Anabolic Steroids: Truth and Fiction Thad J. Barkdull, MAJ, MC Fellow, Sports Medicine Department of Family Medicine, USUHS Goals History of Steroids History of Performance Enhancement Definition Function Benefits/Adverse Effects Government/Athletic Policies Non-adrogenic uses
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Thad J. Barkdull, MAJ, MC
Fellow, Sports Medicine
Department of Family Medicine, USUHS
Scandal rocks ‘83 Pan Am Games
Chinese “juicing” at World Championships ‘88
Jones suspected of steroid use
Sprinter Collins stripped of medals
Future Home Run King suspected of steroid use
Tour de France winner tests positive
East Germans admit extensive abuse
Russians stripped of medals in Salt Lake
Gaitlin may lose medals
Canadian stripped of gold medal
Steroid use rampant in baseball, writes former star
Methanolone enanthate *
Boldenone undecylenate †
17α-Alkyl Substituted Derivatives
Methandrostenolone * Norethandrolone *
*Not available in United States for human therapeutic use but available through illicit channels.
From “Ford: Clinical Toxicology” 1st ed.
King DS, Sharp RL, Matthew DV, et al. Effect of oral androstenedione on serum testosterone and adaptations to resistance training in young men. JAMA 1999; 281:2020–8.
Van Marken Lichetenbelt WD, Hartgens F, Vollaard NB, Ebbing S, Kuipers H. Bodybuilders’ Body Composition: Effect of Nandrolone Decanoate. Med. Sci. Sports Exerc 2004; 36(3): 484-489.
Schroeder ET, Vallejo AF, Ling Z, Stewart Y, Flores C, et al. Six-Week Improvements in Muscle Mass and Strength During Androgen Therapy in Older Men. J. Gerontol. A Biol. Sci. Med. Sci. 2005 60: 1586-1592.
Grunfeld C, Kotler DP, Dobs A, Glesby M, Bhasin S. Oxandrolone in the Treatment of HIV-Associated Weight Loss in Men: A Randomized, Double-Blind, Placebo-Controlled Study. JAIDS Journal of Acquired Immune Deficiency Syndromes 2006; 41(3):304-314.
Giorgi A, Weatherby RP, Murphy PW. Muscular strength, body composition and health responses to the use of testosterone enanthate: a double blind study. J Sci Med Sport. 1999; 2(4):341-55.
“We are not trying to paint a positive or negative picture of steroid use. Our goal is to paint an accurate picture. As the number of accounts posted here increase they, as a whole, will allow people to draw an accurate picture of the risks and benefits of steroid use. We do not recommend or encourage anyone to use anabolic steroids or other illegal drugs.”
“It was late 2004 when I boarded the plane for Thailand, I was 21 years old, and had been in the gym on and off since the age of sixteen. I had naturally bulked up to just shy of 240 pounds by the age of 19, but I made an effort to cut out the fat so to speak before my first cycle, and arrived in the Land Of Smiles, at a somewhat leanish 198 pounds…
“I was a bit nervous approaching the pharmacist, coming from a Country where steroids are illegal, I couldn't help feeling I was breaking the law. After a few words in broken English I managed to work out that I had to write what I wanted down on a piece of paper and hand it over. I did this, and the pharmacist went out the back and got what I wanted. I'm sure the grin on my face when I paid for my gear and left was priceless…
“I would like to jump ahead now to the 30 day mark, one month on and the testosterone was fully kicked in. I found myself not in Thailand anymore but a small city called Na Trang, Vietnam. I was now weighing in at 231 pounds, and I would stay at this weight for the rest of my cycle, yet get bigger stronger and leaner.”
“Anabolic-androgenic steroids can contribute to an increase in body weight in the lean mass compartment of the body. The amount of weight gained in the training studies has been small but statistically significant… [however it is] not exhibited by all individuals.”
[stated in 1977 that there was no benefit from steroids]
from the 2006 Monitoring the Future Survey, funded by the National Institute on Drug Abuse, National Institutes of Health, DHHS, and conducted by the University of Michigan's Institute for Social Research.