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These timelines represent a general pattern, not a guarantee

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Professional Advocacy: Professional organizations, such as the American Medical Association (AMA) and the American Academy of Orthopaedic Surgeons (AAOS), can advocate for stricter enforcement of regulations and provide guidance to their members on ethical practices

[73] Performance enhancement [edit] The first description of the use of GH as a doping agent was Dan Duchaine's "Underground Steroid handbook" which emerged from California in 1982

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