The more lactate you're exposed to, the more MCT the cells will upregulate. The hypothalamus and areas of the brain stem that control breathing are going to utilize that fuel preferentially first in an adrenaline shock environment. It's not a poison; it's just bad if you don't know what to do with it. You get into the ice bath, you get the shot of adrenaline or you get theshot of adrenaline from anything, seeing a car crash or getting a troubling text message. All people aren't familiar with those states but they can be hijacked by them.

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