As an unapproved peptide that has not received approval from any governmental health authority for human therapeutic use, it falls within the scope of the S0 catch-all category for non-approved substances and should be treated as prohibited at all times in athletic settings

Documented Long-Term Side Effects of NSAIDs Regular or long-term NSAID use has been associated with: Damage to the gut lining, increasing intestinal permeability (leaky gut) and immune activation (27,29,31) Reduced absorption of key nutrients, including iron, folate, and vitamin C (28,29) Delayed tissue repair , particularly in connective tissue where prostaglandins are required for healing (32) Kidney stress and electrolyte imbalance , especially during dehydration or endurance activity (30) Increased cardiovascular risk , particularly with higher doses or prolonged exposure (30) These effects help explain why NSAIDs may temporarily reduce pain while progressively impairing healing capacity, increasing systemic inflammation, and slowing long-term recovery
doi: 10.1164/rccm.200711-1749OC
folate cycle) and adenosylcobalamin for methylmalonyl-CoA mutase (propionate metabolism)