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It is not specifically named by WADA, but as a peptide bioregulator it could be scrutinised under gene/cellular-doping (M3) or the S0 catch-all treat its competitive-sport status as high-risk / unclear [10]

Common indicators include: Reduced libido and sexual function Persistent fatigue despite adequate sleep Loss of muscle mass and strength Increased abdominal and visceral fat Slower recovery from exercise Mood changes, irritability, or depression Difficulty concentrating or brain fog Decreased motivation Reduced bone density Thinning body or facial hair These symptoms typically develop gradually, which is why many men do not recognize them until they significantly impact quality of life

Brand-name GLP-1 medications are expensive, often out of stock at local pharmacies, and require a prescription

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Milk thistle protects and regenerates liver cells while boosting antioxidant defenses

Shin, A., Connolly, S