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Schiavoni, G., Lucente, M., Di Folca, A., Alessandri, N., Mongiardo, R., and Manzoli, U

While it does not cure PEM, it may help raise the threshold at which a crash is triggered, providing patients with a slightly larger, more forgiving energy envelope

Moreover, increases in the levels of proinflammatory cytokines, catecholamines, cortisol, glucagon, and acute phase proteins as a result of stroke lead to alterations in metabolic balance in favor of protein catabolism and muscle and body mass wasting [7, 9]

Similarly, with 4.5 g/d there was a significant reduction in net lactate accumulation per unit power acutely - with like reductions also observed after 28 d at 1.5 g/d, but not but not after 28 d at 4.5 g/d