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Physical conditioning: Poor conditioning and lack of fitness can lead to muscle fatigue, increasing the likelihood of muscle spasms

These resources include: A CISP Checklist Implementing Revised List (available now) Athlete and Athlete Support Personnel (ASP) Factsheet on tramadol (to be available in November) Medical Professionals Factsheet on tramadol (to be available in November) Athlete and ASP Guide to the 2023 List (to be available in January 2023) Also, WADA will look to develop additional educational activities, such as webinars, to support ADOs in their efforts to educate their target populations about the change regarding tramadol

Appl Physiol Nutr Metab, 45(10), 1174-1177

Each batch is produced under strict quality control procedures and should be handled, stored, and used according to established laboratory protocols