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RED-S (Relative Energy Deficiency in Sport): Signs & Treatment

Updated: Jul 16

Information about RED-S


At Ally, we work with active women struggling with RED-S, so if you're an athlete struggling with your performance we want to help you regain your strength.


Female Runners


In this article, we break down some of the stigmas in sport around body size and standards that could be harming your performance and longevity rather than fueling it.


What is RED-S?


 

What is RED-S?


Relative Energy Deficiency in Sport (RED-S) is a condition in which athletes experience energy deficiency such that their fueling does not meet the demands of their training and daily life. As a result, it can disrupt hormones, metabolism, bone health, and psychological well being.


Do I have RED-S?


RED-S can impact any athlete regardless of gender. Identifying RED-S symptoms early is crucial for successful recovery. Some common symptoms include:

  • Persistent fatigue and/or decreased performance

  • Irregular or absent menstrual cycles (or sex hormone production)

  • Frequent injuries, especially stress fractures

  • Changes in mood and cognition, including irritability and decreased concentration

Another symptom is Hypothalamic Amenorrhea, which is covered here.


In many cases RED-S is caused by body standards that aren't fitting for the athlete, especially pressures to meet a certain size, body fat percentage, or weight. It can also be perpetuated by expectations to train at all cost and to ignore our body's warning signs.


RED-S Treatment

Recovery from RED-S often involves changes in your nutrition and training program. Your body may need some rest in order to restore your energy needs. The most effective treatment usually involves a holistic approach that takes into consideration nutrition, training, and psychology.


At Ally, we provide an evidence-based program alongside mentorship support to help active women recovering from RED-S. We also partner with Project RED-S to support athletes and advocate for RED-S recovery and prevention.



Female Dancers

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