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WADA's Prohibited List is updated annually, typically published on 1 October each year and effective from 1 January (WADA, 2025 Prohibited List)
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The dominant factor is identified by where the bulge appears and how it behaves: - Sharp ledge fixed at the C-section scar scar tethering is dominant - Broad midline bulge that worsens with straining or sit-ups muscle separation is contributing - Loose fold that collapses when bending forward skin laxity is dominant - Soft fullness without a defined step fat contribution may be present If a bulge changes markedly with coughing or straining, assessment is needed to exclude a hernia