Lactate, lactic acid, lactatepro, lactate pro, lactatescout, lactate scout, arkray, senslab, ekf, maternity, foetal hypoxia, obstetrics, birth, birthing, sport, health, weight loss, green prescription, fitness, training, Last update: Tuesday 1^st June 2010. 310510 - 2.2 Contact BM&S Imports FREE phone... 0800 263 9328 If busy “please” leave a message or try... 027 22 724 22 Email (click here!) Fax 03 476 4527 This site is under continuous development, return often to see what is new! Find a “Tester”: click here Index: Introductory Header Tips Site Notices Bulletins Product List Support Information Medical - Obstetrics-Maternity - A&E - Green Prescription Equine Trainer-Vet - Books - Articles Health & Fitness - Books - FIND A TESTING SERVICE Visit our other business: TANITA InnerScan www.bodyfatmonitors.co.nz

Lactate, lactic acid, lactatepro, lactate pro, lactatescout, lactate scout, arkray, senslab, ekf, maternity, foetal hypoxia, obstetrics, birth, birthing, sport, health, weight loss, green prescription, fitness, training, Welcome to lactate.co.nz A business of BM&S Imports, New Zealand - Operating since 1988; A registered NZ company since 1994 - - Kerry James Goodhew - Owner / Managing Director - “Get Tested!” Looking for the most effective weight-loss or health & fitness prescription and advice? Click Since 1995 on the launch of the world’s first small hand held lactate test meter we have been FIRST in NZ to supply you with the best. You too can perform YOUR BEST and be FIRST with lactate testing from BM&S! Newsflashes Return here often to see what is new! 1/6/2010 Prices must go back up! You saw the news? Our dollar fell back after Bill’s budget and an OECD (think it was!) report that we’re overvalued plus a run to safe currencies due to basket-case Euro economies! Unless “the kiwi” climbs back up when current stock at low cost runs out we must put prices backup with the next shipment. You’ve had your chance to buy at 2 year bargain rates ...DON’T DELAY ANYMORE! 4/5/2010 All Users Price Crash! Since early 2009 we have not been as favourable as we are today against the currencies we buy in. We have shifted 25% against the Euro and in the past few weeks we have moved better against the Yen by 12%. We always move on the lower cost TO OFFER YOU BEST PRICE. Who knows what the NZ$ will do next so BEST YOU BUY NOW! 4/5/2010 Birthing/Obstetric Users Research Article: “Influences of the mother’s lactate on foetal lactate”. Conclusions: 1. Only higher foetal lactate values over the mother’s indicates foetal hypoxia. 2. Lactate diagnosis has significant methodological edge on traditional ...methods. Article in German: 2009. Contact us for translated version. 4/5/2010 A&E Medical Users Rapid Sepsis Screening Research Article: An evaluation of our small portable lactate device for increased speed in recognition of acutely ill patients through severe sepsis. NHS UK study: City Hospitals Sunderland. March 2009. Contact us for a copy. 3/5/2010 Sport Users - An offer from another of our family in business! The homoeopathic “cure” to carnage on your school sports day is a little dose of “Carnage Software” www.carnage.ahcomputers.com.au 12/2/2010: ATTENTION Students! **WIN** (earn!) Your Own Lactate Test Meter Click here to view terms. More news bulletins below BULLETINS: As of May 2008 we are proud to be your NZ agent for... Ø Fitmate by Cosmed of Italy VO2 max, Daily Energy (Calorie) Requirement & Respiratory Function (Fitmate-Med) for accurate effective WEIGHT-LOSS, Green Prescription, Cardiac Rehabilitation, & Sport Training Prescription. Site Tips: 1. TO FIND A LACTATE TEST SERVICE PROVIDOR in your city or town for weight-loss, health, fitness, or sport goals keep scrolling down or “click here” . 2. To avoid the blurb and go straight down to view our list of products “click here” . General Site Notices: This site continuously updated, please visit often! After 10 years paying exorbitant rates for site developers we are venturing to DIY! I will do my best to make this site easy to follow and helpful to you. Any suggestions appreciated. We are an independent importer-distributor. No middle-man! ...we import directly from the manufacturer. Our prices offered to you are always at the lowest possible mark-up being wholesale direct rates, often equal to or BELOW the lowest price found anywhere in the world (ensuring correct exchange rate, shipping and GST have been accounted for!). Even though our mark-up is small we do offer to split and share it with a number of businesses who are enthusiastic about lactate testing, who on-sell (retail) to their customers. We supply... Ø GP’s and specialist Sports Medicine Dr’s Ø All the major DHB’s Ø Maternity / Obstetric Wards Ø Equine Centers, Trainers & Veterinarians Ø All the major University, Polytechnic, and College of Education Sport Science and Nutrition service provider & research dept’s. Ø NZ Academy Sport www.nzasni.org.nz Ø All relevant NZ Olympic and other sport organisations (directly, or indirectly through NZAS) Ø Independent Coaches, Trainers, Sport Scientists. Ø Individual self-testing athletes, youth age through world masters age competitors Ø NZDF (Defence Forces) Ø Government research dept’s (e.g. Lactate testing of salmon!) ~ Product List ~ Lactate Pro Most popular in NZ Lactate Scout The world’s best featured With PC connectivity, Automatic graphing software, Client file creation, Optional Bluetooth (wireless) connectivity for transfer and saving as you go during field testing. ______________ “LS Assistant” SW screen capture Fitmate Pro Small semi-portable Metabolic testing system using patented direct O2 sensor VO2 Max Anaerobic Threshold - non-invasive (no blood sampling) by RQ (respiratory quotient) & Ventilatory Threshold (VE/VO2) Very Accurate Effective Training Prescription Only a modest level of expertise required to offer assessment services! Fits in a briefcase Large expensive metabolic stations located only in specialist lab’s or hospitals no longer required! Ideal for Fitness Centers to offer objective (accurate) weight loss & fitness programmes. BC-601 SD Segmental InnerScan - *NOW* has SD-card to transfer your measurements to your home-PC to see your results graphed! - Separately measures each arm, each leg, and the trunk – - Uses hand-held extension electrodes. - Offers all exclusive TANITA full body composition assessment measures, including... - Body fat % - Body water % - Muscle weight (mass) - Visceral fat rating - (“Belly” – abdominal measure, the dangerous fat!) - Metabolic Age - (Are you physically old or young for your actual age? A most excellent motivator!) IMPORTANT NOTE WARRANTY: The BC-601 SD Segmental InnerScan has all the accuracy and reliability of TANITA’s top spec’d commercial monitors that cost thousands in NZ$’s found in hospitals, universities and research centers. However, this model is a CONSUMER product, made for the home user. This means that it does not have the heavy duty construction specifications required for high frequency commercial use such as on gym or fitness center open floor membership areas. TANITA offer no warranty on its consumer range used commercially. We, BM&S Imports, independently offer a limited warranty of 3 months against faulty manufacture if you buy to use commercially which is extendable for certain professional-commercial uses. This use must be advised and agreed upon before we extend warranty to you. To learn more go to our TANITA website... www.bodyfatmonitors.co.nz visit the 601 page here! http://www.bodyfatmonitors.co.nz/BC-601%20van%20promotion%20050210.htm POLAR Heart Rate Monitors BM&S was the first nationwide importer-distributor of Polar Heart Rate Monitors in New Zealand. Polar is what we started business with back in 1988 therefore we have a particular fondness for this product which led us to other compatible products we proudly represent today. We no longer import Polar, however we still enjoy retailing it due to this compatibility with our other products. We sell at RRP unless you are a user of our other products where you can then enjoy EXCLUSIVE BM&S Customer Club discount pricing. RS800CX with G3 GPS sensor There have been many advances in Polar since 1988. One of the most exciting has been the development around analysis and feed back of Heart Rate Variability. Amongst other things this feature can tell you the state of recovery you are in and whether you should train or not, and if so, at what adjusted intensity. I feel this is as valuable as lactate testing for optimising gains in your performance! Support Information Index: Medical - Obstetrics-Maternity - A&E - Green Prescription Equine-Veterinary Health & Fitness - FIND A TESTING SERVICE Medical - Obstetrics-Maternity - A&E 1. This article posted here 26 Nov. 08 cited from HIV InSite, University of California, San Francisco. Point-of-care lactate testing predicts mortality of severe sepsis in a predominantly HIV type 1-infected patient population in Uganda UCSF Institute for Global Health Literature Digest Published April 17, 2008 Journal Article Moore CC, Jacob ST, Pinkerton R, Meya DB, Mayanja-Kizza, Reynolds SJ, et al. Point-of-care lactate testing predicts mortality of severe sepsis in a predominantly HIV type 1-infected patient population in Uganda. Clin Infect Dis 2008 Jan 15; 46(2):215-22. Objective To evaluate the ability of a handheld portable whole-blood lactate (PWBL) analyzer to predict mortality in patients who are admitted to the hospital with severe sepsis. Study Design A prospective observational study. Setting An accident and emergency department of Mulago Hospital, a national referral hospital in Kampala, Uganda. Participants 72 patients were enrolled in the study. Inclusion criteria were ≥18 years of age and admission to a medical ward, along with: 1. two or more systemic inflammatory response syndrome criteria (body temperature, >38°C or <36°C; heart rate, >90 beats/min; respiratory rate, >20 breaths/min; or peripheral WBC concentration, >12,000 cells/mm3 or <4000 cells/mm3; or thermodysregulation; 2. systolic blood pressure ≤100 mm Hg; and 3. a suspected infection. Exclusion criteria included acute cerebrovascular events, gastrointestinal hemorrhage, or admission to the surgical or obstetrics and gynecology ward. Intervention There was no intervention in this study. This analysis was conducted among a subset of 253 patients recruited to study the incidence, management, and outcomes of sepsis. From this sample, the first and last 50 consecutively enrolled patients were recruited to determine the predictive value of PWBL in predicting mortality from sepsis. Background information - including age, sex, HIV-1 serostatus, and prescribed antiretroviral medicines (ARVs)-was recorded. At patient enrollment, temperature, heart rate, respiratory rate, and blood pressure were measured. To determine outpatient survival, an attempt was made to telephone patients 30 days after their discharge from the hospital. A rapid HIV-1 test and malaria smear were performed at Mulago Hospital. A local private clinical laboratory provided results of lactate and bicarbonate analysis. PWBL was obtained using a lancet to collect a drop of whole blood from the patient's finger, for analysis by a handheld portable device. This instrument uses enzymatic determination and reflectance photometry of lactate in the plasma portion of whole blood using a measurement strip. Standard laboratory serum lactate (SLSL) concentration was obtained by phlebotomy for venous blood samples. Within 2 hours of sample collection, the sample was transported in a standard serum tube via a cooler to the clinical laboratory, where blood was centrifuged and serum was removed for use in the lactate assay. Primary Outcomes In-hospital mortality. Results Information was available for 72 of the 100 enrolled subjects. The mean age of participants was 35.7, 61.1% were women, and 81.9% were HIV infected, with a mean CD4 lymphocyte count of 88.6 cells/ mm3. These 72 patients were similar to the larger study population in age (mean age, 35.7 vs. 33.8 years), sex (61.1% vs. 59.1% female), HIV-1 seropositivity (81.9% vs. 86.6%), and ARV status (13.9% vs. 10.6% ARVs prescribed). Fifty-nine (81.9%) of 72 evaluated patients were infected with HIV-1. The in-hospital mortality rate was 25.7% (18 of 70), and the in- and outpatient mortality at 30 days was 41.6% (30 of 72). PWBL was positively associated with in-hospital but not outpatient mortality (p <.001). The receiver operating characteristic (ROC) area under the curve for PWBL was 0.81 (p <.001). The optimal PWBL concentration for predicting in-hospital mortality (sensitivity, 88.3%; specificity, 71.2%) was ≥4.0 mmol/L. Patients with a PWBL concentration ≥4.0 mmol/L died while in the hospital substantially more often (50.0%) than did those with a PWBL concentration <4.0 mmol/L (7.5%) (odds ratio, 12.3; 95% confidence interval, 3.5-48.9; p <0.001). SLSL levels were lower among survivors than among deceased. The ROC under the curve for predicting in-hospital mortality was 0.72 (p=0.004). SLSL results were inconsistent and less predictive of mortality than were those of PWBL. Conclusions The authors conclude that PWBL testing can quickly identify patients who require immediate interventions, and it should be included in evaluation and treatment algorithms for septic patients. PWBL testing could be used in village health posts, for earlier transfer of septic patients to facilities with a higher level of care, and in referral hospitals, for triage of patients to acute care settings where appropriate resuscitation can begin. In Context Elevated lactate concentrations and poor clearance of lactic acid are known to increase mortality from severe sepsis. Lactate concentrations, combined with other laboratory measures, are used to guide early management of sepsis. Measurement of lactate concentration in developing countries is difficult because of limited resources. An effective, inexpensive method to measure lactate concentration without sophisticated laboratory resources has the potential to offer a method to identify patients in greatest need of rapid, aggressive treatment of sepsis. Programmatic Implications The use of the PWBL and its value in predicting mortality from sepsis in populations with high prevalence of HIV has potential to assist health care workers in resource limited settings in prioritizing these patients. Hospitalization, availability of support for potential multisystem failure, and rapid administration of antimicrobial agents can be delivered more urgently in persons with high lactate concentrations. 2. This article posted here 26 Nov. 08 cited from Lab Tests On-line. Lactate Testing in Acute Assessement What is being tested? This test measures the amount of lactate in the blood or, more rarely, in the cerebrospinal fluid. Lactate is the ionic (electrically charged) form of lactic acid. It is produced by muscle cells, red blood cells, brain, and other tissues during anaerobic energy production and is usually present in low levels in the blood. Aerobic energy production is the body’s preferred process, but it requires an adequate supply of oxygen. Aerobic energy production occurs in the mitochondria, tiny power stations inside each cell of the body that use glucose and oxygen to produce ATP (adenosine triphosphate), the body’s primary source of energy. When cellular oxygen levels are decreased, however, and/or the mitochondria are not functioning properly, the body must turn to less efficient anaerobic energy production to metabolize glucose and produce ATP. In this process, the primary byproduct is lactic acid, which can build up faster than the liver can break it down. When lactic acid levels increase significantly in the blood, the affected person is said to have first hyperlactatemia and then lactic acidosis (LA). The body can often compensate for the effects of hyperlactatemia, but LA can be severe enough to disrupt a person’s acid/base (pH) balance and cause symptoms such as muscular weakness, rapid breathing, nausea, vomiting, sweating, and even coma. Lactic acidosis is separated into two types: A and B. Type A may be due to inadequate oxygen uptake in the lungs and/or to decreased blood flow (hypoperfusion) resulting in decreased transport of oxygen to the tissues. The most common reason for this is shock from a variety of causes including trauma and blood loss, but LA may also be due to conditions such as heart attack, congestive heart failure, and pulmonary edema (fluid in the lungs). Type B is caused by conditions that increase the amount of lactate/lactic acid in the blood but are not related to a decreased availability of oxygen. This includes liver and kidney disease, diabetes, leukemia, AIDS, glycogen storage diseases (such as glucose-6-phosphatase deficiency), drugs and toxins, severe infections (both systemic sepsis and meningitis), and a variety of inherited metabolic and mitochondrial diseases (forms of muscular dystrophy that affect normal ATP production). Strenuous exercise can also result in increased blood levels of lactate. 3. Green Prescription 1. Lactate Testing in General Practise With the advent of the world’s first small hand-held lactate test meter launched in 1994 by Boehringer Mannheim, the use of lactate prescription for effective and objective “Green Prescription” was already well considered. My personal observation is that the Europeans are well ahead of us in this medically correct and safety orientated approach to intensity prescription of exercise. It is this correct medical approach that has been begging for implementation here in NZ. Fourteen years later (2008) the right Doctor with knowledge & motivation to champion this cause here is yet to be forthcoming! To view larger image in viewer on your PC click here. 2. This article posted here 26 Nov. 08 cited on-line at Wiley Interscience. Interval versus continuous training in patients with severe COPD: a randomized clinical trial Eur Respir J 1999; 14: 258–263. R. Coppoolse*, A.M.W.j. Schols*, E.m. Baarends*, R. Mostert**, M.a. Akkermans**, P.p. Janssen**, E.F.m. Wouters* **Astmacentre Hornerheide, and *Dept of Pulmonology, Maastricht University, the Netherlands. Correspondence: A.M.W.J. Schols Dept of Pulmonology P.O. Box 5800 6202 AZ Maastricht The Netherlands Fax: 31 433875051 Copyright Copyright ERS Journals Ltd 1999 Interval versus continuous training in patients with severe COPD: a randomized clinical trial. R. Coppoolse, A.M.W.J. Schols, E.M. Baarends, R. Mostert, M.A. Akkermans, P.P. Janssen, E.F.M. Wouters. ©ERS Journals Ltd 1999. ABSTRACT Abstract Limited information is available regarding the physiological responses to different types of exercise training in patients with severe chronic obstructive pulmonary disease (COPD). The aim of this study was two fold: firstly, to investigate the physiological response to training at 60% of achieved peak load in patients with severe COPD; and secondly to study the effects of interval (I) versus continuous (C) training in these patients. Twenty-one patients with COPD (mean±sd forced expiratory volume in one second: 37±15% of predicted, normoxaemic at rest) were evaluated at baseline and after 8 weeks' training. Patients were randomly allocated to either I or C training. The training was performed on a cycle ergometer, 5 days a week, 30 min daily. The total work load was the same for both training programmes. C training resulted in a significant increase in oxygen consumption (V 'O2) (17%, p<0.05) and a decrease in minute ventilation (V 'E)/V 'O2 (p<0.01) and V 'E/carbon dioxide production (V 'CO2) (p<0.05) at peak exercise capacity, while no changes in these measures were observed after interval training. During submaximal exercise a significant decrease was observed in lactic acid production, being most pronounced in the C-trained group (-31%, p<0.01 versus -20%, p<0.05). Only in the I-trained group did a significant increase in peak work load (17%, p<0.05) and a decrease in leg pain (p<0.05) occur. Training did not result in a significant improvement in lung function, but maximal inspiratory mouth pressure increased in both groups by 10% (C: p<0.05) and 23% (I: p<0.01). The present study shows a different physiological response pattern to interval or continuous training in chronic obstruction pulmonary disease, which might be a reflection of specific training effects in either oxidative or glycolytic muscle metabolic pathways. Further work is required to determine the role of the different exercise programmes and the particular category of patients for whom this might be beneficial. Equine Trainer & Veterinary Books Allan Davie is probably the pre-eminent advocate in Australasia of effective training of race horses incorporating lactate testing. The great value of his book is the simplicity of its explanation. Anybody can use it to catapult the training of their horses into 21^st Century method to earn positive performance improvements. AU$35 Price NZ$ relative to currency x-rate! Articles Bad news for heavy riders and narrow horses March 3, 2008 Researchers in the US have bad news for overweight horse riders. A study has found that horses that have to carry between 25 and 30 per cent of their bodyweight have more physical problems related to exercise than those who carry 20 percent or less. Horses carrying 30% body weight showed a significant increase in muscle soreness and muscle tightness scores. The changes were less marked when they carried 25% body weight. Dr Debra Powell .... conducted a study ....performing a standardised ridden exercise test in an indoor school arena. After five minutes active walk to warm up, the horses were ridden at a trot (3m/s) for 4.8km, followed by 1.6km at a canter (5m/s). This exercise schedule was chosen to simulate a 45-minute work period of work typical of an intermediate-level riding school horse. The researchers measured heart rate, plasma lactate concentration and creatine kinase. Lactate is produced in the muscles during exercise. At low levels of work the body can metabolise it and so levels in the plasma remain low. As the work level increases the rate of lactate production exceeds the body's ability to remove it and so concentrations rise. Creatine kinase (CK), an enzyme present in the muscles, is released into the blood as a result of some types of muscle damage. ... Plasma lactate levels were higher immediately after exercise and 10 minutes after end of exercise, in horses that carried 30% of their body weight.... ...(more)... http://www.horsetalk.co.nz/news/2008/03/011.shtml Health, Fitness & Sport Books: 1. Lactate Threshold Training by Janssen Janssen wrote the seminal text Training Lactate Pulse-Rate in 1987 which was published by the Polar Electro company of Finland inventors of Polar Heart Rate Monitors. At this time when Polar was launched on the world, lactate testing was not common, and Conconi’s method of analysing for the Heart Rate Deflection Point was popular. This later 2001 book by Janssen brings you up-to date in covering what you need to know whether launching into a career preparing athletes or you are an athlete yourself. Research, training, and testing of elite endurance athletes at his sports medicine advisory center in Deurne, Holland, has enabled Dr. Janssen to radically change and improve coaching methods for a wide range of sports. Recognized as one of the pioneers in lactate threshold training, Dr. Janssen has put together this complete and comprehensive training manual. If you want to take your endurance performance to the limit, you need to understand exactly what you are doing to generate success. He presents practical programs to improve your lactate threshold and race faster than ever before. NZ$39.02 = RRP excl.gst. DISCOUNT 11.1% purchased with any other BM&S product. 2. Physiological Tests for Elite Athletes The most successful sports program in the world tells you how they test their athletes. It covers the testing approaches in 17 different sports and includes chapters on lactate testing, blood handling, VO2 max assessment, strength and power testing, flexibility assessment, anthropometric testing and more. If you are serious about testing athletes then this is the book for you. Nearly 500 pages with hundreds of charts, tables and diagrams. NZ$127.91 = RRP excl.gst. DISCOUNT 11.1% purchased with any other BM&S product. FIND A TEST SERVICE PROVIDOR IN YOUR LOCAL AREA. NOTICE TO SERVICE PROVIDORS: Opt in or out list! Apologies if you are surprised to be not listed! This listing service has only been launched since Monday 3^rd November 2008. It is an opt-on, opt-off list. That is, let me know if you want to be on it. If your business or interests have changed please let me know when you do not want referrals to continue. Whangarei NorthTec - Northland Polytechnic Ady Ngawati Ph 459 5241 Paul Sykes Ph 459 5251 BM&S Product Services: Lactate Preferred Clients: Weight loss; Athletes – Metabolic assessment. Credits: Auckland Mairangi Bay Joe McQuillan Millenium Institute of Sport & Health; TriathlonNZ Support Services Ph 524 6957 BM&S Product Services: Lactate Panmure & Central City VO2LT Performance Ray Pitch, Ph 0800 021901. www.vo2lt.com BM&S Product Services: Lactate; Fitmate + Premium8i, VO2max etc. Preferred Client: Age Group Athletes – I optimise gain from your limited time – “I’ve been there!” Credits: Triathlon NZ Accredited & ITU Technical Official; Sponsor of Brent Foster. Hamilton Cyril Gudgeon Ph 021 0221 5777 Speed Analysis – Computerised Velocity Graphs: Swimming & Running BM&S Product Services: Lactate; TANITA InnerScan Body Composition Analysis. Preferred Client: Triathletes, Track Sprinters, Swimmers – Age Group through Masters. Waikato Institute of Technology Adrian Pooley Ph 834 8800 x 8658; 021 1157 7457 BM&S Product Services: Lactate Rotorua Waiariki Institute of Technology – Academy of Sport Jane Borren Ph 346 8761 www.waos.ac.nz BM&S Product Services: Lactate Taupo MediSport Ltd Inform Fitness (Testing) Spiro Tiger Training Center Dr Giles & Sandy Turner Ph 377 4880; 021 164 4781 BM&S Product Services: Lactate Palmerston North IFNHH Faculty, Massey University Matt Barnes Human Performance Lab Ph 356 9099 x 7637 http://ifnhh.massey.ac.nz/sportexercise/ BM&S Product Services: Lactate Testing (LP) Preferred Client: Wellington Stefan Darrel C/- Les Mills Ph 027 444 1313 BM&S Product Services: Lactate Testing (LS); FitMate + Premium8i NZ Institute of Sport SportsLab Campbell ..... Westpac Stadium Ph 0800 694 776 www..... BM&S Product Services: Lactate (LS); Fitlab Andrew Jamieson Ph 0800 21 FitLab (21 348 522) ; 021 348 847 www.fitlab.co.nz BM&S Product Services: Lactate; TANITA InnerScan Segmental Body Composition Analysis. Christchurch College of Education, University of Canterbury Gavin Blackwell Ph 345 8173 BM&S Product Services: Lactate; Cosmed K4b2 – VO2 max etc. Canterbury University – Recreation Services Stephen Rickerby Ph 03 364 2987 x 8650 BM&S Product Services: Lactate Queenstown Sportbase Ltd Sam Thompson Ph 021 921 114 www.sportbase.co.nz BM&S Product Services: Lactate Testing (LS) Preferred Client: Frankton Proactive Physiotherapy Ltd Sonya Anderson Ph 03 442 7667 BM&S Product Services: Lactate Testing (LS); TANITA InnerScan Segmental Body Composition Analysis. Preferred Client: Dunedin Exponential Performance Coaching Matty Graham Ph 027 384 1127 http://exponentialperformance.blogspot.com/ BM&S Product Services: Lactate Testing; Invercargill SIT – School of Health Exercise & Recreation Damian Tippen Ph 211 2699 x 8744 BM&S Product Services: Lactate Top of page