28 mars 2016

Triathlon and Meldonium

Is it that athletes suddenly became stupid and were caught using Meldonium? We have always say that we do not need doping if we follow an orderly life considering nutrition, recovery and training.  But most of our athletes are not educated well to follow a life for success.

We have posted an article related to genes and training.  The use of meldonium reminds me of patients addicted to heroin whom I used to detoxify, they continue to have bone pain for several months after stopping heroin, even when they were getting substitutes.  The up-and-down-regulation after inducing genes takes months to come back to normal, reason why athletes using meldonium could not go “cold turkey” after January first of 2016.
Up-regulation and down-regulation[edit]
Up-regulation is a process that occurs within a cell triggered by a signal (originating internal or external to the cell), which results in increased expression of one or more genes and as a result the protein(s) encoded by those genes. On the converse, down-regulation is a process resulting in decreased gene and corresponding protein expression.

·         Up-regulation occurs, for example, when a cell is deficient in some kind of receptor. In this case, more receptor protein is synthesized and transported to the membrane of the cell and, thus, the sensitivity of the cell is brought back to normal, reestablishing homeostasis.
·         Down-regulation occurs, for example, when a cell is overstimulated by a neurotransmitterhormone, or drug for a prolonged period of time, and the expression of the receptor protein is decreased in order to protect the cell (see also tachyphylaxis).

5 août 2012
Triathlon and Genetics
Inducing Genes versus Maximizing Gene Expression

Wiggins wins the time trial at the London Olympics.  At the age of 20 he was winning in the track, where the only way to increase velocity is by increasing cadence.  Wiggins transformed himself genetically by inducing genes that could help pedaling at high cadence; he just needed time on the bike to win the Tour the France.  At the same time, he was learning more about the peloton.  The next step was to maximize the gene induction that he had produced while practicing cadence on the track; and this is done with long hours on the road keeping what was induced manifested through technique and cadence. Inducing genes is the job to accomplish before the age of 20 if you want to be like Wiggins.

Gene induction is the job done with Armstrong as pointed out by Edward Coyle and it is translated as PEDALING EFFICIENCY.
Although during all laboratory measures of mechanical efficiency, cycling cadence was held constant at 85 rpm, this individual’s freely chosen cycling cadence during time trial racing of 30- to 60-min duration increased progressively during this 7-yr period from 85–95 rpm to 105–110 rpm. This increase in freely chosen revolutions per minute when cycling at high intensity is indeed consistent with increases in type I muscle fibers because cyclists with a higher percentage of type I fibers choose a higher pedaling cadence when exercising at high power outputs (22). Although this may initially seem paradoxical, higher cycling cadence serves to both bring muscle fiber contraction velocity closer to that of maximum power and reduce the muscle and pedaling force required for each cycling stroke. Keep in mind that when exercising at a given rate of oxidative metabolism, an 8% increase in mechanical efficiency will result in 8% more muscle power and force development on the pedals when cycling cadence is held constant. As cycling efficiency increases due to increased percentage of type I muscle fibers, it is possible that increased power is manifested by increasing cycling cadence (i.e., velocity) rather than increasing the muscle forces directed to the pedals. This approach appears to produce less sensation of effort relative to muscular strength (27). Therefore, it is likely that the increases in freely chosen cycling cadence displayed over the years by this Tour de France champion reflect his increased mechanical efficiency, agreeing with the pattern expected to result from muscle fiber conversion from type II to type I.

Nowadays is not enough maximizing genes; we need to induce genes in order to maximize performance. Translated differently what I said, do not expect to have an athlete with the full speed and just add mileage after DISCOVERING HIM or HER.  You have to INDUCE THE GOING FAST GENES by increasing cadence and improving technique.  Guennadi Tourestki puts it more elegantly: “10,000 hours in the water are needed to discover talent.” And for that same reason, PLEASE EDUCATED THE KID first to be able to induce genes. Wiggins could improve from what we see from his interview; fortunately, he got the genes induced on time or after a break from his self.


3 mars 2016

Triathlon and Malnutrition

I watched the documentary Armstrong Lie.  I had some time to see it as a psychiatrist, teacher, coach, doctor, and researcher.  It is an eye-opening experience, no wonder we have the “global warming.”  Armstrong is right:
Lance Armstrong: "I grew up ... like a wild animal" businessinsider.com/lance-armstron

I had a seven-year-old child who came with his parents because “he cries when the bad guy dies in the movie.” Many kids grew up like that and they become athletes. They have problems following rules and never acquire a helpful education to take care of themselves or their business (professional athletes).  Malnutrition is a consequence of this lack of education (unable to follow rules) and doping is a consequence to take a shortcut for something that is doable with education (to eat properly at the right time).  We have children who refuse to eat as indicated to keep the caloric intake as well as the vitamins and minerals to recover from training in order to continue training.  Parents complain about it but they do not do what is needed.  How to overcome this problem?  This is a unique problem for the athlete and his family.

In a matter of a month, hemoglobin can drop one point if the caloric-protein intake is not enough to keep up with growing up and training.  This is what we encounter with some of our athletes, close to 50% of our children are at the border of “normal” values for a CBC (complete blood count).  The erythrocytes are small and neutrophils count is low, even though the ferritin is above 35. This scenario happens when the calories do not reach 4,000 a day. 

Eufemiano Fuentes said that he was treating athletes and not doping them when he was charged of doping patients:
30 janv. 2013
Operación Puerto and Triathlon

I will paraphrase what Eufemiano Fuentes mentioned during his interrogatory in court for the English speaking readers.  I copy from the newspaper Marca.  There are videos related to the interrogatory in the same newspaper. 


Fuentes is questioning the way doping is considered because he believes that he was treating anemia.  It is interesting because the dilution of blood when training is well known and could mimic anemia.  He mentioned that he was giving the amount of blood needed to get to the normal level, always using the same subject’s blood.  This does not sound incorrect from the point of view of a medical doctor except for the fact that the problem can be solved differently by administering the right amount of nutrients at the right time; instead of the blood itself. Fuentes says that time was the limiting factor; he needed to have ready the competitor in a few days or perhaps weeks.  But he knew also that the administration of blood was doping for the UCI rules.  Fuentes questions that there is a hematocrit value of 50 as an upper limit; but there is no low value accepted by the UCI to be treated.  He took care of his athletes because there is a danger in practicing cycling at a professional level with a low hematocrit.