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The diabetes diagnosis was a wake-up call to take better care of her health, including through diet and exercise

Most patients notice the earliest changes during training: steadier output, fewer moments where their legs feel heavier than they should, and a sense that they can stay in the work without dipping into the familiar slump that usually hits halfway through a session

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However, as this was an observational target trial emulation conducted in a predominantly male Veterans Affairs population, the results support but do not establish causality and may have limited generalisability to broader populations, particularly women and non-veteran groups