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T2; drastic changes in diet are often counterproductive. High CHO diet before race is recommended. #marathonchat

T2: during race, fluids are most important. I like to mix water with CHO/electrolyte drink approximately 1:1. #marathonchat

T2: CHo drink more important in later stages of the race. #marathonchat

T3: small risk of atrial fibrillation if you run for many years. Incidence ~ 5% after an average 36 years of running. #marathonchat

T3: probably not much of a worry for most people running TCM. #marathonchat

T3: however, exercise can be dangerous if you have cardiovascular disease. #marathonchat

T3: call us and schedule a sports cardiology appointment at Mayo if you have exertional symptoms of other concerns. #marathonchat

T3: orthopedic concerns are major problem with excess training and competition. Also divorce .... #marathonchat

T4: natural pacing -- 2nd half should be only 1-2 minutes slower than 1st half of race. #marathonchat

T4: A taper before the race is also important. Last long or hard run no less than 1 week prior. #marathonchat

T4: exercise suppresses REM sleep, so expect more dreams before the race as you are tapering training. #marathonchat

T4: extreme exercise is probably not a good idea while pregnant. What is being accomplished? #marathonchat

T4: good to stay fit, OK to "participate" but not race seriously. #marathonchat

T5: chondromalacia, stress fractures #marathonchat

T5: plantar fascitis #marathonchat

T5: yes, all overload injuries of the lower extremities are most common and related to mileage and pace. #marathonchat

T5: hammer toe, neuromas, especially with poorly fitting shoes #marathonchat

T6: sports is all about pushing physical limits; the harder you race and train, the more likely you are to feel it in old age. #marathonchat

T6: but of course you are more likely to have an old age but living healthy and staying fit #marathonchat

Good luck, signing off -- have to run :) #marathonchat