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Under World Athletics rules, athletes are responsible for knowing what is prohibited, and WADA says athletes may apply for a therapeutic use exemption (TUE) when a medical condition requires a prohibited substance or method
The opposite switch (CJC/Ipa to Sermorelin) is also fine sometimes patients prefer Sermorelin's gentler pattern after experiencing CJC/Ipa's stronger effects
There is no official contraindication or direct drug interaction between caffeine and semaglutide (marketed as Ozempic, Wegovy, and Rybelsus) listed in the FDA prescribing information
10.3389/fnagi.2017.00184 Front
On the other hand, topical urea, not expected to influence outcomes, was used as a negative exposure control
