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A 2020 Drug Testing and Analysis study confirmed widespread mislabeling of black-market oral anabolic steroids, making the counterfeit Anavar concern a documented, not speculative, risk

A low-carbohydrate diet serving 43% of total caloric intake over 16 days resulted in notable decreases in fasting and post-exercise insulin levels, implying a promising short-term dietary manipulation [81]

Some have struggled with high costs or limited insurance coverage, which can put treatment out of reach