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.Adverse Analytical Finding:  A report from a W ad a -accredited laboratory or other Wada-approved laboratory that, consistent with the international Standard for Laboratories and related Technical Documents, identifies in a Sample the presence of a Prohibited Substance or its Metabolites or Markers (including elevated quantities of endogenous substances) or evidence of the use of a Prohibited Method.