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The NCAA has a medical exceptions procedure to review and approve legitimate use of medications that contain NCAA banned substances

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It supports red blood cell production and oxygen transporthelping you stay energized and avoid midday crashes.* Neuroprotective & Mood Enhancing: Choline aids in neurotransmitter function and brain health, while B12 deficiency is often linked to fatigue, mood swings, and poor memory

Beevers, E., Brando, A

Reitman discusses the expected benefit based on baseline levels

Now, that whole ecosystem and structure was built around big Pharma and the pharmaceutical cartels and their attempt to control what hits the market and to protect their patents and their technologies