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Remember to FuelEven When Youre Not That Hungry Training fasted or under-fueled can worsen that shaky, flushed feeling, Perez says, which is why a pre-workout snack goes a long way

Low blood sugar (hypoglycemia) can make you feel very hungry, dizzy, irritable, or shaky

[6] [7] People with pre-existing retinopathy should be monitored appropriately

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But the authors appropriately noted limitations: the retrospective design, small sample size, and the fact that most patients were already in remission when starting therapy