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"Athletes who are doing endurance sports are already on such a fine line of energy balance between training and fueling, and the slightest disruption can really be detrimental," Eichner says

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Dysfunctional hypothalamic function can be seen in ME/CFS patients in the form of up-regulation of hypothalamic 5-hydroxytryptamine (5-HT) receptors (441) and abnormal arginine/vasopressin responses to deprivation tests and water loading (440)

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"One supplement I recommend avoiding on GLP-1 is fat-burning products or those with stimulants