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Sleep quality may improve for some, potentially related to recovery support

Stimulants and sympathomimetics (including high-dose caffeine-containing preparations and other weight-loss agents), thyroid hormones, growth hormone, insulin and insulin-like growth factor-1related strategies, and selective androgen receptor modulators (SARMs) are also reported, further increasing cardiometabolic and endocrine risk through complex pharmacodynamic and pharmacokinetic interactions (93, 94)

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Acknowledgments The authors would like to thank Ana Hickey, PhD, Eli Lilly and Company, for medical writing and editorial services