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The issue is not the brand name

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Compounded oral versions may use different formulation strategies, and the delivery mechanism and bioavailability profile may differ from FDA-approved branded versions

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The consequences for positive tests include: Disqualification from competition Loss of medals and records Suspension from sport (potentially years) Stripped sponsorships and endorsements Permanent career damage Trace amounts -- even levels far below what would provide any performance benefit -- can still trigger positive tests and sanctions