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Bryan Holtzman, Adam S. Tenforde, Allyson L. Parziale and Kathryn E. Ackerman

allow appropriate return to play. Major sports medicine organizations agree that consequences of LEA can harm an athlete, and limited clearance or disqualification may improve the safety and health of the athlete ( De Souza et al., 2014 ; Mountjoy et al., 2018 ). Yet, consensus is lacking on the best

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Rebekah D. Alcock, Gregory C. Shaw and Louise M. Burke

sources (such as gelatine) to athletes with tendon and ligament injuries to aid in repair and accelerate return to play after injury. The proposed mechanism underpinning such a strategy is that the increase in blood concentrations of the amino acids and related compounds found in collagen will support an

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Margo L. Mountjoy, Louise M. Burke, Trent Stellingwerff and Jorunn Sundgot-Borgen

). This finding is in stark contrast to the recognition that 44% ( n  = 12/27) of the same IFs have sport-specific return–to-play concussion guidelines ( Mountjoy et al., 2018a ). The problems associated with RED-S resemble an iceberg: its true magnitude is largely hidden, and its devastating impact is

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Steve Barrett

athletes’ training loads during conditioning sessions and return-to-play activities. The only study to date examining the comparison between RT and PED used a single match split into quarters during an Australian Rules Football game, reporting HSR and SP as poorly valid during RT. 8 However, RT and PED

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Sherry Robertson and Margo Mountjoy

resorption, are not recommended in premenopausal women, but they can be prescribed safely in men ( Papapoulos & Cremers, 2007 ). The IOC writing team developed a RED-S return-to-play model to assist the treatment team in the decision making of return to play. Reassessments of progress at specified time

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Margo Mountjoy, Jorunn Sundgot-Borgen, Louise Burke, Kathryn E. Ackerman, Cheri Blauwet, Naama Constantini, Constance Lebrun, Bronwen Lundy, Anna Melin, Nanna Meyer, Roberta Sherman, Adam S. Tenforde, Monica Klungland Torstveit and Richard Budgett

) can assist clinicians in screening for RED-S and the management of return to play decisions ( Mountjoy, Sundgot-Borgen, Burke, Carter, Constantini, Lebrun, Meyer, Sherman, Steffen, Budgett, Ljungqvist, et al., 2015 ), although validation is needed. Treatment of Relative Energy Deficiency in Sport Non

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Rebekah D. Alcock, Gregory C. Shaw, Nicolin Tee, Marijke Welvaert and Louise M. Burke

dairy and collagen supplements and bone broth . Melbourne, Australia : Australian Catholic University . Manuscript in preparation. Baar , K. ( 2017 ). Minimizing injury and maximizing return to play: Lessons from engineered ligaments . Sports Medicine, 47 ( Suppl. 1 ), 5 – 11 . PubMed ID

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Dana M. Lis and Keith Baar

Collagen is the primary structural protein in tendon, ligament, skin, and bone ( Kjaer, 2004 ). In athletes, the integrity of these collagen-based tissues is instrumental to force transfer and underpins injury prevention and return to play. Therefore, interventions that improve the robustness of

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Marcus J. Colby, Brian Dawson, Peter Peeling, Jarryd Heasman, Brent Rogalski, Michael K. Drew and Jordan Stares

and performance in elite sport . Br J Sports Med . 2017 ; 51 ( 14 ): 1054 – 1055 . PubMed ID: 28330847 doi:10.1136/bjsports-2016-096649 28330847 10.1136/bjsports-2016-096649 17. Dijkstra HP , Pollock N , Chakraverty R , Ardern CL . Return to play in elite sport: a shared decision

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Trent Stellingwerff

.1007/s40279-017-0694-2 10.1007/s40279-017-0694-2 Joy , E. , De Souza , M.J. , Nattiv , A. , Misra , M. , Williams , N.I. , Mallinson , R.J. , … Borgen , J.S. ( 2014 ). 2014 female athlete triad coalition consensus statement on treatment and return to play of the female athlete triad