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It is important to note that under the World Anti-Doping Code, athletes are strictly liable, meaning they are ultimately responsible for what is in their systems

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[DOI] [PMC free article] [PubMed] [Google Scholar] 76.Meier J.J., Granhall C., Hoevelmann U., Navarria A., Plum-Moerschel L., Ramesh C., Tannapfel A., Kapitza C

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All that insulin triggers your ovaries to pump out extra androgens, leading to PCOS symptoms