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In accordance with the WADA Prohibited List (Category M2 Chemical and Physical Manipulation), all IV infusions and/or injections of more than 50mL (~3.4 tablespoons) per 6-hour period are prohibited, except for those legitimately received in the course of hospital admissions, surgical procedures or clinical investigations. IV infusions and/or injections of more than 50mL per 6-hour period are prohibited at all times, both in- and out-of-competition unless the athlete has applied for and been granted a The****utic Use Exemption (TUE) under the applicable anti-doping rules.
Some reports suggest that administration of IV infusions, including dietary supplement and vitamin ****tails, are being provided to athletes for recuperation, recovery or lifestyle reasons. This medical practice is prohibited at all times without prior TUE approval. WADA has justified the inclusion of IV infusions on the Prohibited List given the intent of some athletes to manipulate their plasma volume levels in order to mask the use of a prohibited substance and/or to distort the values in the Athlete Biological Passport. Further, it must be clearly stated that the use of IV fluid replacement following exercise to correct mild rehydration or help speed recovery is not clinically indicated nor substantiated by the medical literature. There is a well-established body of scientific opinion to confirm that oral rehydration is the preferred the****utic choice. Legitimate medical indications for IV infusions are well documented and are most commonly associated with medical emergencies (emergency TUE), in-patient care, surgery, or clinical investigations for diagnostic purposes.
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