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Applying those numbers to unscreened telehealth patients, particularly those with the profiles above, is not clinically appropriate

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and Chang, S

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DES(1-3) IGF-1 is not separately enumerated on the WADA Prohibited List as of the 2026 iteration, although the WADA S2 category includes language covering "any substance with similar chemical structure or similar biological effect(s)," which would encompass IGF-1 analogues broadly

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Circulation 117, 23402350

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