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Its also banned by the World Anti-Doping Agency (WADA) under its S0 classification meaning its considered a non-approved substance, prohibited at all times for athletes

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The Journal of Nutrition, 2024, DOI: 10.1016/j.tjnut.2024.06.013,

During this time, we optionally offer the Optimization Panel to assess your IGF-1 levels, glucose markers, inflammation, and lipid response