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However, since lactate is a metabolic byproduct and greater metabolic demand increases lactate production, the remaining muscle cells produce even more lactate than usual due to their increased workload, hastening the accumulation of lactate and exacerbating neuronal destruction and muscular atrophy

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Even if you regularly consume B12-rich foods like meat, fish, and dairy, you might still need supplementation

Hydration and electrolyte balance Reduced food intake means reduced water and electrolyte intake from food