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However, some limitations, such as the small sample size and the need for more sport-specific data, suggest that further research with larger and more diverse participant groups is necessary to confirm these results and provide more tailored recommendations for athletes in various sports disciplines

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In using ivermectin MDA in areas where multiple endoparasites and ectoparasites exist, the dosage and regimen that is chosen (likely the discriminating dose of the priority organism) will likely be used at the expense of other organisms and may result in a shorter time-to-emergence of resistance in the latter