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Products designed for endurance athletes often contain very high sodium levels that may not be suitable for everyday use, particularly for individuals with hypertension or cardiovascular conditions

Six RCTs reported liver function tests (AST, ALT, -GT) [13, 18, 3235], four RCTs reported lipid profile tests (HDL cholesterol, LDL cholesterol, total cholesterol, triglyceride) [13, 3234], six RCTs reported body indicators (BMI, weight, waist circumference) [17, 18, 3235], two RCTs reported inflammatory factors (hs-CRP) [16, 33], and two RCTs reported adverse events [32, 33]

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That layered response is a big reason drinking can feel reinforcing beyond just taste or habit