I’m often asked what is the difference between using real food and the “engineered nutrition” options available. There are quite a few differences, but what it comes down to are two things:
1) We’re not as smart as nature, so no matter what formula is contrived in the lab, there will most likely be key factors missing in the form of cofactors for metabolism which we, as scientists, cannot replicate. Take fructose for example. In its fruit form, it doesn’t cause the blood sugar and liver problems because it comes wrapped with fiber; but when you take fructose out of the fruit and put its simple molecular form into manufactured food, the fatty liver debate rears its head. (Dr. Lusting from UCSF has a great lecture on YouTube explaining this).
2) Reducing stress on the body and giving the body what it needs when it needs it.
I often hear that most calories that athletes consume in training and racing for triathlons come in liquid form: concentrated drink and gels. But then the athletes complain about cramping, bloating, falling apart in the run. I suggest looking at each discipline as a separate digestive stress: starting solid and working your way semisolid:
1) The swim. You aren’t getting calories in during the swim, yet you’re using them. So here you need to start preloaded, and then think about what you have in transition to top off after the swim; to have a “reserve” in the intestines from which the body draws.
2) The bike. Front load calories, mostly in solid form. You don’t have the pounding from running on the bike, and it is a bit easier to eat (remember: food in the pocket, hydration in the bottle).
3) The run. Here, you’re going to be just looking to keep blood sugar at a level where you can maintain workload. Here is where quick hits of sugar that don’t cause GI distress are going to be the key.
4) T1 and T2- use these to grab food and fluid you can’t/don’t carry.

How to put it all together, you ask? And what if I don’t want to use “real food”?
Regardless of distance, the notion of “carbo loading” is moot. Remember, the day before the day before the race is the most important day for nutrition and sleep. Moreover, by the nature of a taper, with a concerted effort to maintain carbohydrate intake, you are “loading.” What is more important the day and night before any distance, is to “preload” with sodium and fluid:
- Night before the race: Osmo PreLoad based upon body weight: 10 ml/kg body weight
- Morning of: your usual breakfast (tried and true is best- nerves can cause nausea and a bit of blood shift, making unusual foods not such a great idea!). Then while you are organizing transition aspects, drink another PreLoad (per above) that is icy cold (want to hyperhydrate and drop your core temperature).
PRE SWIM: within 30 min of race start, you want to “top off” breakfast with ~100-160 mixed macronutrient calories. This can be ½ bar, ½ sandwich, a banana with a few nuts, but not quick sugar like blocks or gels- you’ll spike your blood sugar before you start your swim. The other aspect is you want to have some residual calories in the intestines as you start your bike- thinking about “front loading” your calories.
T1: A couple of swigs of Osmo Active Hydration; grab a full bar or a sandwich (white bread only during exercise for low fiber and higher glycemic index) to have handy- within the first 3-4 miles eat the full bar (as you get up to race speed).
Now distances have a play into what you eat and drink. Here are some guidelines for what and when to eat:
| Super Sprint | Sprint | Standard | The Half: 70.3 | |
|
The Bike 30-60 min |
Osmo Active | Osmo Active | Osmo Active |
Osmo Active |
|
60->90 min |
Same drink as above, but eat a bar, salted potatoes, sandwich bites, ~30-50g carb/hr. | Same drink as above, but eat a bar, salted potatoes, sandwich bikes, ~4-6 cal/kg/hr of food & fluid |
Same drink as above, but eat a bar, salted potatoes, sandwich bites, lowfat muffins or brownies, pretzel bites, ~5-7 cal/kg/hr of food & fluid |
|
| T2: Grab 16-20oz Ice cold bottle 1/2 strength Osmo PreLoad (This is a cold fluid + sodium load); Start run with this & try to finish within the first 2 miles |
T2: Grab 16-20oz Ice cold bottle 1/2 strength Osmo PreLoad (This is a cold fluid + sodium load); Start run with this & try to finish within the first 2 miles |
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|
The Run 0-20min |
Osmo Active Jelly beans or blocs/chomps ~100kcal |
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| 20->40 min |
Osmo Active Jelly beans, Swedish fish or blocs/chomps ~120-140kca |
Osmo Active Jelly beans, Swedish fish, blocs/chomps ~having 20-40cal every 10 mins. |
Osmo Active Jelly beans, Swedish fish, blocs/chomps: 3 blocs or jelly beans every 10 mins until mile 8, then every 3-5 mins. |
As you can see, the real issue becomes how much you eat on the bike and what you eat on the run. Start solid and work your way semisolid. Women can afford to have a lower amount of carbohydrate per hour in their low hormone phase of the menstrual cycle (due to a greater amount of carbohydrate available for fueling). The key is to hydrate to try to maintain blood volume (reducing body water loss during your event) and to fuel smartly to maintain power and speed in the last ½ of your run.

Live long and perspire!


Your blog posts seem to be focused on triathlons. I wonder what your advice would be for long distance endurance cycling (randonneuring–200k, 300k, 400k, 600k, 1200k). Both pre-ride and during ride hydration and nutrition. Would it be any different?
Thanks.
Mark
We have some guidelines for endurance cycling. Feel free to contact us via email and we can send you some information. Also check out our FAQ’s page.
Hi Stacy. Informative posts – not easy to find credible info on the topic. I also listened to your interview with Ben Greenfield, which was great. I am a female triathlete. I am also hypothyroid, which is the case for many women in their 30s. I have two questions.
1) You say: “Women can afford to have a lower amount of carbohydrate per hour in their low hormone phase of the menstrual cycle (due to a greater amount of carbohydrate available for fueling).” Could you point me to any studies on this? is the mechanism low estrogen – better storage of glycogen in muscle and liver? I feel I can go much harder in the beginning of my menstrual cycle, but I would like to understand the mechanism.
2) Being hypothyroid (low T3 due to T4 to T3 conversion issue in the liver), it is my understanding that I do not store liver and muscle glycogen as well. Do you have any opinion as to whether hypothyroid people should take in slightly higher amounts of carbohydrates?
Thank you so much!
Thanks so much! Here are answers to your questions:
1) There is a good body of literature out there, and here are a few to get started:
Tarnopolsky LJ, MacDougall JD, Atkinson SA, et al. Gender differences in substrate for endurance exercise. J Appl Physiol 1990;68 (1): 302-8
Tarnopolsky MA. Sex differences in exercise metabolism and the role of 17-beta estradiol. Med Sci Sports Exerc 2008; 40 (4): 648-54
Boisseau N. Gender differences in metabolism during exercise and recovery. Sci Sports 2004; 19: 220–7
Oosthuyse T, Bosch AN. The effect of the menstrual cycle on exercise metabolism: implications for exercise performance in eumenorrhoeic women. Sports Med 2010; 40 (3): 207–27
Devries MC, Hamadeh MJ, Phillips SM, et al. Menstrual cycle phase and sex influence muscle glycogen utilization and glucose turnover during moderate-intensity endurance exercise. Am J Physiol Regul Integr Comp Physiol 2006; 291 (4): R1120–8
Campbell SE, Angus DJ, Febbraio MA. Glucose kinetics and exercise performance during phases of the menstrual cycle: effect of glucose ingestion. AmJ Physiol Endocrinol Metab 2001; 281 (4): E817–25
McLay RT, Thomson CD, Williams SM, et al. Carbohydrate loading and female endurance athletes: effect of menstrual-cycle phase. Int J Sport Nutr Exerc Metab 2007; 17 (2): 189–205
Enns DL, Tiidus PM. The influence of estrogen on skeletal muscle: sex matters. Sports Med 2010; 40 (1): 41–58
Henderson GC, Fattor JA, Horning MA, et al. Glucoregulation is more precise in women than in men during postexercise recovery. Am J Clin Nutr 2008; 87 (6): 1686–94
Kriengsinyos W, Wykes LJ, Goonewardene LA, et al. Phase of menstrual cycle affects lysine requirement in healthy women. Am J Physiol Endocrinol Metab 2004; 287 (3): E489–96
Burd et al Exercise training and protein metabolism: influences of contraction, protein intake, and sex-based differences JAP 106, 2009
2) I wouldn’t like to make a blanket recommendation.The body adapts at baseline, but when you start to add exercise stress, you will have to address that stress specifically I would ask you, how do you feel with your energy levels- do you have periods of hypoglycemia at rest? How does your intensity training go (i.e. with a periodized program do you still find the last 1-2 VO2 reps (of 6) impossible to attempt due to light-headeness?) It could be a strategic method of increasing the amount of carb you ingest in and around high intensity training.
Thank you so much for these responses! That is quite a list of studies. Looking forward to checking them out.
As for your input to carbohydrate needs for hypothyroid – it gets me thinking that I am probably about right. I do not have hypoglycemic episodes (except in an aquathlon swim of 5.5k where fueling options were limited and I almost fainted in the water). But I make sure to eat frequent meals and take in carbs even during shorter (1h) sessions. Hope you get distributors outside the US (based in Asia myself). Thanks again!
Thanks for the great info!
Should the “real food” be eaten at once, per hour? Or, should it be broken down into smaller portions and eaten every 30 or even 20 minutes? Or, does it really matter?
Also, I assume the Active drink should be spread fairly evenly throughout. However, how much to wash down the solid food? A little more fluid, or just enough to wash down the food?
Thanks again.
You can break it down into smaller portions to make it easier to eat. We like to say: “nibble, nibble, sip, sip.” Enough to wash down the food, but if you want to drink a bit more, it’s okay. As long as you stay within the guidelines as we’ve noted.
Hi Stacy:
I just wish I had read this before this weekend. I was participating in the Half Ironman in San Juan Puerto Rico, where the temp reached 85-86 degrees and humidity over 80%, and after having an excellent swim and bike legs, I cramped all over on the run. I am now re-evaluating my nutrition plan, I think my problem lies within it. I don’t want the same to happen in November when I plan to race the IM in Az…..
I have a question… in the run, should the bloks be the high sodium ones? I underwent a sudoration test where my sodium loss was measured as 1828mg per liter of sweat… I am really wondering if with the use of the Pre-load and Active Hydration + high sodium shot bloks I can prevent the cramps in the run…..
Thanks!!
Hi Jose-
. Cramping can be due to poor bike fit, weak muscles, imbalance between magnesium and calcium; and of course dehydration. Know that sodium losses are expected in sweat and it is your sweat rate that is more important. If you stay on-top of your fluid intake, eating sodium oriented foods will definitely help, as will topping up your diet during taper week with magnesium and calcium rich foods. Using the combination of Preload, Active, plus food with salt in it will help you hold onto additional fluid- thus you have additional blood circulating which helps with your thermoregulation (sweating) AND muscle metabolism. The other thing to consider adding is Tums- the calcium in Tums will help with the calcium availability needed for the initiation of a muscle contraction. Also, check out our blog: The Salty Truth of Hydration..
Cramping isn’t about sodium; it is a mystery
Cheers-
Stac