Mary Cain raises women’s health issues in harrowing account of her time with Alberto Salazar

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In 2013, Mary Cain was the talk of the track and field world. The teenager with flowing hair and an irrepressible smile shattered high school records and became the youngest woman to qualify for a world championship 1,500m final. Surely Olympic glory and global athletics stardom would be next.

Instead, Cain’s performances dropped off. She had a solid year in 2014, winning the 3,000m world junior title, the Millrose Games mile and the U.S. 1,500m indoor title, and she took second in the U.S. 1,500m final. But in 2015, she was less competitive. Her struggles continued in 2016, and she finished 11th in her first attempt to make an Olympic team.

She enrolled in Fordham, near her Bronxville, N.Y., home, and took pre-med classes while dealing with a variety of injuries. In the last three years, her IAAF bio lists no results.

“Whatever happened to Mary Cain?” became a popular question among those who follow track and field, even casually.

On Thursday, in a devastating New York Times video, she answered. Her physical and mental health were destroyed — she claims, at the hands of Nike Oregon Project coach Alberto Salazar, who contacted the Cain family while she was in high school to say he wanted to coach the prodigy.

“I joined Nike because I wanted to be the best female athlete ever,” Cain said. “Instead, I was emotionally and physically abused by a system designed by Alberto and endorsed by Nike.”

Cain says she was told to lose weight — “thinner, and thinner, and thinner” — in order to get better, even to the point of taking birth control pills and diuretics. That staff, she points out, was all male. 

The problem was well-hidden. A March 2015 magazine piece, also in The New York Times, suggested Salazar was treating Cain carefully. The goal was to avoid ailments such as the “female athlete triad,” also called RED-S (relative energy deficiency in sport) syndrome, in which an eating disorder and the lack of a menstrual period are related to a weaker bone structure.

“Not eating appropriately for the amount of energy an athlete expends is really the root of this syndrome,” University of Wisconsin orthopedic surgeon Andrea Spiker said in an RED-S fact sheet that says missing just three cycles is a warning sign.

Cain said she missed her period for three years. And broke five different bones.

The mental toll was worse. She had suicidal thoughts and began cutting herself. She said she brought the latter to Salazar’s attention in May 2015, a couple of months after the magazine piece painted a rosy picture but a few hours after Salazar yelled at her in front of many athletes and meet officials gathered in a tent during a thunderstorm. Her parents soon brought her home to New York.

“I wasn’t even trying to make the Olympics any more,” Cain said. “I was just trying to survive.”

But she hid the depths of her problems. As recently as last year, Cain talked with Runner’s World about building back up to run in the outdoor season and expressed no regrets about her career choices.

The author of the 2015 magazine piece, Elizabeth Weil, says today she wishes she had spotted some red flags.

“I’ve thought a lot about the 2015 Mary Cain story I wrote over the years,” Weil said on Twitter. “[Because] in hindsight I got it so wrong.”

Former Nike runner Shalane Flanagan, who last month described her training group as distinctly separate from Salazar’s, also wondered aloud if she should have noticed the problems, reaching out to Cain on Twitter.

“I had no idea it was this bad,” Flanagan wrote. “I’m so sorry @runmarycain that I never reached out to you when I saw you struggling. I made excuses to myself as to why I should mind my own business. We let you down. I will never turn my head again.”

Coincidentally, soon after the 2015 magazine piece ran, Salazar’s program fell under heavy scrutiny. In June, the BBC and ProPublica reported that the Nike Oregon Project was under investigation by the U.S. Anti-Doping Agency. That investigation finally ended with a four-year ban for Salazar.

One of the former Oregon Project athletes who spoke out in the BBC/ProPublica piece, Kara Goucher, told NBC OlympicTalk she had hoped Cain would be treated better because of her age but that Cain simply wound up isolated.

“She was all alone,” Goucher said. “She had no one to support her.”

Officially, the Nike Oregon Project has been shut down, but several of the coaches and athletes are still working together. The athletes Salazar trained are a who’s who of distance running, including Galen Rupp, Jordan Hasay and Mo Farah. None of the athletes have been charged with doping, and U.S. Anti-Doping Agency chief Travis Tygart said this week he sees little reason for the World Anti-Doping Agency to investigate any further.

Now Cain wants to change the system.

“Young girls’ bodies are being ruined by an emotionally and physically abusive system,” Cain said.

Goucher agrees: “I think this is a broader problem of the way we treat women athletes as objects instead of humans.”

Cain gave a road map for reform: Change the culture at Nike, including a closer look at the coaches who worked with Salazar and continue to work with Nike athletes, and put more women in power.

And she says her running career isn’t over.

“Part of the reason I’m doing this now is I want to end this chapter, and I want to start a new one,” Cain said.

Left ambiguous is whether that statement applies only to herself or to her sport and sports in general.

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Frances Tiafoe, Taylor Fritz exit French Open, leaving no U.S. men

Frances Tiafoe French Open
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Frances Tiafoe kept coming oh so close to extending his French Open match against Alexander Zverev: 12 times Saturday night, the American was two points from forcing things to a fifth set.

Yet the 12th-seeded Tiafoe never got closer than that.

Instead, the 22nd-seeded Zverev finished out his 3-6, 7-6 (3), 6-1, 7-6 (5) victory after more than 3 1/2 hours in Court Philippe Chatrier to reach the fourth round. With Tiafoe’s exit, none of the 16 men from the United States who were in the bracket at the start of the tournament are still in the field.

“I mean, for the majority of the match, I felt like I was in control,” said Tiafoe, a 25-year-old from Maryland who fell to 1-7 against Zverev.

“It’s just tough,” he said about a half-hour after his loss ended, rubbing his face with his hand. “I should be playing the fifth right now.”

Two other American men lost earlier Saturday: No. 9 seed Taylor Fritz and unseeded Marcos Giron.

No. 23 Francisco Cerundolo of Argentina beat Fritz 3-6, 6-3, 6-4, 7-5, and Nicolas Jarry of Chile eliminated Giron 6-2, 6-3, 6-7 (7), 6-3.

There are three U.S women remaining: No. 6 Coco Gauff, Sloane Stephens and Bernarda Pera.

FRENCH OPEN DRAWS: Women | Men | Broadcast Schedule

It is the second year in a row that zero men from the United States will participate in the fourth round at Roland Garros. If nothing else, it stands as a symbolic step back for the group after what seemed to be a couple of breakthrough showings at the past two majors.

For Tiafoe, getting to the fourth round is never the goal.

“I want to win the trophy,” he said.

Remember: No American man has won any Grand Slam title since Andy Roddick at the 2003 U.S. Open. The French Open has been the least successful major in that stretch with no U.S. men reaching the quarterfinals since Andre Agassi in 2003.

But Tiafoe beat Rafael Nadal in the fourth round of the U.S. Open along the way to getting to the semifinals there last September, the first time in 16 years the host nation had a representative in the men’s final four at Flushing Meadows.

Then, at the Australian Open this January, Tommy Paul, Sebastian Korda and Ben Shelton became the first trio of Americans in the men’s quarterfinals in Melbourne since 2000. Paul made it a step beyond that, to the semifinals.

After that came this benchmark: 10 Americans were ranked in the ATP’s Top 50, something that last happened in June 1995.

On Saturday, after putting aside a whiffed over-the-shoulder volley — he leaned atop the net for a moment in disbelief — Tiafoe served for the fourth set at 5-3, but couldn’t seal the deal.

In that game, and the next, and later on, too, including at 5-all in the tiebreaker, he would come within two points of owning that set.

Each time, Zverev claimed the very next point. When Tiafoe sent a forehand wide to end it, Zverev let out two big yells. Then the two, who have been pals for about 15 years, met for a warm embrace at the net, and Zverev placed his hand atop Tiafoe’s head.

“He’s one of my best friends on tour,” said Zverev, a German who twice has reached the semifinals on the red clay of Paris, “but on the court, I’m trying to win.”

At the 2022 French Open, Zverev tore ligaments in his right ankle while playing Nadal in the semifinals and had to stop.

“It’s been definitely the hardest year of my life, that’s for sure,” Zverev said. “I love tennis more than anything in the world.”

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2023 French Open women’s singles draw, scores

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At the French Open, Iga Swiatek of Poland eyes a third title at Roland Garros and a fourth Grand Slam singles crown overall.

The tournament airs live on NBC Sports, Peacock and Tennis Channel through championship points in Paris.

Swiatek, the No. 1 seed from Poland, can join Serena Williams and Justine Henin as the lone women to win three or more French Opens since 2000.

Having turned 22 on Wednesday, she can become the youngest woman to win three French Opens since Monica Seles in 1992 and the youngest woman to win four Slams overall since Williams in 2002.

FRENCH OPEN: Broadcast Schedule | Men’s Draw

But Swiatek is not as dominant as in 2022, when she went 16-0 in the spring clay season during an overall 37-match win streak.

She retired from her last pre-French Open match with a right thigh injury and said it wasn’t serious. Before that, she lost the final of another clay-court tournament to Australian Open champion Aryna Sabalenka of Belarus.

Sabalenka, the No. 2 seed, is her top remaining challenger in Paris.

No. 3 Jessica Pegula, the highest-seeded American man or woman, was eliminated in the third round. No. 4 Elena Rybakina of Kazakhstan, who has three wins over Swiatek this year, withdrew before her third-round match due to illness.

No. 6 Coco Gauff, runner-up to Swiatek last year, is the best hope to become the first American to win a Grand Slam singles title since Sofia Kenin at the 2020 Australian Open. The 11-major drought is the longest for U.S. women since Seles won the 1996 Australian Open.

MORE: All you need to know for 2023 French Open

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2023 French Open Women’s Singles Draw

French Open Women's Singles Draw French Open Women's Singles Draw French Open Women's Singles Draw French Open Women's Singles Draw