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@Indignation @Tfmonkey

Even if soneone is eating enough according to the official nutrition guidelines high intensity endurance exercise beyond a certain limit can reduce instead of increase red blood cells or cause exercise induced anemia from what I understand

If I had to guess most people of either gender do not have the time, endurance, willpower and pain tolerance to accomplish doing this to themselves

But if a woman did this she might lose her period even if she ate enough nutrients