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Data has indicated significant use of tramadol in sports and research studies funded by WADA have confirmed the potential for tramadol to enhance physical performance, in addition to its potential to adversely affect athlete health due to its opioid properties

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Liraglutide (Saxenda), an earlier GLP1 medication, uses a similar approach but has a shorter half-life of about 13 hours, requiring daily injection

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Commonwealth of Pennsylvania Press Release: Shapiro Administration Expands Job Opportunities for Doctors, Nurses, Physical Therapists, June 23, 2025