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They include non-hormonal therapies like lubricants and vaginally applied nutrient therapies, as well as low- and ultra-low-dose vaginal preparations that supply estrogen directly to the vaginal tissue

This issue is summarised in the infographic below: This problem regarding an athletes hydration status in respect of Section 4 Substances is perhaps not surprising, however, given the history of how WADA has dealt (or rather not dealt) with it in respect of other types of substances

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292 The interaction between mechanical forces and cellular mechanotransduction mechanisms, such as the integrin-mediated activation of focal adhesion kinase (FAK) and the subsequent activation of the MAPK/ERK pathway, plays a crucial role in ligament adaptation and repair

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