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The practical framework for most lifters is a mix of both, chosen based on the specific day's context

Lan H, Gui Z, Zeng Z, Li D, Qian B, Qin LY, et al

Gastrointestinal issues such as nausea, vomiting, constipation and diarrhoea are common, with more serious complications including gallbladder inflammation and pancreatitis reported in a minority of patients