If one is on a ketogenic or extreme "low carb" diet however, the body will need to utilize another source to synthesize glucose from. Since glycogen levels are low on a ketogenic diet, the body will actually convert amino acids to glucose and this glucose will be used in the anaerobic pathway to produce ATP. These amino acids will come from dietary protein, amino acids from the cellular amino acid pool, and from muscle tissue. The latter situation is where one would experience muscle loss. Dietary protein would be sacrificed for ATP production and the depleted amino acid pool would not bode well for protein synthesis rates, thus causing a net loss in muscle mass.
The Plague Surgeon is a single model unit. It comes equipped with a Bolt Pistol, Bale Sword, Blight Grenades, and Krak Grenades. He has a 5″ Move, WS/BS 3+, Strength 4, Toughness 5, 4 Wounds, 3 Attacks, Leadership 8, and has a 3+ Save. Tainted Narthecium allows you to re-roll 1’s for you disgusting resilient saves for firendly Death Guard Infantry models within 3″ of this model. Gene-seed Thief adds 1 to all hit and wound rolls made for this model in the Fight phase when targeting Adeptus Astartes Infantry or Adeptus Astartes Biker units.