What’s actually happening

Your body has a budget. On one side is the energy you eat. On the other is everything you spend it on — training, plus just being alive (growing, healing, thinking, sleeping). When training takes too big a slice for too long, there isn’t enough left for the basics, and your body does what any budget in trouble does: it cuts spending. It quietly switches off the things it decides it can live without for now.

This is low energy availability, and when it drags on, the whole pattern is called Relative Energy Deficiency in Sport — RED-S. It’s common. In studies of endurance athletes, a large share screen at risk for it — and it happens to guys and girls alike 1.

The warning signs (they’re different for guys and girls)

The loudest sign shows up in female athletes: your period gets irregular or stops. That is not a sign you’re lean and fit. It’s one of the clearest warnings your body can send that it’s low on fuel. “No period, no problem” is exactly backwards.

For male athletes there’s no obvious monthly signal — it’s quieter, which makes it easier to miss. The things to watch are the same ones that matter for everyone:

  • Stress fractures or bone injuries that keep coming back
  • Your times or numbers stall even though you’re training hard
  • You’re tired all the time, and you keep catching colds
  • Your drive, energy, or mood flattens out

If a few of those are true for you, it’s worth taking seriously — whatever your sport, whatever your sex.

The good news, and the one catch

Here’s the part worth holding onto: most of this reverses when you start eating enough again. Your energy, your performance, your cycle, your immune system — they come back.

The one exception is bone. The teenage years are when you build most of the bone you’ll carry for life, and bone you don’t build now you may not get back later 2. That’s not meant to scare you — it’s the reason it’s worth acting early instead of waiting to see if it sorts itself out.

What to do

  • Fuel for your training and your life. A hard week of school, bad sleep, or a growth spurt all raise the bill. Eating “normally” isn’t enough if your training and life load went up and your food didn’t.
  • Don’t treat getting lighter-and-faster-at-once as a win. It’s often the first sign, not the finish line.
  • Tell someone. A coach, a parent, or a doctor or sports dietitian who works with athletes. This isn’t something to white-knuckle alone — and the sooner you catch it, the easier it is to turn around.

Eating enough isn’t the opposite of being a serious athlete. It’s the thing that lets you keep being one.

Sources

  1. Prevalence of low energy availability in endurance athletes (screened cohorts). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6843850/
  2. Mountjoy et al.. IOC consensus on REDs — bone health and reversibility. Br J Sports Med, 2023. https://pmc.ncbi.nlm.nih.gov/articles/PMC10304901/