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Through inhibition of key targets, such as TGF- and P4HA1, GLP-1RAs exert antifibrotic and immunomodulatory effects, demonstrating protective potential in multiple organs, including the heart, kidneys, liver and lungs (160)

This narrative review synthesizes current international evidence on the non-medical use of testosterone and AAS in non-professional athletic settings, with a primary focus on endocrine disruption and reproductive health