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pubmed.ncbi.nlm.nih.gov (peer-reviewed) [Class comparison] References References Teichman SL, et al

You should also seek medical advice if increased hunger is accompanied by other concerning symptoms such as excessive thirst, frequent urination, fatigue, or blurred visionsigns that may indicate inadequate glycaemic control

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With suboptimal energy availability, even a modest calorie deficit can show up in your output, your recovery, and your focus long before injury enters the picture