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Writing from both the cutting edge of scientific discovery and the front-lines of elite athletic performance, National Magazine Award-winning science journalist Alex Hutchinson presents a revolutionary account of the dynamic and controversial new science of endurance.

As a young boy, Malcolm Alexander knew exactly what, and who, he wanted to be. He dreamed of becoming a doctor; he was mesmerised by the process of illness and obsessed with preventing it. He wanted to help others. In his 40s, Malcolm gave up his job in suburban Glasgow when a persistent seed that had been growing inside him started to bloom, disrupting the foundations of his life. When he saw the job advert, 'urgent: island doctor needed', he applied immediately. What he didn't anticipate was how much Orkney would affect his family, for better or worse.