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** '''Colonoscopy.''' I had a routine colonoscopy 10 days before the race, which may have upset my intestinal flora. I had a number of digestive issues after the procedure, so I believe this is a contributory factor.
** '''Tight Waistband.''' I like running in [[A review of graduated compression wear| compression tights]], as they help my legs, but they have a tighter waistband that may cause stomach problems. I swapped to some other tights with a much looser waistband after the problems started, and it might have helped, but it was probably too late.
* '''Piriformis'''. While this was a major problem in this race, I understand what happened, so I'm less concerned with it than the nausea. Insufficient time to recover from my last race is the underlying cause, but more importantly, I didn't do enough to fix the [[Muscle|muscle]]. Between races the Piriformis was only twinging occasionally, so I underestimated the problem. In addition to the expected muscle pain I also had some significant pain from both Achilles, which I worked out later was the Achilles bursae, not the tendons. Pain from connective tissue always worries me more than muscular pain, as muscle heal quickly compared with other structures.
* '''[[Mood State]]'''. I'm not sure if it's the time of year, but I always find my [[Mood State]] is lower just after Christmas. I found myself climbing the [[The Ivan Scale Of Perceived Suffering| Ivan Scale]] rather quickly and struggling with negative thoughts. Listening to some audio lectures ([http://go.fellrnr.com?id=35454X937677&xs=1&xcust=Self&url=http%3A%2F%2Fwww.amazon.com%2FAnyone-Really-Perspectives-Abnormal-Psychology%2Fdp%2F2876846659 Perspectives on Abnormal Psychology]) helped, and I wished I had more loaded.