Jake Smith, a British long-distance runner, faced a dire warning from doctors four years ago:

If you keep this up, you'll be in a wheelchair at 30.

At just 28, Smith returned from a running camp in Uganda weighing only 51kg, suffering from stress fractures and brittle bones. After seeking help, he was diagnosed with REDs, which also affects male athletes, often overlooked due to stigma and lack of awareness.

Dr. Nicky Keay, an expert in hormone health, explains that REDs leads to hormonal disruptions, causing fatigue, low mood, and bone stress injuries. While women's symptoms are more recognized, men often suffer in silence. Research shows that nearly 49.4% of male athletes experience low energy availability, a staggering figure that highlights the condition's prevalence.

Cultural beliefs, such as 'lighter is faster,' contribute to the problem, pushing athletes like Smith to prioritize weight loss over health. Olympic champion Jonny Brownlee acknowledged that under-fueling led to serious injuries in his career, emphasizing the need to change the narrative around fueling.

Project REDs, initiated by former athlete Pippa Woolven, offers resources for athletes struggling with the condition. British Cycling has begun addressing REDs through education and screenings, aiming to create a healthier environment for athletes.

Smith, now racing better than ever, recently completed the Berlin marathon in a personal-best time. He advocates for awareness and prioritizes health over weight, stating, "I'm heavier, I'm faster, I'm happier." Awareness and education are crucial in combating REDs, ensuring athletes can perform at their best without sacrificing their health.