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Once the cells are rendered useless, you absorb and excrete them

In a meta-analysis of 10 placebo-controlled trials including over 71,000 subjects with or without diabetes at recruitment, treatment with SGLT2 inhibitors reduced the risk of heart failure hospitalization or cardiovascular death by 24% and lowered the risk of poor renal outcomes by 32% (Barbarawi 2021)

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The purpose of the sub-classifications of Specified or Non-Specified on the Prohibited List is to recognize that it is possible for a substance to enter an athletes body inadvertently, and therefore allow a tribunal more flexibility when making a sanctioning decision