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Immediate action: consume a high-glycemic gel (2530g fast-acting carbs) and reduce pace by 3045 seconds per mile for the next 34 miles

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Control cells were maintained in standard DMEM conditions, while the experimental group underwent 8 h of hypoxia in a specialized incubator (94% N2, 5% CO2 and 1% O2 at 37C), with nitrogen replacing oxygen

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