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Metabolic changes included a reduction of the usage of muscle glycogen (i.e., its carbohydrate stores) during low-intensity exercise (consistent with an increase in lipid utilization) and streamlined glucose metabolism and mitochondrial flux during high-intensity exercise, leading to reduced anaerobic ATP production (which is what leads to lactic acid build-up in muscles)

Maintaining a balanced diet and a consistent meal schedule supports the medications effectiveness

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Navigating the Challenging Middle Period Months two and three often represent the most difficult phase of treatment

Walking, strength training, low-impact cardio, or a mix that suits your joints and schedule