Eventually Notes of Clarification (footnotes) to articles 29 and 30 were added in 2002 and 2004 respectively, predominantly under pressure from the US (CMAJ 2003, Blackmer 2005). The 2002 clarification to Article 29 was in response to many concerns about WMA's apparent position on placebos. As WMA states in the note, there appeared to be 'diverse interpretations and possibly confusion'. It then outlined circumstances in which a placebo might be 'ethically acceptable', namely 'compelling… methodological reasons', or 'minor conditions' where the 'risk of serious or irreversible harm' was considered low. Effectively this shifted the WMA position to what has been considered a 'middle ground'.   Given the previous lack of consensus, this merely shifted the ground of debate,  which now extended to the use of the 'or' connector. For this reason the footnote indicates that the wording must be interpreted in the light of all the other principles of the Declaration.
Legendary pro wrestler and bodybuilder Ric Draisin, who was widely known as one of Arnold Schwarzenegger’s early training partners, was described as a WFN “ambassador and media partner”. Acclaimed documentary movie maker Chris Bell, who directed documentaries related to anabolic steroids and pharmaceuticals such as “Bigger Stronger Faster” and “Prescription Thugs”, gave a glowing testimonial praising WFN as one of the “top compounding pharmacies in the country” as “100% legal”; Bell spoke highly of “Dr. Rodriguez” for providing him with steroids and steroid advice.