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Reproduced with permission from the Royal College of Physicians, from 'Targeting care in Barrett's oesophagus', by S Zeki and R C Fitzgerald, in Clinical Medicine (2014)

IGF-1 as a Performance-Enhancing Drug (PED): Doping in Sports IGF-1 has gained a reputation as a popular doping agent in sport, implicated in many of the most high-profile doping cases in recent years including the Bay Area Laboratory Co-operative (BALCO) [86], Major League Baseball (MLB) [87] and Tour de France [88] scandals to name a few

Consider using waist circumference measurements (taken at the navel level, first thing in the morning), progress photos taken under consistent lighting every 2 to 4 weeks, and DEXA scans every 3 to 6 months for the most accurate body composition data