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Even modest carbohydrate intake before higher intensity training can improve glycogen availability and workout quality

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Hamilton adds that "pure, organic kefir generally leads to subjective improvements in bowel habits" compared with sweetened commercial versions

dose adjustment of concomitant medications may be necessary Injection site reactions mild redness, itching, or swelling at the injection site Headache generally mild and self-limiting Rare but serious adverse effects that require immediate medical attention include: Pancreatitis severe, persistent abdominal pain radiating to the back, often accompanied by vomiting Gallbladder problems right upper abdominal pain, particularly after eating fatty meals Diabetic retinopathy complications worsening of existing diabetic eye disease, particularly with rapid glycaemic improvement Acute kidney injury usually secondary to severe dehydration from gastrointestinal effects If you experience any side effects, talk to your doctor, pharmacist or nurse