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A Therapeutic Use Exemption allows an athlete to use a banned substance if its medically necessary

In relation, Slewa et al

Mater Res Express 6(12):125426

Meanwhile, compounders, telehealth companies, and med spas have collaborated to meet high demand for weight loss injections and, recently, oral treatments, often straining and skirting regulations that protect the health of the public

Serious Adverse Events Hypokalemia (Low Potassium): As the body uses the new B12 to rapidly build millions of new red blood cells, it consumes large amounts of potassium from the blood

the effects of B12 decrease without biotin substitution (5)