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In the United States, SARMs are not approved for human consumption by the FDA

Bosak A, Saraf N, Willenberg A, Kwan MWC, Alto BW, Jackson GW et al (2019) Aptamer-gold nanoparticle conjugates for the colorimetric detection of arboviruses and vector mosquito species

Indeed, some metabotypes have been found more frequently in patients with specific diseases leading to microbiome dysbiosis such as metabolic syndrome or obesity (Reference Toms-Barbern, Selma and Espn110) , although this has not been fully confirmed in larger cohorts

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