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This may be related to the fact that protein alone is less effective for muscle building than protein and carbohydrates together after exercise. The body storing less sugar, or glycogen, in the muscles, which may cause fatigue during the workout and throughout recovery Not getting enough protein for adequate muscle recovery A change in how the muscles access energy, as the body has switched to using ketones as fuel Lower insulin levels, which might affect how muscles make proteins Loss of muscle mass as we age has a number of serious consequences, notes Clark