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Francesco Puppi, recent podium finisher of the Western States 100, wrote a thoughtful piece about the state of drug testing in ultras following the high profile test failure of Joyline Chepngeno in 2025
Includes: IV Fluid Vitamin C Glutathione Zinc Carnitine Arginine ASAP Iron IV - Starting at $200 for 100mg, $350 for 200mg History of iron deficiency anemia or looking to boost your red blood cell production
Lipo-C vs lipolysis injections (Kybella) Kybella and similar deoxycholic acid injections physically destroy fat cells in targeted areas (typically under the chin)
Visual changes to inspect before use (in line with general injectable medicine guidance): Cloudiness or turbidity: A solution that was previously clear becoming hazy or milky may indicate protein aggregation or contamination
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