However,  this definition shall  not include  the actions  of bona  fide medical  personnel  involving  a Prohibited  Substance  or Prohib ited 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 demonstra te that such Prohibited Substances are not intended for genuine and legal therapeutic purposes or are intended to enhance sport  performance.