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    • Esto puede lograrse mediante el aumento progresivo de peso y el uso de elementos de entrenamiento de alta intensidad.
    • La Rehabilitación del Deportista para que un deportista sancionado por dopaje pueda obtener la rehabilitación previa a su vuelta a la competición, deberá acreditar que se ha sometido, mediante solicitud a la AEPSAD, a un management de dopaje realizado por sorpresa fuera de competición.
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    Un trabajo demuestra un aumento de la placa de ateroma con disminución de la fracción de eyección tras 2 años de consumo de anabolizantes respecto a controles36. También se ha asociado la mayor posibilidad de arritmias por disfunción autonómica37. La policitemia junto con las alteraciones en los factores de coagulación, así como en la reactividad endotelial, explican la mayor incidencia de trombosis38. En la tabla 2 se resumen los efectos adversos por el consumo de anabolizantes hormonales androgénicos. La mayor parte de los datos se han obtenido de casos-controles y, según la polifarmacia referida, no siempre se pueden atribuir a los andrógenos.

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    En adolescentes con hiperinsulinismo, antecedente de bajo peso al nacer para la edad gestacional, oligomenorrea y ciclos anovulatorios, la administración de metformina durante 3 meses restablece la ciclicidad menstrual y la ovulación, cut back las concentraciones elevadas de insulina y mejora el perfil lipídico. El tratamiento mejora la composición corporal al reducir la grasa belly y aumentar la masa magra. Los esteroides anabolizantes son compuestos químicos sintéticos relacionados con las hormonas sexuales masculinas llamadas andrógenos (como la testosterona).

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