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Cycling is a great way to get outside and exercise. But take care when you're on the road. Adult bicycle crashes have skyrocketed since 1999, and associated medical costs are soaring with them, according to a study published online June 1, 2017, by Injury Prevention. Researchers looked at information from federal and regulatory databases from 1999 to 2013, and observed that nonfatal crashes during that time involving cyclists ages 45 or older went from about 42,000 to 122,000 per year. Costs associated with adult bicycle injuries during the study period increased almost $800 million per year, reaching $24 billion in 2013. What does that mean for your health? Study authors suggest focusing on injury prevention. Make sure to wear a helmet and reflective clothing; stick to bike paths instead of the street; don't use clips to keep your feet on the pedals, which can make injuries worse if you fall; don't ride alone; stay hydrated before, during, and after your ride; and use sunscreen and sunglasses.