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The Role of Protein and Amino Acids in Sustaining and Enhancing Performance (1999)
Institute of Medicine (IOM)

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. "16 Dietary Supplements Aimed at Enhancing Performance: Efficacy and Safety Considerations." The Role of Protein and Amino Acids in Sustaining and Enhancing Performance. Washington, DC: The National Academies Press, 1999.

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The Role of Protein and Amino Acids in Sustaining and Enhancing Performance

TIMOTHY MAILER: With studies of choline, we have used both men and women.

MARITZA RUBIO-STIPEC: Do you have the distribution by gender?

TIMOTHY MAHER: No. But, most of the studies of the individual amine acids have been in men, especially the ones that have dealt with athletics and performance.

ROBERT NESHEIM: A question?

MACKENZIE WALSER: I wanted to comment. I was on that same committee that Dr. Maher was on, and I think one point that you did not bring out was that we were concerned about quality control. You can put sugar on the shelf in a grocery store, and it is going to have to meet certain standards. I have no idea what they are, but it does have to meet certain standards, or the FDA will impound it.

On the other hand, you can put lysine on the shelf, and it can actually be sodium cyanide. I am not kidding. There is absolutely no control of quality.

I will never forget that while working in this committee, we got some table—not sodium cyanides—but we did get some tablets of lysine and put them in a beaker of water to see what the dissolution time was. Three days later, they were still there, intact.

So there are no criteria, either, for dissolution, which is a minimum requirement for any capsule that is sold as a drug.

So I don't understand why the FDA, cannot design standards for quality control, at least for amine acids, before we have these tremendous studies of efficacy.

Page
340
Front Matter (R1-R18)
Executive Summary (1-16)
I Committee Summary and Recommendations (17-18)
1 Committee Review (19-76)
2 Responses to Questions, Conclusions, and Recommendations (77-82)
II Authored Papers and Workshop Discussions (83-84)
3 Protein and Amino Acids: Physiological Optimization for Current and Future Military Operational Scenarios (85-92)
4 Overview of Garrison, Field, and Supplemental Protein Intake by U.S. Military Personnel (93-108)
5 The Energy Costs of Protein Metabolism: Lean and Mean on Uncle Sam's Team (109-120)
6 Regulation of Muscle Mass and Function: Effects of Aging and Hormones (121-136)
7 Effects of Protein Intake on Renal Function and on the Development of Renal Disease (137-154)
8 Infection and Injury: Effects on Whole Body Protein Metabolism (155-168)
9 Inherent Difficulties in Defining Amino Acid Requirements (169-216)
10 Amino Acid Flux and Requirements: Counterpoint Tentative Estimates are Feasible and Necessary (217-242)
11 Physical Exertion, Amino Acid and Protein Metabolism, and Protein Requirements (243-254)
12 Skeletal Muscle Markers (255-278)
13 Alterations in Protein Metabolism Due to the Stress of Injury and Infection (279-284)
Discussion I (285-288)
14 Amino Acid and Protein Requirements: Cognitive Performance, Stress, and Brain Function (289-308)
15 Supplementation with Branched-Chain Amino Acids, Glutamine, and Protein Hydrolysates: Rationale for Effects on Metabolism and Performance (309-330)
16 Dietary Supplements Aimed at Enhancing Performance: Efficacy and Safety Considerations (331-340)
Discussion II (341-346)
Appendixes (347-348)
A Workshop Agenda (349-352)
B Biographical Sketches (353-368)
C Acronyms and Abbreviations (369-372)
D Proteins and Amino Acids - A Selected Bibliography (373-410)
E Protein and Energy Content of Selected Operational Rations (411-412)
Index (413-429)