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Women should be especially vigilant about hypoglycemia monitoring as estrogen can affect blood sugar regulation

Thiamine mononitrate (Vitamin B1) is essential for metabolism of carbohydrates and maintain nerve fibers

Some participants achieved weight loss of approximately 24% of body weight at 48 weeks approaching levels reported with some bariatric surgical procedures, though no direct head-to-head comparisons have been conducted and long-term durability beyond the trial period remains unknown

WADA states that the 2026 Prohibited List includes peptide hormones, growth factors, related substances, and mimetics in a high-sensitivity category, and USADA materials explain that hCG carries restrictions in male sport settings

doi:10.1177/15648265080292S129
