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It is believed that these fatty acids serve as the primary source of energy throughout low- to moderate-intensity physical activities

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The cause is multifactorial: reduced caloric intake, slower gastric emptying, mild dehydration if water intake drops with appetite, and elevated B12 demand during a rapid metabolic shift

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Rudin CM, Brahmer JR, Juergens RA, Hann CL, Ettinger DS, Sebree R