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The primary reason is a process called metabolic adaptation, or adaptive thermogenesis
Research has shown that creatine and carnitine can both support physical performance in different yet complementary ways: Power Reserve: Creatine provides an additional energy reservoir that helps keep your output high during demanding training sessions
Thiamine and other B vitamins Thiamine (vitamin B1), cobalamin (vitamin B12), and other B vitamins are also effected
Therefore, athletes should consider altitude training a time of increased risk for dehydration and both monitor and address their hydration status appropriately [e.g., monitor urine characteristics and daily body mass (BM) changes, and be proactive with fluid intake during and after training sessions and with meals]
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