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In 2021, the numbers of AAF were 33% from SERMs (tamoxifen and clomiphene) and 15% from AIs (anastrozole, letrozole, adrostatrienedione, armistane, and 2-androstenone) (World Anti-Doping Agency, 2024a)

Drug interactions: Certain medications, such as omeprazole, lansoprazole, cimetidine, and metformin, can lead to low vitamin B12 levels

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