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Because the other drug, at that point, has nothing to work with

Metformin is recommended in adults with PCOS and a BMI 25 to improve insulin resistance, glucose and lipid profiles, but not for weight loss [161]

[DOI] [PubMed] [Google Scholar] Meuleman T

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Thus, an athlete may end up being banned pursuant to a laboratorys unreliable estimation of a Section 4 Substance concentration, notwithstanding that Validated Quantification Procedures could be developed and used for all Section 4 Substances
