Background
Many successful ultra-endurance athletes have switched from a high-carbohydrate to a low-carbohydrate diet, but they have not previously been studied to determine the extent of metabolic adaptations.
Conclusion
Compared to highly trained ultra-endurance athletes consuming an HC diet, long-term keto-adaptation results in extraordinarily high rates of fat oxidation, whereas muscle glycogen utilization and repletion patterns during and after a 3 hour run are similar.
DOI: http://dx.doi.org/10.1016/j.metabol.2015.10.028
DOI: http://dx.doi.org/10.1016/j.metabol.2015.10.028