Jim

Family Doc Helping Pts eliminate meds and optimize health, into triathlon, lifting, & adventure. Tweets are not medical advice or policy of my employer #LCHF

[Jim @JimIngram]

One Year. One Heart. 1,405 Miles.

A year ago I sat in a cardiologist’s office, fresh off an atrial-flutter ablation, wondering if my heart would ever let me chase big things again. A new SLAP tear in my shoulder killed swimming and biking. Six years earlier, running injuries had pushed me into Ironman; now the idea of pounding pavement felt like a bad sequel.
But six Ironman seasons had taught me a better script: long, slow, mostly Z2 hours. Instead of quitting, I set three goals:

Marathon PR
First 50 K
Stretch: first 50-mile ultra

Today the goals are checked.

• Flying Pig Marathon weekend Four Way Challenge: 1-mile, 5 K, 10 K, then a 13-minute PR in the marathon.
• Kettle Moraine 50 K: brutal Wisconsin trails, 8 h 12 min. • Des Plaines 50 K: flat, fast, 6 h 08 min.
• Tunnel Hill 50 Miler: rails-to-trails, 11 h 49 min, middle-of-pack on controlled effort.

Totals: 288 hours, 1,405 miles, 80 % Z1/Z2. No heroics—just steady, grateful forward motion.

I started at the back of every pack. I finished in the middle. My heart never skipped a beat it wasn’t supposed to.

Grateful doesn’t cover it. This year wasn’t about proving anything to anyone else; it was about proving to the guy in the recovery room that the story doesn’t end in the EP lab.

If you’re wondering whether you can run your first race—run slow, run long, enjoy the process.

Onward. @Alan_Couzens @feelthebyrn1 @johngoldman

[Jim @JimIngram]

@TendencyLiberty Same for me. AMA has never spoken for me.

[Jim @JimIngram]

@CaryKelly11 I recall @DrPaulMason teaching that grain based carbs stimulate histamine release which stimulates acid release. My experience is carbs bring me GERD reliably and low carb resolves it without weight loss.

[Jim @JimIngram]

@MichelleDLesley True.

[Jim @JimIngram]

@JoshuaBarzon So hard to choose between these, I say Purpose Driven Life.

[Jim @JimIngram]

@CoffeeBlackMD Garmin tends to be unrealistically pessimistic

[Jim @JimIngram]

@Sean_Sako @LoreofRunning1 Yes, I’ve not needed anything except fluids and electrolytes for multiple hours. Haven’t come close to feeling a bonk since I adopted a low carb lifestyle.

[Jim @JimIngram]

@RobPowe53587171 @AKoutnik @PhilipPrins11 @DominicDAgosti2 @TheNoakesF @theplews1 @LoreofRunning1 @Jeukendrup @sweatscience @tednaiman @AJPCellPhys I did the same with 4 70.3’s and 1 full IM. It’s a beautiful thing to not have to worry about fueling and to avoid the GI distress so many have.

[Jim @JimIngram]

@kevinmd I understand in Japan they do most unsedated with water insufflation on insertion. I have done many this way. With patience and careful avoidance of looping most people should not have this level of pain.

[Jim @JimIngram]

@Oceanbreeze473 Yes, we did!

[Jim @JimIngram]

@ick_real Marola was my granny’s name. Betty Lou my mother’s.

[Jim @JimIngram]

@TomiLahren Yes. The dog looked like he was having fun though.

[Jim @JimIngram]

@JesterJum Almost 35 years with my lovely wife!

[Jim @JimIngram]

@drjohnm Yes! Given the USPSTF already doesn't recommend universal screening for CRC > 75, I'd love to see this done for younger ages.

[Jim @JimIngram]

@GreatDaneLuvr @JimmyParker87 @barefootandwell @farmingandJesus It is available as a 5mg/5ml solution.

[Jim @JimIngram]

@ManifestHistory Bible Project | One story that leads to Jesus on the YouVersion app has been incredible.

[Jim @JimIngram]

@alt_w_v_g He is risen!

[Jim @JimIngram]

@CoffeeBlackMD He is risen!

[Jim @JimIngram]

@data_republican He is risen indeed!

[Jim @JimIngram]

@DanielDefense He is risen indeed!!!

[Jim @JimIngram]

@oit_andy Just gotta believe bro