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How To Run Healthy & Strong with Dr. Mark Cucuzzella (2:24 marathoner) Round 2! | Extramilest Show #58

By February 4, 2023May 20th, 2023No Comments
Dr Mark Cucuzzella doing mobility drills

The heart rate is a marker of what’s happening metabolically and physiologically; how we’re accessing fuel, how we’re teaching our body to use fat for fuel.” – Dr. Mark Cucuzzella

Dr. Mark Cucuzzella has ran the Boston Marathon 25 times and has a Personal Best of 2:24 in the marathon. For 30 years he has run a sub 3-hour marathon. He is also a doctor, author and professor of family medicine at West Virginia School of Medicine.

Dr. Mark is also a Lieutenant Colonel in the Airforce Reserves, designing programs to reduce running injuries in military personnel.

We recorded our first conversation in 2019, great to have him back on the show for Round 2!

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I hope you enjoy my conversation with Mark Cucuzzella.

Watch this full interview on YouTube

► Watch the interview on YouTube.

► Listen on Apple Podcast, Spotify and Stitcher. or your other favorite podcast platform.


Find Dr. Mark Cucuzzella here:

Links and Tools mentioned:

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    • 0:00 start video
    • 3:23 the roots and growth of low heart rate training
    • 2:41 learning from the best
    • 15:11 starting out with low heart rate training and troubleshooting
    • 20:21 balancing high and low intensity workouts
    • 23:54 lactate shuttle, earning the right to do interval training
    • 32:14 lactate testing
    • 35:16 continuous glucose and heat rate monitoring / train first, data later
    • 39:55 blood work for athletes; diet, thyroid, cholesterol
    • 53:49 medical concerns before training
    • 56:42 running form, recreational and elite
    • 1:03:22 running relaxed, race mantra, coping with discomfort
    • 1:05:34 blue zones, Harvard longitudinal study of ageing
    • 1:10:03 more about Dr. Mark
    • 1:12:59 closing thoughts

I’d love to hear from you, what was your favorite lesson, quote or takeaway. Please let me know in the comments on YouTube and 1 person wins a copy of Dr Mark Cucuzzella’s book, Run For Your Life. 

You can find me, Floris Gierman, here: 



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