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* '''Fueling'''. Most runners require some type of calorie intake for the marathon distance. For ultra distances, fueling becomes critical. You must learn what your body likes, as this tends to vary for each individual. As noted above, getting fueling wrong will lead to digestive problems (nausea/vomiting) which can then cause hydration problems. The other common problem is that lack of fuel can lead to a drop in blood sugar. This is particularly problematic as the brain needs the sugar to work correctly. The lack of blood sugar then causes poor judgment and also a feeling of depression. See [[Fueling in an Ultra]]
* '''Run/Walk'''. In any race, you have to know what pace you can maintain. Getting this wrong in an ultra can lead to a lot more misery than other distances, and can result in a DNF (Did Not Finish). Part of the correct pacing for an ultramarathon is taking [[Walking Breaks]]. The [[Walking Breaks]] allow the chance for the [[Muscle|muscles ]] to recovery, the opportunity to eat and the [[Heart Rate]] to lower, allowing for digestion. See [[Walking Breaks]]
* '''Blisters'''. Blisters become an increasing problem as the distance becomes greater and/or the running surface becomes more hostile. Runners should not have a problem with blisters in a road marathon. Longer races, especially the 100 mile, causes blisters to be a significant issue for many runners. Additionally, hostile surface, such as very rocky or very hot can create problems at shorter distances. Follow the advice at [[Blister Prevention]], but remember that in long races, your feet are likely to swell. This means that changing to larger [[Shoes]], or thinner socks, may be required.
* '''Fortitude'''. For most runners, the marathon distance is quite painful. The longer distances of ultramarathons test the boundaries of both physical and mental endurance. The ability to keep moving forward in the face of extreme pain, fatigue, physical damage and sometimes emotional despair is critical. See [[Mental fortitude]] for more details.