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Mouthwash or Microbiome Imbalances Overusing strong antiseptic rinses can irritate gum tissue and disrupt the oral microbiome, leaving gums red, reactive, and quick to bleed

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We strongly encourage all sambo athletes to: Review the complete 2026 Prohibited List and Summary of Major Modifications Consult with your medical team about any medications or supplements youre taking Contact the International SAMBO Federation Anti-Doping Department, the International Testing Agency (ITA) or your National Anti-Doping Organization if you have questions about specific substances or methods Apply for a Therapeutic Use Exemption (TUE) if you have a legitimate medical need for a prohibited substance or method