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In the absence of medical reasons, remarkable declines in performance at important competitions after termination of drug use (as occurred with Chinese swimmers at the Atlanta Olympic Games and the 1998 Perth World Championships). Murray S, Griffiths S, Hazery L, Shen T, Wooldridge T, Mond. Increasing the dose through a cycle (pyramiding) may result in doses 5 to 100 times the physiologic dose.

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