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This usually means that your doctor has to write a letter that explains why you need it, Wojeck says

This is because exercise stimulates muscle growth but this process can only happen if you have an adequate supply of protein. If you cut back too drastically on your food intake, especially protein, your body will break down muscle for fuel

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The visual impact is dramatic for both, though the absolute number differs

For diabetes management, blood glucose control continues to improve, though the full effect on hemoglobin A1c won't be captured until your next quarterly lab work