PMID- 37432330 OWN - NLM STAT- MEDLINE DCOM- 20230713 LR - 20230718 IS - 2072-6643 (Electronic) IS - 2072-6643 (Linking) VI - 15 IP - 9 DP - 2023 May 3 TI - What the Lactate Shuttle Means for Sports Nutrition. LID - 10.3390/nu15092178 [doi] LID - 2178 AB - The discovery of the lactate shuttle (LS) mechanism may have two opposite perceptions, It may mean very little, because the body normally and inexorably uses the LS mechanism. On the contrary, one may support the viewpoint that understanding the LS mechanism offers immense opportunities for understanding nutrition and metabolism in general, as well as in a sports nutrition supplementation setting. In fact, regardless of the specific form of the carbohydrate (CHO) nutrient taken, the bodily CHO energy flux is from a hexose sugar glucose or glucose polymer (glycogen and starches) to lactate with subsequent somatic tissue oxidation or storage as liver glycogen. In fact, because oxygen and lactate flow together through the circulation to sites of utilization, the bodily carbon energy flow is essentially the lactate disposal rate. Consequently, one can consume glucose or glucose polymers in various forms (glycogen, maltodextrin, potato, corn starch, and fructose or high-fructose corn syrup), and the intestinal wall, liver, integument, and active and inactive muscles make lactate which is the chief energy fuel for red skeletal muscle, heart, brain, erythrocytes, and kidneys. Therefore, if one wants to hasten the delivery of CHO energy delivery, instead of providing CHO foods, supplementation with lactate nutrient compounds can augment body energy flow. FAU - Brooks, George A AU - Brooks GA AD - Exercise Physiology Laboratory, Department of Integrative Biology, University of California, Berkeley, CA 94720, USA. LA - eng PT - Journal Article DEP - 20230503 PL - Switzerland TA - Nutrients JT - Nutrients JID - 101521595 RN - 33X04XA5AT (Lactic Acid) RN - 0 (Glucans) RN - 9005-79-2 (Glycogen) RN - 9005-25-8 (Starch) RN - IY9XDZ35W2 (Glucose) RN - 30237-26-4 (Fructose) SB - IM MH - *Lactic Acid MH - *Glucans MH - Glycogen MH - Starch MH - Glucose MH - Fructose PMC - PMC10180760 OTO - NOTNLM OT - DKA OT - acid-base balance OT - blood buffer OT - energy OT - gluconeogenic precursor OT - glycolysis OT - lactate shuttle OT - lipolysis OT - mitochondrial reticulum OT - nutrient OT - oxidative phosphorylation COIS- G. A. Brooks is the owner of UC patents 5420107, 6482853 B1, and 6743821 B2. He might be remunerated, should extant or pending patent applications be commercialized. EDAT- 2023/07/11 13:10 MHDA- 2023/07/13 06:42 PMCR- 2023/05/03 CRDT- 2023/07/11 10:53 PHST- 2023/03/17 00:00 [received] PHST- 2023/04/29 00:00 [revised] PHST- 2023/04/30 00:00 [accepted] PHST- 2023/07/13 06:42 [medline] PHST- 2023/07/11 13:10 [pubmed] PHST- 2023/07/11 10:53 [entrez] PHST- 2023/05/03 00:00 [pmc-release] AID - nu15092178 [pii] AID - nutrients-15-02178 [pii] AID - 10.3390/nu15092178 [doi] PST - epublish SO - Nutrients. 2023 May 3;15(9):2178. doi: 10.3390/nu15092178.