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It hits all of WADAs aforementioned criteria for a banned substance

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PLC Clinically-Studied for Heart Health

Many deficiency symptoms can further appear minor or moderate, leading people to live with a deficiency for some time before getting treated

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Dulaglutide: Brand name Trulicity FDA approved for Type 2 Diabetes Mellitus (T2DM) and requires a PA with chart notes documenting diagnosis (confirmed with lab values) and trial and failure with 30 days of metformin or another antidiabetic drug