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18 GLP-1RAs also reduce invariant natural killer T-cell (iNKT) levels, which is significant as activation of these cells results in increased expression of pro-inflammatory cytokines such as IFN-, TNF-, and IL-17

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Second , the issue described in the preceding paragraph is exacerbated by the fact that WADA purports to ignore the concentration of a Section 4 Substance in an athletes B sample (see paragraph 5.3.4.5.4.8.13 of the WADA International Standard for Laboratories)

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