Info

Pushing The Limits

"Pushing the Limits" - hosted by ex-professional ultra endurance athlete, author, genetics practitioner and longevity expert, Lisa Tamati, is all about human optimization, longevity, high performance and being the very best that you can be. Lisa Interviews world leading doctors, scientists, elite athletes, coaches at the cutting edge of the longevity, anti-aging and performance world. www.lisatamati.com
RSS Feed Subscribe in Apple Podcasts
Pushing The Limits
2024
April
March
February
January


2023
December
November
October
September
August
July
June
May
April
March
February
January


2022
December
November
October
September
August
July
June
May
April
March
February
January


2021
December
November
October
September
August
July
June
May
April
March
February
January


2020
December
November
October
September
August
July
June
May
April
March
February
January


2019
December
November
October
September
August
July
June
May
April
January


2018
December
November
October
September
August
July
June
May
April
March
February
January


2017
December
November
October
September
August
July
June
May
April
March
February


Categories

All Episodes
Archives
Categories
Now displaying: December, 2020
Dec 10, 2020

In this fast-paced world, it seems the only way to move forward is to push harder and harder. But where is this relentless rat’s race taking us? Never has there been a higher prevalence of chronic disease and mental health disorders globally. If we want to change this dynamic, we must understand that rest, recovery and effective stress management are equally important in driving results.

Neil Wagstaff joins me in this episode where he explains the science behind stress. He outlines the various stages in the stress curve to help you identify where you might be in the spectrum. We also talk about the importance of awareness. With a better understanding of stress, it’s possible to make small lifestyle changes to reduce its toll on you and take greater ownership of your health.

Don’t miss this episode if you want to develop your resilience and learn effective stress management!

 

Get Customised Guidance for Your Genetic Make-Up

For our epigenetics health program all about optimising your fitness, lifestyle, nutrition and mind performance to your particular genes, go to  https://www.lisatamati.com/page/epigenetics-and-health-coaching/.

You can also join our free live webinar on epigenetics.

 

Online Coaching for Runners

Go to www.runninghotcoaching.com for our online run training coaching.

 

Consult with Me

If you would like to work with me one to one on anything from your mindset, to head injuries,  to biohacking your health, to optimal performance or executive coaching, please book a consultation here: https://shop.lisatamati.com/collections/consultations

 

Order My Books

My latest book Relentless chronicles the inspiring journey about how my mother and I defied the odds after an aneurysm left my mum Isobel with massive brain damage at age 74. The medical professionals told me there was absolutely no hope of any quality of life again, but I used every mindset tool, years of research and incredible tenacity to prove them wrong and bring my mother back to full health within 3 years. Get your copy here: http://relentlessbook.lisatamati.com/

For my other two best-selling books Running Hot and Running to Extremes chronicling my ultrarunning adventures and expeditions all around the world, go to https://shop.lisatamati.com/collections/books.

 

My Jewellery Collection

For my gorgeous and inspiring sports jewellery collection ‘Fierce’, go to https://shop.lisatamati.com/collections/lisa-tamati-bespoke-jewellery-collection.

 

Here are three reasons why you should listen to the full episode:

  1. Understand stress better by learning about its symptoms.
  2. What is homeostasis, and what are the stages of stress?
  3. Discover the importance of awareness in stress management.

 

Episode Highlights

[03:15] Defining Stress

  • Stress is a normal part of life. It can be good if it’s used in the right amount.
  • Picture stress as a bucket. When the bucket is filled in too quickly, it can overflow.
  • With proper balance, stress can be managed, and you can avoid the bucket from tipping over.
  • The Goldilocks Principle shows that the amount of load or stress we put on our body should be well-balanced to get a positive result out of it.
  • Stress should be balanced with recovery to get optimal results.

[11:59] Symptoms of Stress

  • Feelings of depression, anxiety and anger start to rise in times of distress.
  • A weak immune system reflects stress in your body.
  • Stress happens when there is a lack of balance between work and recovery, when there is a lack of resilience.
  • Take the time out, time to reflect and to show gratitude so you can move forward.

[20:13] Health and Homeostasis

  • The goal is to maintain homeostasis, when the body is well-balanced and stable.
  • The alarm stage usually comes after experiencing homeostasis, especially when you’re anticipating something new or big in your life. 
  • This can bring about an arousal of emotions, which can be overthrown using stress management techniques.
  • Being always on the go can lead to chronic mental health problems like anxiety and depression.
  • The key to maintaining homeostasis is giving yourself time to recover.

[24:16] The Resistance Stage of Stress

  • After the alarm stage comes the resistance stage, where you actually put stress on your body. It is when you can feel really stuck.
  • This stage can result in a chronic state of exhaustion.
  • This puts you in the position to address the stressors by changing habits, perceptions and behaviours to bring back homeostasis.

[26:41] The Exhaustion Stage of Stress

  • This stage happens when your stress peaks and things get out of control.
  • We want to prevent reaching this stage as much as possible.
  • Stress can activate the body’s fight or flight response, which can have a negative spiral effect on the body, both physically and mentally.
  • It is crucial to bring awareness to your behaviour and decisions when in the exhaustion stage to avoid spiraling down further.

[31:41] On Awareness

  • Increasing our awareness around stress and personal wellness has made a big difference on the things we do.
  • Individuals with lower awareness tend to externalise their problems and not have control of their lives.
  • The greater your awareness, the more likely you are able to take ownership of your problems and control your mood, health and how you look at the world.
  • Awareness is also vital for teams. It allows you to help your teammates and prevent things from spiraling out of control.
  • It starts with being aware, but you don’t have to tackle your problems all at once. There is no instant fix, not even coaching.

[36:16] 7 Questions to Increase Awareness

  • What is the biggest stress you have at the moment, and how is it expressing in your body?
  • What normally causes stress for your body?
  • How is stress showing up — does it come in certain environments?
  • When is stress showing up?
  • What can be done immediately to alleviate the feeling and support your biology?
  • What can you do to manage your stress response better?
  • Finally, what are the long-term strategies you can implement to lower your residual stress?

[42:36] Stress Management: Start with the Small Things

  • Look after your stress like you look out for your body.
  • Do any mobility work (or breathing work) that is right for your biology.
  • Spend time with nature.
  • Perform habit stacking or the art of doing simple things to get complex things done every day.
  • Start doing things in practice to increase your awareness.

 

7 Powerful Quotes from This Episode

‘...the resilience is found in rest. But society will say to us that resilience is found in pushing harder, pushing, doing more, doing more and doing more, but it's found in rest’.

‘So this is why it’s important to remember, in daily life and business, you need the recovery aspect in there. It should be like a training program’.

‘Finding joy in something is the real key to my mental balance. I’m not being selfish when I take half an hour to paint a picture. I’m not being selfish — I’m being sensible, and I’m looking after my own health, and therefore, the health of my loved ones’.

‘Sometimes the answer isn’t actually just addressing what’s under your nose and addressing your work. It could be addressing your food, your movement, how you’re looking after your mind and all those things. And then change your perception of work totally so you can manage it a whole lot more effectively’.

‘It's really important for corporate teams or sports teams to start recognising signs and others. And if you are more aware than the other person, then you can help them more… so that you can actually prevent things from spiraling out of control’.

‘If you find yourself blaming everybody else for the situation, then you're probably not very aware of things that are going on because you're just externalising. If you're moaning a lot… Then you might want to have a look at the way that you're actually processing things and understanding things and take more ownership’.

‘You don't have to tackle the whole thing at once. But it's being more aware. Am I a person who goes through life blaming everybody else, blaming the system, blaming that? Or am I someone who does something about it, takes ownership, starts to make a change in [my] own life’?

 

Enjoyed This Podcast?

If you did, be sure to subscribe and share it with your friends!

Post a review and share it! If you enjoyed tuning in, then leave us a review. You can also share this with your family and friends so they can learn more about effective stress management.

Have any questions? You can contact me through email (support@lisatamati.com) or find me on Facebook, Twitter, Instagram and YouTube.

For more episode updates, visit my website. You may also tune in on Apple Podcasts.

To pushing the limits,

Lisa

 

Full Transcript Of The Podcast!

Welcome to Pushing the Limits, the show that helps you reach your full potential with your host Lisa Tamati. Brought to you by lisatamati.com.

Lisa Tamati: Welcome back to Pushing the Limits this week everyone. I hope you're having a fantastic December. Can't believe we're already here, Christmas is just around the corner. 

I have an interview today with Neil Wagstaff.  He's a repeat offender on this show. And I love having my business partner and my coach, exercise, science men, Neil Wagstaff with me. And we're going to be talking resilience and stress, how to control stress, how to understand what it's doing to your body, and some of the techniques and things that you can do to cope with stress. And I really hope you get benefit from this episode. 

It's an ongoing theme. We have lots of stress in our lives generally. We live in stressful environments, we've got families and financials and sicknesses and illnesses, and all sorts of things that we have to deal with on a daily basis. So here's some really good advice and tips around managing stress and being resilient. 

Just before we head over to the show, please give the show a rating and review if you enjoy it. And make sure you share it with your friends and family. And if you're looking for stocking fellows, make sure you head over to my shop on lisatamati.com, my website. You can check out my fierce jewelry collection, there you can check out my books. 

And of course, if you are having trouble with any sort of health issues, or you've got a big goal, or you want to deal with some mindset issues, I am taking on a very, very small number. I've pretty much meet the quota. But I've got a couple more spots left. If you want to work one on one with me reach out to lisa@lisatamati.com. And I can send you information about my health optimization coaching. 

Okay, now over to the show with Neil Wagstaff. 

Lisa: Well, hi everyone, and welcome back to Pushing the Limits this week. Today I have my wingman Neil Wagstaff, with us again. My gosh, you're coming on the show a lot, now, Neil. 

Neil Wagstaff: Like you make me feel really popular, man. I love it.

Lisa: It's really good to have you here because you just got so much knowledge. And it's just fantastic being able to share all your knowledge with everyone out in podcast land. So if you're a new listener to the show, thanks for dropping by. And if you're returning listener, thanks very much for coming back again and please don't forget to give us a rating and review. We love hearing from you guys and you reaching out. 

Now today, the subject is stress and how it affects your body and health. A big topic for so many people, especially given 2020, it's been a disastrous year on many, many fronts for many, many people. Certainly been the worst one of my life. So we're going to talk about how to deal with stress, how to recognize the signs and symptoms of when you're getting overstressed, how to just to manage your physiology so that you can get the best out of your life without tipping yourself over the edge. So Niel, over to you. More to say what’s it all about. 

Neil: Firstly, it is a normal part of life, it is definitely a normal part of life. And it can be good. It's often given a very negative, negative sort of press and people see it as a negative thing. It can be that definitely, but it's also something we need in our daily life. And something we want—you and I personally we thrive off it and love having things to do, we love being busy and love getting things done. So that's good. 

For some of the good stresses that people be aware of when just understanding they're putting them into that stress category is these things will have an impact on our body and can put load on it. And therefore they're putting load on it they can cause inflammation and effectively cause stress of some sort. So exercise is a stress and it's a very good stress if it's used in the right amount. Okay? It can also be bad stress. 

Lisa: Dosage.

Neil: Yes, exactly the right dosage. Food can be a stress and it puts a load on our body. Again, use well, it's a good one. Work, again, manage well with good balance is a great stress to have and we all should enjoy doing it. Mental challenge can be a good stress. You like being pushed to our limits, you're definitely a great example of someone who loves pushing the limits, Lisa. 

Lisa: Yes, mentally and physically. 

Neil: So there are good things in that. New environments, new experiences. They're all great stresses that you can put on your body. General ones on the bad list would be things like poor sleep, and lack of exercise, social stress, prolonged challengethe stuff that goes on for too long without rest and recovery. And then significant physical or mental trauma as well. 

Now if you manage those two buckets. We often talk about the bucket of stress and you have heard us discuss that on previous podcasts as well. But these things, if they're thrown in the bucket, and the bucket gets too full too quickly, then some things on the good list can actually be the things that actually cause the overflow and cause too much stress. But manage well, manage those lists well, and you're going to be in a position that is part of normal life, it should be good. Stress needs to be there. The key thing is that you've got balance with it. And that's what we'll go on to talk about a little bit more, a little bit more today.

Lisa: Yes, so I think things like exercise people don't often recognize as a stress and it can be added into that same bucket. And we have talked about that principle before on the show, where, that can be the stressor that tips it over, if you've already got a very full bucket. So even though you think, ‘Oh, doing my training today is a good thing’. It is, if your body's ready for it, for example. And if you've had a lack of sleep and lack of social interactions and your food was crappy, then that extra stress of exercise, or doing it too hard on that day might not be a good thing. So it's about balancing it. And it's about recognising when your body is in a state of excessive stress. 

So now we're going to talk about the Goldilocks principle. And I love the Goldilocks principle, it's pretty much a metaphor for everything in life. The more I study biology and chemistry, the more I start to understand that everything in the entire world is all about the Goldilocks principle. Not too hot, not too cold, not too much, not too little. Just getting it right. So how do we get it right, and what is the Goldilocks principle in regards to stress, Neil?

Neil: What you said, is so true, Lisa. It is so appropriate to so many aspects of life, it really is. One of the examples we often use is quite an easy way to look at it, it is looking from a training perspective, and especially from my background, that's what I understand well. 

So when someone goes through a training program, or an exercise program, goes through rigorous exercise classes, you don't want to create a training stimulus in the body. You want to create a effect on the body under load. So you're going to cause some stress, it's going to break it down, so you'll get a response. And it comes up after a period of time and it could be sort of that four or six week period. We then start to get some great results. Otherwise what’s known as super compensation, where your body compensates and responds really well. 

Now the reason it does that is because you've put the right load on it. So you put the right amount of stress from an exercise point of view, therefore, you're going to get the nice result at the other side. Now if we do put too muchor sorrytoo little stimulus on the body, then the result is going to be smaller, and we won't have such a great result at the other side and four to six weeks time. If we put too much stimulus on, which we see a lot of people doing in our work, and not enough recovery, and you don't get any results at all. 

Now stress works in a similar way. And what we're looking at in this example is we want to put stress as in the exercise load on a body to get the result. But in our daily life, should be a similar process. The amount of load we put on our body each day should be enough that we get a great result at the other end. 

And we had a, Lisa and I were away doing a court presentation about a week or so ago. And we had a great discussion there with one of the one of the team we're working with. And he gave the example of in sport like I've just given, you've got the chance to recover. Now in business and daily life, you don't often get the chance to recover. So you have these periods which becomes longer and longer and longer, where you're putting yourself under excessive load to get a result. But you missed that super compensation because the amount of load you're putting on means there's no recovery and that means that the result you get it, but you get it it's such a hopper that after a long period of time you end up burning out, and that's what we want to avoid. So this is why it's important to remember there in daily life and business you need the recovery aspect in there, it should be like a training program.

Lisa: And there was a really good example last week. High end executives really pushing the limits on a business point of view and in doing that day in day out, year in, year out and leadingbut leading to problems. And this is a societal problem where we all under the pump all the time, or a lot of us are. And that does lead and it's trying to manage yourthe physiology because our physiology is still old. And the fact that it’s ancient, our DNA hasn't necessarily evolved to our current lifestyle and so trying to manage this as best we can to get the best results.

Now talk about super compensation, I did a really hard CrossFit workout yesterday, and I've got very sore ass cheeks today. So I'm not going to go and smash myself again today, and that because I want that super compensation. The fact that I have sore muscles, sore glutes, and sore legs means and I caused a training stimulus. So right now my body is weaker and I need to give it a bit of recovery, and recovery might mean doing a bit of yoga today and a gentle walk and maybe a light jog. But it doesn't mean going and smashing myself again today because that will likely lead to a negative adaptation. And I want to get the most out of that painful workout yesterday. So I know to back off a little bit today. 

And that's what hold training plans are aboutgetting that combination right and that periodisation right for your particular goal. And that's what we do with Running Hot, with all our athletes that we're training is periodisation. So that they peak at the right time, and they get the most super compensation and not the negative adaptations that can happen when you start to go into that overtraining. And it's quite counterintuitive, isn't it? Because as athletes, you just want to go hard and go hard again the next day and then go home. You've had a sleep, you've had some food, you should be good to go again. But you do need that recovery time, both on a 24 hour hourly basis, as on a monthly basis, as on a yearly basis. So we're going to talk a little bit about that as we go through the session. These are micro and macro cycles we're talking about. So let's talk a little bit about this and what it is to get this just right? And how important the accumulation of stress can lead to your downfall? And why resilience is really found in race?

So what are some of the symptoms for somebody, either as an athlete, or as a corporate athlete, or someone who's got three kids and two day jobs, what are some of the signs that that stress is starting to take a toll on their physiology and on their psychology as well?

Neil: For mental health point of view, we've got people on too much load and too much stress is where depression will start to come inanxiety, anger. And those feelings, the risk of chronic disease goes through the roof that just jumps up, jumps up massively and puts more load on the body, and then the immune system just starts to drop as well because that additional load, there's no rest on the body. 

On the flip side, if you've got the balance just right. So we're talking about that super compensation, you're getting the balance, right, so you're getting that result, then you're going to feel calm, you're going to feel more proactive. There'd be lots of growth and recovery. And from a health point of view, your health is optimised, and your immune system’s strong. 

Now, a lot of people we're speaking to in the trap of going hard, going hard, going hard, it’s going hard. And then we get those feelings of anxiety, anger, depression, and more disease issues. As we work through people's blood with them, we're seeing higher risk of disease when we're looking at bloods now than what we have done in the past, which has a bigger impact, obviously, on immune system and future chronic disease as well. 

So taking in those and listening, you will have found those times in life where you felt that productivity was good, you felt calm, there was good growth, and you feel on point. I guarantee you, when you look at those times, you'd have had good balance, and you've had enough rest and recovery in the day, in the week, the month, the year. It means that you're getting those benefits you should from a stress management point of view. And some of you listening as well will have experienced the others and most of usLisa and I have at some different points in life, where you experienced the anxiety, the anger, because you've got the balance wrong. And that's an easy—easy is the wrong word to use. But once you understand that, it is an easy fix to make.It's just understanding the how to make the fix so you get the resilience.

And as you said earlier in the exercise example, it's counterintuitive because the resilience is found in rest. But society will say to us that resilience is found in pushing harder, in doing more, doing more and doing more, but it's found in rest. And that's where a lot of the happy feelings and emotions are found as well, by taking time out, time to reflect time to show gratitude, and to allow you to move forward. And at the end of the day it's inyou've used this example recently as well, if you haven't been healthy. 

Lisa: You got nothing. You have zero.

Neil: Exactly. So you need it.

Lisa: Yes, and I think like that depression, anxiety and anger part of the puzzle. So these are all your neurotransmitters that are at play here. So your dopamine, your GABA, your serotonin, your adrenaline, your cortisol, all of these things that are actual chemical things in your body causing you to feel a certain way. 

So when you see yourselfand I mean this is definitely talking to me here. When I see myself getting irritable and angry and snapping and being anxious about the future, then I know, “Hang on.” And Neil will say to me, or my husband will say to me, ‘Hey, you're getting out of control again’. And I’m like, ‘Well, okay, I need to take more time out’. And just sometimes like taking a couple of hours out for yourself is not being selfish. And I really, really struggle with this one because it's for me, it's like a guilt, ‘But I should be doing this’, and ‘I should be doing that’. And I've got a billion things on my to do list. And so I hear the people when they say, ‘But I haven't got time for that’. It's like, yes, but do you want to be an asshole to your friends and family? 

Like, if we get down to it, that's what happens, and depressed and miserable and losing the joy of life. When you don't have enough GABA, which is one of your neurotransmitters, and you don't have enough serotonin in your body, that's what you're going to feel. You're going to have lose the love for life, you're going to lose the love for your passions, that your hobbies, you're going to likenot be interested in them anymore, you're not going to have that dopamine hit where you want to get up and go and you're motivated to drive towards something. 

So when you feel that those neurotransmitters are off, by just backing off the accelerator pedal, having some time out to do some health and self care, like I love getting into a sauna, or going for a walk, or doing some stretching, or doing some meditation, or breath work for me is huge. All these things help me manage my emotional state and help my body recover. And we often think that, ‘Ugh, I've just got to get over it. And I'll have a good sleep tonight, and I'll be good’. But if you're not giving your body, the right ingredients, the right nutrients, the right time out and play, then you're not going to have the right combination of neurotransmitters running around in your body. And no matter how much willpower you have, you're probably not going to have a positive outlook on life. And it's something I've really had to learn the hard way. 

Now, after going through a very stressful few months that I've been through with losing my Dad, I've had to prioritize just doing something I love. And for me that might beI'm into painting at the moment, following my dad's footsteps, and that gives me joy. And finding joy in something is a real key to my mental balance. I'm not being selfish when I take half an hour to paint a picture. I'm not being selfish. I'm being sensible, and I'm looking after my own health and therefore the health of my loved ones. And that does have an effect on our people around us. And none of us want to be that horrible person that's grumpy all the time. It's not much fun. So. 

Neil: Definitely, it’s a great, great example. And thing as well, as people are listening is understanding that what is worked for you won't necessarily work for everyone and vice versa. So it's finding your thing, and your rest and relaxation, self care, it's going to be different for each person. And if you try things, and they're not working for you, resonate with you, then try something else. And once you find your sweet spot, like you described the painting, then you will find those feelings. So, I wouldn't necessarily get it from painting, just because I can't paint. 

Lisa: Neither can I.

Neil: There’s other things I definitely get it from. So it’s understanding that you find what's your sweet spot, and what's going to have that impact on your body. Once you understand that, then it becomes a lot easier to do.

Lisa: And don't think you're being selfish because you're doing it. That's the real key message and trying to prioritize us because it's like where the corporate executives last week. You have to perform. Yes, but underpinning your performance is health. So if you don't have health, it shouldn't be something that you optionally do on the side, it’s one of the things you get around to, it underpins everything. 

So this is part of your health, regime, your practice. And if you see health and looking after yourself, and that's nutrition, that's fitness, that’s all of those things. If you see that as the foundation on which to build your house, that's a different approach, than to seeing it as a pillar on the side that you want to get around to, that you never do get around to. 

For Neil and I, it is fundamental. It is our priority. It is also our business in our case. And we can't be good examples to you guys if we're not performing the best that we can and looking after ourselves. And just reprioritisinghaving those conversations in your own head is about, ‘it's not being selfish, this is being sensible’. 

So now, I'm going to talk a little bit about the stress curves and the phases that you go through from good health and homeostasis, right through the exhaustion stage. Neil, can you explain this concept a little bit?

Neil: Yes, so we look at different stages as we go through the stress curve. So if we're looking at homeostasis, as you saying good health, this is when the body's in balance, and it's stable and hasn't been pushed, there's no stress on it. And we've got in a calm, there's nothing that changes, changing the environment. So that'd be a nice place to be all the time. But most of us would get bored quite quickly, and would generally get anything done. So good space to be for your body but that's the sweet spot. So we want to spend some time in that. And we want to spend ideally some time in that each day, each week, each month, each year, so we manage those peaks and troughs. 

The alarm stage, which comes next is where we start thinking, readying ourselves for the future. So this is where we've got heightened awareness, increased speed of thinking, higher attention, and generally a higher state of arousal. Nothing's happening yet, but we're readying ourselves for this. So this one of Lisa’s example, could be getting ready for a marathon, or a race, or a running event. It could be getting ready for a big, big meeting, or big presentation where you're preparing yourself for it. You've been going through the process, your body starts, the blood pressure will go up, heart rate will go up. You get a physiological response going on in your body to prepare yourself to what's to come. 

Now that's healthy, if you're not in it all the time. Okay, so that's healthy, it’s good if you're in all the time, we want to be able to ready ourselves for that. Where we're seeing quite a lot of problems at the moment, as people aren't coming out this, they're always on. 

Lisa: Staying on the alarm stage. 

Neil:  They’re always on, they’re always switched on, they're lively. They're always twitchy and ready to go. And if you don't come out of that, then your body's not going to have the chance to recover and you're going to start to getfrom a physiological point of view, those stress hormones flying through your body at a great speed. And that's what starts to put more problems on the body and problems with health. And that's where we see more issues with chronic disease and where we see bigger issues and those feelings of anger, anxiety, depression, and mental health. 

Lisa: Mental health. I mean, I've got like an example there with just being open about my life with going through the drama with my dad and losing him. And being in that alarm phase, where we're fighting for his life for a couple of weeks in hospital and going harder, harder, in that absolute. I was in the alarm stage, and then the next stage, which is the resistance stage, where you're actually in the doing. And now we lost the battle, in that case. 

And now, the anxiety that comes with being in that state for a few months, means that my body needs a massive amount of recovery right now. It doesn't need to be smashed and smashed with really high intensity workouts constantly and I'm slowlybut rebuilding, but it's the understanding that that's had a trauma on your life. And that has led to a very bad state of affairs, as far as all your exhaustion, all your stress hormones were concerned. And if I don't do something about that now, what that could lead to as real big health issues. 

And I saw this when I went through it with my mom, four and a half years ago with her journey. I went hard out for the first 10, 11 months like to the point of like, absolutely blind myself to pieces, and I had to because she needed that. But then my body shut down, and then I was in and out of hospital. And I was in shit creek basically for the next year because my body was in that exhaustion stage, which is what we're going to talk about next. And so it's understandingjust as that's an example of my life, but we are going in and out of these stages on a daily basis, but also on a weekly basis and on a monthly and yearly basis. 

So we just talked about the alarm stage where you're ready for action, but nothing's actually happened yet. So you're all anticipating and then you're in the actual resistance stage, which is the doing part of putting stress on your body. So you're taking action, you're making your body adjust and cope with the environment and you're in the fight. You're using the fuel and your body is resisting the stress. So this could be doing a workout. It could be situations like I was in, this is where you're going under slipped, maybe you're tired, you're pushing through, your stress hormones are very, very high. And this is a stage you can also get really stuck, isn’t that Neil?

Neil: Yes, it's spending too long here as well. A good example where we see too many people doing it isI was having this conversation, someone today is just not getting enough sleep. We've all done it where we've had deadline at work or lots going on, but so many people are pushing it further and further and further now. So even though you're tired, you push through, using your stress hormones to stay on it, and there comes a point where your body will just stop producing the stress hormones as it should. And then you're really into the neutral phase. And that's when you start to get the risk of the chronic disease and the other feelings that we talked aboutanxiety, depression, and the mental health side of things. 

Lisa: There is a reason why chronic disease is just going up exponentially in society today, I mean that and toxins and environment and all that sort of jazz and food chains. But one of the big problems is this chronic state of exhaustion all the time I think, so that actually...

Neil: To add to your point earlier, you shouldn’t add the other things in it like poor food. You then add pollution, you add in toxins we've got around us. 

Lisa: Heavy metals.

Neil: All of those things have all increased, and they've increased massively over previous years. And we're looking after our bodies less than we ever have done. So now we're in a position that they add those other things on top, and all of a sudden, the load just comes more and more and more. 

So it's been where as wellwhere your stress is coming from, like we spoke about the start. It could be that simply by changing your eating habits, or the time of day you're eating, and what you're eating, and when you're eating, all of a sudden, that actually takes a load off your body. So you manage your work a whole lot more effectively. Sometimes the answer isn't actually just addressing what's under your nose and addressing your work, it could be addressing your food, your movement, how you're looking after your mind and all those things and then change your perception of work totally. So you can manage it a whole lot more effectively. 

Lisa: Yes, absolutely. So the last stage that we wanted to talk about is going into the exhaustion stage, which is what we just explained, Neil, where you're absolutely been on the go forGod knows how many weeks, months, years, and your body is starting to shut down. And this is where you are starting to get chronic problems, and serious ones. 

And this is the phase you don't want to get into because this is where you're going to be set on your ass, whether you like it or not, where your health is going to go down like mine did. And you will be forced to take a break. But we want to prevent that whenever possible. I mean, sometimes life is just going to throw a curveball at you. But if you understand this process, and you can perhaps stop getting to that exhaustion stage and understand that those stress hormones, I think most people think, ‘I've heard stress is bad for me. But how is it bad for me’? 

Well, if we just go back, and I have talked about this a couple of times, but your parasympathetic and your sympathetic nervous systems, you've got these two systems, your rest and recovery and your sort of go-go-go state of affairs. And that sure is sympathetic, and most of us are sympathetic dominant. We're not having enough time for that rest and recovery, and our ancient biology is just really not keeping up. 

And when you are in that fight or flight state, and you've got lots of cortisol and you've got lots of adrenal and you're taking energy away from your immune system, you are taking energy away from your digestive system, you're taking blood flow away from different parts of your brain, so you're not unable to make good decisions. You're unable to digest your food, and then you're affect your absorption. And that can affect your thyroid and it can affect your immune system, and on and on it goes. 

So this is how stress actually has a physical effect on the body. It's not just a mental thing. I think people think often it's just a mentalunder stress as a mental—no, it's very much a physical reaction of the body about where the body is putting the resources. You have a limited finite amount of money in the bank, or energy in the body, and their body is going to prioritise the areas that are most important. 

So if it thinks that you're running away from the lion, it's going to put all the energy into making stress hormones, to making sure your blood is in your muscles so that you can run and you can fight. It's not going to bein helping your immune system repair. It's not going to be in fighting infection. It's not going to be digesting and this is where the resources are being put. So it's like you spending all the money that you earn from your job in one particular area of your life and not paying the mortgage. That's what's happening. And you need to be paying that mortgage otherwise you're going to lose the house. That's a really good analogy, actually isn't Neil? 

Neil: Yes, it’s a great comparison. And it brings us back to where we were talking about the start is where you're allocating your time to. In that example where you're allocating your money to, but if you're allocating all of your funds, all your time to one particular area, then something else is going to suffer.

Lisa: It's going to crash. We like to think we're superheroes and Neil you’re very, very close to being a superhero. But we're not really, we’re not really both.

Neil: Thanks. For me, I’m a little bit of one.

Lisa: Yes, for your kids.

Neil: And understanding as well that these different phases that we've just been talking about. You can go through these levels in one day, which was what we call a micro cycle, or you can over a longer period of time, months, years—go through them as a macro cycle, so a bigger cycle. 

So we've talked about what happens if we stay in these phases, each of these phases too long. And Lisa has given some real good examples from her life is what does actually happen, from a mental and physical point of view, as well. So the fact that you can go through them each day, the exciting thing about that is you can put yourself in a position that you can control them each day. So you might feel like it's a big mountain to climb. And you've got to do a lot before you can get a grip of it. But you can actually make some quite significant easy changes each day to mean that you can start going in and out of these.  

And sometimes just little micro rests, small rests, small windows opportunity where you actually can switch off the body, switch off the mind. And again, different things work for different people. But once you find your thing, start doing more of it because this will get you longer results in work, family, and sport as well. It applies to every aspect of the puzzle. 

We talk a lot as well with getting people become more aware of themselves. So when we talk about awareness, we will look at the load that’s going to put on people's body. And I know that this has made a big difference that hasn't at least just been increasing our awareness around stress and our own personal wellness. And as we've increased that, it's made a big difference to what we're doing. And generally, we've seen those with lower awareness will generally tend to externalize their problems more, lose control more, the factors influencing their mood in life, and often will blame others more—it's someone else's fault, someone else's problem. 

The greater awareness is, you’re more likely to take ownership of our problems, more likely to deal with them, and control our mood or health and how we look at the world. So it puts us in a much better position. Generally as well, we've seen that awareness will increase with age, although this isn't always the case. 

Lisa: Not always. 

Neil: Not always the case, the increase in experience. So as we've dug deeper into the science of what we do, how we do it, is definitely increased our awareness to the point that as we've experienced more things, coach more people through these things, our perspectives changed and as well, the way we self-reflect. And that's all led to low levels of stress because we've now got a better understanding of what's going on, why it's going on, and what load is having on our body so we can do something about it. 

Lisa: And we can look after each other better, just as business partners, right? 

Neil: Great point. Great point. 

Lisa: It’s really important for corporate teams or sports teams to start recognizing signs and others And if you are more aware than the other person is then you can help them more and that is your responsibility then to be aware of other people and their needs around you. So that you can actually prevent things from spiralling out of control, and support each other a little bit better. And back off when things are getting tough for somebody and push a bit harder when someone needs a kick up the jacksy. So it's all about helping others and being more aware. 

So if you find yourself blaming everybody else for the situation, then you're probably not very aware of things that are going on because you're just externalizing. If you're moaning a lot, ‘Well this is shit and that is shit. And my boss's this and my things that’, then you might want to have a look at the way that you're actually processing things and understanding things and take more ownership. 

I'll give you an example of this with some of the people that come to ask for health problems and health consulting and health optimisation. I can sort of pretty much tell in the first 10 minutes whether this person is taking ownership of the situation, or whether they're just blaming everybody else and they're angry about it, but they want a magic bullet. And the ones who want an instant fix in blaming everyone else and not taking ownership over the situation are very difficult to work with from a coaching perspective and also very unlikely to get great results. And will likely blame you in six week’s time because they didn't get the result. 

And they will go through 10 coaches and they'll go through 20 coaches and they will still have no results at the end of it. And it’s not necessarily the coaches’ problems, or the health professional problem, it is often the fact that they are not taking ownership about the things that they can take ownership on, in educating themselves and working on it. 

So you can start to work on pieces of the puzzle. You may have a big health issue, for example, and now we work with some people with some pretty serious freaking health issues. And when you can work on a piece of it today and this piece of it, and we can work like a detective, and we can work through problems, you don't have to tackle the whole thing at once. But it's being more aware, ‘Am I a person who goes through life blaming everybody else, blaming the system, blaming that? Or am I someone who does something about it? Takes ownership, start to make change in your own life, and affect what you can as well as trying to influence the world around you’? Does it make sense?

Neil: It makes perfect sense, Lisa. It really does. It's a great, great takeaway for the listeners, as well, just ask yourself that question, ‘Where am I at from a self-awareness perspective with regards to my own personal wellness’? And you can use those examples you just went through there, put a scale on it. 

But we've got a great list of questions, Lisa. We can start to get the listeners to use to increase their awareness around their own stress. The thing we wanted to point out as well as we start to wrap things up is that everyone will respond to stress in a different way. So therefore, the way we respond to stress is going to be different. So therefore, the way we manage it is going to be different as well. 

So as you're going through these questions, there's no right answer, there's no correct answer. It's an answer that should be individual to you and should be personal to you. So ask the question, What is the biggest stress you've got at the moment? And how is it expressing? What is the stress you're expressing in your body? 

Number two, what normally causes stress for your body? So you'll be very aware how your body reacts and feels in different situations. So take time to listen to what it's saying, where you feel stress increasing, you feel your anxiety levels climb, and just feel your body tensing? If you start to get signs and symptoms—and again, it's going to be different for everybody and take note of them and do something about them. We work with so many people that get the signs and symptoms, but don't take note of them and don't do anything about them. 

How's the stress showing up? Is it coming in certain environments? Is it around certain people? Is it around certain conversations? So again, ask that question, when is it showing up? When is it arriving? Can you change anything there to make sure it doesn't show up? And what can be done immediately to alleviate the feeling and to support your biology? You made the great reference earlier in the conversation about painting and what that does for you. For me going and moving and I know this works for you as well, Lisa, but going in and moving, getting something, going rhythmical is great for my mind. That could be walking, swimming, running, cycling doesn't have to be anything high intensity, but just movement helps massively. Rhythmical movement will help calm my body, calm my mind. 

And what can those around you do to support you? Now as we've been throughout our career as coach and athlete, and now in business, we're very aware of how we can support each other. But that's taken time to have the conversations and work through it and talk to each other about it. I know you do with Haisley, and I do it with my wife, Sam. Once you understand those things, and we've set it up with the people we work with around us as well, it makes a massive difference. If people understand how to support you, and are aware that there's different ways that different people are going to get stressed—what stresses you is going to be different for me. So if I don't take the time to understand that, I'm going to be going through thinking, ‘Now it doesn't worry me, it's not going to worry Lisa’, and that work in both directions. 

And number six, what can I do to manage my stress response better? So again, just asking the question would increase awareness. The fact that we're drawing attention to it increases awareness, which means we're more likely to do something about it. Then finally, what are the long-term strategies that I can implement to lower my residual stress? So once I work out the answers to the previous questions, then what can I do long term? And it could be as simple as we're big fans, as we always say, of what's the low hanging fruit? Is it simple now that I go to question five and go, right, ‘What can others do to support me? Am going to make those around memy family, my friends, my close work colleaguesam I going to make them aware of what's causing me stress, so that they can help me and pull me up’? 

Like we do with each other will often pull each other up and go, ‘Right. This is clearly getting a bit much’. Going this direction, we'll do this differently, or you give me time to do things and process things because you know that helps keep me calm. And when you're going fast and hard, I say well, ‘Time to slow down. It's great but you’re getting too excited, come back’. And that works for us. So increasing awareness really does help you get results rather than just accepting that, ‘I'm going to carry on with the back pain. I'm going to carry on the inflammation in my body. I'm going to carry on with the upset stomach. And not connect them back to something external that’s causing it. 

Lisa: That’s a really good one because like I had a conversation with someone today and I've got repeated inflammation in the body, repeated pains in the neck, and then not connecting the dots. They connected one dot today that I went, ‘Hah, finally something is starting to drop’. When you are having pains every which way in the body, if your initial thing was to go, ‘Well, I've tweaked my back’. Instead of going, ‘Hang on, why am I having ongoing injuries? Or why am I having a stack of things happening to me? Or why am I getting pains here, and then I'm getting pains there, there's something underlying going on’.

 And what we're saying is often that underlying thing is an inflammatory response is related to stress, very often you'll find a component at least of stress. And then it can you know, as we see, it can be from a food stress or toxins, through a psychological stress, from lack of movement, stress, or lack of sleep, dehydration, but these are all forms of stress. And so understanding what is the trigger and trying to connect the dots and this is where that self-awareness. 

And in using these simple tools that we've been talking about on this podcast and other podcasts that we've done—the breath work stuff, the meditation stuff, and the movement stuff, the routines for habits, the healthy habits that you develop over time, and you start to stack one on another. And these little things that help you manage your biology, and help you manage your dopamine levels and your serotonin, all your good neurotransmitters, and your hormones and all these things. And it is about tweak, tweak, tweak, tweak, until your life starts to look better, feel better, and be better. And then it will be a constant thing. It's not like you're going to do this once and you're good to go. 

Neil and I have a whole lot of tools in our kit that we can pull out in times of stress to help us get through. However, we're still going to have times when we tip out of balance, and then we need each other and their family members and othermy friends to put us back in the balance again, and just make us aware. It's not a one and done thing. It's a constant tweaking, learning, growing process, about trying to keep yourself in a good, a good state, both physically and mentally. 

Neil: A lot more and more, Lisa. I'm asking people, it should be like with some of these things that you do to look after your body. It should be like brushing your teeth. I ask the people I'm working with one on one, I say, ‘Right, did you brush your teeth today’? Now know what I mean? I've asked two or three people, really say, ‘We brushed our teeth’. And what I meant was, ‘Have you done any mobility work? Have you done the breathing work and what's right for their biology? Have you been out, spent time in nature, and I might get responses like their response that they're actually a bit fluffy today. 

But we do those things every day. And you talk about habit stacking. And it's exactly that. If you can brush your teeth every day, then you can do the other things that will control and maximize your health and do them as well, the simple little things, it’s not just about brushing your teeth. So let's start putting some other things in practice that do that crucial awareness. We don’t do it, isn’t it?

Lisa: We think we have to have the most expensive piece of equipment or the best supplement or the greatest course oractually if we just did the basics right, often that will give us a good foundation. Yes, we can get fancy fancy stuff later and get more into it if you want to really tweak your biology which we love doing and testing and trialing and experimenting, but just getting those basics right. And yes, making it the underlying underpinning philosophy of your whole life, that has to be at the core of it. Health, looking after yourself has to be at the core of it, and it is not being selfish. 

Again, I had someone else today, very stressful life, a lot going on. I’m telling them the same thing we can week out, they're coming back with this problem and that problem, and they're not hearing what's going on, and they're not willing to invest in the right things, or to buy the right foods, or to sit down and actually go through the process of actually making the small changes. Because they want the quick answer and you have to look after yourself and they also don't prioritise themselves. Everybody else comes before them. 

And therefore they are going to be unhealthy ongoing until they can come to that point of self awareness that they have to be doing these small changes and getting the micronutrients and avoiding certain things and changing just little behaviors so that they can actually be a good father, a good husband, a good wife, a good friend, a good colleague, whatever the case may be, put your own oxygen mask on first before you help somebody else. It's not being selfish. So I think that's a pretty good place to wrap it up for today, isn't it Niel?

Neil: I agree. Agree. As always good chatting mate, good chatting. 

Lisa: Good chatting. And if you enjoyed this, please let us know. We'd love to get here. You know what you thought about the shows that we're putting out, the information that we're putting out. We'd love to get comments and feedbacks, of course rating and reviews are always appreciated. But just yes, if it's helped you let us know. 

If you want more information, and of course, we'd love to work with you. Reach out to us as we have our epigenetics program, which is all about understanding your genes and how they interact with the environment and how to optimise and getting rid of trial and error, and knowing what to do for your body. Then we also have our online run training programs, of course, which we love, training athletes, going and doing amazing things all around the place again, or a holistic approach to everything that we do. 

So reach out to us, support@listamati.com. We'll find both new life and thanks for listening today. We really appreciate your time and attention. Any last comments, mate? 

Neil: I’d like to say good chatting. We're looking forward to another conversation soon.

Lisa: Right. I'm going to go and do some movement in nature. Brilliant. We'll see you next week, everybody. 

That's it this week for Pushing the Limits. Be sure to rate, review, and share with your friends and head over and visit Lisa and her team at lisatamati.com. 

The information contained in this show is not medical advice it is for educational purposes only and the opinions of guests are not the views of the show. Please seed your own medical advice from a registered medical professional.

Dec 3, 2020

Whether you are a beginner or experienced ultramarathon runner, you need to be well-prepared for every run you do. Ultra running has its bright side — the uplifting community, the sense of accomplishment, and the goals of becoming stronger. However, there are certain risks involved in the sport, and as an athlete, you need to keep yourself informed.

In this episode, Eugene Bingham joins me to explain the dangers of extreme sports and marathons. We share personal stories about the damage it could do to the body — experiences that should serve as a warning to runners. Eugene also discusses things to be aware of before and during races that can endanger us, giving us five specific tips for preparation and self-management.

Don’t miss this episode and learn more about the risks of and preparations for ultra running and other extreme sports!

 

Get Customised Guidance for Your Genetic Make-Up

For our epigenetics health program all about optimising your fitness, lifestyle, nutrition, and mental performance to your particular genes, go to  https://www.lisatamati.com/page/epigenetics-and-health-coaching/.

You can also join our free live webinar on epigenetics.

 

Online Coaching for Runners

Go to www.runninghotcoaching.com for our online run training coaching.

 

One-on-One Health Optimization Coaching 

If you would like to work with me one to one on anything from your mindset, to head injuries,  to biohacking your health, to optimal performance or executive coaching, please book a consultation here

 

Order My Books

My latest book Relentless chronicles the inspiring journey about how my mother and I defied the odds after an aneurysm left my mum Isobel with massive brain damage at age 74. The medical professionals told me there was absolutely no hope of any quality of life again, but I used every mindset tool, years of research, and incredible tenacity to prove them wrong and bring my mother back to full health within 3 years. Get your copy here: http://relentlessbook.lisatamati.com/

For my other two best-selling books Running Hot and Running to Extremes chronicling my ultrarunning adventures and expeditions all around the world, go to https://shop.lisatamati.com/collections/books.

 

My Jewellery Collection

For my gorgeous and inspiring sports jewellery collection ‘Fierce’, go to https://shop.lisatamati.com/collections/lisa-tamati-bespoke-jewellery-collection.

 

Here are three reasons why you should listen to the full episode:

  1. Learn about the risks and dangers of extreme sports and ultra running.
  2. Gain valuable insight into the things you need to be aware of before and during marathons.
  3. Understand the importance of listening to your body.

 

Resources

 

Episode Highlights

[04:01] The Dangers of Extreme Sports and Ultramarathons

  • Eugene participated in the 2020 Tarawera 100-mile race where an experienced runner died.
  • The runner’s death certificate showed that he had a multi-organ failure, acute respiratory distress syndrome, and rhabdomyolysis.
  • However, it was difficult to pinpoint the true cause of death since it can be a result of accumulated health conditions.

[09:50] What Is Rhabdomyolysis?

  • Rhabdomyolysis, or muscle breakdown, is quite common for runners.
  • As the muscle breaks down, myoglobin from the muscle is released into the bloodstream, clogging the kidneys.
  • It can be difficult to tell when this happens since symptoms can be easily mistaken for simple muscle soreness.
  • This can happen to everyone, not just those who do extreme sports and ultra running.

[16:27] Importance of Self-Management

  • At some point, we have to ask ourselves if the damage we’re doing to our body is worth it.
  • There are risks, and you have to be prepared for them. 
  • There is a culture of not quitting unless you’re taken by the ambulance. However, we have to listen to our body before it gets to that point.

[20:19] Mental Toughness and Listening to Your Body

  • As we grow, our physical abilities and mental maturity changes. Accept that the body may not be able to take what it could years ago.
  • The goal of pushing your limits is good but keep in mind that you also need to train and prepare yourself.
  • Being mentally tough also means knowing when to stop and rest.

[22:53] Ultra Running: 5 Tips to Remember

  • Do not take drugs like ibuprofen and Voltaire. 
  • Drink when you’re thirsty and do not over drink. 
  • Be prepared for a range of weather conditions.
  • The race does not end at the finish line. Replenish yourself after every race.
  • Look out for each other.

[28:08] Always Have Support

  • Eugene shares his experience of having hallucinations but was kept safe by his companions.
  • Form connections and friendships with the people you meet in races. They are bonds that last forever.
  • Listen to the full episode to hear Eugene and Lisa share more stories about how people have helped them during races!

[38:33] Conditions to Be Aware of

  • We need to be careful about dehydration.
  • Symptoms of hyponatremia (having low sodium levels in your blood) are swelling, nausea, and lightheadedness.
  • Low levels of potassium and electrolyte imbalance can result in tetany seizures.
  • Electrolyte tablets are beneficial — make sure they have all the nutrients you need.
  • Having no appetite after a race is dangerous. We need to replenish our bodies straight away. 

[47:10] Risks Are Exponential

  • When you exponentially increase the distance you run, you exponentially increase our risks as well.
  • All races are relative to pace. Never underestimate a race by distance.
  • Take every race like a big deal and don’t become complacent.
  • Recovery after a race is also crucial. Don’t succumb to peer pressure and sign up for a race immediately after.

[51:53] Quick Checklist

  • Do not expect that you can do it just because you’ve done it once before.
  • Be aware of conditions such as rhabdomyolysis, heat stroke, hyponatremia, dehydration, seizures, electrolyte imbalances, and breaking ankles.
  • Plan well — note altitudes and paths.
  • Running is just like driving. Driving is considered dangerous but we don’t avoid it; we just take extra measures and precautions to make sure that we are safe.

 

7 Powerful Quotes from This Episode

‘People need to be really conscious of the risks — they need to be prepared to put the time in. You've got to prepare your body and you've got to know your body’.

‘Having lined up at the start line with someone who didn't make it home — that really reinforces that these are real risks and you have to be prepared for them’.

‘The race doesn't end at the finish. Some of the most dangerous time is after that: when people get to the finish line and drive home, they're tired — you can crash easily’.

‘Sometimes there's a bit of competition, isn't there. But, number one, you've got to look out for each other. You are comrades — you've got to have each other's backs’.

‘It is incredible, those connections you make. Even if you don't see each other again, but yes, you've got that bond. That's forever’.

‘Take those precautions. Just be a bit careful. We want to push ourselves. Yes, we want to be out there. Yes, we want to find new limits, but we also want to get back home’.

‘Respect the distance. You cannot run something like this without respecting it’.

 

About Eugene Bingham

Eugene Bingham is a senior journalist at Stuff, co-host of the Dirt Church Radio trail running podcast with his mate Matt Rayment and an ultramarathon runner. In a career of almost 30 years, he’s reported and produced news and current affairs, winning multiple awards as an investigative journalist. His work has taken him to three Olympic Games, and a number of countries including Afghanistan, the Philippines and the Pacific.

No matter where he goes, he always packs his running shoes. He has a marathon PB of 2h 43m and his longest event is the Tarawera Ultra 100-mile race which he ran in February 2020. Eugene is married to journalist Suzanne McFadden and they have two grown-up boys.

You can listen to their podcast on Dirt Church Radio. You can also follow and support them on Patreon, Instagram, and Twitter

Have questions you’d like to ask? You can reach Eugene at his email.

 

Enjoyed This Podcast?

If you did, be sure to subscribe and share it with your friends!

Post a review and share it! If you enjoyed tuning in, then leave us a review. You can also share this with your family and friends so they can be aware of the dangers of extreme sports and ultra running.

Have any questions? You can contact me through email (support@lisatamati.com) or find me on Facebook, Twitter, Instagram, and YouTube.

For more episode updates, visit my website. You may also tune in on Apple Podcasts.

To pushing the limits,

Lisa

 

Full Transcript For The Podcast!

Welcome to Pushing the Limits, the show that helps you reach your full potential, with your host, Lisa Tamati. Brought to you by lisatamati.com

Lisa Tamati: Well, hi, everyone, and welcome back to this week's episode of Pushing the Limits. Today, I have journalist and ultramarathon running legend, Eugene Bingham, to guest. And Eugene is the host of the podcast, Dirt Church Radio, which I hope you guys are listening to. It's a really fascinating insight into the world of running and trail running. And he has a really unique style, him and his friend, Matt Raymond, run their podcast. So I hope you enjoy this interview. 

Today we're talking about the dangers of extreme sports, not just ultramarathon running, but doingpushing your body to the limits. While, you know I'm definitely a proponent of going hard and mental toughness and pushing the body and all that sort of good stuff. We also need to know about the downside. We also need to know about the risks. And recently there was a death, unfortunately, at the Tarawera Ultramarathon of a very experienced ultramarathon runner. And so we're going to dive into some of the dangers and some of the things that need to be aware of when it comes to pushing the body to the limits. And so you have an informed consent and an understanding of what you're getting into when you're doing these sorts of things. 

Before we head over to the show, though, please give them a rating, review to the show if you enjoy the content. Really, really appreciate the comments and the reviews and if you can do that on iTunes, or wherever you're listening, that would be really, really appreciated. And if you haven't sold your Christmas stocking yet, please head over to my shop and check out my books, Running Hot, which is chronicling all my running adventures in my early days, Running to Extremes. Both of those books bestsellers, and my new book, Relentless - How A Mother And Daughter Defied The Odds, which is really a book about overcoming incredible obstacles, the mindset that's required, the stuff that I learned while I was running and how it helped in this very real world situation, facing a very dire situation within the family. I hope you enjoy those books and if you have read them, please reach out to me, give me a review. Again, if you can, I'd really appreciate that you can reach me at lisa@lisatamati.com

And just a reminder too, we are still taking on a few people, on one on one health optimization coaching, if you're wanting to optimise your health, whether it be with a difficult health challenge, that you're not getting answers to mainstream health and you're wanting some help navigating the difficult waters that can sometimes be, please reach out to us. And we deal with some very intricate cases. And I have a huge network of people that I work with that we can also refer you out to. I am not a doctor, but I am a health optimisation coach and an epigenetics coach. And we use all of the things that we've spent years studying to help people navigate and advocate for them, and connect them to the right places.

And this is a very different type of health service if you like and it's quite high touch and it's quite getting into the nitty gritty and being a detective basically. And I'm really enjoying this type of work and helping people whether it be with head injuries, with strokes, with cancer journeys, thyroid problems, or all these types of issues. Not that we have it or every answer there is under the sun. But we're very good at being detectives working out what's going on and referring you to the right places where required. So if you're interested in that, please reach out to us lisa@lisatamati.com. Right, now over to the show with Eugene Bingham. 

Well, hi, everyone, and welcome back to the show. I have Eugene Bingham. I know he's so famous, he actually sit down with me to record this session. So fantastic to have you here. Right? How are you doing? 

Eugene Bingham: I'm very well, thank you. And thank you for having me on. Such an honour. 

Lisa: Fantastic. Yes. Well, I was lucky to be on your show. And you've been on mine, and we just really connected. So I wanted to get you back on because you've just written an article, which was very, I thought was an important one to discuss. And it was about the tragic death of an ultrarunner last year or this year in the Tarawera Ultramarathon. And while we don't want to go too deep into the specifics of that particular case or we'd like to know what you know about it...

Eugene: Sure. 

Lisa: ...but wanted to have a discussion around the dangers of extreme sport or ultramarathon running and some of the things we just need to be aware of. So, obviously Eugene and Ineither of us are doctors or any of this should be construed as medical advice, but just as—have to give them out there... 

Eugene: Absolutely. 

Lisa: But as runners and people who have experienced quite a lot in the running scene, and I've certainly experienced enough drama, that it is something that we need to talk about. So Eugene, tell us a little bit about what happened? And what are you happy to share 

Eugene: Sure. 

Lisa: ...and what you wrote about in your article, which we will link to in the show notes, by the way.

Eugene: Yes. Thank you. Sure. Yes, so I was a competitor in the Tarawera hundred mile race in February, which as you saidwhen you said last year, it does feel like last year, doesn't it? Oh gosh, it feels like it was five years ago. But it was February 2020, all those years ago. And in that race was sort of about 260 of us lined up. And then that race was a runner an older—oh, he’s 52. So from Japan, a very experienced runner, had run Tarawera previously, had run lots of other miles, and ultraraces. And unfortunately, about a kilometre or so from the finish, he collapsed, and about 34 hours into the race. And although people rushed to help them, and he was taken to retro hospital, and eventually to Auckland City Hospital, he died. And I remember, I remember the afternoon we heard about it, and Tarawera put it up on its Facebook page to let us all know that one of our fellow runners had died and I stopped. It was a shock. 

Lisa: Yes.

Eugene: You know we do this thing, because we love it. 

Lisa: Yes.

Eugene: And because we get enjoyment from it. And he was someone who paid the ultimate price. 

Lisa: Yes. 

Eugene: So Iwe're a couple of hats, and one of them is a journalist, and so I—but really, what first kicked in was, I really want to know what happened. I really wanted to know what happened. I've had health issues myself, had a few scares and so on. A few wobbles and races, and I thought—just from my point of view, I was really curious to find out. But I also thought it was important to find out for other runners...

Lisa: Yes, absolutely.

Eugene: ...or say, I listen for others. And so I started to see if I could find out. COVID got the way a little bit and distracted me. But eventually I did manage to track down what happened there. Yes.

Lisa: And what was the result of the findings in this particular case? I mean, we're gonna want to discuss a few. 

Eugene: Sure.

Lisa: I think, in this case, it was a couple of things, wasn't it? But this is without pickingand we're certainly not picking on anybody or any, not race, or anything or saying this is bad or anything. But what was it that you discovered in it? 

Eugene: Yes.

Lisa: So with that, research. 

Eugene: Sure. So initially, I remember the talk was that he might have had a stroke, or there might have been some sort of underlying condition. 

Lisa: Yes. 

Eugene: But I got a hold of his death certificate and it shows that he had multiorgan failure, and acute respiratory distress syndrome, which are both conditions that they can be in multiple causes of those sorts of things. But the one that jumped out to me was Rhabdo. You're gonna make me say that? The proper name for it.

Lisa: Rhabdomyolysis

Eugene: Thank you.

Lisa: I'm an expert in rhabdo.

Eugene: So yes, that was the third one on the list. And that was the one that really jumped out at me. 

Lisa: Yes. 

Eugene: Months earlier, I'd spoken to Dr Marty Hoffman, who's in a University of California Davis in the States, and he's sort of recognised around the world. Basically, if there's an ultra—there's a paper about medicine involving ultrarunning, you'll find Marty Hoffman's name on it, he knows this stuff. 

So I'd run to him months ago, at the suggestion of a friend, Dr John Onate, and I had a good chat with him. And he sort of ran through the list of what we could be looking at here, but he was really—it was a stab in the dark at that point. But he told me then that they’re hipping no deaths from rhabdo, knowing deaths from rhabdo from ultrarunners. 

Lisa: Yes.

Eugene: Yes. And no knowing deaths from ultrarunners of the AH, exhausted and just talking it, ‘How can I train you’? 

Lisa: Yes. 

Eugene: So we were kind of that, like, ‘What could it be’? Yes. So when rhabdo appeared on the desk fit, I rang him back and said—I actually emailed him and said, ‘Hey, this is what it says’. And he was very surprised because he keeps track of deaths of ultrarunners around the world. And as he said, there hadn't been one recorded before, doesn't mean there hasn't been one, of course. 

Lisa: Yes, it doesn't mean.

Eugene: It's just no one, yes, no one knows what causes. 

Lisa: And I think a lot of these things will have contributing factors in—completely unrelated but going through the journey with my dad recently it was at the end, he had multiple organ failure. 

Eugene: Yes. 

Lisa: He had sepsis however, and before that he had an abdominal aneurysm. 

Eugene: Yes.

Lisa: So it shows the progression like it. What did he actually die off? 

Eugene: Yes. Yes. 

Lisa: He was born with the failure probably, or zips as chicken or eek scenario.

Eugene: Yes.

Lisa: So these things, one leads to an acute respiratory syndrome 

Eugene: Yes.

Lisa: And they all lead on from one to the other when the body starts to shut down, basically. 

Eugene: It's a cascade isn’t it? 

Lisa: It’s a cascade. That is a very good way of putting it. So rhabdoand while there is perhaps no documented case of a death from rhabdomyolysis, I don't know if they—I know in my life, I've had rhabdo. I can't even remember the number of times I've had rhabdo. 

Eugene: Yes.

Lisa: I took away kidney damage from it and the last few years, I've been trying to unravel that damage and undo that. 

Eugene: Yes. 

Lisa: I'm getting there slowly. 

Eugene: Yes, yes. 

Lisa: So it is a very as if quite a common thing.

Eugene: Yes.

Lisa: So we don't know whether in this case that was actual final, what actually did it? It certainly would have been a major contributing factor. 

Eugene: Yes. 

Lisa: Well, what is rhabdo? I suppose we better explain what rhabdos are.

Eugene: Yes. So I mean, well, from your experience, you will know better than me. But I spoke to Dr Hoffman and to Dr Tom Reynolds, who's the race doctor forone of the race doctors for Tarawera. 

Lisa: Yes.

Eugene: And they explained it as the muscle started to break down and the myoglobin from the muscle being released into the bloodstream. And then it basically just starts clogging up the kidneys and just causing real damage in your kidneys. The problem with it is the symptoms for sort of sound like a lot of other things and also can just sound like what you might expect running an ultramarathon.

Lisa: Yes, the kind of that also.

Eugene: Yes, tenderness of muscles, a bit of confusion, and so on. And then even some of the blood tests that you can do to pick it up. So they look for CK—you're much more proficient in the medical world than me.

Lisa: Not more.

Eugene: But the thing that they test for—it basically there was an experiment at Western States a number of years ago, where they tested bloods of people in Western states and they tested something like 160 runners, all of them had elevated CK levels. 

Lisa: Yes. 

Eugene: So in part, it's just a function of ultrarunning, your muscles are gonna break down to some extent. So that makes it very, very tricky to find out, to discover it. And Dr Hoffman said, ‘Sometimes the first sign that you get that someone's got rhabdo, is they have a seizure’. 

Lisa: Yes. 

Eugene: So it can be a tricky, tricky condition to pick up. Yes, that's really—it's hard, isn't it? It's really hard.

Lisa: It is hard and—but when you are going for—and some of these races are 24, 36, 50 something hours, you're going to have some breakdown of muscle and you…

Eugene: You are.

Lisa: I mean, keeping an eye on the colour of your urine or if you are not producing…

Eugene: Yes, that’s an important one. Yes.

Lisa: It is probably the easiest thing to think about. Because like you say, the nausea and headaches and confusion and fatigue are all very general parts about running anyway. So keeping an eye on it, like getting a pouch of fluid. What I would find is that in the lower abdomen, and I don't know if whether this is an actual medical symptom or not. But in the lower abdomen, I've developed this pot gap running and, it wasn't fat, obviously. 

Eugene: Yes. 

Lisa: ...within a couple of hours. It was fluid, and would usually coincide with my kidneysthey’re not producing or producing very little output. So I think there might be a sign that something's going on there. 

Eugene: Right. 

Lisa: In rhabdo, like, we're talking ultramarathons, but I have seen a case of rhabdo in a half marathon in summer. 

Eugene: Yes. 

Lisa: Yes. So a mild case, but enough to be taken to hospital. So it's not even just people doing the extreme extreme stuff. 

Eugene: Yes. 

Lisa: But it is a very—and you have to ask yourself, how much damage are we doing every time we do and I often asked, ‘Why are you not running anymore’? ‘Why are you not doing it anymore’? And apart from life's gotten a bit crazy. Am I? Indeed yes. 

Eugene: Yes, yes. 

Lisa: Should I have not got the time to be doing offers? I want longevity and while I love ultras, and I love the culture. And I love what I got to do. And I'm certainly not, I mean, I train lots of ultrarunners. I for myself, don't want to put myself at that risk anymore. Now that I'm also 50 and I want longevity. And therefore my health comes before my sporting ambitions now. It didn't when I was younger, but now withunfortunately, one of the side effects of studying medical stuff for the last five years, is that I'm now a little bit more cautious. 

Eugene: Yes. 

Lisa: Because ignorance is bliss. 

Eugene: Yes. 

Lisa: What you don't know, you just go and do. 

Eugene: Yes. 

Lisa: You don’t actually know the implications and sometimes, you don't actually know the implications until well down the track, like, you use to check.

Eugene: Yes. yes, sure.

Lisa: That's where I'm sitting at the moment, as far as the sort of the dangers and the risks. I mean, how did you feel as a runner, who—you were in the same race doing the same distance? You're a little bit north of 25 now.

Eugene: Jump 47.

Lisa: You're 47? 

Eugene: Yes. 47, yes. 

Lisa: And did this make you stop and think about, ‘Do I want to keep doing this stuff? How do I feel about it’?

Eugene: Yes, it sure does. It sure does make your family think of that, doesn't that? I think it reinforces that you need to have really good self management. You need to be well prepared. I spoke to—when I spoke to Dr Reynolds, and I said to him, ‘We had this big conversation about all the cold coloured urine and all that sort of stuff’. That sounds a bit odd, and a little different other conditions that can come about. Yes, and so on. And I said to him, ‘Boy listen to all of that. Do you recommend people run ultramarathons’? And he said, ‘Look. At three o'clock when the medical team is full. And I've got my hands full, I look around, and I go, What the hell have we been doing this for’? But he says, ‘But it's a small proportion that gets badly affected. And as long as you manage your risks, and you're aware of it’, he said one of the things that he's really concerned about is people jumping up the distance too quickly.

Lisa: Yes. 

Eugene: Or the runner suddenly, ‘Wow, I'm gonna run 100 miler’, because it has become, I think it's…

Lisa: The new marathon. 

Eugene: I told him, I spent more time trying to talk people out of doing milers than I do in trying to talk them into doing milers. I don't think I talk to any other or talked anyone into doing a miler. It's a very personal choice. I spend a lot of time talking to people out of it, makes me so again. But again, I don't know if that's a good idea, mate. 

Lisa: Me too. 

Eugene: Yes. And it sounds bad. 

Lisa: Yes. 

Eugene: Try running podcasts.

Lisa: I know. You know, my buddy out running.

Eugene: Yes. But I just think people need to be really conscious of the risks. 

Lisa: Yes. 

Eugene: And they need to be prepared to put the time in. And that's one of the things that you've identified. You've got to prepare your body. And you've got to know your body. I mean, I took—I've been running my whole life. And I didn't take the decision to enter the miler, lightly, certainly would now knowing what I do know now. And when I say no, I mean, I'd always heard of rhabdo. I'd heard of AIH, I'd heard of dehydrational systems. 

 

And you sort of think about you sort of like, ‘Yes, yes, yes’. But having lined up at the start line with someone who didn't make it home that really reinforces that these are real risks, and you have to be prepared for them. You have to be ready for them. So, I'm not gonna stop ultrarunning, I don't think. But I'm certainly going to be a hell of a lot more careful. And listen to my body. 

Lisa: Exactly. 

Eugene: Sometimes you can get that. I find one side of ultra running that I struggle with a little bit is the whole kind of ‘You're not going to quit unless the ambulance takes you off the course’ kind of thing. I don't like that. I don’t really like that.

Lisa: I totally agree.

Eugene: You know, I agree. I love the whole mental toughness thing out of it. Don't get me wrong. That's one of the things that I enjoy about it. But you have to listen to your body. You have to listen to your body. I've pulled out of a 100k race, where I could have pushed on. You know. Looking back, it's like, ‘Yes, I could have pushed on, at what cost’? You know? 

Lisa: Yes. 

Eugene: Yes, it just wasn't worth it. Could I push through and be out there for another hours and hours and hours and hours? Putting myself... 

Lisa: Yes. 

Eugene: Yes, sure. I could have but what was the risk? What could have happened? And what do I get out of it? Instead I actually came away from that race having learned a hell of a lot of lessons. And they prepared me for the miler, actually.

Lisa: Yes. And I think that’s some beautiful attitude and in a very wise mind. Some of the things that I did in my younger years or evenI’m talking 40s.

Eugene: Yes, yes.

Lisa: We're stupid. There is no other word for it. And especially in the 30s, my 30s, I thought I was bulletproof and I could push and I had that mentality, you're going to have to drag me away, framing and I have seen lots of others. And I have nearly pushed my body on a number of occasions to the point of death and I've been very, very lucky not to have died. 

I've had tetany seizures, which is where your potassium level and your electrolytes are so out of whack that the whole body cramps and so I'm having a heart attack. I was luckily at that at the point that I head out, I was in Alaska, and I'd been for six weeks out in Yukon with poor nutrition and so on and pushing the body every day. I just come off a mountain when this tetany seizure hit. Luckily, I was two minutes from a hospital, and they saved my life. 

Eugene: Wow.

Lisa: But that would have been deadly very quickly. I've experienced extreme levels of dehydration in the Libyan desert where we only had like one and a half to two litres of water a day in 40 plus temperatures. And gone to the point where I no longer was in control of my body, and my—not only just hallucinations but the central nervous system starting to shut down. Massive kidney damage, and taking nearly two years to recover from that. 

I’ve had food poisoning while running across Niger, and again bleeding at both ends pushing it to the absolute limit I did pull out of that race at 64 hours after 222Ks but that was way too late. I've gotten away by the skin of my teeth. Not to mention going through war zones or military body areas

Eugene: Yes.

Lisa: Or being in really dangerous situations and that's a whole podcast in itself. But it wasn't worth it. Now I think I was just so afraid of failure I was so afraid of not achieving that, which I'd set out to do that. And I have to think about it now and go I wasn't inpeople who are in war scenarios or some survival situation where you have to freakin go to the limit alive.

Eugene: Yes.

Lisa: But I wasn't in there. This is awell, Libyan desert ended up like that, but you know what I mean?

Eugene: Midnight summer bitches. 

Lisa: Oh yes, it’s some stupid shit. It really was. But at what costs? Now, I've had a lot of health issues in the last five to six years and a lot of that comes from—I haven't been able to have children you know and so on and so forth. And these are the contributing factors 

Eugene: Sure enough.

Lisa: That's the only reason for certain things, but now as a coach and as an older wiser woman, I don't want to see people pushing their bodies to that point where they actually close to dying or causing major damage to the body. 

Eugene: Yes, yes. 

Lisa: It really is not worth it.

Eugene: I mean this pushing the limits isn't there. And mentally, I think there's a lot to be said for having a goal that's going to stretch you when you are going to go for it. But the key is to be prepared, isn’t it? To actually have done the training... 

Lisa: The training 

Eugene: ...to prepare your body. To testso that you know when your body's screaming at you, you know it’s saying, ‘Okay, you know what, you know to pull the pen or you know to stop and rest or whatever’. I think there was some good—Tom Reynolds had some five tips which are really good. 

Lisa: Yes. Let’s hear them 

Eugene: To prepare yourself for an ultra especially ultras but even marathons I suppose 

Lisa: Absolutely.

Eugene: Number one on his list, and I think he would make this number 1, 2, 3, 4, 5 is don't take drugs like Ibuprofen and Voltaren and those sorts of things. 

Lisa: Super important.

Eugene: Do not take them. Yes, super important. The second one is drink to thirst. You know that you can have problems—your own problems if you have too much liquid. 

Lisa: Yes, which we’re talking about in a sec.

Eugene: Yes. Be prepared for the conditions. Have a plan for a range of conditions. So make sure you've got thermals. Make sure you've got your jackets and sawn and layers that you can take on and take off especially if you're going to some of these remote areas that we go to as ultrarunners. 

Number four, the race doesn't end at the finish. Pack warm clothes, get some food ready that you can eat, some liquids. And another thing that he pointed out to me is actually some of the most dangerous times is after that finish line. When people get to the finish line, and drive hard, and they're tired.

Lisa: It's so true.

Eugene: You can crash easily for a second crash. 

Lisa: Yes. 

Eugene: And number five is look out for each other. and I think that's so important. Sometimes there's a bit of competition isn't there? But number one, you've got to look out for each other

Lisa: Yes. 

Eugene: You are comrades in this together and you've got to have each other's backs. And there's little relationships that you build up with someone you've never met before. I still remember having a good chat to a farmer from Jordan. I spent a lot of hours with him at Tarawera. Haven't spoken up since, never met him before in my life, but there we were together at Bizmates on the trail.

Lisa: Awesome.

Eugene: Keeping an eye on each other. Looking out for each other. You make sure they've got their bottles filled at the aid station. You make sure that they're not getting confused or anything like that—just looking out for each other. Simple isn’t it?

Lisa: That’s gold.

Eugene: And that was the five tips that he gave. Actually, they're pretty good tips.

Lisa: They are very good tips, and a couple other ones to pick out like the training. In my early days as a coach, I remember taking an athlete who went from half marathon to running the Big Red Run 250Ks.

Eugene: Wow.

Lisa: Inside a month. 

Eugene: Oh.

Lisa: Now on a red mat, that was stupid. 

Eugene: YeS. 

Lisa: He came over to do 100k to be fair, and he was doing so well. He just decided to carry on and to do the whole thing. And it was an incredible achievement. 

Eugene: Oh, yes. 

Lisa: However, broken my butt. Like, it never was quite the same afterwards. And he wasn't ready. He wasn't, like, his body wasn't ready. So when you prepare your body, when you're training, you doing these long runs, and you're doing back to back running, and you're doing strength training, you're doing mobility work, all these things are preparing the muscles so that they don't break down so quickly and they don't need—you don't need about rhabdo. 

And another big piece of the puzzle is the experience side of things. Because then you can actually start to feel when your body's doing a chick or not. As I run, I used to do like little chickens every half hour or an hour I'd go right I'm doing a control like a pilot would before he flies the airplane. ‘How is everything? How am I feeling? Have I ever drunk in the last 10 minutes? Have I eaten anything? When was the last time I weighed? When was the last time’... Just doing a mental checklist as often as you can. 

Now one of the hard things with ultra though is that you start to lose your brain function, so all the blood flow is going away from your executive function up here and you become like a bit of a moron. You’re like, ‘Oh, oh’.

Eugene: Absolutely. Solving maths? Impossible.

Lisa: Impossible. Or maybe doing a 24 hour race, the one at the Millennium Stadium, and there was some guys they’re testing us just for a laugh, doing Noughts and Crosses as we run around the track and our brain function is a day and night wore on just we weren't even able to add up one plus one anymore. We just completely like, ‘Eh’?

He’s got low blood and my brain is not functioning. So what that does mean is that your ability to make good decisions is also impaired. I remember saying to one of my friends who was a paramedic and she was with me in Death Valley, in the second time I did Death Valley. And she says, I said to her, ‘You are responsible for my health’. I was lucky I had a crew in that situation. If you pull me out, you pull me out. I know that you won't pull me prematurely because you know what, it's taken me to get here. But my life is in your hands and I respect that. I respect you. I respect your knowledge as paramedic. If you tell me it's over, it's over. And she will be able to make that decision because I knew from my personality and from my matter that cost me to get there wasn't going to be pulling out anytime soon.

So sometimes if you can have in the case where you have a crew have somebody say, ‘This is now getting dangerous’. And it's a fine line. Like I pulled my husband out of a race once, Northburn, a race that I co-founded a few years ago in the South Island. And he was doing the 100k and he actually rang me on the cellphone, and it seem the case, we had a massive storm up in the mountains. It was wild. It was his first 100k, he was in the mountains. He was scared shirtless. He was hypothermic. And I was like, ‘Oh my god, darling, just come home’. You know? So that wasand he could have pushed on. 

Eugene: Yes.

Lisa: And mentally that cost him a lot because he pulled out, and he didn't push over that hub. So there's this fine line between it should’ve been ours...

Eugene: But he lives to tell the story. 

Lisa: Exactly, and he's done that, so it wasn’t...

Eugene: Exactly, that doesn't matter, you know? We love those stories. I love reading your books. I love reading the things that you've been through. But, my gosh, when you think about the risks as you say and the cost, and that's a common story. You're not alone in there, That's the sport we’re in. 

Lisa: Yes.

Eugene: It's ridiculous to me. But you know, it's a tough one. And it's, I think that's a really good idea. Having someone who's who's got your back. Someone who you can trust, like you say, they're not going to pull you out you know just because you stub your toe. Oh gosh...

Lisa: Just because you’re...

Eugene: Exactly. Exactly. Who hasn't? But you can trust them so that when you've gone to that thin line, bang! 

Lisa: Yes. 

Eugene: Come on my area. 

Lisa: Yes. 

Eugene: And I was lucky to have a really good mate who phased me. I went through some hallucinations. Nothing major. But he thought it was—I had my mate. And he was looking out for me. In fact, he laughed at me.

Lisa: What did you see in your hallucination?

Eugene: Oh, I hit home. So we were running around on an unfamiliar course. We were coming around the back of Blue Lake. Up towards the Blue Lake aid station. So about 120km. And it was just before sunrise. So, you get that funny light. 

Lisa: Yes. 

Eugene: It's still dark, but the light is changing. And I swore coming up to the aid station, I swore I saw a robot sitting off to the side of the trail. And in my photo frame mind, I justified it as ‘Oh, it must be like reading, it must be scanning us telling the aid section that we're coming’. And so I saw it. And said to my mate, ‘James, there’s a robot. It's pretty cool’. And he's like, ‘The what’? ‘The robot there’. And he's like, ‘There’s nothing, man’. And I think it was a tree or something. I don't know what it was. But it's funny how I justified it to myself. So it was fine. And then after the light changed, I got a couple of situations where it's quite unlikely to cause hallucination or is vision going. But I—the ground was just like liquid glass.

Lisa: Wow, that’s cool.

Eugene: I was like, ‘Oh, should I put my foot down or not’? And James said, ‘What are you doing? Come on’! It was like, ‘What's going on with the ground’? 

Lisa: [32:58] inaudible the glass. Well.

Eugene: So that was but—people have some great hallucinations, don't know. But the point of that was, I had my mate there. It was never unsafe. And I'm grateful for that. So I think that's a really good tip, Lisa, to have a crew with you.

Lisa: I think hooking up. Or if you're in a race where you don't have crewwhich most of them are. And that you do hook up with somebody. If you can try and not too many people because then your pacing will be all out. But if you can just hook up with one person or maybe two at the max.

I remember running the Gobi Desert in the Sahara with same gash who was in the desert runners movie together and this is great footage and desert runners is playing at the moment on TVNZ if anyone wants to check it out, it’s a cool movie. And yes we're running along holding each other's hands, bawling our eyes out, and but we got each other through both of those messiest days, both in the Sahara, and in the Gobi. And we ran together in India as well but with crews in that case. But that comradeship that we have there was just gold. It just helped. 

When you [34:17] escaped shirtless you hit someone the and we did get lost and we did fold our paces and we did have all sorts of dramas and we kept each other going through all those hard times and I think that's one of the beautiful memories for me that I take away from that. And there were other people I've done the things with... And the depth of connection that you have with a human being when you've gone through something like that it's just next level. And that's one of the beautiful things because we’re talking about all our negatives here but it is just likeshe’s a very amazing woman that one. She’s done incredible things.

Eugene: It is incredible, isn’t it. Those connections you make. 

Lisa: Yes. 

Eugene: The friendships you forge. Even if you don't see each other again, but you've got that bond. That's forever. 

Lisa: Yes. 

Eugene: Those moments that you shared when you're vulnerable.

Lisa: When you're up [35:11] Creek and literally. Guys who didn't even speak the same language or a woman I remember running in the Sahara at one point with aI was crying, she was crying. She was from South America somewhere, didn't speak a word of English, or another French guy picked me up in Jordan when I was running across there and I'd passed out and he came along, picked me up, got me into the next checkpoint. The French guy and Niger, it's just like, ‘Wow’. The stuff that you help each other through. It's gold, but does this do happen, you know? 

Eugene: They do. They do. Yes.

Lisa: We have one in the Gobi Desert. We had a young man, Nicholas Kruse was only like 30 or 31, I think. And he was first time doing it. And he wasn't trained enough, I don't think. And he—I think he underestimated the thing. And he unfortunately probably paid the ultimate price. And then you've got also the dangers. I mean, you got cases like with Turia Pitt, the forest fires in Australia, or there are things that could go wrong.

Eugene: Yes, absolutely.

Lisa: Even in these organisers' races. You have falls where you've hit your head and concussions and... Just because you're in an organised event, do not think that there isn't an element of danger, or that you're going to have to be self-reliant, you cannot. And inside these countries is beyond the abilities of the organisers actually to cover every base.

Eugene: Absolutely. Well, even in races in New Zealand, we go to some remote places, and races route is difficult to get. You're not just going to be able to ring up 111 and get an ambulance there. 

Lisa: No.

Eugene: It's not like that. I've been in a 100k race where—because there have been lots of runners going through this. It was a narrow bit of the trail. And it was really dry there. And runners have been going over this bit of land. And basically, as the day wore on, it sort of started to break down a little bit. And I was just the unlucky one stick on the trail in a way. And I slid down this bank... 

Lisa: Oh my god.

Eugene: ...and down, down, down, down down, thinking, ‘Uh-oh, when's this going to stop’? Luckily, I hit, I came to a stop on a tree, not badly. And then basically had to scrape my way back up. Now, I was fine. But you know, those sorts of things can happen if I stumbled in a wrong way as I came off the trail and hit my head, whatever. So you are—yes, you will, I mean, it’s not... Well, I mean, when we've been out on a run in a cotton wool, so [37:57] do we. But we don't want to go everybody. But you don't need to be conscious.

Lisa: I'll be conscious of it. I think...

Eugene: And even when you're training too, when you're training, when you are going out in remote areas. Make sure you tell someone where you're going. Preferably run with some other mates. Maybe think about taking a locator beacon with you if you're going somewhere really remote. 

Lisa: Absolutely.

Eugene: Have a phone with you, do those sorts of things. Take those precautions. Just be a bit careful. Yes, we want to push ourselves. Yes, we want to be out there. Yes, we want to find new limits. But we also want to get back home. 

Lisa: Yes, we want to come home to our families and not die on the way. 

Eugene: Yes.

Lisa: If we can. I mean, people can take it to the level that they want to go to, but just don't want people going and thinking that everything's safe because it's an organised event or because hundreds of other people have done it, means absolutely nothing.

Eugene: Absolutely. 

Lisa: I’ll tell you, like how many thousands of people have climbed Mount Everest, but it's still a frickin dangerous thing to do.

Eugene: Absolutely. 

Lisa: Doesn't mean it's safe just because lots of people have done it. I think likeif we just went through a bit of a list now of some of your things that you'd like from a medical perspective, that you should gone this research on and find out about. 

One of them, so we've talked about rhabdomyolysis. Dehydration is the opposite, is well known, dehydration is what we think about more, and that's certainly something that can then can lead to troubles. And you've got hyponatraemia or EAH, so hyponatraemia let's just talk about that one briefly because it's a biggie. Hyponatraemia is a low sodium level in the body. I've had it. Lots of people give this. And it's again, a hard one to diagnose because it is very similar to the opposite problem, which is dehydration. So hyponatraemia you've actually got too much water on board. 

One of the signs of this I'm even doing was 100k, one of those Oxfam ones. And because we'd been walking for so long, it was a walking running situation thing. And I got really bad hyponatraemia in that one. I was drinking a lot. I wasn't having my electrolytes, right. And my hands were like elephant hands. 

Eugene: Wow. 

Lisa: So that's an indication that there's something going on. So look for signs like that, look for swelling, edema. And yes, that could like... 

Eugene: Nausea, lightheadedness, those sorts of things as well.

Lisa: Coordination, going haywire. And the problem with hyponatraemia is you don't want to just be thinking it's dehydration and then drinking more. So it's an—it's a low sodium. So, your potassium and your sodium are having antagonistic relationships in your body. And you have, for every three bits of sodium that gets pushed out of the cells, three bits of potassium come into the cells. And it's like, it acts like a pump. And it's actually what helps your muscles contract. 

So if you get that sodium, potassium, ainger, other electrolytes out of whack, there's a whole lot of things that can happen. hyponatraemia being one of them. In another one being a tetany seizure, which is what I mentioned what I had in Alaska. 

Eugene: Yes, so what's that?

Lisa: So this is wherein my case, it was a potassium that was really, really low in the body at 1.4. Like it’s deadly...

Eugene: Wow. 

Lisa: Deadly low. And I'd had in the couple of weeks building up to this actual seizure. My hands were doing this, and I was cramping all the time. And that was soif you ever start doing that, like this weird thing where your hands are starting to spin.

Eugene: So, like dinosaur hands on.

Lisa: Yes, so your fingersfor those listening can't see me do my funny thing here. It's the muscles contracting and your fingers are pulling in. So I remember, swimming at some point, and the lead up to this with this was happening to me. I was like, ‘What the hell's that’? And then it would go off again. But there was a sign that I didn't have enough potassium as I found out later.

Eugene: All right.

Lisa: So then I had, a couple of weeks later, this tetany seizure, and it started with the whole body. Just like every muscle in the body cramping all at the same time, the most painful thing you can everlike really bad pain, including your face muscles, including your heart, which is the problem. 

And in there, the pain was horrific. I thought I was dying, I was. Luckily I just come off a mountain, or was taking shelter in a public library because it was pouring with rain and freezing cold. And this happened in the library. And there was a paramedic in the library who just happened to be fixing a light bulb. He saw me go down. 

Eugene: That’s one of the 43:10 [inaudible] moments.

Lisa: Yes, that was very lucky. He put a gel straight into my mouth. He just happened to have a gel on him. And that gave a little bit of glucose and stuff too, and managed to release the seizure for a couple of minutes before it happened again. But by then he got me into the ambulance and around to the hospital pretty quick, smart. And they were able to save me. But that could have been deadly. That could have been a massive heart attack on the way out.

I've seen that also happen and we were in the outback of Australia with friend Chris Ord. And he had a seizure at mile, coming in at 90 sort, and we've been running in 40 odd degrees heat and he'd been taking electrolyte tablets. So people electrolyte tablets are absolutely crucial. You've got to have them. The ones he was taking didn't have potassium. They had everything else in them but their ratios weren't right. And he ended up—we had toagain incredible pain, whole body seizing, racing him into the hospital Alice Springs. 

What I did do and what you can do in a case like that is give him three cans of Redbullnot advertising for Redbull or because generally that’s a shit thing to be drinking. And this case, with what it's got in it and the sugars and stuff that helped. So yes, but that's just a potassium sodium balance. 

Eugene: Yes .That's the thing, isn't it? We're missing with our chemistry. We're missing with the body's chemistry. I don't know what it was but I had one race where I just finished and as soon as I finished, I started shaking. 

Lisa: Oh, yes.

Eugene: Shaking and shaking. I couldn't stop for hours. And it wasn't cold. I wasn't cold.

Lisa: Oh, I know what it is.

Eugene: Well, what is it? Because...

Lisa: I don't know the name of it. But I've had that many times. It's basically where you've just got nothing left in the body. 

Eugene: Yes, somebody said to me, glycogen. Yes, just the glycogen is gone. 

Lisa: You just got nothing, you got nothing to heat because you know we heating ourselves all the time with our glycogen supplies and our glucose is running out of their body. And you were just on absolute zero basically, taking your blood sugar, I bet you’re in a really, really low 

Eugene: Right. 

Lisa: And so like, in Death—I’m telling my bloody stories, but... 

Eugene: Why not?

Lisa: A member in Death Valley. We be head like 55 degrees during the day, I’ve had heat stroke and had all that. And then at nighttime, it was 40 degrees. And I got shivers. I was doing that. I was like this and it was 40 degrees.And I was like, ‘Really, what the hell is going on? It's 40 degrees’. It was a lot colder than it had been, but I just had nothing left in the tank and therefore I was shaking. 

And that can be a real danger when you say in the Himalayas, which I've also done and that's where you just cannot warm up. You can't keep your heat going. And these can run into other problems where you just stuck—your blood sugar just keep dropping, and you can end up when—going into a coma just because your blood sugar is too low, and you got hypothermia.

Eugene: The other problem that happens. And I've had this a couple of times after ultras is I just have zero appetite, I can't, I just can't face the thought of food. You got to get something into you, you go start replenishing your body, you got to look at soups or something to get some nutrition back into it. Because like you say, it can be dangerous.

Lisa: And that's a recovery too, like, if you can get something in it will help you recover a heck of a lot faster even like just generally fully training runs, if you can get something in within an hour. But usually within an hour, you just do not feel, you just feel like vomiting if you eat too much. So you just have to take a little, little, little nibble, nibble, nibble. And something that you're reallyusually savoury salty things that you will get have a taste for. So soup or things or something like that. Just trying to eat something in. My gosh, there's a lot to be worried about.

Eugene: And that's the thing, that's the thing. These are all things that you need to be conscious of. But you manage your rests, don't you? You can manage them. And what one of the other things that Dr Reynold said, and I think is pertinent today, what just what we're dwelling on the bad things is that these risks are exponential. So he says, ‘Don't think that you run 100k all year, well, then 160Ks, that's only another 60k’. It's an exponential increase, and an exponential increase in those risks as well. So conscious of those things as well. 

Lisa: So watch when you're jumping up in this. 

Eugene: Yes. 

Lisa: And also don't fall into the trap of thinking, ‘Oh, I did it once. Therefore, it's a piece of cake. I could do it either’. I've run into this where I came off the back of a Himalayan one. I just done 222Ks. I thought it was the bee's knees. And then I went and did it just a couple of weeks later and I hadn't recovered properly a 50k in Australia. And the wheels freakin came off at 25k. It wasn't the—I had to be risky for some beer drinking Ausies in the middle of the bush. I'll tell you your ego suddenly deflated. 

Eugene: Yes, absolutely, Lisa and it's—I learned that lesson even just with the map just for the marathon. 

Lisa: Don’t say that.

Eugene: But just for the marathon. I ran my first marathon when I was 21 and I trained for it. And so I found it actually quite easy. I don't mean that—I wasn't fast but but it was I got to the end of it. I can't keep waiting for the wall. The wall never came. I got—I thought, ‘Ah’! So I made the mistake thinking marathon is easy. A piece of cake. Yes, run up on the next one. [49:13] ecruzi hardly did any training. 

Lisa: Oh. 

Eugene: My bad, so bad. And it was like it was just the marathon telling me, ‘Sunshine’... 

Lisa: Respect.

Eugene: ‘Respect the distance’. You cannot run something like this without respecting it. And it was a good listen. 

Lisa: Good listen.

Eugene: Good listen, I'll let my listen. But I let my listen. 

Lisa: And in by that token, respect any distance. People often say to me, I'm just doing it, I'm just doing half marathons, or I'm just doing marathons and because I've done lots of ultramarathons they think, ‘Oh, that would be nothing for you’. And I'm like, ‘Hell no’.

Eugene: Hell no. Absolutely.

Lisa: Every distance has to respect because it’s sort of basic thing for starters. 100 metres is a long way when you're going at Usain Bolt and 5k is really fast when you're going at your maximum. And a team K is an attunity. It's all relative to pace for status. And the second thing is never think because you did it once. Next time, it's going to be sweet. And Eugene has given us an absolute good example of that. And it is. It’s like take every race is that first is a big deal. And you have to prepare your body for it. 

And don't—oh, another mistake I made this was awesome. Another embarrassing thing. So you know. Done 25 years of stupid stuff and then when my mum got sick I didn't train obviously properly for 10 months and then I ran across the north on and raising money for charity a friend who’ve died, Samuel Gibson a wonderful man that we lost. And I was so moved. I decided I'm going to run anyway. And I have not been training for 10 months because I've been looking after my mum and I sort of thought out, this sweet, have done this backwards and upside down. I can do this.

Oh my God, my ass got handed to me. And I got through it. But oh, hell, it was hell. It was not funny. So prepare. And even though you've done it a100 times doesn't mean you still got it.

Eugene: That's right. That's right.

Lisa: I assume I don't got it now.

Eugene: And that point you made earlier about recovery, too. I did a 100k race and then you had this plan to recover, to take weeks off, got peer pressure. Mates we're doing a 50k. ‘Come on. Come on, man. I don't want peer pressure. Peer pressure’. ‘Okay. You’re already lined up to this 50k race’. Oh boy. And it just set me backwards. It set me back so far, you know? 

Lisa: Mentaly too.

Eugene: Yes. Absolutely. Absolutely. Yes. Yes. Yes. So, yes, respect things.

Lisa: We've got to respect things. We've got to not expect that our bodies got it just because we've done it once before. Be aware of things like rhabdomyolysis, heatstroke, hyponatraemia, altitude if you're doing altitude, podcasts in itself, be aware of burnout... 

Eugene: Hypothermia.

Lisa: ...hypothermia, dehydration. All of these things are things that we can and do happen to be seizures, electrolyte imbalances, getting lost, going through dangerous places, breaking ankles, and all that sort of thing. So part, it is, can happen. So, be aware of that. And we're not saying don't go out and have adventures, because that'd be really critical. But prepare for those adventures. Get proper training. Get proper coaching. Know what you're in for.

Eugene: It's like driving a car. One of the most dangerous things we do. But we make sure we wear our seatbelts, we make sure our cars have got a Warrant of Fitness and the service, and everything. We make sure there's air in the tires, we make sure there's fuel in the tank, and our bodies have got to be like that as well. 

Lisa: Exactly.

Eugene: That driving is so so dangerous. You know, so many people a year die on our roads. 

Lisa: Yes, more than ultras. 

Eugene: Yes, so we don't not drive. We just make sure that when we drive we are prepared and our cars are prepared. Well, that's the same as running. There are risks, not as much as driving. But there are risks, but we just make sure we've got air in the tires, we've got fuel in the tank, that we're serviced, and ready to go when we line up for races.

Lisa: Brilliant. Eugene, you've been fantastic today. And now you've got another thing to get to. So I want to thank you for writing that article. And thank you for your honesty and openness about this because it's really important that we do talk about it in our running community and to share the good, the bad and the ugly. So I think it's important. And keep up the great work. Of course, people should go and listen to Dirt Church Radio. It's a fantastic podcast that 

Eugene: We have great gear that’s wireless. 

Lisa: Honoured to be on your show, mate. And I love talking to you and I love what you do. So thanks very much, mate for being on the show today. 

Eugene: Anytime. Thanks, Lisa.

That's it this week for Pushing the Limits. Be sure to rate, review, and share with your friends and head over and visit Lisa and her team at lisatamati.com

The information contained in this show is not medical advice it is for educational purposes only and the opinions of guests are not the views of the show. Please seed your own medical advice from a registered medical professional.



1