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Stimulants and sympathomimetics (including high-dose caffeine-containing preparations and other weight-loss agents), thyroid hormones, growth hormone, insulin and insulin-like growth factor-1related strategies, and selective androgen receptor modulators (SARMs) are also reported, further increasing cardiometabolic and endocrine risk through complex pharmacodynamic and pharmacokinetic interactions (93, 94)

Weeks 1-2: 5 units per injection (0.5 mg) Weeks 3-8: 8 units per injection (0.8 mg) Frequency: Once daily, 5 days on, 2 days off Timing: Morning injection Cycle length: 2 months active, 2 months off The ramp-up is intentional

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