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Results vary depending on individual metabolism and commitment, but many patients lose between 5 and 15 pounds per month

PloS one 2010;5(3):e9539 [PMC free article: PMC2832020] [PubMed: 20209061] 32

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