What a Doctor Who Wins 100-Milers Wants Runners to Know

Dr. Teddy Bross is a family medicine physician at Highpoint Direct Care in Golden, Colorado, where his practice focuses on athletes and active adults. He is also a three-time Western States finisher and the 2025 Ouray 100 champion.

In this conversation, Teddy explains direct primary care, and why it means an hour with your doctor instead of eight minutes. He covers why a runner's bloodwork can alarm a provider who doesn't know what creatine or a morning run does to your labs, and why your mid-race nausea is probably pacing, not the gel. Brendan asks whether ultrarunning is actually good for you and whether endurance athletes over 40 should get a coronary calcium scan. Zoë asks when health screening stops being useful, and Teddy weighs in on how thin the evidence for BPC-157 really is. Also covered: the appendix as your gut's junk drawer, and the treadmill in his exam room.