Hi Colleen,

Thank you for your response. As for your question about accommodations... everything is an experiment at this point. I played basketball and soccer through high school and college but became more sedentary as adult life and work entered the picture. As I mentioned I have multiple concomitant health conditions (as well as some orthopedic problems from when I thought I was an athlete).

I currently am trying to improve the way I hydrate, and I also use some electrolyte enhancers. My consumption of food is poor during the day due to work in the landscaping/hardscaping field; with little access to toilets. For this reason I try to limit what can fill my pouch. Before races I use Gu and gelatin energy blocks for nutritional support. I have also tried to eat a more conventional runner's diet, though I'm not sure that it is what I need as an ostomate. This year I ran two half-marathons... at a manageable pace, with some cramping during the first that I seemed to be able to relieve during the second. My goal is to run 4 in 2024 so I am hoping to fuel and hydrate more completely and efficiently to optimize health and recovery.

Thank you again for your attention to my question.