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7 WADA Prohibited List (S2)Growth hormone secretagogues including GHRH analogs and ghrelin / GHS-R1a agonists are prohibited at all times under class S2

Obesity development in PWS is driven by dysfunction in neural pathways involved in satiety and reward, dysregulation in hormones regulating satiety and food intake, altered body composition and reduced energy expenditure, as well as the presence of various hormone deficiencies

The SUMMIT trial showed tirzepatide reduced cardiovascular events by 18% in obese patients with established heart disease who did not have diabetes

It only offers compounded medications, which arent FDA approved and may not be available in all states