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  1. California Interscholastic Federationpresents STEROIDS AND SUPPLEMENTS – WHAT WE ALL NEED TO KNOW What You Don’t Know Can Kill! Update August 2005

  2. Monitoring the FutureU.S. Department of Health Anabolic Steroid Use by Students 2003 National Survey Statistics 8th 10th 12th Ever Used 2.5% 3.0% 3.5% Calif. Students Estimate 15,000 14,182 Used past year 1.4% 1.7% 2.1% Calif. Students Estimate 8,505 8,509 Used past month 0.7% 0.8% 1.3% Calif. Students Estimate 4,002 5,267

  3. Monitoring the Future CIF Actual Participation in 2004-2005 Male Participants 386,686 Female Participants 278,284 678,970 Estimated number of CIF athletes using Steroids based upon national average of: 3.5% use 23,784

  4. 2004 Student Survey Survey California High School Students in March 2004, completed by @issue Consulting Group Have you ever taken performance enhancing drugs/supplements? Yes – 11% boys Yes – 5% girls CIF Athletes 42,032 13,711 Do you know of someone else who takes performance-enhancing drugs/supplements? Yes – 52% boys 33% girls

  5. 2004 Student Survey Survey of California High School Students in March 2004, completed by @issue Consulting Group Do you, or anyone you know take anabolic steroids? Yes – 13% boys 10% girls Are you personally aware of coaches or other sports related staff promoting the use of these substances? Yes – 18% boys 7% girls 68,780 19,196

  6. Ken CaminitiDied at age 41 Admitted to using steroids during his MVP season. Kelli White Stripped of 2002 World Championships Gold Medals – use of steroids Jason Giambi admits to the use of steroids

  7. STEROIDS TWO COMMON METHODS Pills

  8. INJECTABLE ANABOLIC STEROIDS Risks include HIV Hepatitis B, C Infections Impurities

  9. Friend/Family 20% Other Physician 16% Retail Store 16% Website/Mail Order 14% Coach 9% Teammate/Other Athlete 7% Team Physician 5% Athletic Trainer 4% Pro Scout/Agent 3% Strength Coach 2% Where Do You Usually Get Your Anabolic Steroids? 2001 NCAA Study of Substance Use Habits of 21,225College Student-athletes.

  10. WebImagesGroups New!NewsFroogle • Web Results 1 - 10 of about 1,160,000 for buysteroids. (0.31 seconds)  • uysteroids, buysteroids online, buy anabolic steroids online ...buysteroids, buysteroids online, buy anabolic steroids online, buy legal steroids. Best buy home page, Buysteroids. Best buysteroids. ...www.visimon.com/Best-Buy/buy-steroid/buy-steroid.htm - 12k - Cached - Similar pagesazcentral.com | message boards - Boxing - Buysteroids like ......Buysteroids like Dianabol, Sustanon, Decadurabolin, Winstrol. Author: Date: 11-09-04 16:35 Our company sell large number of anabolic ...www.azcentral.com/phorum/

  11. MALE Rapid muscle growth Acne & cysts– chest, back Shrinking of the testicles Breast development Oily scalp Rage, anger, hostility and depression FEMALE Rapid muscle growth Acne & cysts Excessive growth of body hair Male pattern baldness Oily scalp Rage, anger, hostility and depression Symptoms/Warnings of Steroid Use

  12. Symptoms/Warnings of Steroid Use

  13. Adverse effects of Anabolic Steroids • Cardiovascular- lowered HDL, atherosclerosis, hypertension

  14. Recent Pro Wrestling Deaths associated with Steroids or hGH (human growth hormone) Davey Boy Smith, 39 Curt Henning, 44 Louie “Spiccoli” Mucciolo, 27 Richard “Ravishing Rick Rude” Rood, 40 “Flyin’” Brian Pillman, 35 Source, USA Today 3/12/04

  15. Dietary Supplement Myths • “It’s natural” so they must be safe • Supplements are not drugs • Supplements are safer than pharmaceuticals xxxxxxxx

  16. Other “Natural” Products • Nicotine • THC (active ingredient in marijuana) • Heroin • Cocaine • Digoxin • Many cancer chemotherapeutic drugs

  17. DHEA Androstenedione Androstenediol 19-Norandrostenedione 19-Norandrostendiol 1 androstenediol (1-AD) L-Carnitine HMB Gamma-Hydroxy-Butyrate Pyruvate and DHA Glycerol Creatine Chromium Picolinate Ephedra Popular “Sports” Nutritional Supplements

  18. Ephedra-free means Ephedra-replaced!

  19. New supplement? The Ephedra Replacement Citrus Aurantium “Bitter Orange” Zhi Shi

  20. New Supplement:Citrus Aurantium - “Bitter Orange” • Increases metabolic rate • Increases caloric expenditure • Fat burner • Promotes weight loss • Increases energy level • Mild Stimulant similar to ephedrine • Warning label eerily similar to ephedra

  21. “If it takes 10 [pills] to kill you, I’ll take 9.” -Tom Simpson, Tour de France Rider Died: 1967 of amphetamine overdose Recent Cycling Drug Deaths: Marco Patani, 34 Fabrice Salanson, 23 Jose-Maria Jimenez, 32

  22. Example: Caffeine Recreational: 100 mg in morning cup of coffee Therapeutic: 100 mg in caffeine/ergotamine to treat migraine headaches Ergogenic: 1000 mg to increase mobilization and strength of contractions

  23. Supplements Banned by NCAA, IOC • DHEA • Androstenedione • Androstenediol • 19- Norandrostenedione • Nandrolone • 19-norandrostenediol • metabolites • Ma Huang • Ephedrine • Caffeine Levels > 12-15micrograms/mL

  24. Anabolic Steroid Precursors Anabolic-Androgenic Steroid Precursors Were Sold As Dietary Supplements President George Bush signs the “Anabolic Steroid Control Act of 2004” on Friday, October 22, 2004

  25. Androstenedione

  26. “Andro, which is banned in the NFL and other sports but not in baseball, was used by McGwire during the 1998 season when he hit 70 home runs, breaking the single-season record owned by Roger Maris. Andro sales quadrupled after his admission, with teenagers making up many of those consumers.” Tom Farrey, Senators Want Over-the-Counter Andro Ban, ESPN, Oct 24, 2003http://espn.go.com/gen/news/2003/1024/1645745.html

  27. Androstenedione vs. Dianabol (methandrostenolone) “Androstenedione is one of the strongest, most potent legal testosterone boosters, capable of raising testosterone levels up to 600%. The results of Andro do not compare to Dianabol, but is much safer for teenagers. It is also half as cheap as Dianabol.” -Teenbodybuilding.com

  28. Friend 14% Retail Store 13% Teammate/Other Athlete 12% Nutritionist/Dietician 12% Internet 11% Parent 9% Strength Coach 8% Athletic Trainer 8% Coach 7% Other Physician 5% Team Physician 1% Where Do Student-Athletes Get Their Dietary Supplements? -2001 NCAA Study of Substance Use Habits of College Student-athletes of 21,225 athletes.

  29. Why Care about Athletes and Steroids and Supplements? • Long Term Health • Integrity of the Sport • Ethical Fair Play • Inaction Alternative?

  30. Steve Bechler 1979 - 2003

  31. Korey Stringer 1974 - 2001

  32. Rashidi Wheeler 1979-2001 Damien H.S. La Verne, CA.

  33. Taylor Hooton June 10, 1985 – July 15, 2003

  34. Rob Garibaldi Casa Grande H.S. Petaluma, CA Sept. 15, 1978 – Oct. 1, 2002

  35. Efrain Marrero October 16, 1984 - September 26, 2004 Vacaville, CA