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The product poses a threat to consumers because sibutramine is known to substantially increase blood pressure and/or pulse rate in some patients and may present a significant risk for patients with a history of coronary artery disease, congestive heart failure, arrhythmias, or stroke

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Type IIa muscle fibers require a sustained and stable energy supply to perform prolonged work, and reliance solely on the anaerobic glycolysis of type IIb muscle fibers cannot meet this demand

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