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Both routes lead to similar outcomes when followed properly

The biological mechanism is well understood, even though the exact trigger varies from person to person

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Wider than that, though, is a vexed question that has haunted the corridors of sports global anti-doping apparatus for more than two years now: Should semaglutide the active ingredient in Ozempic, Wegovy, and the broader family of GLP-1 receptor agonist medications be added to the World Anti-Doping Agencys Prohibited List

References: (1) K Raun, B S Hansen, N L Johansen, et al (1998) Ipamorelin, the first selective growth hormone secretagogue European Journal of Endocrinology, 1998 Nov, Volume 139 (Issue 5), Pages 552-61