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Review the data to determine the exact thermal exposure profile before deciding whether to discard the inventory
Further, the numbers were 35% from anti-estrogenic substances (tamoxifen, clomiphene, fulvestrant, toremifene, and raloxifene) and 20% from AIs (letrozole, anastrozole, exemestane, adrostatrienedione, and armistane) in 2022 (World Anti-Doping Agency, 2024b)
It acts at the very beginning of the reproductive hormone cascade and works through existing physiological feedback loops which means it's less likely to cause the kind of supraphysiological hormone spikes that drive OHSS