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A Specified Substance or Method is that which potentially allows, under defined conditions, for a greater reduction of a sanction when an athlete tests positive for that particular substance
Unlike full HGH, it does not raise IGF-1 levels significantly , so its unlikely to have the side effects associated with growth hormone therapy (like blood sugar swings or joint pain)
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Also, it may be unilateral or precisely localised, even in those with symmetrical bilateral hearing loss
This type of "buffer" treatment should only be done under close medical supervision
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