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TS, LMB, KEA and IAH also were supported (travel costs) to attend and contribution to the 2023 IOC Consensus on Relative Energy Deficiency in Sport (REDs). M-CT, WTPM, and MDF have no conflicts of interest that are directly relevant to the content of this article.","order":1,"name":"Ethics","label":"Conflicts of interest\/competing interests","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Ethical approval of the study protocol was obtained from the University of Victoria and University of British Columbia (harmonised ethics approval number H20-03602; granted 9 March, 2021), and McGill University (approval number A12-M62-21B; granted 23 February, 2022), and all participants signed the informed consent.","order":2,"name":"Ethics","label":"Ethics approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All participants provided written informed consent prior to participation. Participants were informed in writing and verbally of the purpose of the study, the procedures involved, and any potential risks and benefits. They were advised that participation was voluntary and that they could withdraw from the study at any time without penalty or consequence.","order":3,"name":"Ethics","label":"Consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":4,"name":"Ethics","label":"Consent for publication","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Data are available upon reasonable request to the corresponding author.","order":5,"name":"Ethics","label":"Availability of data and material","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":6,"name":"Ethics","label":"Code availability","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"IH and TS contributed significantly to the study design, data collection, analysis, and writing of the manuscript with additional significant contributions to data analysis from WTPM and MCT. WTPM, KEA, LB and MF contributed to the study design, analysis and writing of the manuscript. MCT contributed to statistical analyses and writing of the manuscript. MF contributed to the data collection, analysis and writing of the manuscript. IH was responsible for leading and coordinating the study and data collection with TS lead writing the manuscript. All authors contributed to manuscript conception, revisions, and approval before submission and all authors have read and approved the final version.","order":7,"name":"Ethics","label":"Authors\u2019 contributions","group":{"name":"EthicsHeading","label":"Declarations"}}]}}