Is that why it hurts so much?
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Have you tried morning pages?
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Environment
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If you extend this metaphor, you should adopt Zone 2 training to build threshold fitness.
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Your Twitter activity probably qualifies as Zone 2 come to think of it.
End of conversation
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Do you think it’s a function of age or something else like losing interest/focus?
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How did you figure out the difference of writing as aerobic vs anaerobic activity?
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How did you deal with writer's block earlier on vs. now?
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You need another source of input. Brain eventually gets exhausted with too much output. What are your daily sources of input?
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That sounds awful.
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Memetic lactic acid builds up in a few hours. Much more fatiguing than it once was.