4 ± 3.1 POSTdiet 1.4 ± 0.5 1.4 ± 0.6 4.95 ± 0.42 4.81 ± 0.21 0.28 ± 0.17 0.35 ± 0.15 0.90 ± 0.23 0.85 ± 0.19# 39.1 ± 3.3 41.7 ± 2.0# PREtest 2.6 ± 0.7 2.9 ± 1.0 5.16 ± 1.00 6.18 ± 1.28 0.15 ± 0.07 0.22 ± 0.09 0.91 ± 0.23 0.79 ± 0.23 40.3 ± 1.8 39.8 ± 2.9 Stage1 2.6

± 0.9* 2.7 ± 0.9** 4.12 ± 0.44 3.88 ± 0.69 0.13 ± 0.04 0.13 ± 0.05 1.02 ± 0.25 0.82 ± 0.23 40.7 ± 2.4** 41.7 ± 2.8 Stage2 4.8 ± 1.2* 5.2 ± 1.9** 4.64 ± 0.63 4.38 ± 0.66 0.18 ± 0.08 0.19 ± 0.07 1.05 ± 0.22 0.89 ± 0.26 43.0 ± 2.5** 42.6 ± 1.2 Stage3 10.2 ± 1.6*** 11.3 ± 2.1*** 5.54 ± 0.79 5.66 ± 0.97 0.22 ± 0.10 0.22 ± 0.06 1.12 ± 0.26* 0.92 ± 0.28 44.8 ± 2.2** 44.7 ± 2.0* Stage4 11.2 ± 3.4** 12.2 ± 2.1*** 5.81 ± 0.99 5.21 ± 0.80 0.20 ± 0.10 0.20 ± 0.05 1.16 ± 0.29* 0.93 ± 0.28 44.3 ± 2.7** 44.3 ± 2.7* ND= normal Selleckchem PLX4032 diet. Stage 1–4 *= p<0.05; **= p<0.01; ***= p<0.001. Trametinib cell line There were no differences in serum albumin between the diet groups at rest or during cycling. Within LPVD group, albumin increased from 39.4 ± 3.1 g/l (PREdiet) to 41.7 ± 2.0

g/l (POSTdiet) (p=0.032). Within each diet group, cycling caused some statistically significant changes, which are presented in Table  6. Discussion Main results The main result of this study was that there was no difference in venous blood acid–base status and its independent or dependent variables between a 4-day LPVD and ND. However, one statistically significant change in acid–base status did occur in the LPVD group, as SID increased by 3.1% over the 4-day diet period. During cycling, the diet composition caused some differences in aerobic energy production, which could be seen in significantly higher VO2 and VCO2 at every submaximal Axenfeld syndrome workload after LPVD compared to ND. This finding had no further effect on maximal aerobic performance. Acid–base balance and diets LPVD did not affect the venous blood acid–base status at rest or during submaximal or maximal cycling compared to ND. The higher protein content of food increases acid production in the body [6], therefore, we hypothesized that lower protein content combined with plentiful consumption of alkalinizing fruits and vegetables would shift the acid–base balance to a more alkaline direction. The PRAL value of every foodstuff consumed in LPVD was under 0, so the diet was clearly designed to enhance the production of alkali in the body. However, during ND subjects ate according to their normal eating habits and PRAL Sapanisertib varied from −18.8 to 32.9 mEq/d.