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, identification of the prevalence of heavy menstrual bleeding (HMB) has been problematic. However, with the recent creation of a number of more objective diagnoses, identification can be facilitated. Accordingly, 36% of marathon runners were recently found to have a history of HMB (Bruinvels, Burden, Brown

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Richard B. Kreider

amino acids ( Jäger et al., 2017 ) promote gains in fat-free mass during training. There is also evidence that calcium β-HMB supplementation in untrained and elderly individuals initiating training may promote gains in muscle mass ( Wilson et al., 2013 ). There is limited to mixed evidence that