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11 WADA Prohibited ListIGF-1 and its analogs are prohibited substances in competitive sport (S2 peptide hormones / growth factors)

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However, patients in high-risk groups (over 60, concurrent metformin use, vegan diet, post-bariatric surgery) may benefit from additional supplementation

Limits of the workup A B12 value alone neither confirms nor excludes malignancy, and clinical judgment decides whether to observe, repeat, evaluate further, or refer