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Maximum weight loss typically occurs after 12 to 18 months of consistent use
Swimmers require a balanced carbohydrate and fat utilization approach to maintain performance during prolonged events, especially in distance-based categories
It is hypothesised that the improvement in muscle function may be due to reduction in intramyocellular lipid content or metabolism
Cardiometabolic markers also improved
Physical activity was not encouraged, nor were dietary restrictions, like reducing calorie intake
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