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Transforaminal epidural steroid injections in cervical spinal disease with moderate to severe disability: Comparative study in patients with or without surgery

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The consequences for positive tests include: Disqualification from competition Loss of medals and records Suspension from sport (potentially years) Stripped sponsorships and endorsements Permanent career damage Trace amounts -- even levels far below what would provide any performance benefit -- can still trigger positive tests and sanctions

Hbner et al