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Exercise-induced rhabdomyolysis mechanisms and prevention: A literature review
http://www.sciencedirect.com/science/article/pii/S2095254615000605

It seems I can't go any great length of time without writing an article or blog about (exRML). In the wake of recent events, let me write another. Please, take a moment and review this newer study, it is very thorough. I've been on the front-lines of working around (exRML) for quite some time and it is a real challenge today with the push for extreme conditioning, either by the athletes themselves or from external pressures.

Nonetheless, what can you do? Be informed, for one. I'm amazed at how many strength coaches know nothing about (exRML). Yet, others either put their heads in the sand or in a sicker world seem to welcome it. Have a plan in place, a systematic plan for how to train your groups. Be accountable to someone other than yourself to discuss training thoughts, ideas, and ouotcomes. Preferably, make this person someone who doesn't think like you. See the value in having an exercise physiologist on staff to oversee training at all levels (can't say this enough). Know the population your working with and plan for contingencies, i.e., what if someone gets ill during training, what does that mean, is it dangerous or not?

One other factor here that is rarely ever talked about is the role of supplements in fostering (exRML). In particular, creatine. At this point, it's likely a suggested relationship in the literature, but I suspect more as the physiology lines up. Note, it is extremely unwise to not at least broach the subject of creatine and/or supplement use and possible negative effects on training with your athletes.

Lastly, we should also look at the potential for recurrent cases (small percent as this may be, but we should take a look):
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3291671/

Finally, be smart. Again, using the sport of cross-fit as the training focus for most athletes is just not wise. Copying training programs from elite military entities to be used with high school or college athletes is really asking for trouble. Make use of military exercise physiologists!! This is a small circle of professionals who very well understand the dynamics of what I mentioned here today along with the challenges of using advanced training techniques. Most probably, including myself, are probably more than happy to help.

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