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It should also not be used by people who have had bariatric surgery
A prospective case-control study involving 24 severely obese patients was accompanied by hyperinsulinemia secondary to hyperlactatemia [143]
(52) Those who have higher activity levels may wish to aim for at least 1.2 grams per kilogram of body weight, per day, and bodybuilders may bump that up to 2 grams
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