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After four to six weeks she notices reduced soreness and trains slightly more often

doi: 10.1038/nrendo.2013.56

Other potential side effects are constipation and a tingling sensation in the hands and feet, alongside more cognitive issues such as brain fog, as caused by its topiramate component

Three participants (#3, #11, #16) had a notable abundance of Bifidobacterium , which has been shown to metabolize glucosinolates in culture 81,82