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Nonsedating second-generation antihistamines, such as loratadine, cetirizine, and fexofenadine are recommended for daytime treatment, whereas first-generation, sedating antihistamines, such as diphenhydramine and hydroxyzine, are generally recommended for nighttime use

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This combination fits patients who are doing the right work in the gym but are not seeing enough change in strength, muscle tone, recovery, or body composition

Ethics declarations Competing interests The author declares no competing financial interests