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doi: 10.1038/s41416-020-0910-y

Overweight adults (BMI 27) plus at least one weight-related comorbidity (symptomatic heart failure with preserved ejection fraction, noncirrhotic metabolic dysfunction associated with moderate to advanced fibrosis)

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Banned in-competition and out-of-competition for all athletes Positive tests can result in suspension, disqualification, or permanent bans Any synthetic analogue of IGF1, including IGFDES, is prohibited at all times under the WADA code. WADA, Prohibited List 2024 Key Takeaways Legal for private research use in the U.S

pediatric trials ran 612 months [1]