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By your third to fifth session, the difference is usually striking

Cleveland Clinic explains that starting out with too large of a calorie deficit can lead to side effects like fatigue, headaches, dehydration, nausea and irritability. If you also cut too much protein from your diet, your body may begin breaking down muscle for fuel, which can further impact strength and metabolism. Sleep plays a role too

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Do not remove the rubber stopper itself this component maintains the sterile barrier and is designed to remain in place throughout the vial's use