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Appetite suppression appears first, usually within the first one to two weeks

Both are named on the WADA prohibited list under S2 (peptide hormones, growth factors, related substances and mimetics), which prohibits GHRH analogs and GH secretagogues in sport at all times

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To assess residual unmeasured bias, negative control outcomes (i.e., breast cancer and prostate cancer) and E-values were also examined [14], and additional sensitivity analyses were conducted using the average treatment effect on the treated (ATT) approach