In a letter to The BMJ this week, they explain that, for more than 30 years, bodybuilders have taken tamoxifen to prevent and treat gynaecomastia (breast swelling) caused by use of anabolic steroids. Usually, tamoxifen is sourced from the illicit market, they say. However, bodybuilding discussion forums have speculated that a dietary supplement called Esto Suppress contains tamoxifen because the label listed one of its chemical names.
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