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Hormone and Metabolic Modulators added to the Prohibited List, including elacestrant (added as an anti-estrogen), S519 and S597 (examples of insulin-mimetics), and MOTSc (an example of an AMP-activated protein kinase activator)

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Commenters stated that several of the new codes would benefit from greater specificity and clarification and expressed concerned about the time-based structure of certain codes which could allow for potential overlap between codes