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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
It works best alongside healthy habits like good nutrition, regular exercise, and stress management
These side effects are usually short-lived and resolve with continued use
Dosing tiers: Start at 250 mcg on the first injection to assess tolerance
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