Virtual Trainer 1 Week

Countdown: 1 Week

Your Training Schedule for This Week:

Monday	Rest
Tuesday	5 miles	Easy walking
Wednesday	30 min	Moderate cross-training
Thursday	Rest
Friday	20 miles	Day One
Saturday	20 miles	Day Two
Sunday	20 miles	Day Three

Training Tip of the Week: Inner Strength (Visual Imagery)

Congratulations! You are only one week away from your Breast Cancer 3-Day event. Remember to go through your packing checklist early to make sure that you have enough socks, sunscreen, blister care supplies and personal prescription medications. Do not buy a new pair of shoes at this point. Bring 2 pairs that you have already trained in. Remember to take off your toerings and refrain from getting a pedicure.

It has taken a lot of time, energy and determination to reach this point of the Breast Cancer 3-Day and you should feel proud of yourself. It also is natural to feel a little nervous. Visualization is a tool used by many world-class athletes to prepare for an athletic event. Repeating the images and sensations of a successful Breast Cancer 3-Day will train your subconscious mind to accept them as the truth, banishing any underlying negativity.

Each day this week, imagine yourself at the finish line of The 3-Day, smiling and feeling strong. Feel the breeze on your face as you walk and hear the crowds cheering you on. Feel your feet moving along the sidewalk, light and energized. Think about the clothes you are wearing and how they feel against your skin. Imagine the joy and pride course through you as you walk into camp with hundreds of newfound friends.

See the rows of breast cancer survivors in a sea of pink, thanking you and congratulating you. Imagine every little detail in your mind exactly as you want the experience to be. This is visualization and the more times that you return to this powerful image, the more likely it is to become reality.

Virtual Trainer 2 Weeks

Countdown: 2 Weeks

Your Training Schedule for This Week:

Monday	Rest
Tuesday	4 miles	Easy walking
Wednesday	45 minutes	Moderate cross-training
Thursday	5 miles	Moderate walking
Friday	45 minutes	Easy cross-training
Saturday	10 miles	Easy walking
Sunday	8 miles	Easy walking

Training Tip of the Week: Event Nutrition

As you get close to your Breast Cancer 3-Day event your body will need food and fluid. Food is fuel and carbohydrates such as breads, pasta, cereal, fruits, and vegetables are the primary source for your muscles during exercise. Fluids are needed to decrease risks of dehydration and heat illness and replace those lost during exercise.

Pre-event:

• Do not make major changes in your diet the week before the event.
• Try out food during your training walks to see if they upset your stomach.

Three days before the walk:

• Eat foods high in carbohydrates and balanced in protein and fat content.
• Avoid high fat foods which may cause bloating and give a feeling of sluggishness.
• Be sure to drink an extra 8 glasses (64 ounces or 2 quarts) of fluid during the 24 hours before the event or a long training walk.

During the event: Eat small amounts of carbohydrate every hour. The average person burns 100 calories/mile; this is equal to one small apple, a small box of raisins, 1/2 banana, 16 ounces of sports drink or 3/4 energy bar. Monitor your fluid intake. Drink when you are thirsty and make sure you are urinating at every pit stop. Drink a combination of water and sports drink.

Post-event: Consume carbohydrate-rich foods during 1 to 4 hours after your long walks to replace your muscle glycogen stores and prevent next day fatigue. Drink a combination of water and sports drink to replace fluid lost during exercise.

Virtual Trainer 3 Weeks

Countdown: 3 Weeks

Your Training Schedule for This Week:

Monday	Rest
Tuesday	6 miles	Easy walking
Wednesday	45 minutes	Moderate cross-training
Thursday	6 miles	Moderate walking
Friday	45 minutes	Easy cross-training
Saturday	18 miles	Easy walking
Sunday	8 miles	Easy walking

Training Tip of the Week: Achilles Tendonitis

The Achilles tendon is a band of tissue that connects the heel bone to the calf muscle of the leg. Injury to the tendon may cause it to become inflamed or torn. Tendonitis is the term used when the tendon is inflamed. It can be caused by overuse of the Achilles tendon, tight calf muscles, tight Achilles tendon, uphill walking, over-pronation (a problem where your feet roll inward and flatten out more than normal when you walk), or wearing high heels at work and then switching to lower heeled shoes for exercise.

Symptoms of Achilles tendonitis are pain and swelling over the tendon. It may be worse when you rise up on your toes or first thing in the morning. Achilles tendonitis that is not treated can lead to inability to walk and even tendon rupture. Treatment includes putting ice packs on the tendon for 15 minutes 3 times a day, taking anti-inflammatory medication and putting a heel lift insert in your shoe until the pain decreases. This is the one time where you can say that your doctor recommended that you wear high heels. Stretching the Achilles tendon is key to improvement and decreased recurrence.

Towel stretch: Sit on a hard surface with your injured leg stretched out in front of you. Loop a towel around the ball of your foot and pull the towel toward your body keeping your knee straight. Hold for 10 seconds. Repeat several times a day.

Standing calf stretch: Facing a wall, keep the injured leg back and the uninjured leg forward. Keep the heel of your injured leg on the floor as you slowly lean into the wall until you feel a stretch in the back of your calf. Hold for 10 seconds. Repeat several times a day.

Plantar fascia stretch: Standing with the ball of your injured foot on a stair, reach for the bottom of the step with your heel. Hold for 10 seconds, relax, and then repeat.

Virtual Trainer 4 Weeks

Countdown: 4 Weeks

Your Training Schedule For This Week:

Monday	Rest
Tuesday	3 miles	Easy walking
Wednesday	45 minutes	Moderate cross-training
Thursday	6 miles	Moderate walking
Friday	45 minutes	Easy cross-training
Saturday	10 miles	Easy walking
Sunday	8 miles	Easy walking

Training Tip Of The Week: How To Handle The Heat

To help prepare for hot weather conditions that you may experience during the Breast Cancer 3-Day you must train under conditions similar to those of the event itself. It will be cool when the walk begins in the early morning but quickly heat up by the afternoon. For these reasons, you must include training walks during the hotter parts of the day. You also should vary your walking terrain to include sidewalks, trails, asphalt and hills. Conditions that mimic the actual Breast Cancer 3-Day will help your body adjust and be prepared for the event.

Carry a water bottle with you at all times to help you monitor how much fluid you are consuming. For long walks over 45 minutes add a sports drink as well. Hydration is key to keeping you cool. There will be trays of cold water at all of the pit stops along the route. Bring a bandana or two to dip in the ice water and wrap it on your head or neck. Do this at every pit stop.

The right apparel is a big factor in your enjoyment of the Breast Cancer 3-Day. That’s why it’s important to look for fabrics that will help keep you dry and comfortable during your journey.

We recommend products like those in the New Balance Lace Up for the Cure® Collection that include the LIGHTNING DRY moisture transfer system or PHANTOM WAISTBAND™ technologies. LIGHTNING DRY features a superior fabric that removes moisture from your skin and transfers it to the outside layer where it can be quickly evaporated while the PHANTOM WAISTBAND™ uses invisible technology to eliminate painful irritations and chafing. With the right clothes, you’ll be able to walk 3 days and 60 miles in comfort and style!

Dress in layers so that you can remove clothing as the day becomes hotter. Apply sunscreen and carry it with you on your walks to reapply. Most importantly, pay close attention to your body and stop and rest in the shade if you get too hot or tired.

If you begin to get hot, do not push yourself. Rest at the pit stop and get fluids and a snack. If you need help getting to the next pit stop, signal a sweep vehicle to take you there. Take advantage of the air conditioned sweep vehicles to cool down and rest. Check in with medical at the pit station if you have any signs of dizziness, nausea, or chills. If you need to get off the route, there are buses that will take you to lunch to await the opening of camp. Once camp is open, you will be taken there by bus.

Once in camp, do not go immediately to the showers. Give your body time to rest and equilibrate. It is best to rest, get a snack and something to drink. Do not rest in your tent if it is too hot as you can overheat. Find a shady spot in camp and rest there. Once you are rested, then go to the showers.

Virtual Trainer 5 Weeks

Countdown: 5 Weeks

Your Training Schedule for This Week:

Monday	Rest
Tuesday	5 miles	Easy walking
Wednesday	45 minutes	Moderate cross-training
Thursday	6 miles	Moderate walking
Friday	45 minutes	Easy cross-training
Saturday	18 miles	Easy walking
Sunday	15 miles	Easy walking

Training Tip of the Week: Lymphedema

Lymphedema is an accumulation of lymphatic fluid in tissue and presents as swelling to the upper extremity. It typically occurs after breast cancer treatments where lymph nodes or vessels are damaged or removed. It can develop at any time - weeks, months, or even years later. Stressful conditions, such as an increase in exercise can cause it to occur.

Signs can include a full/heavy sensation in the arm, skin feeling tight, hand or elbow pain, skin discoloration, decreased hand or wrist flexibility, difficulty fitting into clothing in one specific area or ring/watch/bracelet tightness. Swelling may develop at any part of the extremity. Seek medical attention as soon as you notice any of these symptoms.

Skin care is important to decrease the risk of infection. If you notice redness, warmth, swelling or tenderness to the skin, seek medical care at once. This is even more important if you have diabetes. Tips for skin care include:

• Keep skin moisturized and clean. Moisturize frequently and do not use harsh soaps.
• Take frequent breaks and rest when doing vigorous activities, especially if your arm feels tired, heavy or achy.
• Use an electric razor instead of a safety razor.
• Use insect repellants that do not dry the skin. Avoid those that contain a significant amount of alcohol.
• Use sunscreen with SPF factor 15 or higher. Reapply often.
• Apply antibiotic ointment to insect bites, cuts or abrasions (as long as you are not allergic).
• Rest your arm in an elevated position, but do not hold it up for a long time without support so that your muscles will not get tired.
• If you have arm swelling, wear compression bandages or garments and glove as instructed by your health care provider. Bring one or two spare sets with you on the 3-Day.
• If you have a history of infections, use antibiotics as directed by your personal physician.
• Don’t carry heavy objects or wear heavy shoulder bags on your affected side.
• Don’t wear your watch or jewelry on your affected side.
• Don’t wear clothing that restricts movement or has tight sleeves.
• Don’t smoke or drink too much alcohol.
• Don’t get manicures that cut or overstress the skin around the nails.
• Don’t permit blood pressure testing or any type of puncture (injection, IVs, drawing of blood or vaccinations) to your affected arm.

Virtual Trainer 6 Weeks

Countdown: 6 Weeks

Your Training Schedule for This Week:

Monday	Rest
Tuesday	5 miles	Easy walking
Wednesday	45 minutes	Moderate cross-training
Thursday	6 miles	Moderate walking
Friday	45 minutes	Easy cross-training
Saturday	10 miles	Easy walking
Sunday	6 miles	Easy walking

Training Tip of the Week: Heel Pain

“Whenever I put pressure down on my heel, I get a severe, sharp pain under my heel.”
“It’s like the bottom of my heel is bruised.”
“My feet hurt so bad in the morning I have to walk on my tiptoes.”
“My flat feet never bothered me until I started to increase my walking.”

If these are your symptoms you may have developed plantar fasciitis.

What is plantar fasciitis?

Plantar fasciitis is a painful inflammation of a ligament between the ball of the foot and the heel. It can occur from:

1. Increased walking (especially on asphalt or concrete)
2. Prolonged standing
3. Gaining weight
4. Poorly fitted shoes

The pain occurs because you are stretching the plantar fascia. The pain usually lessens with more walking, but it may occur again after periods of rest. Walkers may get plantar fasciitis when they change their workout and increase their mileage and frequency of workouts. It also can occur with a change in exercise surface or terrain, or if your shoes are worn out and don’t provide enough cushion for your heels. If the arches of your feet are abnormally high or low, you are more likely to develop plantar fasciitis than if your arches are normal.

How is it treated?

1. Give your painful heels lots of rest. You may need to stay completely off your feet for several days when the pain is severe.
2. Anti-inflammatory medications, such as ibuprofen for 7 days may help (DO NOT take more than the recommended dose).
3. Roll a frozen water bottle over the sole of your foot for 5 minutes, 2 to 3 times a day.
4. Try to cushion your foot. Wear comfortable supporting athletic shoes, even at work, for a while. Cushion the heel with heel cups or insoles. They are most helpful if you are overweight or elderly. Wear an over-the-counter full-length orthotic sole supports (eg. Spenco or Superfeet). These can be particularly helpful if you have flat feet or high arches.
5. Most importantly, start Achilles tendon stretches as demonstrated below. Stretch, stretch, stretch. (See below). If the pain persists despite this treatment, seek medical advice.
   

Click here to search for a Breast Cancer 3-Day training walk near you. Visit one of our 3-Day outfitters for great discounts on shoes and apparel.

Fundraising Tip of the Week: Ask your yoga instructor or personal trainer for a donated class
Invite your friends to attend a special yoga/aerobics/step class donated by a trainer. Their admission fee of $20 payable to the Breast Cancer 3-Day becomes a donation, and the trainer gets the chance to build their client base. It’s a win-win for all.

Virtual Trainer 7 Weeks

Countdown: 7 Weeks

Your Training Schedule for This Week:

Monday	Rest
Tuesday	5 miles	Easy walking
Wednesday	45 minutes	Moderate cross-training
Thursday	6 miles	Moderate walking
Friday	45 minutes	Easy cross-training
Saturday	17 miles	Easy walking
Sunday	13 miles	Easy walking

Training Tip of the Week: Fluids

Recent scientific research has underscored the benefit of remaining well hydrated before, during and following physical activity. Hyponatremia (low sodium) is a rare but serious condition that can cause weakness, cramps, swollen hands and feet, confusion, and even seizures. To decrease your risk of hyponatremia you must replace fluids lost through exercise and consume food with salt. Maintaining fluid balance takes a concerted effort on your part in modifying your drinking behavior throughout your training day. The goal for fluid intake during exercise should be to fully replace fluids and salt lost through sweating. The physiological and performance benefits of doing so are well documented.

The best way to estimate the amount of fluid you are losing through sweating is to weigh yourself before and after exercise. You should drink at least one pint (2 glasses or 16 ounces) of fluid for every pound of weight lost due to sweating. If you weigh more after your training session, you may have drank too much fluid. Another way to estimate your hydration status is to monitor your urine output in terms of frequency and color. If you are urinating a small amount of dark-colored urine, then you need to increase your fluid intake.

Rapid and complete rehydration following exercise requires the consumption of a volume of fluid and salt that is equal to that which was lost as sweat. The fluids that taste good and have some amount of salt in them tend to be consumed more rapidly. It has been shown that athletes who include a cold sports drink during their activity will drink more fluid. Eating foods that contain salt decreases your risk of overdiluting your fluids. Your fluid replacement needs may vary based on the weather conditions, terrain and your training level. Drinking when you are thirsty is the scientifically supported method to use which takes this into account. However, for participants who may find it easier, here are some fluid replacement guidelines to follow under normal conditions:

Pre-training walk/Pre-event:

• Drink an extra 8 glasses (64 ounces or 2 quarts) of fluid during the 24 hours before a long training walk or the event.
• Drink 2 glasses (16 ounces or 1 pint) of fluid 2 hours before exercise. This will allow time to excrete the excess fluid prior to walking.
• Remember, in hot or humid weather you may need to drink more fluids.
• If you are walking at a slower pace, you may not need to drink as much.

During your walk: Monitor your fluid intake. Drink when thirsty. Your urine should be dilute and you should be urinating frequently. Try to consume 4-5 ounces of fluid per mile (1-2 standard water bottles per hour). This should include water and sports drink.

Post-Walk: Drink a combination of water and sports drink and consume food with some salt after exercising greater than 1 hour.

Virtual Trainer 8 Weeks

WooHoo! Only 2 months left!

Countdown: 8 Weeks

Your Training Schedule for This Week:

Monday	Rest
Tuesday	5 miles	Easy walking
Wednesday	45 minutes	Moderate cross-training
Thursday	6 miles	Moderate walking
Friday	45 minutes	Easy cross-training
Saturday	8 miles	Easy walking
Sunday	6 miles	Easy walking

Training Tip of the Week: Asthma/Allergies

Allergic Rhinitis: An immunologic response that occurs after environmental exposure to an allergen. Most common symptoms include runny nose with clear discharge, postnasal drip, sneezing, itching of the nose and palate and coughing. Nasal congestion may occur as well as headache and fatigue. Training walks and the event course exposes walkers to varied types of grass, trees, pollen and dust which can cause an allergic response. Sleeping in tents on grass fields may also stimulate allergies.

If you have experienced seasonal or situational allergic rhinitis, be sure to bring your allergy medications. Antihistamines (oral or topical, such as Benadryl or Actifed) are most commonly used. Second generation antihistamines such as Claritin or loratidine are less sedating. Nasal corticosteroids are effective but usually take 3 days to begin to work. The best treatment is to anticipate exposures and pre-treat before symptoms begin.

Exercise Induced Asthma: Bronchospasm presenting with wheezing, coughing and/or chest tightness occurring during or after exercise is called exercise induced asthma. It can be seen in 40% of those with allergic rhinitis. Rapid breathing and mouth breathing decreases the body’s ability to warm and humidify air in the nose, throat and lungs. In some people this can cause constriction and inflammation of the lung passages. Beta agonist inhalers such as Albuterol or Proventil can decrease these spasms. 2 puffs, 15 minutes before exercise, should help you for 3 to 4 hours. However, for longer exercise periods such as the Breast Cancer 3-Day or a long training walk, which could be 8 hours, a longer acting medication such as Salmeterol or inhaled corticosteroid should be used. If you are experiencing asthma symptoms during or after exercise, consult your doctor for evaluation. If you normally use an Albuterol inhaler with exercise, be sure to carry it with you on your training walks or discuss changing your medication to the longer acting Salmeterol. Do not put your rescue inhaler in your luggage.

Allergic Reactions: If you have allergic reactions to bee stings, mosquitoes, insects or foods, rapid treatment with antihistamines or epinephrine is best. Be sure to carry your own epinephrine pen on your training walks and the event.

Virtual Trainer 9 Weeks

Countdown: 9 Weeks

Your Training Schedule for This Week:

Monday	Rest
Tuesday	4 miles	Easy walking
Wednesday	30 minutes	Moderate cross-training
Thursday	5 miles	Moderate walking
Friday	45 minutes	Easy cross-training
Saturday	15 miles	Easy walking
Sunday	11 miles	Easy walking

Training Tip of the Week: Rash

Rashes are difficult to interpret without actually seeing them. If you have a persistent rash or any other symptoms associated with a rash, see your doctor for evaluation. A discussion of all possible rashes is beyond the scope of this training tip, however, a rash seen among walkers is a condition called “Capillaritis”. Many walkers develop a rash to their legs without any complaint of injury or trauma.

This rash may be slightly itchy but NOT associated with any lower leg swelling, shortness of breath, fever, chills, red streaks or pain. Capillaritis is a harmless skin condition in which there are small reddish-brown patches caused by leaky capillaries (very tiny blood vessels), primarily on the legs. The capillaries become inflamed, causing tiny red dots that look like cayenne pepper to appear on the skin.

The cause is unknown but this rash develops with prolonged impact activities such as walking. Blood thinning medications such as aspirin, non-steroidal medications such as Ibuprofen, and birth control pills may increase its occurrence. There is no known cure for most causes of Capillaritis. It usually disappears within a few weeks, but may recur. Legs with capillaritis should be kept cool and protected from uv light. Reapply sunscreen to your legs every 2-3 miles or at each pit stop.

Repeated rubbing of clothing against the skin may cause a contact irritant rash. It usually is blotchy and red and can be itchy and burn. There usually are no other associated symptoms. Sweating can cause clothing that was previously OK to become an irritant. Use absorbent socks and clothing that remove moisture from your skin and remove damp sweaty clothing as soon as possible after exercise.

Check your walking outfits for seams that might cause a friction rub. Use petroleum jelly, body glide-like products or zinc oxide (Desitin) to prevent chafing in friction areas. Avoid perfumed lotions, deodorants or soaps that may increase your skin's sensitivity. Test your sunscreen on a training walk to see if it is irritating to your skin or your eyes.

Virtual Trainer 10 Weeks

Countdown: 10 Weeks

Your Training Schedule for This Week:

Monday	Rest
Tuesday	4 miles	Easy walking
Wednesday	30 minutes	Moderate cross-training
Thursday	5 miles	Moderate walking
Friday	45 minutes	Easy cross-training
Saturday	14 miles	Easy walking
Sunday	10 miles	Easy walking

Training Tip of the Week: Choosing New Shoes

At this point in your training you should be looking for a new pair of shoes. You should plan on having two worn in pairs of shoes for the 3-Day. The best way to find the shoe for you is to seek a technical running store or full service shoe store and get fitted. Walking and running are not the same. In the walking stride, your foot strikes the ground further back on the heel with your toes higher in the air than in the running stride. A walking shoe should have a fairly low, rounded or beveled heel. In fact, a thick, squared-off running heel can lead to shin splints because, as the toes slap down, the foot pulls on the shin muscle. A walker also rolls further off the toes at the end of each stride than a runner. Therefore, your shoe needs to be flexible through the ball of the foot.

Your gait will also determine what kind of shoe you need. Check your old shoes for signs of overpronation or increase in an inner roll of your heel every time your foot strikes the ground. Set your shoes side by side on a table and view them from behind. If the heel cups lean in toward each other, then you probably overpronate. Choose a walking shoe with a medial post or motion control feature. If the heel cups lean outward, you probably underpronate. Choose a walking shoe that is well cushioned with air, gel or other high-density foam, in the heel.

In summary:

1. Walking and running shoes are not the same. Choose a shoe that works for you. Some types of running shoes may be OK for long distance walking but others may not.
2. Choose shoes with a low rounded or beveled heel.
3. There should be a noticeable bend upward at the toe of the shoe (called toe spring).
4. Check for arch support: midfoot stability feature or a shoe with a full ground contact bottom (New Balance offers shoes with both).
5. Overpronators: Choose a supported heel or consider adding an over-the-counter orthotic insert.
6. Underpronators: Choose a shoe with extra cushion or consider adding an over-the-counter orthotic insert.
7. Buy your shoes from a reputable technical walking or running store, not a department store.

Virtual Trainer 11 Weeks

I've been slacking on the blogging lately but I definitely haven't been slacking on the training or fundraising. Last week I completed all of my training plan (but in a slightly different order). We had a very tough walk on Saturday but finished about 11.5 miles before we went to a nutrition clinic sponsored by Foot Solutions. I completed the remaining 1.5 miles later that day. The nutrition clinic was very informative.

In other news my teammate Martie had a bunco party Friday night and it was a blast. I won a personnel fitness session, a lotion and shower gel set, and a bag of jelly bellies. I also made a pink ribbon cake for the party so I need to post a pic of that soon. Martie raised over $500 from the bunco party. We had so much fun that my other teammate Melissa and I are planning another bunco party. It will be Sept. 27th so we don't have much time to plan.

I also just had a Pampered Chef catalog show fundraiser. I don't know the totals yet but I'm estimating that I've raised about $100. WooHoo!

Countdown: 11 Weeks

Your Training Schedule for This Week:

Monday	Rest
Tuesday	4 miles	Easy walking
Wednesday	30 minutes	Moderate cross-training
Thursday	5 miles	Moderate walking
Friday	45 minutes	Easy cross-training
Saturday	13 miles	Easy walking
Sunday	9 miles	Easy walking

Training Tip of the Week: Diabetic and Vegetarian Diets

Food is the fuel that you need to train for the Breast Cancer 3-Day. If you are a diabetic or a vegetarian it is important to choose the right kind of fuel to keep your weight down and your energy up.

Walking is a great exercise if you are a diabetic. It is helpful in lowering your weight and your blood sugars. If you are on medication such as insulin or sulfonylureas, you are at risk for low blood sugar during or after exercise. It is important to monitor your blood sugars and your caloric intake. If your blood sugar is <100>

1. Aim to eat a variety of fresh fruits and vegetables daily.
2. Eat leaner protein sources such as chicken breast without the skin, light meat turkey, fish and soy. Protein is important for maintaining the muscle strength and mass of your body.
3. Try eating a whole-grain breakfast cereal, whole-grain breads, whole-wheat pasta or brown rice. Studies have shown that those who eat the recommended 25-35 grams of fiber daily are less likely to be overweight.
4. Sportsdrinks are useful to decrease dehydration while exercising. Consuming sugar-free juices (ie. Crystal light or KoolAid) and snacks containing salt can accomplish the same goal.

In order for vegetarian diets to support optimal athletic performance, it is important to incorporate an adequate amount of protein into your daily diet. Many people believe that following a vegetarian diet means they automatically will lose weight. This is not necessarily the case as many vegetarians inadvertently have a high fat intake based on whole-fat dairy products, butter, eggs, cheeses, nuts and seeds. Below are some tips for following a healthy vegetarian diet to help lose weight, maintain an optimal protein intake and support your training walks.

1. Choose low-fat or fat-free dairy products or low-fat fortified soy products.
2. Build your protein around legumes, tofu and tempeh.
3. Watch serving sizes on nuts and seeds; they are full of healthy fat but are very concentrated in calories.
4. Avoid fried foods and choose those that are baked, broiled, or steamed.
5. Add protein powder to shakes or cereal if you are not getting enough.
6. Increase your bean intake; they are high in protein and fiber.
7. Add soy products to your diet.
8. Limit snacks that are high in sugar and fat.
9. Flavor foods with salsa, lemon juice and vinegars instead of high-fat condiments like butter, mayonnaise and high-fat dressings.

Certain vitamins and minerals such as iron, riboflavin (vitamin B2), vitamin B12, calcium and zinc must be consumed in adequate amounts. These typically are found in animal based foods. Fortified soymilks are great for boosting calcium and vitamin B12. Eggs also are a great source of B12. Outstanding iron sources include fortified breakfast cereals, bread, textured vegetable protein, legumes, dried beans, nuts, dried fruit and green leafy vegetables. Eating rich sources of vitamin C with meats will help enhance iron absorption.

Virtual Trainer 12 Weeks

Countdown: 12 Weeks

Your Training Schedule for This Week:

Monday	Rest
Tuesday	4 miles	Easy walking
Wednesday	30 minutes	Moderate cross-training
Thursday	5 miles	Moderate walking
Friday	45 minutes	Easy cross-training
Saturday	12 miles	Easy walking
Sunday	7 miles	Easy walking

Training Tip of the Week: Lateral Knee Pain

“I have a burning pain on the outside of my knee.”
“I hear a snapping sound on the outside of my knee.”
“I have pain on the lateral aspect of my knee every time I walk over 2 miles.”

If you have these symptoms you may have Iliotibial Band Syndrome. The iliotibial band is a layer of connective tissue. It begins at a muscle near the outer side of your hip, travels down the outer side of your thigh, crosses the outer side of the knee and attaches to the outer side of your upper shin bone (tibia).

How does it occur?
ITB syndrome occurs when this band repeatedly rubs over the bump of the thigh bone (femur) near the knee causing the band to be irritated. This condition can result from:

1. Having a tight iliotibial band.
2. Having tight muscles in your hip, pelvis or leg.
3. Your legs not being the same length.
4. Walking on sloped surfaces.
5. Walking in shoes with a lot of wear on the outside of the heel.

How is it treated?
Treatment includes the following:

1. Walking and cycling and other exacerbating activity should be avoided.
2. Apply an ice pack over the lateral knee for 15-20 minutes 3 times a day for 3 days or ice massage your knee. Freeze water in a paper cup. Peel the top of the cup away to expose the ice and hold the bottom of the cup while you rub the ice over your knee for 5 to 10 minutes.
3. Take an anti-inflammatory medication, such as ibuprofen (do not take more that the recommended dose) for 3-7 days.
4. Once the acute pain phase has decreased, start stretching exercises (see below). Stretches should be performed holding each position for 15 seconds, coming up to the starting position and repeating three times. If your symptoms do not improve, seek medical advice.

Virtual Trainer 13 Weeks

Countdown: 13 Weeks

Your Training Schedule for This Week:

Monday	Rest
Tuesday	3 miles	Easy walking
Wednesday	30 minutes	Moderate cross-training
Thursday	5 miles	Moderate walking
Friday	45 minutes	Easy cross-training
Saturday	11 miles	Easy walking
Sunday	5 miles	Easy walking

Training Tip of the Week: Course Specific Training

Part of your training for the Breast Cancer 3-Day includes practicing conditions of the event.

It's a good idea for training walks to include hills of different grades, as well as walking on flat surfaces. This will help prepare you for any hills you may encounter on the event.

What is the climate expected to be? If it is cool and rainy, try out your rain gear ahead of time. Consider rubber covers for your walking shoes. Practice layering Coolmax or moisture wicking long sleeved shirts under your windbreaker or rain jacket. Take note of your hydration in cool temperatures. Weigh yourself before and after a walk to assess your rehydration status. Often you will not drink enough in cooler weather.

If the climate is expected to be hot, use your shorter training days or walk part of your long walks in the heat to increase your heat tolerance. Exercise at least twice a week in the heat during the last 8 weeks of training. Take extra safety precautions during heat training. Walk with a buddy and be sure to choose a course where you can rest in the shade. Carry your sunscreen with you and reapply it during long walks.

Pre-exercise hydration is very important. Drink at least 16 ounces of fluid 2 hours prior to exercise. Then carry extra water and sports drink with you. Your body requires extra energy to cool your core body temperature down. This can decrease your exercise endurance. Stop if you become fatigued, dizzy or lightheaded.

Virtual Trainer 14 Weeks

Countdown: 14 Weeks

Your Training Schedule for This Week:
Monday Rest
Tuesday 3 miles Easy walking
Wednesday 30 minutes Moderate cross-training
Thursday 5 miles Moderate walking
Friday 30 minutes Easy cross-training
Saturday 10 miles Easy walking
Sunday 6 miles Easy walking

Training Tip of the Week: Medications

Exercise can potentiate the effects of medications and increase possible side effects. Discuss your current prescription and over-the-counter medications with your primary care physician, even if you take them only as needed. The following medications can be especially affected by a 60-mile walk.
Blood Pressure Medications: Diuretics (hydrochlorothiazide, lasix, furosemide) may cause electrolyte imbalances, dehydration and potentiate the risk for heat illness. Discuss stopping your diuretic, decreasing the dosage or changing the medication during the Breast Cancer 3-Day.
Anti-inflammatory Medication: May cause gastrointestinal irritation such as heartburn, diarrhea or even stomach bleeds. They also can cause kidney injury and lower leg swelling. The stress of exercise can increase these side effects. Do not exceed the recommended dosage of 2 tablets of ibuprofen (400 mg. every 8 hours) or 1 tablet of Naprosyn (225 mg. every 12 hours).
Diabetic Medication: Insulin and sulfonylureas, which increase insulin in the body, can increase the risk of lower blood sugars during and after exercise. Know the signs and symptoms of low blood sugar (shakiness, blurred vision, difficulty walking or problems concentrating). Be prepared for low blood sugar by carrying 15 grams of carbohydrate with you when you exercise (2 glucose tablets, 1 small box of raisins or 5 lifesavers). Test your blood sugar before and after exercise. If it is less than 100 mg/dl before exercising you may need to eat 15 grams of carbohydrate. Estimate an expenditure of 100 cal/mile and plan your medications and food accordingly. If you experience low blood sugar, talk to your doctor about changing your medication or food needs.
Diet pills or Energy pills: Most diet medications are stimulants that contain pseudoephedrine, phenylephrine and/or caffeine. Even “herbal” products may contain Ma Huang, ephedra or derivatives of caffeine such as guarana. These drugs will increase your heart rate, heart palpitations and dehydration. None of these medications have shown any long-term weight loss effect. Avoid taking these drugs while training for the Breast Cancer 3-Day.
Antibiotics: Certain antibiotics (Doxycycline; Minocycline, Tetracycline, Accutane) may increase your risk of sun sensitivity. Be sure to use extra sun block that has zinc oxide or titanium oxide as its active ingredient and also wear a wide brimmed hat.

Virtual Trainer 15 Weeks

Countdown: 15 Weeks

Your Training Schedule for This Week:

Monday	Rest
Tuesday	3 miles	Easy walking
Wednesday	15 minutes	Moderate cross-training
Thursday	5 miles	Moderate walking
Friday	30 minutes	Easy cross-training
Saturday	10 miles	Easy walking
Sunday	6 miles	Easy walking

Training Tip of the Week: Pregnancy

Walking is a great exercise for you to continue with during pregnancy. Studies have shown that continuing to exercise during all three trimesters of pregnancy can improve your sense of well-being, decrease your risk of postpartum obesity, and decrease your recovery time after delivery. Some studies have shown shorter labor times, lower caesarean rates and children with higher neuro-developmental scores at 1 and 5 years of age in mothers who exercised during their pregnancy.

Having said all of this, remember that you must have a written letter of clearance from your obstetrician prior to participating in the Breast Cancer 3-Day during your pregnancy. Most normal, uncomplicated pregnancies will have no contraindication to walking. If you have never exercised, or are not a walker, now is not the time to train for a long walk.

There are several changes that occur to your body during pregnancy and a few tips to remember. Pregnancy increases your metabolic rate and you will burn an extra 300 kcal/day. This means that you will fatigue quicker than you did previously. It also is easier for your body to overheat. Be sure to walk early in the morning or late afternoon. If you are feeling hot, stop and rest in a cool place. Heat exhaustion and dehydration can stimulate premature labor. Listen to your body and don’t push yourself to the point of fatigue.

In addition, as you progress through your pregnancy there is an increase in the hormone relaxin. This hormone increases your flexibility to help your pelvis during labor. However, you can also overextend your joints while stretching or overstriding. Be sure to shorten your stride during walking and be careful not to overstretch.

Discuss your walking plan with your obstetrician. Have realistic goals of your participation in the Breast Cancer 3-Day. A successful event does not have to include walking all 60 miles.

Click here to search for a Breast Cancer 3-Day training walk near you. Visit one of our 3-Day outfitters for great discounts on shoes and apparel.

Fundraising Tip of the Week: Corporate Matching
Take advantage of corporate matching gifts programs. Many of your donors may work for companies that have a program like this - their donation could double simply by filling out a form from their Human Resources department and following the steps to submit a matching gift (go to http://www.the3day.org/, Donate Now > Information for Donors > About Matching Gifts for further information).

Virtual Trainer 16 Weeks

Countdown: 16 Weeks

Your Training Schedule for This Week:

Monday	Rest
Tuesday	3 miles	Easy walking
Wednesday	15 minutes	Moderate cross-training
Thursday	5 miles	Moderate walking
Friday	30 minutes	Easy cross-training
Saturday	8 miles	Easy walking
Sunday	6 miles	Easy walking

Training Tip of the Week: Kneecap Pain

"I have this grinding sound when I bend my knee."
"My kneecaps ache after I walk."
"I can’t squat or kneel any more."
"When I sit for a long time and then stand up, I have severe pain all over my knee."

If you have these symptoms, you may have patellofemoral pain syndrome, or runner’s knee.

Patellofemoral pain can occur from overuse of the knee in sports and activities such as running, walking, jumping or bicycling. The kneecap fits into grooves in the end of the thigh bone (femur) called the femoral condyle. With repeated bending and straightening of the knee, you can irritate the inside surface of the kneecap and cause pain. This syndrome also may result from the way your hips, legs, knees or feet are lined up. If you have wide hips or underdeveloped thigh muscles, are knock-kneed, or have feet with arches that collapse when walking (a condition called overpronation) you may be pulling your kneecap out of it’s groove and causing your pain.

What are the symptoms?
The main symptom is pain behind the kneecap. You may have pain when you walk, run or sit for a long time. The pain generally is worse when walking downhill or down stairs. Your knee may swell at times. You may feel or hear snapping, popping or grinding in the knee.

How is it treated?
Treatment includes the following:

1. Place an ice pack on your knee for 20 to 30 minutes, 3 times a day for 1 week.
2. Elevate your knee by placing a pillow underneath your leg when your knee hurts.
3. Take anti-inflammatory pain medication, such as ibuprofen, as prescribed by your health care provider.
4. When the pain is decreased, start to strengthen your thigh muscles to get the kneecap back in it’s groove. See exercises below.
5. Infrapatellar strap (a strap placed beneath the kneecap over the patellar tendon) or a neoprene sleeve with a cutout for your kneecap may give you some support.
6. Have your gait checked for overpronation. Arch supports may be necessary. If your symptoms do not improve seek medical advice.

Virtual Trainer 17 Weeks

Countdown: 17 Weeks

Your Training Schedule for This Week:

Monday	Rest
Tuesday	3 miles	Easy walking
Wednesday	15 minutes	Moderate cross-training
Thursday	5 miles	Moderate walking
Friday	30 minutes	Easy cross-training
Saturday	4 miles	Easy walking
Sunday	3 miles	Easy walking

Training Tip of the Week: Walking Technique

I know what you’re thinking. How hard can this be? Everyone knows how to walk. But, when you are walking 60 miles, technique can be the key to preventing injury and increasing your walking speed.

Four common walking errors:

Staring at the ground: Keeping your head down and shoulders slouched can lead to tightness and fatigue in the upper back, neck and shoulders. Focus your gaze off at the horizon and not down at your feet or the ground just in front of you. This will tend to pull your whole body more upright. Pull your shoulders back and chest forward.

Taking an extra long stride: This can lead to sore shins, tightness in the back of the thighs (hamstrings) and a jarring thud with every step. Try rolling, not bouncing, from one stride to the next. Try to put your foot down as fast as you can. Don’t reach for the longest possible stride. Feel you body glide along the ground and try not to let your heels slam into the ground on each step.

Chicken wings: Elbows flailing out to the sides with each arm swing can cause neck, shoulder and upper back pain. Feel your thumb rub the waistband of your pants as your hand swings back and then stop it there. Don’t let it swing any further back. Imagine trying to elbow the walker directly behind you. Don’t let your hips have an exaggerated side-to-side sway.

Hyperextending your back: Excessive arch in the low back can cause tightness in the lower back and upper gluteal (buttock) muscles. Keep your rear end tucked underneath you by gently pulling your navel into your spine and flattening your stomach.

Virtual Trainer 18 Weeks

Countdown: 18 Weeks

Your Training Schedule for This Week:
Monday Rest
Tuesday 3 miles Easy walking
Wednesday 15 minutes Moderate cross-training
Thursday 5 miles Moderate walking
Friday 30 minutes Easy cross-training
Saturday 7 miles Easy walking
Sunday 6 miles Easy walking

Training Tip of the Week: Shin Splints
Shin splints is a term broadly used to describe pain in the lower extremity. Most commonly it refers to medial tibial stress syndrome. People will describe pain in the inner part of the lower half of the shin. At first the pain may begin at the start of exercise and then decrease after a warm up period. However, with continued exercise the pain can become constant.
Shin splints are caused by overuse from repetitive activity. Walking increases the size and strength of your calf muscles. The calf muscles on the back of your leg can create an imbalance of forces on your anterior leg and cause inflammation. To prevent shin splints, adequately warm up your anterior and posterior leg muscles before exercise. See the stretching tips in your 3-Day Handbook.
If you experience shin splint pain, decrease your walking mileage and focus on stretching. Start with the runners lunge stretch for the calf or put a towel around your foot and pull your toes up towards your head. If you can, try sitting on your knees and feet to really stretch the front part of your leg. Be careful because this is hard on your knees. Freeze water in a paper cup and ice your shins right on the bone for 5 minutes, three times a day. Consider adding an over the counter arch support and check your shoe for adequate shock absorption.
Once you have stretched and your pain is decreased, begin strengthening exercises. Start with toe taps, first straight up and down then right and left. Add heel raises and toes raises. Finally, put a towel on the floor and, keeping your heel on the floor, use your toes to grab an edge of it, pulling it towards you. Try to increase your walking gradually and alter your walking surfaces to include grass, dirt, and track surfaces as much as possible. If your symptoms do not improve or get worse, see your doctor for evaluation.

Virtual Trainer 19 Weeks

Countdown: 19 Weeks

Your Training Schedule for This Week:

Monday	Rest
Tuesday	3 miles	Easy walking
Wednesday	15 minutes	Moderate cross-training
Thursday	5 miles	Moderate walking
Friday	30 minutes	Easy cross-training
Saturday	6 miles	Easy walking
Sunday	5 miles	Easy walking

Training Tip of the Week: Stretching

Stretching is the key to helping you maintain flexibility and avoid injury. You will be amazed by how much it helps your walking. To help increase your flexibility you might want to consider adding a yoga or Pilates class into your training program.

Some guidelines for stretching are:

• Warm up first (walk for 3 to 5 minutes).
• Hold each stretch for 10 to 15 seconds.
• Achieve the stretching position gently. Do not bounce.
• Only stretch within your limits. If you feel any discomfort, stop.
• Remember to breathe while stretching.
• The most important stretch is after your exercise.

Here are some stretching tips to follow while on the event:

• Stretch 5 minutes per hour.
• Stretch in the morning before you hit the road.
• Stretch at all the pit stops.
• Stretch waiting for the port-a-potty.
• Stretch at a red light.
• Stretch at a green light.
• Stretch when you come into camp.
• Participate in organized stretching in camp each evening.

Virtual Trainer 20 Weeks

Countdown: 20 Weeks

Your Training Schedule for This Week:

Monday	Rest
Tuesday	3 miles	Easy walking
Wednesday	15 minutes	Moderate cross-training
Thursday	4 miles	Moderate walking
Friday	30 minutes	Easy cross-training
Saturday	6 miles	Easy walking
Sunday	4 miles	Easy walking

Training Tip of the Week: Cross Training

Cross Training can be a helpful addition to your 3-Day training program. It allows you to build muscle endurance while decreasing overuse injuries. Remember the 10% rule: you should increase your activity 10% each week in order to give your body time to recover between your training walks. It is possible to do too much, too soon. Pace yourself and pay attention to how your body feels at all times. While walking is the most important preparation, other types of training that will help increase your stamina and strengthen walking muscles include:

• Elliptical Trainer
• Bicycling
• Stair Stepping
• Rollerblading
• Pilates

Strength training through resistive bands or low weights is also an important part of your training program because it can build muscle. Muscle increases your endurance and burns fat better than fat does. It need not be an extensive weight lifting program. Interval or circuit training (i.e. Curves classes) alternate aerobic activity with strength exercises. They can be an efficient complement to your training program.