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So, if you look at when I first went less than 50 grams of carbs a day, and started working out at Tri Systems, there was a decrease in skeletal muscle mass
doi:10.1056/NEJMoa2502082
Medhat Mikhael, MD, pain management specialist and medical director of the non-operative program at the Spine Health Center at MemorialCare Orange Coast Medical Center in Fountain Valley, CA, who was not involved in the study, agreed