Interesting what you mention about getting more ectopics when laying on the L side. Perhaps this is standard, but the tech who did my heart ultrasound had a table with a little trap door that is opened when the pt lies on the L side — she said it allows the chest cavity to expand and allow the heart more room to beat without being squished against the L chest wall during the imaging. On ultrasound day, I was having chest pain and pressure, and when she opened that trap door I literally felt my heart ease up with the added room; it was a welcome relief. In the subsequent months, when I have more systemic inflammation (I have a bunch of cues to that), if I lay on my L side to sleep, my heart feels cramped, more “bumpy” (what I call it when I’m having palpitations) and I have to lay on my back or roll to the R side to sleep. I’ve been using it as a bit of a feedback loop; sometimes I notice the problem laying on my L side before I realize I’m generally inflamed, and it’s a memo for me to up my anti-inflammatory game.
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Hi Dave, glad to read that you are doing a bit better. Are you doing any dietary, supplementation, or lifestyle measures to counteract systemic inflammation, to help your heart cope with the ongoing issue?
Why I ask: My situation is not idential to yours, but some of what I’ve experienced may give you some clues. I have not (knowingly) had COVID but 6 months ago I had a bad cardiac reaction to a ‘rona vax (spike protein version) which resulted in an immediate, high number of palpitations (landed in the ER the next night) that lasted for 5 months (and continue to this day with less frequency), and for a few weeks early on, constant chest pain and pressure. This did not result in a raised HR for me, however.
I did a full cardiac workup with shiny results, ie: no “heart disease” diagnosed. Here in the US, doctors are reluctant to even respond to a patient asking, “Can this be related to the vax?” (mine just gave me a blank stare and changed the subject). Despite the lack of a linking diagnosis, with a clean cardiac workup I’m convinced my overnight developments had to do with the vax; I suspect myocardial inflammation (that’s a longer convo… based on all my symptoms, etc.). I got zero help from the cardiologist, so I talked to the doc I work for, who treats patients who have systemic inflammatory disorders; he advised me to start on an assertive anti-inflammatory supplement regimen.
Due to an autoimmune condition that makes me prone to systemic inflammation, I’m already on a highly anti-inflammatory diet for my brain health (modified AIP + keto) but I feel that adding the supplemental support has really helped me over time to quell the systemic inflammation that periodically seems to bring on the palpitations. I use resveratrol and curcumin in combination (some of the research shows the combination is more effective than taking either one or the other alone), a high daily dose of fish oils (Omega 3 mainly — too much Omega 6 is actually inflammatory and most of us get plenty from diet anyhow), and liposomal glutathione/S-aceytl L-glutathione (those versions are better absorbed/utilized than the rest), which supports the anti-oxidant systems of the body.
Also, reducing or quitting caffeine majorly reduces my palpitations (not that I like doing it…). On a more daily basis ongoing, the caffeine feels like the biggest offender.
I’ve also found that a regular breathing practice (slow in-breath, slower out-breath) majorly slows my heart rate (I actually do pranayama, but I recommend to learn it properly from a teacher, as it can cause nervous system irritation if you do it incorrectly). Lots of research on slow, controlled breathing in relation to HRV and nervous system health.
Ironically, since shortly after the start of this, I have not have any issues while doing aerobic/anaerobic training; no palpitations during exertion, no pain or pressure during exercise except for one hard hike shortly after the vax. The palpitations occur mostly when I’m sitting at my desk, or as you mentioned, supine in bed. As I mentioned above, raised HR has not been a problem for me. My heart stayed inflamed for at least 5 months before it started to calm down. In the past 2 months, when I let my system get inflamed again (through stress, bad diet, etc.), the palpitations ramp up (but never during exercise… I’ll take it!).
Maybe you’ve tried all of this, but if not, you may want to run it by your healthcare practitioner and see what they say.mgoat4 on January 29, 2023 at 11:06 am · in reply to: Does the allotted time for Z1/Z2 sessions include the 15 minute warmup? #75176
Thanks again for your help, Jane! I posted here (vs the other thread) in the hopes I wouldn’t use more of your time. I too have noticed that after about 30 minutes I have a shift and it’s like the gates open with my energy production, pace, and available effort. However with my limited capabilities right now (playing it safe till I know what the achilles will do), my total on-foot moving time is only 3-45 minutes. Alas… but I’ll take it! Cheers.mgoat4 on January 27, 2023 at 6:37 am · in reply to: Please make menopause a topic in the forum index #75130
Glad to see this thread, even tho it’s been inactive since last spring. I’m 57 and have been using the UA method for about a year (with great results!). I was already on keto (ie: fat adapted) and using intermittent fasting (for my brain health) and as a morning exerciser, was already training fasted (ie: no tough transitions there when I started their method). In 2022 I approached UA about creating a specialized training group for those of us over 50/or in menopause who want to train hard (ie: no focus whatsoever on menstruation, pre-perimenopause hormone issues, or how to integrate training with raising children, etc.). In a nutshell their response was, “We are currently revamping the women’s training program and can’t do this at this time”. The email came from one of their trainers who is in our demographic, and she offered to train me personally, but I don’t have the funds for that. Perhaps if enough of use posse up they might do so in the future… squeaky wheel, sistahs!mgoat4 on January 24, 2023 at 11:52 am · in reply to: ADS: Start Transition Period per the book, or only Zone 2 for # weeks? #75040
Yeah, definitely 8 weeks!
One more question… in the book’s Transition Period planning section on page 190, for the long Zone 1 and Zone 2 sessions it mentions “… should be #% /should not be more than #% … of total aerobic training volume”. Then it mentions “Make up the rest of the volume with easy aerobic at Zone 1, or recovery pace. To confirm, do recovery pace sessions count into the math for aerobic weekly volume, or just Zone 1 and 2? The associated chart has 2 “Recovery” spots, so I want to do the math right (see attached screenshot).
Thanks so much for the help!mgoat4 on January 22, 2023 at 4:15 pm · in reply to: ADS: Start Transition Period per the book, or only Zone 2 for # weeks? #74959
Hi Jane, thanks for your reply. I’m glad to hear it’s okay to start the Transition period (noted re: not subbing all the Z1 with Z2 if I’m still at a good place with the ADS).
Regarding prior metabolic changes not going away quickly: I think I’ve seen that in myself already, it’s encouraging! When I was injured in July, I was able to do some minor training for the following 6 weeks, and after 2 months my AeT had barely changed. I was quite surprised, as my frequency and mileage was dramatically reduced. Then in September I partially tore my Achilles (or soleus… we aren’t sure). I took about 2 months off, did PT, and recently my AeT had barely gone down. That really surprised me. Not sure on AnT but I suspect my ADS % has climbed. This week I plan to retest AeT and AnT and come up with an organized plan. Thanks again!mgoat4 on January 21, 2023 at 12:27 pm · in reply to: ADS: Start Transition Period per the book, or only Zone 2 for # weeks? #74909
p.s. I meant to add: “…start with the Transition Period in the book — and make those Zone 1 sessions Zone 2 until I’m free of ADS and ready for more Zone 1. (It contains mostly Zone 1, which is contraindicated for ADS).”mgoat4 on December 30, 2019 at 12:15 pm · in reply to: Determining female an/aerobic threshold #35176
Thanks for the reply, Scott. Yes, I understand that MAF is not directly related to determining AeT and AnT, and that the MAF math-based method isn’t very accurate (I meant that to be clear in my original post, but it didn’t come through). This was more a sideline curiosity question because my trainer (a climber, but not yet an alpinist… I’m working on her!) mentioned the 220-age formula and it pinged my memory of the Northwestern study. I thought to ask here since your team is aware of the latest science on this stuff.
Also, I was psyched to see the female-specific section created on the forum and want to get more action going here! I’m a 54yo female long-time climber/ mountaineer/ alpinist coming off a period of low activity and I have goals! So glad to find your book and website.
Next week I plan to use a more accurate AeT threshold method described in your book/website. Stoked to find my baseline and see how it changes over time. Thanks for everything.mgoat4 on December 29, 2019 at 1:10 pm · in reply to: Determining female an/aerobic threshold #35150
^^ I meant to add, I’d also like to know if the “dirty first stab” MAF Formula method for estimating max aerobic function (detailed on this page: https://uphillathlete.com/aerobic-anaerobic-threshold-self-assessment/) is solely based on male subjects, and if not, what is your experience of determining it for females.