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Dehydration: Because patient continually excrete high amount of water he becomes dehydrated. Dehydration presents with sunken eyes, dry lips, loss of skin turgidity, etc.
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You glimpse flat by day 4. This is NOT a person need will represent when fully carbed-up. Keep in mind each gram of glycogen in muscle mass brings 3 grams water with it again. When glycogen stores are low (and they will be) you will “appear” flat and devoid of muscle. It’s only water, don’t sweat this can. so to speak!