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  • Adverse Health Consequences of Performance-Enhancing Drugs: An Endocrine Society Scientific Statement
June 25, 2025

Adverse Health Consequences of Performance-Enhancing Drugs: An Endocrine Society Scientific Statement

Adverse Health Consequences of Performance-Enhancing Drugs: An Endocrine Society Scientific Statement

by cheapfly / Wednesday, 31 August 2022 / Published in Sober living

One of the most common reasons for substance use in all populations is to facilitate socialization. Athletes may drink or use drugs with their teammates, at social gatherings, at fundraising events, or any other type of social situation to help ease any sense of social anxiety or to simply have a good time. If you want to continue your athletic career, the safest way to do so is to remain or become a drug-free athlete, which can preserve your health and athletic ability for years to come. When used to treat legitimate medical conditions such as heart failure, high blood pressure, kidney and liver problems and glaucoma, and under the supervision of a trained doctor, diuretic use is quite safe. A high-profile case of Beta Blocker use at the elite level was in 2008, when Olympic shooter Kim Jong-su tested positive for Propranolol and was subsequently stripped of his medals. Synthetic oxygen carriers (SOCs) are purified proteins or chemicals that have that ability to carry oxygen.

  • Doping goes back to ancient times, prior to the development of organized sports.
  • The expert panel conducted its deliberations regarding the scientific statement content through multiple teleconferences, written correspondence, and a face-to-face meeting.
  • Patronage of wellness and antiaging clinics may also put recreational athletes at risk of inadvertent positive doping test results because treatments prescribed at these centers often include hormone replacement.
  • If proven, their study would require a complete reworking of the current anti-doping system, including length of bans and ability to return to competition.

Links to NCBI Databases

Similarly, some nonathlete weightlifters use the hormone insulin for its potential anabolic effects (15). Finally, some nonathlete weightlifters use clenbuterol, a β-adrenergic agonist that is thought to possess possible anabolic properties. Clenbuterol and other illegal stimulants, such as amphetamine, and some hormones, such as thyroid hormones, also have thermogenic (fat-burning) properties that make them popular among nonathlete weightlifters. The use of Performance-enhancing Drugs (PEDs) may have long- and short-term impacts on the athlete’s physical and mental health.

Con 2: Despite any benefit in injury recovery, PEDs are dangerous and can still yield an unfair competitive advantage.

I called them committee meetings and sober house just kind of think about what I was up to and the consequences if it all went bad, how ugly that was going to look.

negative effects of drugs in sport

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However, because diuretics promote frequent urination, when used without medical supervision they can lead to dehydration, dizziness, muscle cramps and constipation. Other side effects include tiredness, fever, skin rash and loss of appetite. More serious effect include disruptions to the normal rhythms of the heart, and electrolyte abnormalities, which can affect kidney function. Beta Blockers can be detected in human urine using Gas Chromatography Mass Spectrometry. Many sports will not allow the presence of Beta Blockers at any level, despite an athlete’s claims that it may have been used for a legitimate medical reason. Human growth hormone (HGH; also called somatotrophin or somatotrophic hormone) is a naturally-occurring hormone produced in the human body.

What are the Consequences of Getting Caught Using PEDs?

Some may have conditions or lifestyles that make participating riskier, and others may take risks by taking performance-enhancing drugs. In the event that an athlete and his or her medical providers feel it necessary, for documented medical reasons, that he or she continue to take a banned substance, WADA may consider granting a therapeutic use exemption, a concept mentioned earlier. A therapeutic use exemption must be on file before an athlete tests positive for the substance allowed by that therapeutic use exemption. Athletes may also use phosphodiesterase-5 inhibitors in an attempt to attain increased oxygenation and exercise capacity, since they have vasodilatory effects.51 However, again, little research exists to support a performance benefit from these substances. The pros and cons of doping in sports always come back to choice and fairness.

Although AAS use is widespread in Western countries, the United States appears to have the largest absolute number of AAS users. This is not surprising because the United States is the most populous country with substantial AAS use, and likely the first country in which AAS use began to spread from elite athletics to the general population (18). We have found 9 studies from the United States, Australia, and the United Kingdom since the year 2000 that provide at least some data on age of onset of AAS use. These included 6 studies that evaluated AAS users in person and 3 Internet surveys of AAS users (19).

  • Doping as a professional teaches kids that it is an acceptable form of conduct.
  • Goaltending rules in basketball were introduced to prevent removing the ball from the cylinder after players grew tall and strong enough to get above the rim.
  • Results in any event, at any level, would be based on the amount of access to pharmacological substances more than it would be skill and endurance.
  • Diuretics also may help athletes pass drug tests that check for signs of drugs in the urine.
  • Some athletes may seem to get an edge from performance-enhancing drugs.

Using drugs to improve performance in sport may lead to an athlete being banned and may also harm their health. The use of performance-enhancing drugs (PEDs) is currently one of the biggest issues in modern sport. Athletes such as Lance Armstrong and Justin Gatlin both damaged the reputation and credibility of their respective sports. Athletes may choose to use illegal PEDs for different reasons and with varying risks. Glucocorticoids are sometimes used by athletes in an attempt to enhance performance because of their anti-inflammatory and analgesic properties.12 However, there is minimal research to show any performance benefits of this class of drugs.

This was my opportunity, everybody else was doing it, so I kind of had to just join the club and not think so much about it. When you’re ready to take the next steps toward a lasting recovery, turn to the compassionate team at APN Lodge. Our comprehensive addiction and mental health services program has all the tools and services you need to overcome addiction, including several athlete-focused programs tailored to your unique needs. At APN Lodge, clients can enter our specialized residential treatment program designed specifically for athletes. This athletes-only track was designed by professional https://yourhealthmagazine.net/article/addiction/sober-houses-rules-that-you-should-follow/ athletes and connects our clients with athletics-focused therapists and medical experts.

Human Growth Hormone (HGH)

Previously, diuretics were detected in biological samples through the use of high-performance liquid chromatography (HPLC) coupled with ultraviolet-diode array detection (UV-DAD). However, this method was not deemed rigorous enough in determining the unequivocal identification of banned substances. For this reason, international anti-doping regulations have required the implementation of mass-spectral methodology to test samples. They work to slow the heart rate, thereby reducing blood pressure, anxiety and muscle tremors, and improving the ability to focus. This makes them particularly useful to athletes performing in sports that require a steady hand such as shooting, archery, darts, snooker, even golf. Beta Blockers are prohibited by several sports (darts, racing) during competition, but others (archery, shooting) prohibit their use at all times.

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