.  The problem with this warning is that it is true that these patients do less well, but there is no evidence at this point of exactly what we should do for patients who are resistant to Plavix -- should they receive a double dose of Plavix, or be switched to a different medication such as Effient (prasugrel)?
Bottom line:  Don't stop your Plavix.  Talk to your doctor.

So You Want to Tri?

I am really excited to hear that a few people close to me want to do their first triathlon.  As I love this sport, I encourage them wholeheartedly!!!

This is me finishing my first triathlon nearly five years ago, the Finger Lakes Triathlon, in September 2005.

I had a blast and after that race, I got hooked by the sport.

Why I still "Tri":  To stay healthy, feel good, stay in shape, handle the stress of life, and to set a good example for my patients.

Triathlon is a great sport to get into.  If you can swim, bike, and run, you can do a triathlon!  Pick a sprint (short) distance race, and start training!  Of course, see your doctor first to make sure that you are healthy enough to train.

If you are in Los Angeles, look into joining the LA Tri Club.  They have lots of great workouts for beginners all the way to seasoned athletes.  And, find a race to set as your goal -- I love the Hansen Dam Triathlon, which is a friendly sprint-distance triathlon in August, and you can read my race report from the 2008 race.

LA Marathon 2010

My training has been disjointed -- for various reasons, my runs have been broken up. Iliotibial band pain caused a 20-mile run to be run as a 9 mile run one day and an 11 mile run the following day. Another 12-mile run was interrupted by a patient emergency.  So I can't say I had done a complete run longer than 15 miles before the marathon.

I was so excited to run the LA Marathon with the new Stadium to the Sea course, starting at Dodger Stadium and ending in Santa Monica.

Organization was definitely lacking, and in particular, traffic. We were lucky that we arrived two hours early, and even then, we were in a long line or cars to get in. I hear that people were jumping out of the shuttle buses on the 110 freeway because they thought they'd miss the start. Nonetheless, the start was delayed by 25 minutes and we were stuck crammed in the start corral.

Shortly before 8 am, we were on our way. The route began with a loop around Dodger Stadium, then into downtown LA. There were a few small hills. It was crowded.  Someone tripped me and I nearly landed on my face at mile 3.  Then at mile 4, we hit a big hill, the hill heading up to Disney Concert Hall. I saw a guy taking a picture of himself, so I told him to pass me his camera and I took a pic of him. He shot one of me also and gave me his email address. So here's the pic of me that he took climbing that hill. You can tell that it was early on because I was still smiling.

Why run a race if it's not going to be fun?  And this was just a friendly course.  There were people cheering us on along the entire course.  So many fans set up their own hydration stations or handed out cut up fruit and candies and Red Vines.  It's like a buffet, but we definitely have to work for it!  The enthusiasm of the spectators is what pushed me through the second half and to the finish line.

I started too fast.  I thought I could go at a 9:45 pace.  But, I may have been a little faster for the first few miles, thinking I felt really good.  But, around mile 11, my legs began to feel way too heavy.  My mile times were getting slower.  The bottoms of my feet hurt.  In Beverly Hills at mile 16, when I saw one of my mile splits was 10:30, I decided I was done watching my pace and I just wanted to be done.  By mile 20, running through the VA, I wasn't sure I would make it.

I love beer during a long run.  At mile 22, there were a couple spectators passing out beer.  I eagerly swigged down the small cup of beer -- it tasted so good!  I have drank beer during three of my eight marathons, including my personal best time in Long Beach in October.

San Vicente is a downhill through Brentwood and then into Santa Monica.  I sure didn't feel like it was downhill!  But, I was so happy to see people I knew, friends, tri-club members, and friends from the track, on the sidelines cheering me on.  On the last mile, I saw Coach Jamie, and I think I stuck my tongue out at him to let him know I felt like crap.  Not very nice of me.

My final time:  4:28.  Not my best (Long Beach 2009 -- 4:12).  Not my worst (Chicago 2000 -- 5:37).  But decent for the training that I had.  And fun in spite of the pain.

Success!

I'm thrilled to hear when people I know are able to improve their health through lifestyle change.  Here's a few recent success stories:

* A young physician with high cholesterol adopts a vegan diet.  As a result, her LDL cholesterol drops by more than half, down to a normal level, while her HDL (good cholesterol) remains stable.

* A woman in her early 50's with high blood pressure and a history of other complications after surgery a few years ago initially comes in with chest pain.  She was an avid swimmer, having recently joined a master swim group.  I put her through a stress test, during which she was able to walk and run on the treadmill and the test was negative for ischemia (in other words, no evidence of significant coronary disease).  She is free of chest pain, has her blood pressure under control, and now swims competitively and has completed two triathlons and is training for her third.

* A man in his early 40's who is significantly overweight and with elevated triglycerides starts working out with a personal trainer and adopts a vegan diet.  His personal trainer tells me that so far he has lost more than 5 percent of his body fat and is getting fit.  While I have not seen his repeat lipid panel since his lifestyle changes, I am sure that he will have great improvements.

My Fuel

We all have those products that we rely on for performance. Here are mine:

PureFit Bars

These bars are amazing!  They have anywhere from 200-240 calories, 18 grams of protein, and less than two grams of saturated fat per bar.  They are perfect fuel in the middle of my afternoon.  Today I ate one to refuel as I was losing steam on a tough hill climb on my bike -- it worked!!!  PureFit bars are vegan, kosher certified, and gluten-free.  I just ordered six boxes online -- http://www.purefit.com/

Vega Sport Performance Protein

This stuff is fabulous for refueling after a tough workout.  One scoop has 110 calories and 20 grams of protein, including branch chain amino acids.  The instructions on the package say to mix one scoop with a cup of water.  I prefer to mix it with water and a splash of orange juice, or better yet with a soy yogurt.

Clif Shot Bloks

On a long run or bike ride, it's critical to take in fuel and electrolytes.  Clif Bloks are easy to ingest.  Three blocks contains 100 calories, 70 mg sodium, 20 mg potassium, and 24 grams of carbohydrates.  I love the fact that the blocks are not messy like gels.  And, they're tasty, kind of like gummi bears!

Firecracker 10k

Up until this weekend, I hadn't raced in about six weeks.  But, there were two great races this weekend, the Race on the Base triathlon (see post below), and the Firecracker 10k today. 

The Firecracker 10k was held in Chinatown.  It's the hilliest race I've ever run.  The first 3/4 of a mile is a gradual incline.  Then until mile 3 it's a climb, and some of it is quite steep.  The scenery in Elysian Park was beautiful, followed by the course winding along Dodger Stadium, and ending downtown. 

I finished in 54:52, a time that I'm quite proud of given the hills on the course.  The last standalone 10k (as in not part of a triathlon) that I ran was eight years ago back in Detroit, and my time was twelve minutes slower on a flat course.  It's good to know that even though I am getting older I'm still faster :)

Race on the Base

Today was my first triathlon of the season.  It was also my first reverse tri -- run-bike-swim, instead of the traditional swim-bike-run. 

I had a rude awakening -- even though I am 34, I am no longer a 30-34 year old, I'm now a 35-39 year old!!  Since I turn 35 this year, I aged up to the older group.

I realized this was not a hard-core race.  I saw a lot of mountain bikes and even a beach cruiser!  I like these kinds of races, where many participants get their first taste of what a triathlon is like.

The weather was not the most agreeable.  We started our run in rain, and as the race progressed, the rain only poured down harder and the wind blew hard.  I put my head down and ran as hard as I could.

My run was good -- I kept a pace of about 7:50 per mile for the three mile run.  That's about my usual 5k pace.  I was worried that I might not have the steam for the bike and swim. 

Coming into transition at the end of the run, I saw a full rack of bikes -- this is a good sign, meaning that I'm ahead of most of my age group.  I pulled off my wet shoes and socks, which took a few extra seconds of transition time, put on my bike shoes, grabbed my bike and headed out.  The flat bike course, which consisted of three loops of the runway, had plenty of puddles, so my bike and I got soaked. 

Since I knew I had a good run, I didn't want to give up my lead, which I knew was quite possible since running is my best event and I am not a strong cyclist.  Only two women passed me on the bike, and neither was in my age group.

Running to the pool was interesting.  As I ran, I tried to put on my swim cap, which was quite awkward.  The swim consisted of four lengths of a 50-meter pool.  The pool was crowded, and swimming after a run and bike is more challenging than swimming at the beginning of the race.  At the end of the swim, there were lifeguards to help lift us out of the water and the finish mat was just a couple feet away.

The medal was pretty cool -- a dog tag:

For me, it was a great race.  I was fourth place in my age group out of 56 women.  That was less than a minute and a half behind the third place winner, in other words thirty seconds off my first transition time and a minute off my bike.  But I'm still really happy with my performance.  It's a great start for my season!

Is Soy Dangerous?

Many myths exist about soy not being safe -- that it can increase risk of breast cancer, cause hypothyroidism, and increase sterility in men.

Neal Barnard, M.D. wrote an editorial for The Huffington Post that dispels these myths.

Image from gobblegreen.com

There are many benefits of soy, including reducing risk of cancer, decreasing LDL cholesterol, reducing the risk of uterine fibroids, and lessening the risk of fractures.

Read on here.

Recovery Hike

The view from my morning recovery hike to the Hollywood Reservoir, taken by my cell phone camera.
After running 20 miles this weekend, today is a rest day.

Forks Over Knives

Many diseases, including coronary artery disease, hypertension, diabetes, and obesity can be treated and prevented by a plant-based diet.  This is a belief that I am passionate about and have seen in my daily work as a cardiologist.

The movie Forks Over Knives, which is coming out this summer, is based on the premise of diet as a treatment for disease.  It traces the lives of two important pioneers, T. Colin Campbell PhD of Cornell University and Caldwell Esselstyn MD of The Cleveland Clinic.  Both come from animal farming backgrounds, and yet both are strong proponents of plant-based diets.

View the trailer here

For Foodies

I love eating, and I loooove trying new restaurants!

One of my favorite blogs is quarrygirl.com.  When I think I've tried out just about every veg-friendly restaurant in LA, I go to her site and see all the neat places that I have yet to check out.

This is a great site if you want to eat vegetarian but aren't sure where to go. 

I love LA -- it's a great place to be a vegan!!!

Vinh Loi Tofu

There's a lot of Asian vegan food in Los Angeles.  But, Vinh Loi Tofu is unique -- the tofu and mock meats are made fresh on the premises every day.  In addition, owner Kevin Tran is a runner, training to run the LA Marathon next month, and will be doing his first triathlon later this year at Malibu.

Here are some of my favorite dishes:

Ham Spring Rolls -- my sister-in-law says they actually taste like ham.  I don't know about that because I've never eaten ham in my life, but they are delicious.

Curry Udon with Chicken

House Soup -- big enough for a small meal by itself, or great to share:

Tucked away in a strip mall in Reseda, you'd never expect to find a place like this -- but, as it's become well known, there's always a crowd. 

Vinh Loi Tofu
18625 Sherman Way, Reseda
818-996-9779

Lifestyle Change Works!

A study from the February 1, 2010 issue of the American Journal of Cardiology demonstrates the benefits of making lifestyle changes with diet and exercise.

A group of patients with heart disease or risk factors for heart disease were asked to follow a vegetarian diet with less than ten percent of their calories from fat, get at least three hours of exercise per week, and practice stress management for one hour per day.  Another group received the usual standard care.

The patients who followed the vegetarian diet, exercised, and meditated had improved endothelial function or function of the lining of their arteries.  They also decreased their C-reactive protein and interleukin-6 levels, which are markers of inflammation which have been shown to be linked to heart disease.

Source:  Dod HS, Bhardwaj R, Sajja V, et al. Effect of intensive lifestyle changes on endothelia function on inflammatory markers of atherosclerosis. Am J Cardiol. 2010;105:362-367.