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For observational studies in Table 1 ( n = 11), formal standardized risk of bias assessment was not conducted due to substantial heterogeneity in study designs, participant characteristics, laboratory methods, and outcomes measured

A procedure was performed involving the removal of the vertebral arches along with the ligamentum flavum (laminectomy) at the lumbar level corresponding to the spinal cord segment

Anti-Doping Agency, said in an email to The Markup

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