#153 Bloodwork, Biomarkers, and Vitamins for Runners

#153 Bloodwork, Biomarkers, and Vitamins for Runners

Bloodwork, vitamin levels, and other biomarkers can be confusing, so on this episode Andrea is joined by Dr. Liz Herman, ND and Dr. Jared Pistoia, ND to break down the science of our blood. They explore how getting our bloodwork done as athletes can differ from the average person. They take a look at creatine kinase, blood glucose, anemia and more. They also dive into the critical role of vitamins (D, B12) and minerals like iron and calcium. Finally, they discuss the differing hormone changes both women and men experience as they age, and how to address those changes. If you've ever wanted to learn more about your blood, tune in!

Chapters

  • 0:00 - Intro
  • 2:46 - Introducing Dr. Herman
  • 4:36 - Introducing Dr. Pistoia
  • 7:12 - Why get bloodwork done?
  • 12:09 - The role of creatine kinase
  • 15:10 - The most common abnormal bloodwork findings in endurance athletes
  • 16:13 - Do males & females require different types of tests?
  • 18:24 - How to treat abnormal levels
  • 22:28 - Defining and treating anemia
  • 27:10 - The role of ferritin
  • 31:15 - Iron-rich foods & supplements
  • 40:18 - The importance of calcium for athletes
  • 45:47 - Addressing Vitamin D levels
  • 49:09 - Ideal blood calcium levels & supplementation
  • 52:55 - The function of Vitamin B12
  • 1:01:07 - Hormone testing for women
  • 1:05:15 - Hormone changes in men as they age
  • 1:07:45 - Wrap-up

Since 2006, Dr. Herman has been the owner and medical director of Bethel Naturopathic Medical (Instagram, Facebook), treating patients with the highest standard of naturopathic care and commitment to excellence. She's earned a reputation for being one of Bethel's leading health care providers who cares deeply about naturopathic medicine and your health. She has not only served Bethel, but also the surrounding communities in the tri-state area for over 20 years. In the past, she served as a supervising physician of student doctors at the University of Bridgeport's School of Naturopathic Medicine and was the former president of the Connecticut Naturopathic Association. Her combination of skills makes her a unique asset to conventional and holistic doctors.

Dr. Pistoia is an attending physician at Bethel Naturopathic Medical. He specializes in the homeopathic treatment of mental health disorders. He's authored two books and is a former writer for Healthline. He also serves as the Legislative Co-Chair of the Connecticut Naturopathic Physician Association and is a state delegate for the American Association of Naturopathic Physicians. His interest in health began in high school, where he worked on a faculty committee for healthier school food choices. He attended Stony Brook University on Long Island, NY and later became a certified fitness trainer, until resigning to become a naturopathic physician. Dr. Pistoia is passionate about health and has a strong interest in the advancement of human psychology.

This week’s episode of the Doctors of Running Podcast is sponsored by our friends at Running Warehouse. With the introduction of super foams and carbon plates, it’s never been more fun to tackle the trails than with today’s footwear. The Nike Ultrafly hit shelves recently, giving runners a chance to take the tried-and-true ZoomX midsole foam off road and into the woods for long distances. In our Chief Editor Matt Klein’s review of the shoe, he says “Those wanting ZoomX foam with a plate that feels comfortable at both easy and uptempo paces will enjoy the Nike Ultrafly. The ultramarathon community should be excited that they have a super shoe specifically designed for them.” Not to be outdone, Hoka’s Tecton X2, New Balance’s SuperComp Trail, and Saucony’s Endorphin Rift offer excellent alternatives that each have their own strengths. Find reviews on all four super trail shoes at Doctors of Running and head over to Running Warehouse to shop today.

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#287 The Latest on Super Shoe Research 2.0: Matching Up to Your Running, Known Effects on the Body, How to Adapt Appropriately

#287 The Latest on Super Shoe Research 2.0: Matching Up to Your Running, Known Effects on the Body, How to Adapt Appropriately

Matt is joined by Dr. Iain Hunter of Brigham Young University's Exercise Science department for an evidence-based deep dive into the science of super shoes. Drawing on his own research, Dr. Hunter exp...

1 Huhti 1h

#286 Our Favorite Shoes of 2026 So Far, and David’s Running the Boston Marathon!?

#286 Our Favorite Shoes of 2026 So Far, and David’s Running the Boston Marathon!?

The beginning of 2026 has been absolutely loaded with new shoe releases, and David and Andrea are here to pick their Top 3 (plus a few honorable mentions) for the year so far, including picks from On,...

25 Maalis 1h 15min

#285 Sharing Our Strength Routines, Debunking Weightlifting Myths, and What We’re Testing

#285 Sharing Our Strength Routines, Debunking Weightlifting Myths, and What We’re Testing

Weightlifting: runners know it has a myriad of benefits but it can be a struggle to fit it into already full training and life schedules. Matt & Nathan are here to help. They dive into the physiology ...

18 Maalis 56min

#284 Mailbag! Is There Real Science Behind Recovery Shoes? Best Stable Neutral Long Run Shoes? Lightweight vs. Max Cushion?

#284 Mailbag! Is There Real Science Behind Recovery Shoes? Best Stable Neutral Long Run Shoes? Lightweight vs. Max Cushion?

Time to open up our mailbox for your questions! Nathan, Matt, and David join up to tackle questions about recovery runs, compression gear, stable neutral long run shoes, and much more. Want your quest...

11 Maalis 1h 6min

#283 Breaking Down the Cielo X1 with Hoka

#283 Breaking Down the Cielo X1 with Hoka

Hoka's making big strides in 2026 with a big updated to their top-tier distance racing shoe: the Cielo X1 3.0. Matt is joined by Rebekah Broe, Senior Director of Product Performance Footwear at HOKA, ...

4 Maalis 51min

#282 Becoming a Competitive Masters Runner, ft. Jennifer St. Jean

#282 Becoming a Competitive Masters Runner, ft. Jennifer St. Jean

On this episode, Andrea is joined by Jennifer St. Jean, an incredibly accomplished masters track runner and high school & collegiate coach. Jen shares insights from her long and decorated masters trac...

25 Helmi 1h 1min

#281 Talking All Things Superblast 3 with ASICS

#281 Talking All Things Superblast 3 with ASICS

ASICS is coming in hot as we head into Spring with a big update to one of their most beloved models: the Superblast 3. Nathan and David are joined by Paul Lang (ASICS Global Footwear Senior Product Ma...

18 Helmi 48min

#280 This or That? Easy Day Shoe or Do-it-All? Super Trainers or Plated Trainers? Frigid Cold in SHORTS or Hot Run in Long PANTS?

#280 This or That? Easy Day Shoe or Do-it-All? Super Trainers or Plated Trainers? Frigid Cold in SHORTS or Hot Run in Long PANTS?

If we have a favorite phrase, you know it's going to be "it depends." Well, not when we've got a round of "This or That"! Nathan, Matt, and David put themselves on the hot seat to tackle your This or ...

11 Helmi 1h 6min

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