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Substrate Utilization and Endurance Performance Exercise performance depends heavily on substrate availability

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Patients should be educated about red flag symptoms requiring immediate medical attention, including severe persistent abdominal pain (especially if radiating to the back, suggesting possible pancreatitis), right upper quadrant pain with fever or jaundice (potential gallbladder disease), inability to keep fluids down for more than 24 hours, syncope, chest pain, or difficulty breathing

Possible mild side effects may include slight redness, swelling, or tenderness at the injection site , as well as temporary headaches or fatigue