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Full walk-through in the reconstitution guide

Mouthwash or Microbiome Imbalances Overusing strong antiseptic rinses can irritate gum tissue and disrupt the oral microbiome, leaving gums red, reactive, and quick to bleed

This concern arises from the fact that studies of hGH have shown that long-term exogenous administration, while increasing lean body mass and decreasing adipose tissue, can also cause: increased insulin resistance, diabetes, acromegaly, cancer, hypertension (high blood pressure), and edema (swelling)

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We strongly encourage all sambo athletes to: Review the complete 2026 Prohibited List and Summary of Major Modifications Consult with your medical team about any medications or supplements youre taking Contact the International SAMBO Federation Anti-Doping Department, the International Testing Agency (ITA) or your National Anti-Doping Organization if you have questions about specific substances or methods Apply for a Therapeutic Use Exemption (TUE) if you have a legitimate medical need for a prohibited substance or method