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These effects are often dose-related and may improve over time as the body adjusts

In addition, both EBV-induced vascular damage and clogging of amyloid microcoaguli could reduce muscle blood flow and oxygen diffusion, which could also negatively affect skeletal muscle performance [147, 255, 256]

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PubMed Falutz J, Mamputu JC, Potvin D, et al

As noted by Wissam G., secondary endpoints included the percentage of patients attaining 5, 10, 15, and 20% weight loss, along with improvements in metabolic, cardiovascular, and comorbidities after 12 months of follow-up