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FIGURE 8 Nine different substances were declared as PCT medicines in the samples and, in order of occurrence frequency, they were hCG (n = 16), clomiphene (n = 14), tamoxifen (n = 7), exemestane (n = 7), anastrozole (n = 7), cabergoline (n = 6), mesterolone (n = 4), and letrozole (n = 2)

This strict protocol is critical because globally, 10-15% of untreated cases lead to neuropathy within just six months

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These adaptations may explain why metabolic benefits can continue to improve over weeks to months of consistent use, rather than plateauing immediately

This study aimed to estimate the prevalence of medicines used for non-approved PCT among other PED samples and to identify declared and undeclared substances in illicit samples to check whether they were in accordance with the declaration