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An updated Cochrane review in 2019 of four studies with 907 participants was very uncertain as to if ALC caused a pain reduction after 6 to 12 months of treatment

Not only was it found to reduce total fat mass and increase muscle mass, but it also helped decrease fatigue and improve cognitive function

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[26] Climate [edit] Santa Cruz has a climate intermediate between hot semi-arid climate (Kppen climate classification: BSh ) and hot desert climate (Kppen: BWh ), with less precipitation in the summer than in the winter