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Specifically, peptide hormones and releasing factors are prohibited at all times under section S2.2 of the World Anti-Doping Agency (WADA) Prohibited List
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Mycotoxins (e.g., ochratoxin A, gliotoxin), heavy metals (e.g., mercury, aluminum), and volatile organic compounds can all provoke mast cell degranulation and immune dysregulation
Experts say the unauthorized products fall into regulatory grey zone, with limited evidence of safety and risks that include hormonal imbalances, the growth of cancerous tumours, and liver or kidney damage
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