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The World Anti-Doping Agency (WADA) maintains a Prohibited List, which is the global standard for substances banned in sport
Those using the drug regularly may become secretive about their consumption, hiding kratom use from friends, family members, or healthcare providers
Some pharmacies ship the blend pre-mixed in liquid form, eliminating the need for reconstitution entirely
These manipulations can cause the protein to degrade, aggregate, or become contaminated, potentially leading to a loss of therapeutic effect or, worse, a dangerous immunogenic reaction in the patient
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