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In highly trained individuals with already optimized nutrition, the effects may be more subtle and mostly related to recovery or endurance rather than dramatic performance increases

5(5):34 Giustina A, Barkan A, Beckers A, Biermasz N, Biller BMK, Boguszewski C et al (2020) A Consensus on the Diagnosis and Treatment of Acromegaly Comorbidities: An Update
The primary issue was its one-size-fits-all, fixed-ratio formula, which didnt allow for the personalized dosing that is so critical for thyroid health

1122 The NNT for ALA is 2.7, which is comparable if not lower than most of the traditional first-line agents (Table 1)
