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True scrambling takes more energy and causes some weird body parts getting tangled up. Going for hard takedowns will definitely cause injuries, better to be aggressive on getting the take down but not on finishing the takedown. The falling of everyone's bodyweight together is what causes a lot of injuries. People trying to break their fall, or just falling while a body part gets jammed up and ends up breaking/dislocating, or hyperextends the wrong way.
Yes the very explosive scrambling grappling is likely the most taxing kind of all grapplings. However, wrestling is also very taxing, judo as well, and BJJ while low impact has a lot of wear and tear on joints, the spine, the neck, etc.
Grappling at a high level is often pretty bad for you. When I see all these judokas getting ipponed on their neck and shoulders, all these wrestlers landing on posted arms in weird positions, etc, I have to wonder just how insanely conditioned they guys are.