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elric | 10 days ago

Could be a lot of things. Lots of long distance runners consume a lot of sugary gels to keep going. Not sure what the typical composition is, but likely lots of glucose and no fibre.

The marathon runners I know also seem to eat tons of junk food, they can get away with it from a weight perspective because a long run will burn it off, but it could have other consequences.

Point being: there's a lot about long distance runners that's quite different from other people.

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reenorap|10 days ago

But the rates of obese people who presumably consume a lot of sugars and carbs are 1/10th the rate of ultra marathon runners. It's scary to think that such conditioned athletes could be subject to this horrible disease.