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> With the number and frequency of riders being diagnosed with EIAE, it’s easy to assume that the condition is becoming more prevalent. But is it really?

> Jem Arnold doesn’t think so, and his view is backed up in the literature.

> “I think it's mostly an issue of increasing awareness, which is a good thing, right?” he says. “We're kind of understanding that, yeah, this is a potential condition that appears in cyclists, and so we're on the lookout for it more. Just like we’re becoming more aware of the risks of concussions, and energy imbalance, and other ‘invisible injuries’. And by we, I mean clinicians, but particularly clinicians working with the teams and even athletes themselves are talking amongst each other a lot more, sharing information and sharing experiences.

> “There's kind of a word-of-mouth thing, as I understand it, happening in the peloton, and so I think the diagnosis rates are predominantly related to just that increase in awareness. Maybe particularly even more on the female side.”

> Anecdotally, it seems like more professional female than male cyclists have been diagnosed with EIAE. The medical literature, meanwhile, speaks of far more cases among males. The latter is likely due to more male cyclists being professional – and more research on men in general – in the years since EIAE was first discovered.