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When working with athletes or individuals with higher muscle mass, Rhodes also recommends indirect calorimetry testing “so we can precisely measure their resting metabolic rate or RMR to better estimate how much nutrition their body needs once we multiply this by an activity factor.” This tailored approach is important because “often an athlete’s metabolism will be very different than what is calculated using our standardized equations, as these do not consider muscle mass or an individual’s metabolic efficiency.” Side effects can also be problematic, with some of the most common being gastrointestinal – nausea, heartburn, and constipation
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