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It is prohibited at all times, in and out of competition, with no Therapeutic Use Exemption pathway available

The effect of long-term homocysteine-lowering on carotid intima-media thickness and flow-mediated vasodilation in stroke patients: a randomized controlled trial and meta-analysis

Exp Hematol 103:114 Keerthivasan G, Wickrema A, Crispino JD (2011) Erythroblast enucleation

It plays a critical role in producing adenosine triphosphate (ATP), which is the primary energy source for short bursts of intense activity, such as sprinting, jumping, or weightlifting

Most side effects are not dangerous and are usually digestive