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But its also normal

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Losing further muscle mass worsens insulin resistance, slows metabolism, increases pain, compromises lymphatic function, and makes long-term management significantly harder

[DOI] [PubMed] [Google Scholar] 70.Pannacciulli N, Le DS, Salbe AD, et al

Side Effects: Potential for mild elevation in liver enzymes (ALT/AST) and reduction in HDL cholesterol