This is an excellent book that unfortunately contains enough misinformation to be difficult to trust. I am a cyclist rather than runner and found some high-level points to be very useful, despite the book being very runner-oriented.
Renee McGregor has a degree in nutritional biochemistry, a post-graduate degree in dietetics, a post-graduate degree in sports nutrition, and over 20 years of professional experience. McGregor is obviously qualified.
It is therefore alarming that there is some nutrition misinformation in the book. I was able to spot:
* No, dairy's saturated fat is not good for heart health (p. 79), when all other saturated fat is adversely implicated for heart health. This is a myth that comes up every few years. The US Dietary Guidelines Advisory Committee for 2025, American Heart Association, and Center for Science in the Public Interest all refute this claim. See ex. the CSPI's well-sourced "Myths and Facts About Dairy Fat."
* Dairy protein does not aid in iron absorption (p. 63), only animal protein from flesh does. Calcium in fact inhibits iron absorption. It should also be clarified that this impact is for nonheme iron. See "Iron Absorption: Factors, Limitations, and Improvement Methods."
* In that same discussion of iron absorption (p. 63), phytates are stated as being in cereals and grains. However, they are also in beans, nuts, and seeds in significant quantities. This is particularly important given that members of these foods groups are significant sources of iron.
There are a few other alarming aspects to the book, like a very strong anti-oral-contraceptive view ("the [combined oral contraceptive pill] flatlines our hormonal health") without scientific support listed to justify that strong statement (p. 147 with further discussion on p. 162), and not mentioning hypothyroidism and its other causes in the discussion of low T3 / T4 levels (p. 148), among others.
After reading the book, I perused McGregor's Instagram account, and saw more concerning, "influencer"-like bias in her posts. I deeply wish there was a more scientifically rigorous (and sport-agnostic) version of this same book, because it otherwise has important information.
The overall points I found most useful were:
* Ensure adequate carbohydrate consumption before and during long endurance activities.
* Ensure adequate sodium consumption before and during long endurance activities.
* Insufficient rest or ramping up too fast can have cascading effects throughout the body; recovery is important.
I plan to read more of her work, but with a skeptical eye, given some of the errors and seeming bias in the book. I also wish there were more expert reviews with critiques of the claims in this book; I am sure there are more errors that I missed.