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A therapeutic usage exemption is a medical certificate that allows an athlete to use a prohibited substance for a legitimate medical condition

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Defy Medical TRT: Protocols, Costs, and Clinical Gaps Defy Medical's TRT protocols typically include testosterone cypionate (100 to 200 mg/week), an aromatase inhibitor such as anastrozole if estradiol rises above roughly 35 to 40 pg/mL, and optional hCG (500 to 1,000 IU twice weekly) for fertility preservation

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