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When to use this
When a parent says their runner is not eating enough — the calm first response before anyone labels the problem.
A busy athlete missing meals from disorganization rather than intent.
Fatigue, irritability, or flat workouts showing up alongside shrinking intake.
Deciding whether this is a logistics fix or the start of a referral conversation. Use the referral chain inside a school for who to tell, and in what order.
Advanced lab
Conversation language and escalation paths
The sheet covers the pattern and the friction fixes. The exact words — and the line where this stops being a logistics problem — are here.
This sheet is for noticing and starting the conversation, not for managing an eating disorder at home. If restriction, distress, or weight loss is present, involve the athlete's physician and an eating-disorder-informed sports dietitian promptly.
Evidence sources
These references support the handout’s general education. Individual medical, supplement, laboratory, or injury questions should be handled by the appropriate qualified clinician.
Thomas DT, Erdman KA, Burke LM. Nutrition and Athletic Performance. Med Sci Sports Exerc. 2016.
Logue DM, Madigan SM, Melin A, et al. Low energy availability in athletes: a review of prevalence and practical implications. Eur J Sport Sci. 2018.