“…While bodily injuries during endurance races have been well documented, 5 the effects of ultra-endurance training on the brain have received less attention. 8 Ultra-endurance training acutely activates the hypothalamic pituitary adrenal (HPA) axis 9 and ultra-endurance athletes have been shown to have chronic high levels of cortisol. 10 Interestingly, individuals with Cushing's disease, which is characterized by high levels of cortisol, show reduced grey matter (GM) 11 volume.…”