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For a substance or method to be added to the List, it must meet at least two of the following criteria: Potential to enhance or enhances sport performance

It also slows gastric emptying by delaying the transit of food into the small intestine, helping maintain blood glucose stability and prolong satiety

Ethics declarations Ethics approval and consent to participate Queens University Health Sciences and Affiliated Hospitals Research Ethics Board and the Western University Health Sciences Research Ethics Board approved this study

ZAA is the guarantor and takes responsibility for this study being reported honestly, accurately, and transparently