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Jennifer Sygo, Alexandra M. Coates, Erik Sesbreno, Margo L. Mountjoy and Jamie F. Burr

. Secondary indicators of LEA were selected based on previous studies associating prolonged energy restriction, LEA, or menstrual disturbances with changes in glucose ( Melin et al., 2015 ), triiodothyronine ( Hulmi et al., 2017 ), low-density lipoprotein cholesterol ( Rickenlund et al., 2005 ), insulin

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Louise M. Burke, Bronwen Lundy, Ida L. Fahrenholtz and Anna K. Melin

energy conservation or health impairment such as disruption to metabolic hormones ( Heikura et al., 2018 ; Koehler et al., 2013 ) and menstrual disturbances ( Liebermann et al., 2018 ; Melin et al., 2015 ; Reed et al., 2013 ; Williams et al., 2015 ). Some primary difficulties in measuring EA in free

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Sarah Staal, Anders Sjödin, Ida Fahrenholtz, Karen Bonnesen and Anna Katarina Melin

energy deficiency and severe menstrual disturbances: Confirmation in a large population of exercising women . International Journal of Sport Nutrition and Exercise Metabolism, 21 , 280 – 290 . PubMed ID: 21813911 doi:10.1123/ijsnem.21.4.280 10.1123/ijsnem.21.4.280 Harris , J. , & Benedict , F

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Paula B. Costa, Scott R. Richmond, Charles R. Smith, Brad Currier, Richard A. Stecker, Brad T. Gieske, Kimi Kemp, Kyle E. Witherbee and Chad M. Kerksick

RJ , De Souza MJ . The association of a high drive for thinness with energy deficiency and severe menstrual disturbances: confirmation in a large population of exercising women . Int J Sport Nutr Exerc Metab . 2011 ; 21 ( 4 ): 280 – 290 . PubMed ID: 21813911 doi:10.1123/ijsnem.21.4.280 10

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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

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Sherry Robertson and Margo Mountjoy

. , Scheid , J. , O’Donnell , E. , West , S. , & Williams , N. ( 2010 ). High prevalence of subtle and severe menstrual disturbances in exercising women: Confirmation using daily hormone measures . Human Reproduction, 25 , 491 – 503 . PubMed ID: 19945961 doi:10.1093/humrep/dep411 10.1093/humrep

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Ida A. Heikura, Arja L.T. Uusitalo, Trent Stellingwerff, Dan Bergland, Antti A. Mero and Louise M. Burke

– 426 . PubMed ID: 20975110 doi:10.1123/ijsnem.20.5.418 10.1123/ijsnem.20.5.418 Reed , J.L. , Bowell , J.L. , Hill , B.R. , Williams , B.A. , De Souza , M.J. , & Williams , N.I. ( 2011 ). Exercising women with menstrual disturbances consume low energy dense foods and beverages . Applied