Acute Administration of Exogenous Lactate Increases Carbohydrate Metabolism during Exercise in Mice

aliml

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692
In this study, we investigated the effects of exogenous lactate administration before exercise on energy substrate utilization during exercise. Mice were divided into exercise control (EX) and exercise with lactate intake (EXLA) groups; saline/lactate was administered 30 min before exercise. Respiratory gas was measured during moderate intensity treadmill exercise (30 min). Immediately after exercise, blood, liver, and skeletal muscle samples were collected and mRNA levels of energy metabolism-related and metabolic factors were analyzed. At 16–30 min of exercise, the respiratory exchange ratio (p = 0.045) and carbohydrate oxidation level (p = 0.014) were significantly higher in the EXLA than in the EX group. Immediately after exercise, the muscle and liver glycogen content and blood glucose level of the EXLA group were lower than those of the EX group. In addition, muscle mRNA levels of HK2 (hexokinase 2; p = 0.009), a carbohydrate oxidation-related factor, were higher in the EXLA than in the EX group, whereas the expression of PDK4 (pyruvate dehydrogenase kinase 4; p = 0.001), CS (citrate synthase; p = 0.045), and CD36 (cluster of differentiation 36; p = 0.002), factors related to oxidative metabolism, was higher in the EX than in the EXLA group. These results suggest that lactate can be used in various research fields to promote carbohydrate metabolism.


The EXLA group was administered 3 g/kg of Sodium Lactate with an oral sonde and the EX group an equal amount of a saline solution.



What is Lactate?​

Lactate is produced from pyruvate via the enzyme lactate dehydrogenase (LDH) in a process of fermentation during normal metabolism and exercise.

Health Benefits of Lactate​

1) Is Neuroprotective and Protects Against Cognitive Diseases​

A substance being neuroprotective usually, refers to its ability to prevent glutamate-induced “excitotoxicity.”

Excitotoxicity is when neurons are overactive as a result of excess glutamate. The overactivations cause a cascade of negative events, leading to a breakdown of our mitochondria and neuronal membranes. As a result, the body has a harder time converting the food that we eat to use energy for the brain and body.

Lactate is an important substance that prevents excitotoxicity by inhibiting excess neuronal activity [1].

Hypoglycemia is the main cause of excitotoxicity. I’ve learned over the years that perhaps the worst thing for the brain is chronic bouts of hypoglycemia.

A rodent study in 2013 has found that modest increments in circulating lactate allow the brain to function normally under acute hypoglycemic conditions and that elevated lactate are also critical for maintaining glucose metabolism under hypoglycemia, which in turn, preserves neuronal function [2].

I didn’t chance upon this information by accident. I investigated lactic acid because I had noticed a trend where I was protected from hypoglycemia when I did specific exercises (high intensity) and ingested certain foods/beverages.

After some time, I realized that the common denominator was lactic acid. Most fermented foods/beverages contain lactic acid.

Traditional societies have always included lots of fermented foods for good health. I believe lactate was a crucial ingredient for our ancestors, something our current generation doesn’t take advantage of.

Personally, I’ve had to deal with GAD, OCD, dysthymia, brain fog, chronic fatigue and anhedonia, which were exacerbated by hypoglycemic-induced glutamate excitotoxicity.

Even though I’ve removed the sources of inflammation and repaired my mitochondria to a large degree, mitochondrial damage can linger.

Hypoglycemic-induced excitotoxicity wouldn’t come about if our brains had an alternative source of energy on which to rely when glucose runs low and we would, therefore, solve a lot of cognitive-related problems.

All neurodegenerative diseases (to my knowledge), cognitive decline and mental illnesses are, are in part, a result of an excitotoxicity.

However, we shouldn’t only view the positive benefits in the light of prevention of chronic illnesses, since hypoglycemia can also cause us to perform worse in the day without any overt pathological condition. So having a backup generator should not only be viewed as a prophylactic but also as a method to increase day to day cognitive and physical performance.

Excitotoxicity is partially responsible for:
  • Spinal cord injury [3]
  • Stroke [3]
  • Traumatic brain injury [3]
  • Hearing loss (through noise overexposure or ototoxicity) [3]
  • Multiple sclerosis [3]
  • Alzheimer’s [3]
  • ALS [3]
  • Parkinson’s [3]
  • Huntington’s disease [3]
  • alcoholism or alcohol withdrawal and especially [3]
  • Benzodiazepine withdrawal [3]
  • Ketosis: A Bad Choice For a Backup Generator

2) Provides An Alternative Fuel to Our Brain​

We’ve all heard the familiar refrain: the brain runs on glucose.

Paleo and low carbers like to talk about getting into ketosis and ketones as an alternative source of energy for the brain.

Ketosis is a starvation response to low carbohydrates, where the body burns fat for energy that can directly be used by the brain. Normally, fat needs to be broken down into glucose for the brain to use. Ketosis has a host of health benefits, especially for some neurological conditions. But ketosis is, after all, a starvation response and isn’t something that most people can easily and comfortably get into.

People differ in their capacity to get into ketosis and there’s a small percentage of the population that would die before they got into ketosis. I’ve tried to get into ketosis before and failed, but after trying again recently I was successful, yet it gave me a headache, nausea and a flu-like feeling and some GI issues since I had to take in a few tablespoons of MCT oil. It wasn’t pleasant even though I probably would’ve adjusted more if I gave it time.

In any case, what’s surprisingly never talked about is a completely different alternative to both glucose and ketosis: lactic acid.

There is some indication that not only is lactate a backup, but it can be used preferentially to glucose as a fuel source for the brain and other organs [4, 5]. That’s a significant piece of information.

Additionally, cellular studies have found that glucose is insufficient as an energy source during intense synaptic activity and finally, that lactate can be an efficient energy source capable of sustaining and enhancing brain energy metabolism [6].

Lactate can also be an energy source for various organs, including the liver, where it is burned with oxygen to make ATP. The heart even prefers lactate as a fuel [7].

3) Is a Powerful Mitochondrial Enhancer​

Mitochondrial improvement is a critical tool for cognitive and physical enhancement. Improve your mitochondria and you improve the amount of energy you can create and use from food.

Lactate, but not glucose, was found to up-regulate mitochondrial oxygen consumption [8], which means that the mitochondria were producing more energy.

Even if you increase glucose intake, your mitochondria will work at a low level fixed rate because it cannot up-regulate oxygen consumption by the mitochondria [8].

However, Lactate produces a dose-dependent increase in oxygen uptake, enabling our mitochondria to meet the increased energy needs [8].

In addition, lactate induces your stress response and up-regulates the expression of genes involved in creating new mitochondria.

The world’s best athletes stay competitive by interval training and this is thought to help because the intense exercise generates big lactate loads, and the body adapts by building up mitochondria to clear lactic acid quickly [7].

Just before a race, coaches often tell athletes to train very hard in brief spurts. This is because lactate increases the mass of muscle mitochondria, letting them burn more lactic acid and allowing the muscles to work harder and longer. That extra stress increases the mitochondria mass even more and is the reason for improved performance [9].

4) Increases Norepinephrine​

Researchers recently found that lactate causes cells in the brain to release more norepinephrine, a neurotransmitter which is fundamental for brain function [10].

Norepinephrine is responsible for concentration, alertness and blood flow to the brain [11].

5) Increases Orexin​

Orexin, also called hypocretin, is a neurotransmitter that regulates arousal, wakefulness, and appetite. Narcolepsy is caused by a lack of orexin in the brain due to the destruction of the cells that produce it [12].

Lactate is a critical energy source and a regulator of the orexin system. Lactate release from astrocytes plays an integral part in balancing brain activity and energy supply [13].

Supplying orexin neurons with lactate can stop glucose from blocking orexin neurons [14].

The effect of lactate on firing activity is concentration-dependent. Also, lactate disinhibits and sensitizes these orexin neurons for future excitation [13].

One study hypothesized that orexin neurons only ‘see’ glucose changes when the levels of other energy molecules are low, whereas high energy levels can stop glucose from regulating orexin cells [14].

See more ways to activate orexin.

Top 5 Sources of Lactate​

I have my preferred sources of lactate that I like to use for mitochondrial enhancement since I’ve noticed a particular benefit from these sources.

1) Pull-ups, Sprinting, Push-ups​

During intense physical exercise, your body produces lactate and this can enter the brain [1].

Endurance training increased the number of lactate transporter molecules in mitochondria, evidently to speed the uptake of lactate from the cell into the mitochondria for burning [7].

I like pull-ups over push-ups because the body remains vertical, so it’s not as bad to do after a meal.

Anyone can do this by getting a pull-up bar that hangs on your doorpost.

I find the perfect time to do it is during periods of fatigue induced by a carb-laden meal, though this very infrequently happens to me these days. I still like to do it after meals.

The fatigue rapidly goes away and my brain buzzes on lactate after I do a set. In addition, I build muscle much quicker when I do this because the spike in insulin shuttles the glucose from the blood into my muscles.

Aerobic exercise is not nearly as effective as pull-ups or short bouts of intense exercise regarding lactate production.

2) Kombucha​

I like kombucha because it has so many other benefits. It has all the benefits of green tea but also has butyric acid, acetic acid, glucuronic acid, and glutamate. Each one of these acids is extremely beneficial to the body. More to come.

3) Sourdough Bread​

I used to eat sourdough bread, but I stopped as a result of lectin sensitivity.

I used to buy whole grain, spelt, sourdough bread, which happened to be loaded with lactic acid (subjective experience).

4) Sauer Kraut, Pickles, Olives, Kefir​

I try to eat other fermented products as well such as Sauer kraut and pickles (all in the refrigerated section), but I haven’t noticed strong effects from these foods, especially with regard to that feeling I get from lactate.

Kefir and olives are also good, but I don’t like the taste and I’m sensitive to them.

The good bacteria in all of these fermented foods can also increase lactate production in our gut.

5) Fructose​

Many people don’t realize that 25% of fructose consumed turns into lactate, which blocks orexin suppression by glucose.

Raw honey is my preferred source.
 

mostlylurking

Member
Joined
May 13, 2015
Messages
3,078
Location
Texas
In this study, we investigated the effects of exogenous lactate administration before exercise on energy substrate utilization during exercise. Mice were divided into exercise control (EX) and exercise with lactate intake (EXLA) groups; saline/lactate was administered 30 min before exercise. Respiratory gas was measured during moderate intensity treadmill exercise (30 min). Immediately after exercise, blood, liver, and skeletal muscle samples were collected and mRNA levels of energy metabolism-related and metabolic factors were analyzed. At 16–30 min of exercise, the respiratory exchange ratio (p = 0.045) and carbohydrate oxidation level (p = 0.014) were significantly higher in the EXLA than in the EX group. Immediately after exercise, the muscle and liver glycogen content and blood glucose level of the EXLA group were lower than those of the EX group. In addition, muscle mRNA levels of HK2 (hexokinase 2; p = 0.009), a carbohydrate oxidation-related factor, were higher in the EXLA than in the EX group, whereas the expression of PDK4 (pyruvate dehydrogenase kinase 4; p = 0.001), CS (citrate synthase; p = 0.045), and CD36 (cluster of differentiation 36; p = 0.002), factors related to oxidative metabolism, was higher in the EX than in the EXLA group. These results suggest that lactate can be used in various research fields to promote carbohydrate metabolism.


The EXLA group was administered 3 g/kg of Sodium Lactate with an oral sonde and the EX group an equal amount of a saline solution.



What is Lactate?​

Lactate is produced from pyruvate via the enzyme lactate dehydrogenase (LDH) in a process of fermentation during normal metabolism and exercise.

Health Benefits of Lactate​

1) Is Neuroprotective and Protects Against Cognitive Diseases​

A substance being neuroprotective usually, refers to its ability to prevent glutamate-induced “excitotoxicity.”

Excitotoxicity is when neurons are overactive as a result of excess glutamate. The overactivations cause a cascade of negative events, leading to a breakdown of our mitochondria and neuronal membranes. As a result, the body has a harder time converting the food that we eat to use energy for the brain and body.

Lactate is an important substance that prevents excitotoxicity by inhibiting excess neuronal activity [1].

Hypoglycemia is the main cause of excitotoxicity. I’ve learned over the years that perhaps the worst thing for the brain is chronic bouts of hypoglycemia.

A rodent study in 2013 has found that modest increments in circulating lactate allow the brain to function normally under acute hypoglycemic conditions and that elevated lactate are also critical for maintaining glucose metabolism under hypoglycemia, which in turn, preserves neuronal function [2].

I didn’t chance upon this information by accident. I investigated lactic acid because I had noticed a trend where I was protected from hypoglycemia when I did specific exercises (high intensity) and ingested certain foods/beverages.

After some time, I realized that the common denominator was lactic acid. Most fermented foods/beverages contain lactic acid.

Traditional societies have always included lots of fermented foods for good health. I believe lactate was a crucial ingredient for our ancestors, something our current generation doesn’t take advantage of.

Personally, I’ve had to deal with GAD, OCD, dysthymia, brain fog, chronic fatigue and anhedonia, which were exacerbated by hypoglycemic-induced glutamate excitotoxicity.

Even though I’ve removed the sources of inflammation and repaired my mitochondria to a large degree, mitochondrial damage can linger.

Hypoglycemic-induced excitotoxicity wouldn’t come about if our brains had an alternative source of energy on which to rely when glucose runs low and we would, therefore, solve a lot of cognitive-related problems.

All neurodegenerative diseases (to my knowledge), cognitive decline and mental illnesses are, are in part, a result of an excitotoxicity.

However, we shouldn’t only view the positive benefits in the light of prevention of chronic illnesses, since hypoglycemia can also cause us to perform worse in the day without any overt pathological condition. So having a backup generator should not only be viewed as a prophylactic but also as a method to increase day to day cognitive and physical performance.

Excitotoxicity is partially responsible for:
  • Spinal cord injury [3]
  • Stroke [3]
  • Traumatic brain injury [3]
  • Hearing loss (through noise overexposure or ototoxicity) [3]
  • Multiple sclerosis [3]
  • Alzheimer’s [3]
  • ALS [3]
  • Parkinson’s [3]
  • Huntington’s disease [3]
  • alcoholism or alcohol withdrawal and especially [3]
  • Benzodiazepine withdrawal [3]
  • Ketosis: A Bad Choice For a Backup Generator

2) Provides An Alternative Fuel to Our Brain​

We’ve all heard the familiar refrain: the brain runs on glucose.

Paleo and low carbers like to talk about getting into ketosis and ketones as an alternative source of energy for the brain.

Ketosis is a starvation response to low carbohydrates, where the body burns fat for energy that can directly be used by the brain. Normally, fat needs to be broken down into glucose for the brain to use. Ketosis has a host of health benefits, especially for some neurological conditions. But ketosis is, after all, a starvation response and isn’t something that most people can easily and comfortably get into.

People differ in their capacity to get into ketosis and there’s a small percentage of the population that would die before they got into ketosis. I’ve tried to get into ketosis before and failed, but after trying again recently I was successful, yet it gave me a headache, nausea and a flu-like feeling and some GI issues since I had to take in a few tablespoons of MCT oil. It wasn’t pleasant even though I probably would’ve adjusted more if I gave it time.

In any case, what’s surprisingly never talked about is a completely different alternative to both glucose and ketosis: lactic acid.

There is some indication that not only is lactate a backup, but it can be used preferentially to glucose as a fuel source for the brain and other organs [4, 5]. That’s a significant piece of information.

Additionally, cellular studies have found that glucose is insufficient as an energy source during intense synaptic activity and finally, that lactate can be an efficient energy source capable of sustaining and enhancing brain energy metabolism [6].

Lactate can also be an energy source for various organs, including the liver, where it is burned with oxygen to make ATP. The heart even prefers lactate as a fuel [7].

3) Is a Powerful Mitochondrial Enhancer​

Mitochondrial improvement is a critical tool for cognitive and physical enhancement. Improve your mitochondria and you improve the amount of energy you can create and use from food.

Lactate, but not glucose, was found to up-regulate mitochondrial oxygen consumption [8], which means that the mitochondria were producing more energy.

Even if you increase glucose intake, your mitochondria will work at a low level fixed rate because it cannot up-regulate oxygen consumption by the mitochondria [8].

However, Lactate produces a dose-dependent increase in oxygen uptake, enabling our mitochondria to meet the increased energy needs [8].

In addition, lactate induces your stress response and up-regulates the expression of genes involved in creating new mitochondria.

The world’s best athletes stay competitive by interval training and this is thought to help because the intense exercise generates big lactate loads, and the body adapts by building up mitochondria to clear lactic acid quickly [7].

Just before a race, coaches often tell athletes to train very hard in brief spurts. This is because lactate increases the mass of muscle mitochondria, letting them burn more lactic acid and allowing the muscles to work harder and longer. That extra stress increases the mitochondria mass even more and is the reason for improved performance [9].

4) Increases Norepinephrine​

Researchers recently found that lactate causes cells in the brain to release more norepinephrine, a neurotransmitter which is fundamental for brain function [10].

Norepinephrine is responsible for concentration, alertness and blood flow to the brain [11].

5) Increases Orexin​

Orexin, also called hypocretin, is a neurotransmitter that regulates arousal, wakefulness, and appetite. Narcolepsy is caused by a lack of orexin in the brain due to the destruction of the cells that produce it [12].

Lactate is a critical energy source and a regulator of the orexin system. Lactate release from astrocytes plays an integral part in balancing brain activity and energy supply [13].

Supplying orexin neurons with lactate can stop glucose from blocking orexin neurons [14].

The effect of lactate on firing activity is concentration-dependent. Also, lactate disinhibits and sensitizes these orexin neurons for future excitation [13].

One study hypothesized that orexin neurons only ‘see’ glucose changes when the levels of other energy molecules are low, whereas high energy levels can stop glucose from regulating orexin cells [14].

See more ways to activate orexin.

Top 5 Sources of Lactate​

I have my preferred sources of lactate that I like to use for mitochondrial enhancement since I’ve noticed a particular benefit from these sources.

1) Pull-ups, Sprinting, Push-ups​

During intense physical exercise, your body produces lactate and this can enter the brain [1].

Endurance training increased the number of lactate transporter molecules in mitochondria, evidently to speed the uptake of lactate from the cell into the mitochondria for burning [7].

I like pull-ups over push-ups because the body remains vertical, so it’s not as bad to do after a meal.

Anyone can do this by getting a pull-up bar that hangs on your doorpost.

I find the perfect time to do it is during periods of fatigue induced by a carb-laden meal, though this very infrequently happens to me these days. I still like to do it after meals.

The fatigue rapidly goes away and my brain buzzes on lactate after I do a set. In addition, I build muscle much quicker when I do this because the spike in insulin shuttles the glucose from the blood into my muscles.

Aerobic exercise is not nearly as effective as pull-ups or short bouts of intense exercise regarding lactate production.

2) Kombucha​

I like kombucha because it has so many other benefits. It has all the benefits of green tea but also has butyric acid, acetic acid, glucuronic acid, and glutamate. Each one of these acids is extremely beneficial to the body. More to come.

3) Sourdough Bread​

I used to eat sourdough bread, but I stopped as a result of lectin sensitivity.

I used to buy whole grain, spelt, sourdough bread, which happened to be loaded with lactic acid (subjective experience).

4) Sauer Kraut, Pickles, Olives, Kefir​

I try to eat other fermented products as well such as Sauer kraut and pickles (all in the refrigerated section), but I haven’t noticed strong effects from these foods, especially with regard to that feeling I get from lactate.

Kefir and olives are also good, but I don’t like the taste and I’m sensitive to them.

The good bacteria in all of these fermented foods can also increase lactate production in our gut.

5) Fructose​

Many people don’t realize that 25% of fructose consumed turns into lactate, which blocks orexin suppression by glucose.

Raw honey is my preferred source.
Oh dear. No. Maybe you didn't read and understand the Ray Peat articles on this topic? I'll post some of them below for your consideration.

Lactate = lactic acid. It's a sign that your body is not able to achieve oxidative metabolism. It is a very bad sign. It is something to be avoided, not encouraged.







 
OP
A

aliml

Member
Joined
Apr 17, 2017
Messages
692
Oh dear. No. Maybe you didn't read and understand the Ray Peat articles on this topic? I'll post some of them below for your consideration.

Lactate = lactic acid. It's a sign that your body is not able to achieve oxidative metabolism. It is a very bad sign. It is something to be avoided, not encouraged.

I know Ray's opinion about lactic acid, but the evidence suggests that sodium lactate is an inhibitor of fatty acid oxidation.

[...] Significantly higher carbon dioxide production, respiratory exchange rate, and carbohydrate oxidation were observed in the EXLA (exercise with lactate intake) group than in the EX group.

[...] The concentrations of glycerol and free fatty acids of the EXLA group were significantly lower than those of the EX group.

[...] Lactate intake before exercise increases the concentration of blood lactate, thereby inhibiting adipose tissue lipolysis and thus fat metabolism during exercise.

 

mostlylurking

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Messages
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I know Ray's opinion about lactic acid, but the evidence suggests that sodium lactate is an inhibitor of fatty acid oxidation.



Having personally experienced being trapped in the cancer metabolism for over 6 months, with unrelenting agonizing inflammation from lactic acidosis, there is no way I would believe that Ray is wrong about this. My issue was thiamine deficiency/functional blockage that blocked oxidative metabolism. The solution for me was high dose thiamine which restored healthy oxidative metabolism which corrected the dearth of carbon dioxide and overwhelming lactic acid.
 
Joined
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Messages
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Having personally experienced being trapped in the cancer metabolism for over 6 months, with unrelenting agonizing inflammation from lactic acidosis, there is no way I would believe that Ray is wrong about this. My issue was thiamine deficiency/functional blockage that blocked oxidative metabolism. The solution for me was high dose thiamine which restored healthy oxidative metabolism which corrected the dearth of carbon dioxide and overwhelming lactic acid.
How Much thiamine do you take and wich form ?
 
Joined
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Messages
789
I take thiamine hcl, pure powder, I get it from bulksupplements.com. Read up first. You'll need to take magnesium plus a b-complex. I've posted a lot about it and provided links.
Sorry, where ?
 

mostlylurking

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Joined
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Messages
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Location
Texas
Sorry, where ?
links are in posts on the forum (search for Thiamine):



View: https://medium.com/eds-perspectives/why-does-high-dose-thiamine-relieve-fatigue-in-individuals-with-diverse-neurological-conditions-40a3502f6439
 

Motorneuron

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Fructose increase Lactate ?
 

tankasnowgod

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Joined
Jan 25, 2014
Messages
8,131
In this study, we investigated the effects of exogenous lactate administration before exercise on energy substrate utilization during exercise. Mice were divided into exercise control (EX) and exercise with lactate intake (EXLA) groups; saline/lactate was administered 30 min before exercise. Respiratory gas was measured during moderate intensity treadmill exercise (30 min). Immediately after exercise, blood, liver, and skeletal muscle samples were collected and mRNA levels of energy metabolism-related and metabolic factors were analyzed. At 16–30 min of exercise, the respiratory exchange ratio (p = 0.045) and carbohydrate oxidation level (p = 0.014) were significantly higher in the EXLA than in the EX group. Immediately after exercise, the muscle and liver glycogen content and blood glucose level of the EXLA group were lower than those of the EX group. In addition, muscle mRNA levels of HK2 (hexokinase 2; p = 0.009), a carbohydrate oxidation-related factor, were higher in the EXLA than in the EX group, whereas the expression of PDK4 (pyruvate dehydrogenase kinase 4; p = 0.001), CS (citrate synthase; p = 0.045), and CD36 (cluster of differentiation 36; p = 0.002), factors related to oxidative metabolism, was higher in the EX than in the EXLA group. These results suggest that lactate can be used in various research fields to promote carbohydrate metabolism.


The EXLA group was administered 3 g/kg of Sodium Lactate with an oral sonde and the EX group an equal amount of a saline solution.

The results of this study aren't really surprising. But keep in mind, this was an acute, one time experiment, in what seem to be healthy mice. A healthy organism can pretty easily convert lactate to pyruvate (and vice versa), and a bolus dose of lactate before exercise probably just provided an energy substrate. The researchers may have had similar (or even better) results using supplemental pyruvate.

Brad Marshall talked about a study that used supplemental pyruvate as a good way to stimulate energy and heat production in humans, and in the study, the authors speculate that lactate may have similar effects-


Regardless of all that, it should be noted that long term effects can certainly be different than acute ones. And there is no guarantee that the lactate results from the acute mouse study would apply to someone with an already high lactate/pyruvate ratio, or would continue to be positive in a more chronic supplementation routine (say, 8 weeks of supplementing lactate every day).
 
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