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They probably have other psychological issues perhaps, or they stayed away from fitness and sports because they were never good at them or they were embarrassed to do it, so they don't have the skill set and the liking of being physically active

Then one sweltering afternoon, post-workout and starving, I caved

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n = 4,668) or placebo ( n = 4,672), with both groups also receiving standard care (treatment period: 3.55 years)