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Nicole C.A. Strock, Kristen J. Koltun, Emily A. Southmayd, Nancy I. Williams and Mary Jane De Souza

(i.e., growth and reproduction). This results in suppression of metabolism, energy expenditure, and thyroid hormones ( Wade et al., 1996 ), contributing to the development of exercise-associated menstrual disturbances ( Loucks et al., 1998 ). Exercise-associated menstrual disturbances can range in

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Anna K. Melin, Ida A. Heikura, Adam Tenforde and Margo Mountjoy

.I. , Scheid , J.L. , Toombs , R.J. , & De Souza , M.J. ( 2011 ). The association of a high drive for thinness with energy deficiency and severe menstrual disturbances: Confirmation in a large population of exercising women . International Journal of Sport Nutrition and Exercise Metabolism, 21 ( 4