Erik Bustillo

Feb 9, 2023 | tandfonline.com | Chad M. Kerksick |Erik Bustillo |Stacy Sims |Katie Hirsch

The primary consideration for female athletes, regardless of hormonal status, is to maintain an overall EA level that meets the specific goals and requirements of their individual training and performance demands. Due to the increased energy needs in the luteal phase of the menstrual cycle, eumenorrheic athletes may consider increasing overall 24-h energy intake in this phase. COC use can mask early signs of LEA, reducing the opportunity to identify LEA and prevent further implications.