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They pointed out that a key factor affecting exercise performance is hypoglycaemia, eliminated by consuming just 10 g of carbohydrate per hour (which improved performance by 22% despite low glycogen availability)

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[60] Low muscle tone (hypotonia) can be a sign of many underlying conditions, including vitamin deficiencies (B1 and other B vitamins), hypothyroidism, carnitine deficiency, creatine deficiency, and methylation issues, as well as genetic conditions (of which there are hundreds)

Table 2 Clinical and biochemical characteristics of pregnancy by TSH