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Francesco Puppi, recent podium finisher of the Western States 100, wrote a thoughtful piece about the state of drug testing in ultras following the high profile test failure of Joyline Chepngeno in 2025

Newborn infants of mothers who eat a plant-based diet and fail to supplement may develop deficiency much more rapidlyand with disastrous results

Peptides have promising research but lack the large-scale randomized controlled trials needed to establish them as replacements

The therapy effect was ascribed to the counteraction of the congestion of major vessels, and particularly to activation of the rescuing collaterals, i.e., azygos vein direct blood flow delivery