This chapter reviews studies that have applied magnetic resonance spectroscopy to investigations of the processes occurring in living systems. In Section 1, new hardware, acquisition methods and analytical processes that are applicable to in vivo investigations are presented. Studies in animal models and the clinical environment are surveyed in Sections 2 and 3 respectively. The review in both these two sections is subdivided into physiological categories, with each of these sub-divided according to the category of disease or the type of metabolic investigation.