The last three weeks have been HORRIBLE.. I don't know what the deal is but legs have felt like wet bags of sand, achy and my desire to run waning because of it. NOT a good combination as I have begun my run up to C.I.M and am smack in the middle of a 10K training program. At first I thought it was due to the new schedule at work (first having a job.. good thing, and three day weekends every week.. VERY good thing). Perhaps the 10 hour days and heat??? But, alas no. I have settled in and the heat wave is gone. Hmmm, what else? Ahhh. the hydration culprit?? Typical symptoms.. but I hydrated like a crazy person getting ready to run the Marathon De Sables across the Sahara and all to no avail. So, like a good runner I turned the thought process inward and let my monkey mind worry the problem during some rather painful runs. Suddenly last Wednesday I had a true ephinay. Seems the only thing that had really changed over the last three weeks was the cholesterol lowering statin medication I am on.
I have the dubious "honor" of some genetically enhanced cholesterol levels that stubbornly refused to bow to my running, diet regimen. Enter in the local cardiologist, a slew of tests and a nice prescription for Lipitor earlier this year.
I was aghast! How could my cholesterol numbers have remained unchanged (by even one point) from my pre running days three years ago to post marathon, half a dozen half marathons and all the miles in between??? After much hoowing and hahing I submitted to the doc (and treadmill tests and blood draws) and began the regimen of those like me, a statin and a baby aspirin a day. Those of you who know me know I was NOT a happy camper and made the doc explain ALL the variables, natural approaches (red rice yeast) etc. We settled on one and I started all this hoopla back in January.
The good news was that once on Liptor my "bad" cholesterol plummeted, and the good stuff went up. Total numbers are now at 137 where I was over 200 before!! Good stuff and all was good with no side effects.
Enter in our corporate America and immutable health care system. Seems that Lipitor is expensive and my current health care insurance provider felt that something else was in order. The doc put me on "Simvastatin" and upped the dose cause apparently it takes more of the synthetic stuff to do what Lipitor does.. ok my first thought is "isn't this ALL synthetic??".. Come on anytime I put a foreign chemical in my body to raise or lower anything (keep your minds out of the gutter) it seems that's synthetic, but I digress.
The possible side effects of statins are widely published, albeit downplayed by the pharmaceutical community, but seriously in comparison a heart attack, quadruple bypass or memorial service hardly seem worth NOT addressing the issue of high cholesterol. But, chief among the side effects is muscle pain, known medically as "myalgia." And lets see.."muscle weakness, weakness in the legs".. yeah DUH... There are a lot of other possible side effects, one of which comes much more quickly to the attention of my male readership but you can investigate that one on your own! :-)
Well this monkey quickly stopped taking the Simvastatin and contacted my medical professional who put me back on the Lipitor (which IS covered under the new jobs insurance). Today's speed workout was markedly better. Even I imagine there was a tad bit of psychosomatic involvement here but after frustrating and painful runs the last couple of weeks I finally felt somewhat back to normal.
There is lots of information out there about fat soluble and water soluble statins and the relation to muscle pain and whether tests for elevated CPK ( creatine phosphokinase) levels are a good indicator. Generally fat soluble statins are thought to be at an increased risk for muscle pain and water soluble not so much. Bottom line is that all the manufactures say it can happen, there can be damage and should be reported to your health care professional right away.
My point fellow monkeys is BE INFORMED.. (Here comes the fine print) Do your research and know what you are putting in your body, the potential side effects and benefits and discuss thoroughly each of your options with your doctor, P.A., Shaman, Wiccan High Priestess or whatever. What works for me, might not work for you, and vice versa. Statins can be actual lifesavers and I had pretty dramatic results. My comments are not a condemnation or recommendation for any of the products listed. All us monkeys are different and your mileage may vary. This advice is worth exactly what you have paid me for it.
Stay tuned and lets see if going back to that little white oval tablet does the trick.
Tight Laces and happy running.
