Balance Energy for Optimal Performance

Chronic under-eating often arises in the context of high training volumes and intensities, particularly in ultra-endurance sports rather than strength sports. Tools like the RED-S CAT tool help assess risk levels using a traffic light system to guide treatment and return to sport decisions. Establishing a therapeutic alliance is crucial, as individuals usually restrict food intake due to learned behaviors or incentives rather than random choices. Treatment typically requires a multidisciplinary approach involving registered dietitians, coaches, and parents, focusing on increasing energy availability and intake while reducing exercise-related energy expenditure to restore proper balance.