Calorie Burned by Distance Calculator
Estimate calories burned from distance, speed/pace, activity, and body weight
All calculations run in your browser using MET-based formulas. No server-side processing, API calls, or data storage.Input details
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Moderate intensityHow Many Calories Do You Really Burn Per Mile or KM?
A complete, evidence-based guide to the Calorie Burned by Distance Calculator — covering walking, running, and cycling, with formulas, reference tables, and a worked example you can copy.
Factors Affecting Calories Burned By Distance
Two people can walk the exact same 5K route and burn noticeably different amounts of energy. Distance alone never tells the whole story — it's the multiplier effect of several physiological and environmental variables layered on top of distance that determines your final calorie burn.
1. Body weight
Body weight is the single biggest lever in any calorie burned by distance calculator. Moving your body mass against gravity and friction over a fixed distance costs more energy the heavier you are, because your muscles are doing more mechanical work per step or pedal stroke. A 90kg person walking one kilometer burns meaningfully more calories than a 60kg person covering the identical kilometer at the identical pace — often 35-45% more. This is why every credible calculator asks for your weight before estimating output, and why generic "calories per mile" numbers you see on food packaging or fitness influencer infographics should always be treated as rough averages rather than personal truth.
2. Speed and pace
Pace affects calorie burn in two competing ways. Per minute, moving faster always burns more energy. But per kilometer or per mile, the relationship is more nuanced: for walking, picking up the pace increases the calorie cost of each kilometer because your gait becomes less mechanically efficient at faster walking speeds. For running, the calorie cost per kilometer stays remarkably stable across paces — a phenomenon exercise scientists call running economy, which we unpack later in this guide. For cycling, faster speeds actually reduce calories burned per kilometer in many cases, because you cover the same ground in less time even though you're working harder each minute.
3. Terrain and incline
A flat paved kilometer and a kilometer with a 6% grade are not the same workout. Climbing converts horizontal distance into vertical work, and vertical work is expensive: as a rule of thumb, each 1% of incline adds roughly 5-10% more energy cost to walking or running at a given pace. Soft surfaces like sand, trail mud, or thick grass also raise the cost of distance because more energy is lost to ground deformation and stabilizing muscles with every stride.
4. Body composition
Two people with identical weight can have different calorie costs because muscle is metabolically and mechanically more active than fat tissue during movement. Body composition also affects running and walking economy — more lean mass relative to fat typically improves mechanical efficiency, while a higher fat percentage can very slightly increase or decrease the energy cost of distance depending on biomechanics and the activity in question.
5. Fitness level and movement efficiency
Trained runners and cyclists often burn fewer calories than untrained beginners covering the same distance at the same pace, because their bodies have become more mechanically efficient — better form, more elastic energy return from tendons, and less wasted motion. This is good news for performance but means seasoned athletes shouldn't be surprised when a calculator's estimate trends slightly high relative to what a lab VO2 test would show them.
6. Environmental conditions
Heat, humidity, wind, and altitude all nudge energy cost upward. Your body spends extra calories on thermoregulation in hot or humid weather, headwinds add resistance that cycling and running calculators rarely account for, and exercising at altitude increases the cardiovascular cost of a given pace due to lower oxygen availability. None of these are usually inputs in a basic distance calculator, which is exactly why the outputs are best read as a solid estimate rather than a lab-grade measurement.
Distance sets the baseline, but weight, pace, terrain, body composition, fitness level, and environment all scale that baseline up or down. A good calorie burned by distance calculator should always ask for at least your weight, the activity, and your typical pace — anything less is guesswork.
How To Calculate Calories Burned By Distance
Every distance-based calorie estimate, including the one this calculator produces, traces back to a single exercise-science building block called the MET — metabolic equivalent of task.
What is a MET?
One MET represents the energy your body uses at rest: roughly 3.5 milliliters of oxygen per kilogram of body weight per minute. Every physical activity has been measured and assigned a MET value relative to that resting baseline. Walking at a casual pace sits around 3.0 METs (three times your resting metabolic rate), brisk walking climbs to around 4.3-5.0 METs, jogging is roughly 7-8 METs, and running at faster paces can reach 11-16+ METs. The Compendium of Physical Activities, maintained by exercise physiology researchers, is the standard reference table calculators like this one draw from.
The core formula
Once you know the MET value for an activity and pace, calories burned is a function of your body weight and the time spent moving:
Since a distance-based calculator starts with kilometers or miles rather than minutes, it first has to convert distance into time using your pace, then run that through the formula above:
A worked example
Say you weigh 70kg and you jog 5km at a pace that works out to 8km/h, a moderate jogging pace with a MET value of about 8.3:
- Time = 5km ÷ 8km/h = 0.625 hours (37.5 minutes)
- Calories = 8.3 × 70 × 0.625 = 363 calories
That works out to roughly 72.6 calories per kilometer for this particular runner at this particular pace — a number that will shift if their weight, pace, or the terrain changes.
Why calories-per-km is a moving target
You'll often see blanket claims like "running burns 100 calories per mile." That figure is a population average built around a roughly 70kg adult — it compresses away weight, pace, terrain, and fitness level into one tidy number. It's a useful mental shortcut, but a true calorie burned by distance calculator personalizes the estimate by plugging your actual weight and pace into the MET formula instead of relying on someone else's average.
Net vs. gross calories
One subtlety worth knowing: the MET formula estimates gross calorie burn — total energy expended during the activity, including what you would have burned anyway just by being alive (your resting metabolic rate). Net calorie burn subtracts that resting cost to isolate the calories the activity itself added. For a 30-40 minute walk or run, the difference between gross and net is usually only 25-40 calories, but it's worth knowing which number you're looking at if you're balancing calories burned against calories eaten.
Running: roughly 1 calorie per kilogram of body weight, per kilometer (about 0.75 calories per pound, per mile). Brisk walking: roughly half that. Use these as sanity checks, then use the calculator for a number tailored to your exact pace and weight.
How Many Calories Does Walking Burn?
Walking is the activity most people actually use a distance calculator for — it's accessible, low-impact, and easy to track in kilometers or miles using a phone or watch. Here's what the numbers really look like.
Calories burned walking, by pace
Walking calorie burn follows a surprising pattern. For a 70kg (154lb) adult, per kilometer:
- Leisurely stroll, ~3.2 km/h (2 mph): roughly 61 kcal per km
- Casual, ~4.0 km/h (2.5 mph): roughly 53 kcal per km
- Moderate, ~4.8 km/h (3 mph): roughly 48 kcal per km — the most economical pace
- Brisk, ~5.6 km/h (3.5 mph): roughly 54 kcal per km
- Very brisk, ~6.4 km/h (4 mph): roughly 55 kcal per km
- Race-walk pace, ~7.2 km/h (4.5 mph): roughly 63 kcal per km
That's not a typo — walking has a U-shaped energy cost curve. A moderate pace around 4.5-5 km/h is the most mechanically economical speed for the human gait, so it costs the fewest calories per kilometer. Walk slower than that and you spend more time stabilizing and balancing per stride; walk faster than that and your gait becomes increasingly unnatural until it's more efficient to simply start jogging. Faster walking still burns more calories per minute and gets you there sooner — it just isn't always cheaper per kilometer.
How many calories does a 30-minute walk burn?
At a moderate 4.8 km/h pace, 30 minutes covers about 2.4km and burns somewhere in the range of 110-130 calories for a 70kg adult. Pick up the pace to brisk (5.6-6.4 km/h) and you'll cover roughly 3km in the same half hour, pushing the total closer to 160-180 calories simply because more ground gets covered, even though the per-kilometer cost is similar.
How many calories does walking 10,000 steps burn?
10,000 steps works out to roughly 7-8km for most adult stride lengths, which at a moderate pace translates to approximately 320-420 calories burned, depending on body weight and walking speed. This is one of the most-searched walking calorie questions, and it's a good example of why a distance-based calculator is more useful than a step-based one — step length varies a lot between individuals, but distance does not.
Walking uphill, on trails, or with a loaded backpack
Add an incline, loose trail surface, or a weighted pack (hiking, rucking, or carrying a child) and the calorie cost per kilometer can climb 30-60% above flat-ground numbers. A loaded ruck on hilly terrain can approach or even exceed light jogging in calorie cost per kilometer, despite feeling like "just walking."
Walking calorie burn is real, but modest compared to running — which is exactly why distance and consistency matter more than intensity for most walkers chasing a calorie goal. A daily 5km walk adds up to roughly 1,400-1,800 calories burned per week, comparable to one to two pounds of fat loss per month from walking alone, assuming nothing else changes.
How To Use The Activity-Wise Calorie Burned By Distance Calculator
The calculator is built to take the MET-based math from the last section and do it instantly, for whichever activity and pace you choose. Here's exactly how to get an accurate result.
Choose your activity
Select walking, running, or cycling. This sets the correct MET reference range behind the scenes, since the same speed means a very different effort level depending on the activity.
Enter your body weight
Use your current weight in kilograms or pounds. This is the single most influential input, so keep it updated if your weight changes meaningfully over time.
Enter the distance
Input the distance you covered or plan to cover, in kilometers or miles. Most fitness watches, treadmills, and mapping apps will give you this number directly.
Enter your pace or speed
Provide either your pace (minutes per km/mile) or your speed (km/h or mph) — whichever you have handy. This determines the MET value applied and is what separates a real estimate from a generic one-size-fits-all number.
Read your results
The calculator returns total calories burned, calories per km/mile, estimated duration, and the MET value used — so you can see exactly how the number was built, not just the final figure.
Worked example
Using the screen above: a 68kg walker covering 5km at a 10:00 min/km pace (6 km/h, a brisk walking speed, roughly 4.3 METs):
- Duration = 5km × 10 min/km = 50 minutes = 0.833 hours
- Calories = 4.3 × 68 × 0.833 ≈ 244-300 kcal depending on the exact MET table used, landing the calculator's estimate around 298 kcal
- That's roughly 59.6 kcal per kilometer for this walker at this pace
Change any single input — drop the weight to 58kg, slow the pace to 12 min/km, or switch the activity to running — and the result recalculates instantly, which is the real advantage over a static chart: you get a number built around you, not an average stranger.
Reference Data: Calories Burned By Distance
Don't want to run the numbers yourself? Use these tables as a quick lookup across body weights. All figures are gross calorie estimates based on standard MET values and rounded to the nearest whole number — treat them as a strong starting estimate, then use the calculator for a figure tuned to your exact pace.
Walking
Running
Cycling
1. Walking — calories burned per km / mile
| Pace | 60kg / 132lb | 70kg / 154lb | 80kg / 176lb | 90kg / 198lb |
|---|---|---|---|---|
| Leisurely · 3.2 km/h (per km / per mi) | 53 / 84 | 61 / 99 | 70 / 113 | 79 / 127 |
| Casual · 4.0 km/h (per km / per mi) | 45 / 73 | 53 / 85 | 60 / 97 | 68 / 109 |
| Moderate · 4.8 km/h (per km / per mi) | 41 / 67 | 48 / 78 | 55 / 88 | 62 / 99 |
| Brisk · 5.6 km/h (per km / per mi) | 46 / 75 | 54 / 87 | 61 / 99 | 69 / 111 |
| Very brisk · 6.4 km/h (per km / per mi) | 47 / 75 | 55 / 88 | 63 / 101 | 70 / 113 |
| Race-walk · 7.2 km/h (per km / per mi) | 54 / 87 | 63 / 101 | 72 / 116 | 81 / 130 |
2. Running — calories burned per km / mile
| Pace | 60kg / 132lb | 70kg / 154lb | 80kg / 176lb | 90kg / 198lb |
|---|---|---|---|---|
| Easy jog · 8 km/h, 7:30/km (per km / per mi) | 62 / 100 | 73 / 117 | 83 / 134 | 93 / 150 |
| Moderate · 10 km/h, 6:00/km (per km / per mi) | 59 / 95 | 69 / 111 | 78 / 126 | 88 / 142 |
| Fast run · 12 km/h, 5:00/km (per km / per mi) | 58 / 93 | 67 / 108 | 77 / 124 | 86 / 138 |
| Race pace · 14 km/h, 4:17/km (per km / per mi) | 55 / 88 | 64 / 103 | 73 / 118 | 82 / 132 |
| Fast race · 16 km/h, 3:45/km (per km / per mi) | 54 / 87 | 63 / 102 | 73 / 117 | 82 / 132 |
3. Cycling — calories burned per km / mile (speed-dependent)
| Speed | 60kg / 132lb | 70kg / 154lb | 80kg / 176lb | 90kg / 198lb |
|---|---|---|---|---|
| Leisure · <16 km/h (per km / per mi) | 17 / 28 | 20 / 32 | 23 / 37 | 26 / 41 |
| Light-moderate · 16-19 km/h (per km / per mi) | 23 / 37 | 27 / 44 | 31 / 50 | 35 / 56 |
| Moderate · 19-22 km/h (per km / per mi) | 23 / 38 | 27 / 44 | 31 / 50 | 35 / 57 |
| Vigorous · 22-25 km/h (per km / per mi) | 26 / 41 | 30 / 48 | 34 / 55 | 38 / 62 |
| Racing · 25-30 km/h (per km / per mi) | 26 / 42 | 31 / 49 | 35 / 56 | 39 / 63 |
| Competitive · 30+ km/h (per km / per mi) | 30 / 48 | 35 / 56 | 40 / 64 | 44 / 71 |
Notice the pattern: cycling burns far fewer calories per kilometer than walking or running, even though it can burn more calories per hour at speed. That's because cycling covers ground so much faster — the energy cost gets spread across more distance, even as the effort per minute climbs.
Calorie Burn By Distance For Different Body Weights
To make the weight effect concrete, here's what a fixed 5K covers in calories at a moderate pace, across a realistic range of body weights.
| Body weight | 5km walk (moderate) | 5km run (moderate) | 20km cycle (moderate) |
|---|---|---|---|
| 50 kg / 110 lb | 172 kcal | 245 kcal | 390 kcal |
| 60 kg / 132 lb | 206 kcal | 294 kcal | 468 kcal |
| 70 kg / 154 lb | 241 kcal | 343 kcal | 546 kcal |
| 80 kg / 176 lb | 275 kcal | 392 kcal | 624 kcal |
| 90 kg / 198 lb | 309 kcal | 441 kcal | 702 kcal |
| 100 kg / 220 lb | 344 kcal | 490 kcal | 780 kcal |
| 110 kg / 242 lb | 378 kcal | 539 kcal | 858 kcal |
The relationship is close to linear: roughly each extra 10kg of body weight adds about 14% more calories burned over the same distance and pace. This is also why distance-based calorie tracking tends to stay more accurate over time than time-based tracking as your weight changes — the formula automatically scales with whatever current weight you enter.
Calorie Burn & Running: Why Pace Matters Less Than You Think
Of the three activities in this guide, running is the one where distance is the most reliable predictor of calorie burn — and pace barely changes the per-kilometer cost. That surprises most runners the first time they hear it.
The "1 calorie per kg per km" rule
Exercise physiologists have repeatedly found that the oxygen — and therefore calorie — cost of running a given distance changes only modestly across a wide range of paces, especially compared to how dramatically calorie cost per minute changes. The widely cited shortcut is that running burns approximately 1 calorie per kilogram of body weight per kilometer (close to 0.75-0.8 calories per pound per mile), and the table above confirms it: a 70kg runner burns somewhere between 63 and 73 kcal/km regardless of whether they're jogging at 8 km/h or racing at 16 km/h.
Why doesn't running fast burn way more per kilometer?
It seems counterintuitive — surely sprinting costs more than jogging? Per minute, yes, dramatically more. But you also finish the kilometer in a fraction of the time. Those two effects largely cancel out, and the small remaining difference actually favors faster paces slightly, because efficient running form, momentum, and elastic energy return from tendons (especially the Achilles) make faster cruising paces marginally more economical per kilometer than a slow plod. This only holds within a "normal" running range — sprinting all-out for short bursts is a different, much less efficient energy system entirely (anaerobic, not the steady-state aerobic MET values used here).
What this means for your training
If your goal is calorie burn rather than fitness or speed, the practical takeaway is liberating: distance matters far more than pace for total calories burned running. A slow, comfortable 10K and a fast 10K burn roughly the same number of calories — the fast version just gets it done quicker. This makes running one of the most predictable activities to estimate with a distance-based calculator, and it's why runners can plan calorie burn around race distance (5K, 10K, half marathon, marathon) with high confidence regardless of expected finish time.
Running vs. walking the same distance
For the same kilometer, running typically burns 25-45% more calories than walking at a comfortable pace, mostly because running involves a full aerial phase (both feet briefly off the ground) that walking doesn't, which raises the metabolic cost of movement substantially. If time is limited and your goal is maximum calorie burn per kilometer covered, running outperforms walking — but walking remains far easier to sustain for long distances and far gentler on joints, which is its own kind of efficiency.
Using the 1 kcal/kg/km rule, a 70kg runner completing a full marathon (42.2km) burns roughly 2,600-2,950 calories from the run itself — before accounting for elevation gain, weather, or the metabolic cost of carrying fuel and water. It's a big reason marathon training plans build in significant extra daily calorie intake on long-run days.
Calories Burned By Distance vs. By Time: Which Should You Track?
Most fitness trackers let you log a workout by either duration or distance. They sound interchangeable, but for calorie estimation they answer slightly different questions.
Distance-based tracking
Distance-based calorie tracking is more reliable for activities like running and cycling, where the route or goal is fixed (a 5K, a 10-mile ride, a marathon). It's also more resistant to "pacing drift" — if you slow down halfway through a run because you're tired, a distance-based estimate still captures the true work done to cover the ground, whereas a time-based average can understate or overstate effort if pace varied a lot during the session.
Time-based tracking
Time-based tracking works better for activities without a clean distance metric — strength training, swimming without a tracked lap count, sports with stop-start movement like tennis or basketball, or steady-state cardio machines that don't report accurate distance (some stationary bikes and ellipticals overstate distance significantly).
Which is more accurate?
Neither method is inherently "more accurate" in an absolute sense — both ultimately reduce to the same MET formula, just rearranged. Distance-based estimates tend to feel more intuitive and motivating for goal-oriented walkers and runners ("burn 300 calories by finishing this 5K") while time-based estimates suit people who exercise in fixed blocks ("burn what I can in 30 minutes"). The best approach is to track whichever metric you naturally control during the activity, and let the calculator handle the conversion.
If your fitness watch gives you both pace and distance for a session, distance-based calculation is usually the more trustworthy of the two for walking, running, and cycling — pace sensors can be noisy minute to minute, but cumulative distance is generally accurate to within a few percent on modern GPS devices.
Tips To Burn More Calories Per Mile Or KM
If you want to increase calorie burn without simply adding more distance, these are the levers with real evidence behind them.
Add hills or incline
Incline is the single most effective way to raise calorie cost per kilometer without changing your speed. A treadmill set to a 3-5% incline can raise walking calorie burn by 20-30% over the same flat distance, and outdoor hill routes deliver the same effect for running and cycling.
Carry extra load (safely)
Rucking — walking with a weighted backpack — increases calorie cost roughly in proportion to the extra weight carried, often adding 10-20% more calories per kilometer with a moderate 10-15% bodyweight load. Keep loads reasonable and build up gradually to protect your back and joints.
Pick a varied or soft surface
Trail running, sand, and uneven terrain all raise energy cost per kilometer compared to flat pavement or a track, since stabilizing muscles work harder and energy is lost to surface deformation with every stride.
Increase frequency rather than just distance
Three 5K runs in a week burn roughly the same total calories as one 15K run, but tend to be easier to recover from and sustain long-term — useful if your real goal is a consistent weekly calorie deficit rather than a single big session.
For running specifically: don't chase pace for calories
Since calories per kilometer barely changes with running pace (see the section above), the most reliable way to burn more calories running is simply to run farther, not faster. Save pace work for performance goals, and use distance as your calorie lever.
For cycling specifically: resistance and terrain over flat speed
Because cycling burns relatively few calories per kilometer at high speed on flat ground, hilly routes, higher gear resistance, or off-road/gravel riding will raise the calorie cost of a given distance far more effectively than simply trying to ride faster on a flat road.
Common Mistakes When Estimating Calories Burned By Distance
A calorie burned by distance calculator is only as good as its inputs. These are the most common ways people skew their own results.
Using an outdated body weight
Weight is the biggest multiplier in the formula. If you've lost or gained more than a few kilograms since you last updated it, your estimates will be systematically off in one direction.
Ignoring elevation and terrain
A flat-ground calculator will understate calorie burn for hilly routes, sometimes by 20% or more. If your route has significant elevation gain, treat the flat-distance estimate as a floor, not a ceiling.
Confusing GPS distance with treadmill or step-counter distance
Treadmill displays and phone pedometers can both overstate or understate actual distance covered, especially at very slow or very fast paces. GPS watches are generally the most reliable distance source outdoors; indoors, treadmill distance is usually trustworthy if the belt speed is calibrated correctly.
Applying running numbers to walking (or vice versa)
Because the MET values for walking and running diverge so much, even at similar speeds (a brisk walk and a slow jog can both be around 6-8 km/h but have very different MET values), it's important to select the correct activity in the calculator rather than assuming "fast walking" and "slow running" are interchangeable.
Forgetting that net and gross calories aren't the same
If you're trying to balance "calories burned" against "calories eaten," remember that gross calorie burn estimates (what most calculators show) already include your resting metabolic cost. Subtracting your resting rate gives the true net calorie cost of the activity, which is usually 10-15% lower than the gross figure for a 30-45 minute session.
Treating the number as exact rather than an estimate
Even the best MET-based formula has a margin of error of roughly ±10-20% compared to lab-measured calorimetry, because it can't account for every individual variation in efficiency, body composition, and conditions. Use the output to guide decisions and track trends over time, not as a precise scientific measurement.
Frequently Asked Questions
Fast, direct answers to the questions readers ask most often about distance-based calorie burn.
How many calories does walking 1km burn?
At a moderate pace, walking 1km burns roughly 40-55 calories for most adults weighing 60-90kg, with the exact figure depending heavily on body weight and pace. A 70kg adult walking at a moderate 4.8km/h pace burns approximately 48 calories per kilometer.
How many calories does running 1 mile burn?
Running 1 mile burns roughly 100-120 calories for a 70kg (154lb) adult, fairly consistently across paces from an easy jog to a fast race pace, thanks to running's relatively flat calorie-per-distance economy. Heavier runners burn proportionally more, lighter runners somewhat less.
Does cycling burn more calories than running?
Per hour, vigorous cycling can burn a similar or even greater number of calories than running. But per kilometer or mile of distance covered, cycling burns significantly fewer calories than running, because cycling covers ground so much faster — the same energy gets spread across more distance.
How accurate are calorie burned by distance calculators?
MET-based distance calculators are generally accurate to within about 10-20% of lab-measured calorimetry for most people, which is good enough for tracking trends and setting goals. They won't perfectly capture individual differences in efficiency, terrain, or conditions, so treat results as a strong estimate rather than an exact figure.
Does walking speed affect calories burned per kilometer?
Yes, and not in a straight line. Walking has a U-shaped energy cost curve: a moderate pace around 4.5-5km/h is the most calorie-economical per kilometer, while both slower strolling and faster striding cost slightly more energy per kilometer covered.
How many calories do I burn walking 5km a day?
At a moderate pace, a 70kg adult burns roughly 240 calories walking 5km. Done daily, that adds up to about 1,680 calories burned per week from walking alone — equivalent to roughly half a pound of fat per week if nothing else in your diet or activity changes.
Is it better to walk or run for weight loss?
Running burns more calories per kilometer than walking, so it's more time-efficient. But walking is easier to sustain for longer distances and gentler on joints, making it more sustainable for many people long-term. The activity you'll actually do consistently usually beats the theoretically "better" one.
How many calories does a 5K run burn?
A 5K run burns roughly 300-350 calories for a 70kg adult at a moderate pace, and this figure stays fairly consistent whether the 5K is run slowly or quickly, since running's calorie cost per kilometer changes only modestly with pace.
Why does my fitness watch show a different calorie number than this calculator?
Wearables often blend heart rate data, accelerometer movement, and proprietary algorithms on top of basic MET tables, which can produce different results than a pure distance-and-pace MET calculation — especially if your heart rate is elevated by heat, stress, or caffeine rather than effort alone. Neither number is "wrong," they're just measuring slightly different things.
Does incline or hills change calories burned by distance?
Significantly. Each 1% of incline typically adds roughly 5-10% more energy cost to walking or running at a given pace, since you're doing additional vertical work against gravity. A flat-route calculator will understate calorie burn on a hilly course.
Related Topics & Keywords
A note on accuracy: The figures, formulas, and tables in this guide are educational estimates based on standard MET (metabolic equivalent of task) values from established exercise physiology references. Individual calorie burn varies with metabolism, fitness level, body composition, terrain, and environmental conditions. This content is not medical advice — consult a healthcare provider or registered dietitian before making significant changes to your exercise or nutrition routine, particularly if you have an existing health condition.

