9fc44d4b_n_Bike_Race_Biting_Back_at_ALS__Impairment
[Description] To avoid aspiration or coughing episodes, I must chew slowly and swallow multiple times. For rides over 90 min., I stop to eat or drink; for rides under 90 min., I eat and drink before I ride. [Impairment] 
Difficulty swallowing
Oso High Endurance Sports and Oso High Mountain Bike Race Biting Back at ALS
Impairment