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By optimizing therapeutic outcomes through more efficient drug delivery, these advancements have the potential to enhance the efficacy and appeal of BV therapy

I dont think of this as a performance-enhancing drug in the same way as EPO or an anabolic steroid, McGuire says

Eating foods high in sulfur such as cruciferous vegetables may help promote its production

Kennedy et al., 2014

In mouse models, copper deficiency impairs cardiac function, manifesting as reduced diastolic and systolic performance alongside a diminished inotropic response to beta-adrenergic stimulation, which compromises the heart's ability to adapt to stress [206]