However,  this definition  shall not include the actions  of bona fide medical  personnel involving a Prohibited Substance or Prohibited Method Used for genuine and legal therapeutic  purposes or other acceptable justification and shall not include actions involving Prohibited Substances which are not prohibited in Out -of-Competition Testing unless the circumstances  as a whole  demonstrate that such  Prohibited Substances  are not intended  for genuine and legal therapeutic  purposes or are intended to enhance sport  performance .