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Performance Enhancing Drugs An increasingly Issue for Drugs Agencies BIG Problems with Terms Anabolic Steroids But not all the compunds that are used are anabolics Anabolic and Androgenic Steroids As above; a wide range of compounds which are used are not AAS
Issue for Drugs Agencies
But not all the compunds that are used are anabolics
Anabolic and Androgenic Steroids
As above; a wide range of compounds which are used are not AAS
Performance and Image Enhancing Drugs
A term preferred by many in the drugs field, but again omits a large number of compounds which don’t enhance perfomance or image
Performance and Image Enhancing Drugs and Ancillary Compounds
Includes substances which are not of themselves enhancing performance or image but are used as part of a regime
Sports and Image Drugs
My personal preferred phrase
Anabolic Androgenic Steroids
Fat burnersephedrine, T3 etc
Post cycle treatment compoundse.g Clomid, HCG
Additional compoundsInsulin, Growth HormoneIGF-1
Tanning Agentse.g. Melanotan ii
Pharmacy Nxnot all distribute the right equipment in the right quantities
Fixed siteNeedle Exchange
Limited activity, access problemsnot all users are gym goers
Wider drug services
Sourcing via peers,internet
Athletic Maximising performance at top end of sporting spectrum
Body-building For people who are competing or displaying in body-building contests
Functional For people who professionally find size and bulk useful – door staff, security etc
Short-cut to development Use of steroids to try and get quick results
Peer-pressure To keep up with peers who are lifting more and achieving better results
Dysmorphic To cope with mental self-perception as being weak, small or under-developed
Dependent Bulk, ritual and social behaviours make it difficult to stop using
Areas of Service Engagement
1: Discussion area: should drug services engage with all these aspects of SIDs use fully?
2: Discussion area: a young steroid user comes in at the start of their first cycle. It is clear that they have no idea about aromatisation, gynecomastia, or how to prevent it. What are the ethical dilemmas workers face. What solutions can you offer?
3: Is training on steroids happening; is it a priority?
Has it impacted on how you work?
4: To what extent have you been able to develop SIDs specific assessment tools.
If you haven’t done so, what could you envisage them including
Service Development and Care Pathways
4: What would illustrative care pathways look like for some of these different populations?
http://injectingadvice.com/ includes a steroid assessment tool and regular articles about SIDs especially with regards injecting behaviour
http://www.muscletalk.co.uk/ - Useful discussion board
widely used by AAS users
http://www.s.teroids.net - Set up by Jim McVeigh –
discussion group for professionals
quiet at the moment
http://www.mickhart.com/ - promoter of AAS in the UK; pro-steroids
lots of swearing and casual prejudice
Anabolic Steroids 2009: Llewellyn, W - the reference book on the subject Available on-line, or from Gym Ratz