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Image: Ultra-endurance athlete Clive Smith – pictured with his medal from the 2017 Mainova Frankfurt Ironman triathlon – has severe haemophilia A and is a trustee of the Haemophilia Society (UK)Image: Clive (pictured running in blue and white striped vest) is on prophylaxis three times a week. He injects on the days he runs as this activity potentially impacts his joints more than cycling or swimmingImage: Clive trains hard, with the support of his physiotherapist, and believes that there are valuable benefits to being active: “The more exercise I do, the less bleeds I have”Image: Clive competing in the Outlaw Triathlon, Nottingham, UK, in 2017