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  • Energy intakes should be adequate, and a source of energy should be consumed within 2 h of an intense bout of endurance exercise, to replace depleted muscle glycogen.
  • Single amino acid supplements should not be used to modify cognitive performance, due to potential toxicity and insufficient evidence of efficacy.
  • The military should test the ability of supplemental glutamine and arginine to enhance the immune response and decrease rates of infection under field conditions and in seriously injured hospitalized patients.
  • Given the high protein content of operational rations, adequate fluid intake should be emphasized, as recommended by the Fluid Doctrine (IOM, 1994).


The committee's responses to the questions, conclusions, and recommendations from this report are included in Appendix M.

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