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But the gastrointestinal effects are unpleasant enough that many people discontinue within the first few months

According to a 2014 review published in The Lancet: Diabetes & Endocrinology , loss of muscle mass and strength is an important risk factor for accelerating rates of physical disability, hospitalization, and death in the older population, and is associated with the progressive health implications of diabetes, obesity, hyperthyroidism, hypercortisolism, vitamin D deficiency, osteoporosis, rheumatoid arthritis, COPD, congestive heart failure, renal disease and more

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