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Francesco Puppi, recent podium finisher of the Western States 100, wrote a thoughtful piece about the state of drug testing in ultras following the high profile test failure of Joyline Chepngeno in 2025

Decreases inflammation of the skin

Providers should document pain levels, functional limitations, and objective findings like spasm or decreased range of motion

The compound's half-life is long enough that you'll maintain plasma levels, but the gastric effect peaks and wanes in a predictable curve

Maintenance, dietary cause: often managed with oral tablets, or injections roughly twice a year

For risks and side effects read the package insert and ask your doctor or at your pharmacy