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The process takes just a few minutes, usually administered in the upper arm or gluteal muscle

Graphical Abstract Similar content being viewed by others Background Equine metabolic syndrome (EMS) is an endocrine disorder observed in obese horses, primarily characterized by insulin resistance (IR), laminitis, and abnormal fat distribution

It is important to note that under the World Anti-Doping Code, athletes are strictly liable, meaning they are ultimately responsible for what is in their systems

Wash your hands thoroughly with soap and water, then put on your sterile gloves

Introduce free weight exercises with narrow stances