Strong Support

When muscles get bigger from working out, it’s not really because they’re storing more water or sugar—those changes don’t last or help much. What really matters is that the actual muscle fibers grow thicker.

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Evidence from Studies

Supporting (1)

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This study says that muscles grow bigger mainly because the actual muscle fibers get thicker, not because they store more water or sugar — so the idea of 'puffy' muscle growth isn't real or lasting.

Contradicting (0)

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No contradicting evidence found

Gold Standard Evidence Needed

According to GRADE and EBM methodology, here is what ideal scientific evidence would look like to definitively prove or disprove this specific claim, ordered from strongest to weakest evidence.