Marathons and prolonged exercise are normally accompanied by muscle and organ damage. The fatigue associated with this exercise sometimes results in an inability to regularly exercise. Researchers compared a keto diet to a normal higher carbohydrate diet which were assessed for the markers of damage over an 8 week period. The results of the research were that a keto diet has the potential to be used as a fatigue preventing and recovery promoting method for endurance athletes.

As the researchers studied the effect on mice they suggested that further research on humans was appropriate, but offered the hypothesis that it would be reproducible in humans.

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