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It is classified under WADA's S0 (Unapproved Substances) category and is prohibited in competitive sport regardless of administration route

4 Patient-reported safety in primary care A validated 28-item questionnaire was used to assess patient-reported contributory factors to safety in primary care (PC PMOS)

In withdrawal interviews, it was also the first effect participants noticed returning. Hunger changes shape, not just size Physical hunger can remain while craving and anticipation decline