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Its prohibited in all sports governed by WADA regulations

The 2024 NICE Guideline NG239 from the United Kingdoms National Institute for Health and Care Excellence similarly distinguishes between patients who can be managed with oral therapy and those who require intramuscular treatment

[DOI] [PubMed] [Google Scholar] Tach Y, Kolve E, Kauffman G

No Shaking: Do not shake the vial

Seiwerth et al., 2014
