Marathon memory lane

I struggle to accept the fact that this week marks two years since my last marathon, but that’s what my phone has been telling me, so accept it I must. And while I don’t have any 2021 races inked into my diary just yet, I am starting to consider options for a winter marathon PB push…and in the process, I’ve found myself having a good old reminisce of the five previous times I’ve covered the 26.2. I have full respect for ultrarunners, sprinters and middle-distance runners, but for me, the marathon is the holy grail. The ultimate test. The perfect […]

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Why do sports nutrition qualifications matter?

Even before completing my qualifications to become a Registered Dietitian back in 2013, I was pretty sure that at some point I would work in sports nutrition. Given that I spend the majority of my spare time playing, watching or thinking about sport, it always seemed like the most obvious of connections between expertise and interests. However, it remained nothing more than a vague notion for many years. I did do a fair bit of research and shadowing of some prestigious sports nutrition experts early on, but then left it to one side; I knew that I really wanted to […]

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Post-ICU and COVID-19 nutrition

post covid-19 nutrition

The road to recovery after critical illness can be long and challenging. However, it is only in recent years that Post Intensive Care Syndrome (PICS) has started to be more widely recognised and understood, and therefore much better managed. PICS encompasses a range of symptoms that fall under the three broad categories of physical cognitive, and psychological impairment, with ICU-acquired weakness among the most frequently seen symptoms. Improving ICU survival rates are partly to thank for this growing interest in PICS, as we can now look beyond mere survival and consider quality of recovery. However, the COVID-19 pandemic has also […]

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2020: An unforgettable year as a runner…and ICU Dietitian (part 2/2)

July and August The second half of the year started in a similar fashion to June – just enjoying being in good shape and the very gradual easing of lockdown restrictions and return to some semblance of normality across the UK. This included our ‘Last Man Stands’ cricket season belatedly getting underway, albeit with lots of hand gel, elbow bump wicket celebrations and socially distanced team photos. I developed and delivered ‘introduction to running nutrition’ webinars to local running clubs and had a great response. We were also able to escape London and get a proper change of scenery for […]

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2020: An unforgettable year as a runner…and ICU dietitian (part 1/2)

Perhaps a little self-indulgent, but this year has been unforgettable for all the right and mostly wrong reasons, so here’s my month-by-month recap. I’m lucky that running is a constant in my life, and something I can turn to on even the hardest of days, so I’ve based this blog around that. January: Starting the year buzzing with optimism but still burdened by my terrible sense of direction, I got lost and missed the start of Whitstable parkrun, but caught up from the back and swore this year was definitely going to be the year I got to my first […]

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Where ICU meets sports nutrition

Where ICU overlaps with sports nutrition

Isn’t it bizarre how trivial conversations or moments can stick in your head? I often think back to such a moment in September 2019… Despite having promised to myself in 2013 that my life in academia was finally over, having qualified as a Registered Dietitian, there I was in the classroom again, ready for Exercise Physiology – the first module of my Applied Sports Nutrition postgrad. Most of the students on my side of the course had a nutrition background of some description (while the other side had a sports background), including a sprinkling of dietitians with differing levels of clinical […]

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Ketogenic diets in endurance exercise (part I)

keto diet for runners

Ketogenic diets have been used as an established treatment for epilepsy (particularly among children) for many years, but more recently there’s been a much broader interest in going ‘keto’, especially in certain dubious corners of social media. Most of the attention is based on its potential as a weight-loss tool, but there has also been a growing buzz about its capacity for performance-enhancement in endurance exercise. I’m not going to comment on the former here (especially as it has always seemed to me an unnecessarily restrictive approach to weight management…although each to their own), but I have been meaning to blog on the latter for […]

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Nuggets of running wisdom (part three)

Following on from blogs one and two, I’ll now bring this mini series of blogs to a close with four final nuggets of wisdom that have helped to inform and improve my running performance. Given my role as a dietitian, I’ve decided to finish up with some ideas on nutrition. I’m not claiming to be an expert on sports nutrition (yet!), but I’m starting to move in that direction at least, so I hope you enjoy my thoughts below. 7. Running on ‘empty’ can be a good thing When we train for a marathon, one of the key things we […]

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Sports nutrition (and combining passions)

I’ve always loved sport. In fact, some (my wife) would say I’m obsessed with it, based on what must seem like an endless stream of ‘unmissable’ action from around the globe (test match cricket is particularly rewarding for truly year-round entertainment). But it’s not just the watching that floats my boat. If I go more than a couple of days without going for a decent run or some serious physical exertion (ideally with a competitive element), I get very crabby. So that’s most of my spare time covered, but my day job is of course centred around nutrition, and primarily […]

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Introduction to Intensive Care

My clinical career has seen some significant changes recently, so I thought I’d write a quick post to briefly update and reflect on a busy few months in the day job  (and inevitably the language will be slightly more clinical than usual – apologies!) For the second half of 2017, I took on the role of Senior Specialist Dietitian in Lower Gastrointestinal Surgery and Gastroenterology at my previous trust, Imperial. Given the nature of the surgery and diseases in this population (e.g. bowel cancer, crohn’s, pancreatitis), patients are often unable to digest food normally, with their intestinal tracts either inaccessible […]

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