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Comment by recallingmemory

It doesn't look like meat consumption was mentioned anywhere.

Frequent consumption of red and processed meat is strongly linked to a higher risk of colorectal cancer, with studies showing a 30% to 40% increased risk for high consumption levels [1]. Processed meat, in particular, raises CRC risk by about 18% for every 50-gram daily portion [2].

Your ultra-endurance athletes might be convinced they need more protein in their diets and are most likely consuming large quantities of meat.

1: https://pmc.ncbi.nlm.nih.gov/articles/PMC10194058/

2: https://www.umassmed.edu/news/news-archives/2015/10/umms-col...

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