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These resources include: A CISP Checklist Implementing Revised List Athlete and Athlete Support Personnel (ASP) Factsheet on Glucocorticoid injections Medical Professionals Factsheet on Glucocorticoid injections Athlete and ASP Guide to the 2022 List 2022 List Webinar In order to further assist stakeholders in their understanding and implementation of the 2022 List, WADA hosted a webinar in November 2021

Here are signs that your dose may need adjustment: Signs the dose is too high: Persistent nausea beyond 3 weeks at current dose level Regular vomiting (more than once per week) Severe constipation not responding to hydration and fiber Food aversion (inability to eat adequate nutrition) Rapid weight loss exceeding 1.5% of body weight per week Signs the dose is too low: No noticeable change in appetite or satiety Minimal or no reduction in food intake Weight has plateaued for 4 or more weeks No gastrointestinal effects whatsoever (some mild effects indicate the drug is working) Signs you are at the right dose: Moderate appetite suppression (eating less without feeling starved) Steady, sustainable weight changes Mild or no side effects Improved satiety (feeling satisfied with smaller portions) Stable energy levels throughout the day Finding the right dose is a process

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Learn about other risk factors for thiamine deficiency, as well