“…Indeed, elevated skeletal muscle adaptations (e.g., transcript expression of mitochondria biogenesis) to hypoxic training are proportional to the magnitude of SpO 2 decrease (Schmutz et al, 2010). Methods of clamping SpO 2 include prior oxygen titration to predetermine the optimal FiO 2 (McKeown et al, 2019) and manual (Mira et al, 2020) or automatic adjustments (Ng et al, 2016;Bayer et al, 2017) (requiring a biofeedback mode) during the actual session. A possible concern of the "SpO 2 clamp" approach-particularly when oxygen delivery is manually adjusted-is the accuracy of SpO 2 responses.…”