The race that I did last weekend, last year, froze the hell out of some people and they got frostbite. Bunches of them dropped out mid-race and they just went home, haha.
When it's cold, your breath basically condenses on everything, so you get to look like that. It's not so much about no exposed skin, it's about managing what is exposed and using it to control body temp. Last year was great because we got a lot of cold temps in town, so I got a lot of good practice in. I'm still practicing this year, spending "all day" out riding my bike in the "cold", except we haven't had nearly as much real cold, down near zero F and below. I felt like I managed that part well on the trail though, it's been quite the struggle to come up with systems that work in spite of Reynauds, but experience and bad and good choices have gotten me there.
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