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Finally, 12 trials were included for analysis (Fig
(2018) 8:a03166610.1101/cshperspect.a031666 73
Heavy weightlifting, especially exercises that involve a Valsalva maneuver (holding breath against a closed glottis), dramatically spikes intra-abdominal pressure
Consistency of timing, day to day, also matters more than the exact clock hour, because the axis responds to a regular rhythm
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