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Glucagon-like peptide-1 (GLP-1) receptor agonists were touted as breakthrough drugs in 2023 and their popularity has soared since

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Persistent fatigue may indicate inadequate B-vitamin cofactor status

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For competitive athletes, hexarelin (also called examorelin) is explicitly named as a prohibited growth-hormone-releasing peptide under WADA's Prohibited List in category S2 (Peptide Hormones, Growth Factors, Related Substances and Mimetics), banned at all times as a non-specified substance carrying a default four-year sanction