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ICD codes are often applied afterward for reporting, analytics, or billing purposes, making the two systems complementary rather than interchangeable

[18] [19] Long-term use of proton pump inhibitors or H2-receptor antagonists can also impair B12 absorption

Why would sport be any different? IMHO if anti-doping measures cant get a handle on microdosing or peptides in the near term I can envisage we could easily see a given individuals capacity to recover from extreme exertion and extreme training loads getting better and better

The short answer is yes, but the long answerthe one that really matters for the integrity of your researchis far more nuanced