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Ibuprofen is fucking bad news for ultra racing and bad news in general. Avoid.
This. I've seen some (foot) races where taking it is an instant DQ. Hard to police but it's there in the rules with a health warning. If you can't get through the event on pan y agua then maybe it's time to scratch and start looking after yourself.
Also, where do you draw the line in pill-taking? If I would join a race like that (not to win anyway so doesn't matter), I'd hardly consider taking Ibuprofen cheating. Ibuprofen also makes your hr higher, no?