Nonbinary transmasculine runner Cal Calamia (he/they) was granted USADA (U.S. Doping Agency) [ Website Link Here ] permission to take testosterone while competing at USA Track & Field-sanctioned events [ Website Link Here ] , according to GBNews, citing The Washington Post.

Calamia has been taking testosterone for the last four years. He has been open on social media about taking testosterone since 2019 as part of his gender transition. (Calamia was assigned female at birth.)

Calamia's exemption is considered a landmark decision and is believed to be the first of its kind when it comes to running. Athletes such as Calamia—who use testosterone for medical reasons—are allowed to apply for a therapeutic use exemption. Calamia said it never occurred to him that his use of a medically necessary, gender-affirming treatment would be viewed as doping, or that he would need an exemption to compete in a nonbinary division as a result.

The runner formerly advocated for the addition of the nonbinary division at last year's San Francisco Marathon.

—Andrew Davis