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So for the purpose of this article, and with the intention of hoping to highlight what I see as massive gray areas in the discourse, Im going to define the moral sin of doping as: The use, accidental or on purpose, of a substance with a substantial evidentiary basis that it improves performance If youre going to write this off because hes just making up definitions for his own purposes, I hope you will keep reading because I aim to explain why this clearer definition of the term will serve to add to the discussion without further inflaming what I view as extreme views on both sides of this issue

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To address this gap, the simple CHE score has been proposed, incorporating only two variables: hypoalbuminemia (albumin 3.5 g/dL) and hyperammonemia (ammonia 80 g/dL) [21]