38 2163 8 RCTs VERY LOW 1, 2 Adverse events Gastrointestinal disturbances 24 per 1,000 37 per 1,000 12 to 112 OR 1. clomiphene in men training at very high altitude, using equipment technology that aids in sporting success etc 2 A level playing field doesn t exist in sports in many different areas outside of drugs - there is uneven access to funding in different countries, access to training facilities, world-class coaching etc 3 Elite athletes push their bodies to the limit and their training regimens are probably not healthy 4 Young athletes may feel coerced to conduct unhealthy training practices, or nutritional practices that elite athletes use, yet there is no policing of this kind of information sharing.