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DOT and federal testing Department of Transportation (DOT) drug testing is a federally mandated program that applies to safety-sensitive transportation workers including commercial truck drivers (regulated by the Federal Motor Carrier Safety Administration), pilots (Federal Aviation Administration), train operators (Federal Railroad Administration), transit workers (Federal Transit Administration), maritime workers (Coast Guard), and pipeline workers (Pipeline and Hazardous Materials Safety Administration)

These are documented outcomes from the gray market that exists precisely because the 2023 ban pushed patients away from legitimate channels

Drug use (including alcohol and tobacco)

Non-steroidal anti-inflammatory drugs: What is the actual risk of chronic kidney disease