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L.NamsathimaphornK.et al (2025)

In practical terms, low energy availability may contribute to: Slower muscle and tendon remodeling Reduced tolerance to training volume Delayed strength progression during rehabilitation Higher perceived fatigue Increased risk of overuse symptoms Longer timelines to return to sport at full performance capacity For physical therapists and sports medicine clinicians, this matters more than ever

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Poor sleep compounds the issue just four nights of sleeping five hours can reduce insulin sensitivity by about 20%

The fiber has all night to absorb water and move through the colon