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doi: 10.1111/cea.2015.45.issue-9 27 FengJMaHHuangYLiJLiW

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Avoid Unnecessary Medications Certain medications, notably nonsteroidal anti-inflammatory drugs (NSAIDs), proton pump inhibitors (PPIs), and antibiotics , have been shown to disturb the delicate balance of gut microbiota which in turn can increase intestinal permeability

An endurance Coach / Practitioner who stays current on WADA regulations, FDA guidance, and the clinical-trial pipeline can help athletes navigate this landscape without jeopardizing careers, health, or competitive eligibility

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