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Evans-Brown (2014) note the presence of the breast cancer drug tamoxifen in an over-the-counter product aimed at those using anabolic agents and similar findings have been reported in a number of other studies showing the presence of anabolic agents or other IPEDs in dietary supplements that are available over-the-counter (Cho et al, 2015, Van Poucke et al 2007)

However, higher doses may carry the risk of other adverse effects, including agitation and activation

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GLP-1RA intervention was not associated with insomnia events when compared to the patients given metformin or placebo (OR = 3.22