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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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The right step is a real consultation with a licensed medical provider who will walk through your goals, your labs, and the trade-offs across all current options before recommending a protocol

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