VO₂max can improve with exercise training in metabolically unhealthy individuals. But VO₂max can improve through mechanisms that have limited relationship to the core cellular dysfunction driving disease. For example, cardiac output can increase while mitochondrial function and cellular bioenergetics remain impaired.
Lactate testing represents cellular adaptations to exercise and it is the best indicator for mitochondrial function that we have nowadays.
https://t.co/coBII673Rs
This is cool! I can't promise reading The Way of Excellence will result in an earth-shattering world record, but I still think you should read it. Don't take it from me, take it from Claudio Berardelli, who just coached Sabastian Sawe to his 1:59:30 marathon.