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IGF-1 and its analogs including IGF-1 LR3 are listed under S2 (Peptide Hormones, Growth Factors, Related Substances and Mimetics) and are prohibited at all times, in and out of competition
However, B12 injections are not a treatment for insomnia, depression, or anxiety on their own
This reduces variables that can influence both safety and outcomes compared with self-managed use
Footnotes This BMJ Rapid Recommendation article is one of a series that provides clinicians with trustworthy recommendations for potentially practice changing evidence
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