Francesco Puppi, recent podium finisher of the Western States 100, wrote a thoughtful piece about the state of drug testing in ultras following the high profile test failure of Joyline Chepngeno in 2025
This means every vial has been compounded under pharmaceutical-grade conditions, tested for sterility and potency, prepared specifically for human administration under a valid prescription, and tracked from source to patient
Additional investigations by Bonfiglio et al
Pharmacological substances not approved for human therapeutic use by any governmental regulatory authority are included in this category
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