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It is worth noting that biological females have lower gastric ADH activity than biological males, which is one reason why how BAC differences affect men and women is relevant here the first-pass advantage from food is present in both sexes but slightly stronger in males due to higher enzyme activity

doi: 10.1016/j.ymgme.2016.09.001 155

While these findings highlight the potential of EMS as a complementary strategy, future research could explore its application in clinical populations with limited physical capacity, where traditional RT may be less feasible (Thapa et al., 2023)