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For those with significant obesity, referral to a Tier 3 specialist weight-management service or, where clinically appropriate, consideration of bariatric surgery under Tier 4 criteria may be appropriate

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Fat in these areas normally helps cushion and protect the bones, nerves, and blood vessels in the genital area

At standard doses, many athletes report: Inability to consume gels or solid food during long sessions without nausea Feeling full after half a meal, making it difficult to hit daily calorie and protein targets GI distress during high-intensity efforts, particularly in the heat Bonking during long runs because the body is not absorbing carbohydrates fast enough These are not minor inconveniences

Distinguishing between use and abuse isnt always straightforward, and it can depend on the sport

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