
TRUATHLETES OVERVIEW
THE PROBLEM
The Underlying Causes of Overuse Injury
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1. Low Energy Availability (LEA): The amount of dietary energy (calories) consumed by the athlete is insufficient in meeting the demands of optimal healing & repair and the performance demands of training & competition.
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2. Frequent, Repetitive Training: All athletes have an age defined limitation to the amount of time they can spend in activity without overdoing it. Early sport specialization and overtraining dramatically increase the risk of overuse injury.
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3. Sleep Deprivation: Schedules loaded with school, homework, training, competition, and travel leave little time for healing and recovery. As a result, physical, mental, and emotional health suffer and the risk of injury skyrockets.
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4. Dehydration: Low body water limits muscle strength and the transport of oxygen, glucose and nutrients compromising cellular health. Slowed energy production and healing cause fatigue and the signs and symptoms of overuse.

THE TRU SOLUTION
Our primary focus is to support the body’s innate healing response by creating conditions that are advantageous for optimal healing and repair.
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Achieve Energy Balance: Consume enough energy for optimal health & performance.
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Movement: Know Your Limits. Diversify Your Movements
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Recovery: Structure a consistent sleep schedule.
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Hydration: Maintain optimal body water & electrolyte levels

Consequences of OVERUSE in Female Athletes
The damage caused by OVERUSE in female athletes is not just structural. If left untreated, long term impairments to metabolism, menstrual function & reproductive health, bone health, immunity, protein synthesis, and cardiovascular health may occur.
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Performance and Health Consequences of Low Energy Availability (LEA) In Competitive Athletes
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ARE YOU AT RISK? Take this quiz to find out.
-US Olympic Committee Nutrition Team Summary
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The Low Energy Availability in Females (LEAF-Q) questionnaire is the most widely accepted screening tool for the identification of female athletes at risk for the female athlete triad. The triad consists of:
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Disordered Eating: unintentionally or intentionally under consuming dietary energy leaving the body in a low energy state (LEA).
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Amenorrhea: the loss of menstrual periods or delay of the first menstrual period caused by low energy availability.
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Low Bone Density or Osteoporosis: a decrease in bone density that causes weak, brittle bones that break easily.
SCORE: RISK LEVEL:
0-7 Minimal Risk for Triad
8-16 At Risk for Triad
17+ High Risk for Triad
Every athlete risks injury, poor performance, and long term health consequences when they train and compete without proper guidance on how to fuel themselves to meet their cumulative energy demands for optimal health & performance.
Our multidisciplinary approach addresses the three components of the female athlete triad; low energy status, irregular menses, and bone health. Once energy balance is restored it is possible to restore normal menstrual and bone health.
THE PROCESS
KNOW YOUR
NUMBER
BRIEF OVERVIEW OF WHY
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THE PROCESS
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ACKNOWLEDGE
YOUR OBJECTIONS
BRIEF OVERVIEW OF WHY
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THE PROCESS
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EXECUTE YOUR
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BRIEF OVERVIEW
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THE TOOLS
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