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For competitive athletes, hexarelin (also called examorelin) is explicitly named as a prohibited growth-hormone-releasing peptide under WADA's Prohibited List in category S2 (Peptide Hormones, Growth Factors, Related Substances and Mimetics), banned at all times as a non-specified substance carrying a default four-year sanction

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J Med Chem (2012) 55(16):7193207

These findings have particular relevance for ankle sprains, where ligament integrity determines long-term stability