I had been running for years (54 year old male, fairly healthy) including some ultra marathons and triathlons. Over the past 3 years I have gotten progressively slower and with less mileage to where my runs are only jog-walks where my jog is anywhere from about 100 meters to 100 feet before I have to walk - then I continue on as a jog-walk. I had a recent incident where I tried to go a few extra meters (pushed it) and passed out on the sidewalk (not the first time and definitely not fun). But I can bicycle with the same amount of water and nutrition for 20-30 miles without issue. It's very strange and doctors can't seem to figure out why. Note: I have a bicuspid aortic valve that has some narrowing, but I've done multiple invasive tests, and they see it functioning fine with no heart blockages whatsoever, and not anywhere near ready for replacement. Another history piece if it helps figure out what is going on is I did crack C2 in a ski accident 36 years ago. There may be other things too, but hopefully this much can give someone enough information to point me in the right direction. Thanks in advance.