The use of the CIR in conjunction with the steroid profile results can provide a definitive answer about whether the athlete used a pharmaceutical testosterone product or not. Studies have linked community-acquired MRSA colonization and soft tissue infection with competitive sports participants (298). Additional research has linked injection of drugs with community-acquired MRSA infection (299).

How bodybuilders, many on steroids, risk their bodies and brains – The Washington Post

How bodybuilders, many on steroids, risk their bodies and brains.

Posted: Thu, 08 Dec 2022 08:00:00 GMT [source]

Some research has shown that users of amphetamines may be more likely to develop Parkinson’s disease later in life. Research has also shown that athletes who use cocaine are more likely to die younger than average citizens, but there aren’t any conclusive findings on why this might be the case. Although stimulants can improve physical performance and increase aggression on the field, they also have side effects that can hinder athletic performance, such as anxiousness and impatience, which make it difficult to focus on the game. Drug and alcohol abuse not only has negative long-term effects on your health, but it can also have legal consequences that you’ll have to deal with for the rest of your life. Many employers require that you take a drug test before offering you a job—many of them even conduct random drug tests even after you become an employee. Refusing to give up drugs could end up making you unemployed, which comes with even more issues.


Now between the uniquely proximate 2021 Tokyo and 2022 Beijing Olympic Games, we discuss WADA’s efforts to prevent PED use during the modern Olympic Games. Then, we review the major PED classes with a focus on pathophysiology, complexities of antidoping testing, and relevant toxicities. Providers from diverse practice environments are likely to care for patients using PEDs for a variety of reasons and levels of sport; these providers should be aware of common PED classes and their risks. In GH-deficient adults, replacement therapy with rhGH improves fat and protein metabolism, leading to a partial reversal of these abnormalities but not complete restoration to normal (367).

The serotonergic system also may have an important function in the control of the aggressive dominance induced by AAS (236). The serotonergic 5-hydroxytryptamine (5HT)1B or 5HT2 receptors may play a role in the mediation of emotional states and behavioral changes that we see among human AAS users (237). Another amino acid of interest with respect to aggressive behavior is γ-aminobutyric acid (GABA). AASs elicit both acute negative effects of drugs in sport modulation of GABA(A) receptor-mediated currents and chronic regulation of the expression of the GABA(A) receptor and forebrain GABAergic transmission (235). Testosterone administration may also affect mood and motivation, which may indirectly affect athletic performance. Because AASs, hGH, insulin, and erythropoietins are the most frequently used PEDs, we address the medical consequences of their use in detail below.

Blood doping

If you know an athlete who is wrestling with addiction, you know the feeling of wanting to help but not being sure of how. You can’t force someone into rehab, but you can take these steps to help a person realize they need rehab. Athletes accused of doping in ancient Greece were punished, much as they are today. Officials banned them from the game, and they carved their names on stone tablets that lined the paths into the stadium — kind of a medieval hall of shame.

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