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I've fought 3 times, and every time since last year they make you get a full test .HIV, HEP A and B as well as ECG. That's for Muay Thai. I also needed a Dr. to check me make sure that can move my neck, shoulder etc properly (no serious previous injury that can still affect me).
In Alberta for MMA I think you also need a 1 time CAT scan, just in case you get really messed up they have something for comparison.
It's a bit of a joke though, you get tested once a year. So if I get tested in May, go and fuck around all summer, I'm still good for the next 10 months. A lot can happen in year.
Also, just about anyone can start a commission here now, if you have the money. The last one I fought on nobody even asked for the papers. I had them, and was good to go, but never needed to prove it. Though it's a small area and maybe they "knew" me from previous fights.
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“We all know. We all know when people fight. You can look at their nipples. You can just know when somebody’s blood doping. We all know,” BJ Penn
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