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A process used by drug-abusing athletes to reduce the risk of detection during drug testing. Pyramiding involves increasing the dosage of a drug (typically an anabolic steroid) during a training cycle outside the competition period, until the dosage far exceeds the normal medical dosage. The athlete then progressively reduces the dosage in the months prior to competition. Random drug testing outside the competition period is designed to detect such abuse. See also stacking.

Subjects: Sports and Exercise Medicine.

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