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Extreme Fatigue After Riding

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Extreme Fatigue After Riding

Old 08-25-21, 05:11 AM
  #26  
PeteHski
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Originally Posted by scottfsmith View Post
You should generally be able to keep up the pace at 53, but lots of things can get out of whack as you age that will throw wrench in that plan.

When I was your age (just about 53) I noticed I was getting chronically tired. For about a year I assumed it was just "old age". But a friend of mine was recently diagnosed as celiac and I compared symptoms and I had many of the same things. So I went on a gluten-free diet and the fatigue .. stopped!

I doubt celiac disease is what your problem is, but there are many conditions that can take a big bite out of your energy. And they can be very hard to figure out. I never, ever would have solved my problem if I had relied on my doctor (who completely pooh-poohed the idea). More recently I had some back problems and this also led to fatigue (tingling+numbness+fatigue). That one at least had a clear symptom and PT pretty much solved it. By then I had ditched my previous doc, and the new doc was really on top of it.

Many other good suggestions to check out are mentioned above. I personally know people with lyme and low testosterone who also hit a fatigue wall. Look into all the ideas mentioned above, research more online, make a list of potential ones to consider and take them to your doc. Don't forgot that you are your best advocate .. don't just sit and wait for your doc to solve your problem, it might never happen.
I think that's great advice. My limited experience of doctors (GPs) is that they are not really interested if you don't have an obvious medical issue that they can throw some pills at. I also find that "Dr Google" is actually pretty effective. Last year I got this really strange and dramatic rash all over my body. It looked like I'd been whipped as the rash was in distinct streaks across my arms, chest, back and legs. So I went straight to my GP and he didn't have the faintest clue what it was. The best he could come up with was a "viral rash". I wasn't convinced as it was nothing like any viral rash I've ever seen before. 30 mins research on Google later and bingo!

https://imj.ie/shiitake-flagellate-d...ed-in-ireland/

I had indeed under-cooked some ****ake mushrooms a couple of days earlier. Thankfully the rash faded away after a few days.

This is not me in the above link btw!
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Old 08-25-21, 06:29 AM
  #27  
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I would def see a good Doctor.

In my early 40's, I could barely ride a few blocks without immediate lactic acid build up. I went to the Doc and said, "my mitochondria are broken" and he tested me for lead and it was sky high. Doc treated me over some months and I eventually got better. Fortunately, he had had an olympian shotgunner who had this problem and he connected the dots for me. Possibly luck that he recognized it. OTOH, it is not normal for a young man of 53 to have such a drastic change like that. Unfortunately, OP probably will not get help easily but should pursue. Not normal. It isn't like the intensity and volume are huge or that he ramped up quickly. If a week of rest does not resolve the intense tiredness, something is wrong.
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Old 08-26-21, 06:19 PM
  #28  
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I've had similar episodes in my 50s, though maybe not as severe. And batteries of tests never found anything. Partly, I think, it WAS that I was undertrained. Maybe that isn't the case for the OP.

If you've had the fulll battery of tests and the docs find nothing, try not to overhting it or worry about it too much. First take a break and reset, and then come back to it gradually. Do a ton of base miles before you ride hard. And when you ride hard, also do a ton of base miles.

Good luck
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Old 08-26-21, 07:47 PM
  #29  
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Originally Posted by jcsimko View Post
I am 53yrs old and have been riding my entire adult life. Up until this year I would typically ride 3-4 times a week and put in at least 100 miles during the week. At least one of the rides was some form of high intensity (e.g., competitive group, interval training). I get that your abilities decline as you get older, but this year I have started to experience extreme fatigue after every intense ride. The fatigue lasts 3-5 days after each ride. In addition, I have experienced headaches both during and after the rides. This has been going on now for 2-3 months. Early on I thought that I wasn't training enough, but I realized that wasn't the case. More riding resulted in more fatigue. Searching the internet I was unable to find anything that exactly matched my symptoms. I saw my doctor today and he is going to put me through a stress test and run some blood work. I wanted to know if anyone has experienced something like this or knows someone who has. I would really like to know what the root cause was. Thanks.
Originally Posted by PeteHski View Post
Sounds like a medical condition rather than anything age-related. We do need more recovery time as we get older, but it's not a sudden change and something you should hardly notice from year to year.

Your described riding and relative effort is hardly overdone. Unless every ride is an intense 'Intervals' ride, your week is a light week for many at that age, and even older.
Could be anything or nothing more than a 'phase'... But I'm sayin - CHECK FOR EVERYTHING! , COVID, low or high something in the chemistry, whatever. Get as many tests done as possible to help define.
Not to scare you... but
I went thru the same chronic fatigue thing starting 7 yrs back. I had tests done, all showed normal body chemistry, no malfunctioning organs, nervous system ok, lymph system a little active but not unusual. All my various docs had little knowledge of sport and it's training affects, so they were always thrown off by my results - low resting heart rate (42), other things like CPK highs, etc.
But what wasn't done, after all other tests showed nothing, was either CT or PET Scan (which would have found the problem instantly)...
Went on like this for 3 years... I would complain at every post hammerfest ride coffee session... I'm not a complainer... I can suffer with the best.
Finally came to a head, 3 1/2 yrs later... I had massive blood in Urine. Immediately to ER, all tests still showed normal - CT Scan done - massive tumor found in the bladder...
Tests come back, it's Stage 3 Bladder cancer, the bladder fully enveloped...
Won;t go into all the detail.... BUT, I'm still here, AND my oncologist happens to be a riding/racing buddy, although he's quite a bit younger. He remembers my pissing and moaning and now appreciates. The struggle against this is proving successful to an amazing degree - I'm blessed.
I'm back riding regular, long road back to where I was before all this ensued... But good with that, coming back takes time.
Get Tests started NOW. Keep riding, but throttle back to recovery pace for every ride, small ring spin, Ride every ride easy.Stay very well hydrated !!!
Get a Heart monitor if you don;t have one. Look at it, as you ride, get to know what seems normal and what isn't.
Again, my message is extreme - I get it. Your issue may be nothing like this
Don't accept a 'non answer', don;t let the MDs shine you on, like my Primary did.Find a Primary MD who has an appreciation and knowledge of athletic conditioning.
You're young! Ok to expect to be able to be and do intense...
My very best to you!
Thx
Yuri

Last edited by cyclezen; 08-26-21 at 07:50 PM.
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Old 08-26-21, 08:22 PM
  #30  
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Lots of good advice here.

Not too long ago I had convinced myself that I was slipping into heart failure, so I got a stress echo, which I passed.

I’m just a fat lazy hypochondriac.

A word about the Big T, and this is personal opinion which I’ve made no effort to validate: I think falling testosterone in aging is normal and may be a protective adaptation.

As Scott Peck had said, the thing about falling testosterone is that you get your brain back.

It didn’t work for me, but perhaps YMMV.
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Old 08-29-21, 08:18 PM
  #31  
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Originally Posted by jcsimko View Post
I am 53yrs old and have been riding my entire adult life. Up until this year I would typically ride 3-4 times a week and put in at least 100 miles during the week. At least one of the rides was some form of high intensity (e.g., competitive group, interval training). I get that your abilities decline as you get older, but this year I have started to experience extreme fatigue after every intense ride. The fatigue lasts 3-5 days after each ride. In addition, I have experienced headaches both during and after the rides. This has been going on now for 2-3 months. Early on I thought that I wasn't training enough, but I realized that wasn't the case. More riding resulted in more fatigue. Searching the internet I was unable to find anything that exactly matched my symptoms. I saw my doctor today and he is going to put me through a stress test and run some blood work. I wanted to know if anyone has experienced something like this or knows someone who has. I would really like to know what the root cause was. Thanks.
Diabetes?
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Old 08-30-21, 12:41 PM
  #32  
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Wow, this one hits home. I am 75 and fatigue is an issue I have been dealing with since the 1980's. Back then I was a fast competitor in foot races, 10 kilometer and 10 mile. Fast meaning that If i cherry picked a race, I could get a podium in my age group. I as also Dipsea invitational and raced the Double Dipsea, extremely difficult races. Long story short, I simply overtrained and over competed and ended up completely exhausted for weeks at a time. I had to stop everything and rest for months, and never went back to competing. forty years later, I still get tired if I over train, lol. Point of fact, back in the eighties, the long hard bike rides that I did really wore me out. I believe that it's possible to overtax yourself on a bike much more easily than running.

So I want to ride 20-30 miles daily and do 2000 foot vertical climbs quickly. Nope. That just puts me on my back. I ride one day out of three, and that usually works as long as I don't string a bunch of hard rides one after the other. Kinda sucks, that's life. I did go through a period of atrial flutter that severely curtailed my activity, that was taken care of by ablation.

Now, I just accept, for the most part, that I get tired easily. I still do rides that most guys my age won't do. I just quit riding motorcycles on the track. I'm in pretty good physical shape, and I just try to accept that I am not thirty, forty, fifty, or sixty anymore.
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Old 08-30-21, 12:44 PM
  #33  
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Do you take any Meds for the Afib?
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Old 10-03-21, 04:15 PM
  #34  
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As others have said, get a GOOD doctor and don't give up till you find out what it is. It could be a long journey. I had similar issues. Turns out I had thyroid cancer. Now I am free of it and I feel great. I also had Lyme disease. It can easily be more than one thing.
For me (at 60) having a good marriage and having a positive mental attitude is what got me through. So much of tiredness in people is emotional/psychological. Stress and depression are incredible sappers of energy.
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Old 10-03-21, 04:40 PM
  #35  
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I saw where some replies slammed the idea that it couldnít be related to hydration, but Iíve had similar symptoms as yours this summer and it was dehydration. Mine could have been both lack of fluids and electrolytes but after I made sure to take care of those two things my issues were resolved.

I hope youíre able to get a resolution and get back to normal. Just curious, do you drink or take much caffeine? I know it can do a number on me.
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Old 10-03-21, 07:35 PM
  #36  
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I do have one thing to add.

I just went through spine surgery, about a year ago, and a long painful recovery of my strength, literally unable to do one pushup or ride a stationary bike more than ten minutes before my neck hurt too much. Lots of workouts and lots of discipline, I'm close to bench pressing my body weight, and 20 pushups are easy, took a lot of work to get there, and lots of fatigue. I decided to back on a statin, though I had had problems with them. What a mistake that was. In six weeks I lost conditioning, became easily fatigued, and again suffered the muscle and joint pain that I had encountered in the previous attempt. That's it. No more statins. I am back to 25-30 mile rides a couple times a week at age 75, and while I do get tired, it's a good tired, I just like to take a long nap after a ride. And the next day I'm not fatigued.
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Old 10-03-21, 07:51 PM
  #37  
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Originally Posted by caloso View Post
I'm sorry to hear this. It sounds way beyond a lack of training or general fitness drop-off. I think the only one who can tell you the cause is your doctor so I'm glad you've made the appointment. Good luck.
Always consult with your doctor. In my case the fatigue and headaches (and occasional leg cramping) were all due to low magnesium levels.
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Old 10-03-21, 07:53 PM
  #38  
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Originally Posted by Kanon25 View Post
Diabetes?
I have been a Type 2 for nearly a quarter of a century. Those do not sound like diabetes related symptoms, however.
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Old 10-06-21, 09:23 PM
  #39  
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Something's up. Protein? It's now accepted that as we age our protein requirements increase because we get worse at doing protein synthesis in our muscles. That was always my first go-to when I didn't recover well. My solution in my early 50s was chocolate flavored whey protein, starting at 45g/day. At 76 I've increased it to 120 g/day to keep my recovery rate reasonable. I started that a couple months ago and it made a huge difference. It's a relatively cheap experiment with no downside.
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Old 10-08-21, 09:35 AM
  #40  
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Add me to the list of people who think a thorough medical work up is in order, and keep it up until you have a good answer.

Your doc scheduled a stress test. I would not rely on that, as they do not detect blockages until they are very serious.

You might want to consider a CT angiogram. Ask your doc.
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Old 10-09-21, 06:23 PM
  #41  
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Originally Posted by jcsimko View Post
Hi Everyone,

Thanks for your replies. I wanted to post an update.
  • While not a great sleeper, I do take my sleep seriously and have a good consistent sleep routine.
  • I make sure that I am properly hydrated and have adequate energy sources any time I exercise.
  • I have also been getting headaches and feeling of exhausted when I lift weights
  • I have not ridden my bike since 8/12 and have not lifted since 8/17 the headache and exhaustion have diminished some, but still persist.
  • My test results for ECG, Chest X-Rays, Thyroid, Folate, B12, Metabolic Panel all came back normal.
  • I will post again after the stress test and next doctor's visit
Hi OP,
any further updates ? any changes in the past 6 wks?
we're all curious, but also learning how things can manifest themselves is important to all - aging is such a 'blackbox' thing...
AT our post-ride coffee session, we were discussing the general state of health care (2 of our group are MDs, one is my oncologist... LOL!).
One MD came up with: " Medical progress in the most recent decades has been driven by the very sick and unhealthy - as being very obvious and often a large population which are seen by doctors - on the other hand, people who are generally healthy and fit but develop issues are much harder to diagnose and treat, because their make-up in the medical service stream is low and infrequent - it's an area which just hasn't received the attention, because fit people don't 'linger' with ongoing problems - they just up and die quickly..."
Crazy idea, but prolly not far off-base...
ANy way - if you're still around - an update would be very appreciated.
Ride On
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Old 10-11-21, 10:30 AM
  #42  
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Hi everyone

I wanted to respond to a few comments and give an update to my latest tests and health status
  • While I don't count the amount of protein I get each day, I do add protein supplement to my daily bowl of oatmeal. In addition, I get at least 4-5 servings a week of some form of meat or fish.
  • I have always and continue to ensure that I am hydrated when I ride or exercise in the gym
  • As I stated in my original post I have been exercising my whole life. When I started to experience my issues, I had been following the same general workout routine that I have been doing for the last 10 years.
  • I have recently had both a stress test and a CT scan. Both test came back in the normal range.
  • I don't have and have not had covid
  • I took 2 weeks off from exercising and experienced some the worst days of headache and fatigue
  • In the last month I have returned to riding and working out in the gym. I keep everything to about 50% from what I used to do. I am still experiencing mild headaches.
  • This morning my doctor informed me he has ordered some additional blood work tests to look for generalized signs of inflammation which may suggest an underlying autoimmune vascular condition. In addition, he wants me to get an ultrasound of my carotid arteries to look at blood flow. Lastly, he has placed a referral to a neurologists who specialize in headaches.
Thanks everyone for their input and concern. I will provide more updates when I can.
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Old 10-11-21, 11:03 AM
  #43  
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Ask your doctor: polymyalgia rheumatica (PMR) with temporal arteritis. Fits your symptoms. I had PMR in '18 and think I might have it again. Going to see my doc this afternoon about it. Temporal arteritis, also known as giant cell arteritis, is a serious disease which TG I didn't have. I had to go to a rheumatologist to get the correct blood tests to enable diagnosis.
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