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c for myopathy. We advise caution in relying solely on serum muscle enzyme for diagnosis of myopathy until the strength of association between CK and myopathy is further ascertained in future studies. Nearly half of the variation in post-race CK activity observed can be attributed to management factors unrelated to myopathy, suggesting increased CK activity may not be pathognomonic for myopathy. We advise caution in relying solely on serum muscle enzyme for diagnosis of myopathy until the strength of association
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