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Although only three anti-estrogenic substances banned by WADA were identified in this study, clomiphene, tamoxifen, and raloxifene, it should be remembered that other banned substances from the S4.2 group, such as bazedoxifene, cyclofenil, fulvestrant, ospemifene, or toremifene, may also be present in illegal samples purchased by athletes (Okano et al., 2022)

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Consult your doctor before starting supplements, as medications like metformin can block B12 absorption

Specifically, genes associated with energy metabolism, cell proliferation, muscle myosin isoforms, as well as immune functions were found to be altered

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