Relative energy deficiency in athletes can manifest as psychological symptoms like depression and anxiety, gut issues such as IBS and gluten intolerance, cardiovascular issues with elevated inflammatory markers, and menstrual cycle irregularities. It is important to consider nutrient timing and recovery strategies in female athletes, as they may not perform well with fasted training. Women's sensitivity to nutrition status can impact their training outcomes, and delaying food intake after exercise can keep the body in a catabolic state and signal low energy to the brain.

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