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In addition, standardized quality control methods and clear blood concentration-effect relationship were established to ensure the consistency of the efficacy of different batches of drugs and to achieve individualized medication

Furthermore, sensitivity assessments included evaluating cases across different registration periods and Cox proportional analysis with distinct covariates

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4 Prevalence, classification, and mechanisms of action of anabolicandrogenic substances Although a uniform classification of anabolicandrogenic substances (AAS) has not been formally established, in practice a functional division based on chemical structure, pharmacokinetics, and route of administration is commonly applied, as illustrated in Figure 1