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OTS diagnosis remains clinical with arbitrary criteria and limited testing; leaves open need for OTS-specific research beyond overreaching.
OTS remains a clinical diagnosis with arbitrary definitions per the European College of Sports Science's position statement. History and, in most situations, limited serologies are helpful. However, much remains to be learned given that most past research has been on athletes with overreaching rather than OTS.
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Kreher et al. (2012) studied this question.
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