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Dr. Grey AI

Protocol · Athletic Performance

Runner's Health and Performance Support Protocol

Iron and Vitamin D are the core of this stack, with 8 supporting supplements. Each row gives the amount the protocol lists and the grade our evidence database holds for that supplement in Runner's Health and Performance Support.

We are re-verifying the studies cited on protocol pages; only confirmed citations are shown.

The stack

10 supplements · none graded yet

Amount listed in this protocol; not a recommendation.

Supplements in the Runner's Health and Performance Support protocol, with the amount the protocol lists, the grade on file and confirmed studies
GradeSupplementAmount listedWhy it’s in the stackEvidence on fileShop
Primary stackThe core of this protocol
IronAmount listed: 18–65 mg daily if ferritin <50 ng/mL (with vitamin C; test before supplementing)

Runners at high risk of iron deficiency from foot-strike hemolysis, sweat, and GI losses; essential for oxygen transport

Not graded yet
Vitamin DAmount listed: 2,000–4,000 IU daily (maintain >40 ng/mL)

Supports bone health and muscle function; deficiency linked to stress fractures common in runners

Not graded yet
Supporting stackListed as additions to the core
CalciumAmount listed: 1,000–1,500 mg daily (from diet + supplements)

Essential for bone health; works with vitamin D to prevent stress fractures

Not graded yet
Omega-3 Fatty AcidsAmount listed: 2–3 g EPA+DHA daily

Reduces inflammation and muscle soreness; supports recovery between runs

Not graded yet
Beetroot JuiceAmount listed: 500 ml (or ~400 mg nitrate) 2–3h before race/hard workout

Dietary nitrates improve running economy and endurance performance

Not graded yet
CaffeineAmount listed: 3–6 mg/kg 30–60min before race/hard session

Improves endurance performance; reduces perceived effort; well-studied in runners

Not graded yet
Tart CherryAmount listed: 480 ml juice or equivalent extract for 5–7 days around hard training/racing

Reduces muscle soreness and inflammation; accelerates recovery after long runs

Not graded yet
CollagenAmount listed: 10–15 g collagen peptides with vitamin C before runs

Supports connective tissue health; may help prevent running injuries to tendons and joints

Not graded yet
MagnesiumAmount listed: 300–400 mg daily

Lost through sweat; supports muscle function, energy production, and recovery

Not graded yet
ElectrolytesAmount listed: 300–600 mg sodium per hour during runs >60 minutes; more in heat

Replace sodium and other minerals lost in sweat during long runs

Not graded yet

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Each opens third-party tested products, matched to the dose above where we can.

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How this protocol works

In plain language

Running places unique demands on the body - repetitive impact stress, high energy expenditure, significant sweat losses, and increased oxygen demands. Runners face specific nutritional challenges including iron deficiency (from foot-strike hemolysis, sweat, and GI losses), bone stress injuries, and recovery from high training volumes.

NUTRITION FUNDAMENTALS FIRST: Before supplements, ensure:

  • Adequate calories: Not fueling enough is the #1 nutrition mistake in runners
  • Sufficient carbohydrates: Primary fuel for running; ~5-10g/kg/day depending on volume
  • Adequate protein: ~1.4-1.8g/kg/day for recovery and adaptation
  • Proper hydration: Start runs hydrated; replace fluids during and after

Iron* is critical for runners. Studies show 15-35% of female runners and 5-10% of males are iron deficient. Ferritin should ideally be >50 ng/mL for optimal performance. Always test before supplementing - excess iron is harmful.

Vitamin D and Calcium* are essential for bone health. Runners, especially women, are at high risk for stress fractures. Maintain vitamin D >40 ng/mL.

Beetroot Juice* contains nitrates that improve running economy by 1-3% - a meaningful improvement for racing.

Caffeine* is the most proven performance enhancer for endurance running. It reduces perceived effort and improves time to exhaustion.

Omega-3s and Tart Cherry* support recovery and reduce the muscle soreness that comes with high training volume.

Collagen* may support tendon and ligament health, potentially reducing injury risk.

Electrolytes* (especially sodium) are essential for runs over 60 minutes, particularly in heat.

Expected timeline: Iron takes 8-12 weeks to improve ferritin levels. Acute supplements (caffeine, beetroot) work within hours. Chronic supplements (vitamin D, omega-3) provide benefits over weeks to months.

Printed from drgrey.ai/protocols/runners-health. For education only; not medical advice. Talk to a clinician before starting any supplement.