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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).

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



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