V - I don't use sustained energy but I might start. I usually use cliff electrolyte drink, shot blocks and accelerade gels. This has always worked well for me until I got strong enough to push into a higher HR faster and stay there. then all of a sudden things stop moving. My plan is to take out the shot blocks, keep the electrolyte drink but dilute it and stick with the gels. I also need to back off a bit for the first 10 miles I think and let myself warm into my pace a little slower maybe. I might try Sustained energy and some other things. I had Heed on the run this weekend and that tastes horrible but worked pretty well. I can go long at a low effort and eat hamburgers.
Kimmyt - the two times this has happened the symptoms became really noticeable at about the 25 to 30 mile point. That would be about when I would start to suffer from the lack of nutrients and fluids. Then I'd become aware of my distended belly because it starts to get uncomfortable every time you try to drink which is exactly what you want to do because you're getting dehydrated etc. The symptoms stay until I can back off enough and long enough to get things moving again. At this last race, it was amazing how quickly that happened. At mile 5 on the run I suddenly started to feel better and within 15 min I had to pee and life was good. At Ironman, I don't think I completely recovered for a week.
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2007 Look Dura Ace
2010 Custom Tonic cross with discs, SRAM
2012 Moots YBB 2 x 10 Shimano XTR
2014 Soma B-Side SS