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A Specified Substance or Method is that which potentially allows, under defined conditions, for a greater reduction of a sanction when an athlete tests positive for that particular substance

We examine the history of attempts to develop oral GLP-1 therapies, the structural biology of non-peptide GLP-1 receptor activation, the pharmacokinetic advantages of orforglipron's small-molecule architecture, the complete Phase 2 and Phase 3 clinical dataset, comparisons with both oral and injectable GLP-1 agonists, the manufacturing and cost implications of small-molecule production, the safety profile across all completed trials, and the regulatory pathway and timeline for approval