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For voluntary reporting for the CY 2027 reporting period, we estimate an annual burden for voluntarily participating HOPDs of 107 hours (3,200 HOPDs 20 percent 0.167 hours 1 quarter) at a cost of $5,891 (107 hours $55.06/hour)

However, it is banned by the World Anti-doping Agency (WADA) and may be used as a performance-enhancing drug

The session is quick and well-tolerated

Absorption can be reduced by age, gut health, GI surgery, or medications, making direct delivery methods more reliable for restoring function

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