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Although there are some secondary biomarkers such as the measurement of certain enzyme activities in the leukocytes or the excretion of 3-hydroxy-3-methylbutyric acid in the urine, these are ambiguous indications and only a few doctors are familiar with the corresponding tests (8, 9)

Steroids decrease the production of inflammatory chemicals and reduce the sensitivity of nerve fibers to pain, generating fewer pain signals

Kahn, peptides that are labeled for research only are often sold online through unregulated vendors and can bypass traditional medical and pharmaceutical oversight, thus serving as a legal loophole

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Ding S, Mersmann HJ