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In fact, it is the accumulated hydrogen ions that have a negative impact on muscle performance

[DOI] [PMC free article] [PubMed] [Google Scholar] 4.Tschp M.H., Finan B., Clemmensen C., Gelfanov V., Perez-Tilve D., Mller T.D., et al

Even at this starting dose, some patients report feeling fuller after meals and experiencing reduced hunger

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This sensation usually peaks during the first 2 weeks and gradually subsides as your body adapts to the medication