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Letrozole, sold under the brand name femara among others, is an aromatase inhibitor which is used in the treatment of hormonally-responsive breast cancer after surgery. Letrozole is a specific substance and gw1516 is a non-specified substance in the class of hormone and metabolic modulators and are prohibited at all times under the usada protocol for olympic and paralympic movement testing, the united states olympic & paralympic committee national anti-doping policies, and the association internationale de boxe amateur anti-doping rules, all of which have adopted the world anti-doping code and the world anti-doping agency (wada) prohibited list. Usada determined that the prohibited substances letrozole and gw1516 were “ingested by her without fault or negligence”. The usada investigation concluded that fuch’s boyfriend was responsibility for inseminating her with the banned drugs through unprotected sexual contact. 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