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PEDs are used professionally & recreationally but can be appropriately detected Evidence does not suggest that GH, IGF-1, or insulin doping enhances performance Community education is needed regarding negative side effects of recreational doping Many PED users engage in polypharmacy, increasing the risk of adverse health events Acknowledgments We thank the University of Washington DERC (P30 DK017047) and NORC (P30 DK035816) for their help

In mammals, oxidations of several organic molecules can fuel NADPH-generating reactions

A blend adds the caveat that its four components may differ in solubility and stability and that no validated standard reconstitution protocol exists for it