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Under certain circumstances 19-NA may be present at low concentrations in samples of human urine for reasons unconnected with doping

And I think its because it hits like 3,000+ pathways

Hypocortisolemia in children undergoing evaluation for growth hormone deficiency

The mRNA transcripts regulating spermatogenesis (e.g., ODF2 and SPATA18 ), nuclear genome structure (e.g., PRM1 , OAZ3 , HSPB9 , and NDUFS4 ), mitochondrial function ( e.g., COX1ATP8 ), and fertilization (e.g., HSPA1L and PRSS37 ) were observed to be associated with compaction of sperm chromatin, energy metabolism, oxidative stress, apoptosis, and early embryo development (Sendler et al., 2013