It honestly depends. If this is you, or a friend, I would suggest to see a doctor to be sure because they are the only ones that can make a professional diagnosis and provide the best advice.
My input would be: either a coping mechanism or hallucinations.
Either way, it's nothing to be ashamed of and the sooner you seek medical advice, the sooner you can get a legitimate answer.
Answer:
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During anaerobic activity, your body is burning energy with a lack of oxygen, so it reaches into your glycogen stores and burns glucose. Anaerobic activities like strength training also build muscle, which helps your body burn more calories at rest. All of this, increasing the rate of your metabolism