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Performance Enhancing Drugs are illegal substances not permitted in boxing, but are used to gain an unnatural and unfair advantage in by TC Werner 2024 Cited by 19In this article, we focus on several commonly used PEDs, including amphetamine, anabolic steroids, erythropoietin (EPO), and human growth hormone. Rybelsus by T Smith 2024 Cited by 6Elite athletes account for only a small fraction of the approximately 3 million users of ergogenic drugs in the United States. Performance-Enhancing Drugs are substances that are used to improve athletic performance, despite the fact that their efficacy is not always guaranteed.