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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

From a mechanistic standpoint, their actions are not mutually exclusive

For instance, insulin is essential for helping many people with diabetes control their blood sugar, while GLP-1s have helped millions of people reach a healthier weight

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