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Human studies involving thousands of patients over multiple years have not confirmed this risk

In addition, islets with strong GPX1 staining in only a few selective islet cells with negative staining in a majority of islet cells were assigned grade 4, while those with strong staining in a minority of islet cells accompanied by weak staining in a majority of islet cells were assigned grade 5

PMID 32376677

Acute liver failure is where things get more serious

This may cause people to move less, skip workouts, or avoid more intense training, at least temporarily