Performance-Enhancing Drugs: Myths, Facts, and Consequences

Many athletes who use performance enhancers experience mood swings, aggression, and even severe mental health disorders, a phenomenon commonly referred to as “roid rage” in those using anabolic steroids. The Summer Olympics reveal amazing stories of triumph, determination, and athletic feats. While athletes always look for an edge within the rules (from diets to hyperbolic chambers, to cryotherapy), performance- enhancing drugs (PEDs) are a line that should not be crossed. Performance-enhancing drugs are constantly scrutinized, tracked, and tested for by the International Olympic Committee, US Anti-Doping Agency and World Anti-Doping Agency.

Performance-enhancing drugs (PEDs) have been a controversial topic in the world of sports for decades. These substances, which include anabolic steroids, stimulants, and hormones, are used by athletes to improve their physical performance, endurance, and recovery time1. While the use of PEDs can lead to impressive athletic achievements, it also raises significant concerns about fairness, health risks, and the integrity of sports. Performance-enhancing drugs (PEDs) have been a subject of intense debate in sports, fitness, and health communities for decades. These drugs, including anabolic steroids, human growth hormone (HGH), stimulants, and erythropoietin (EPO), are designed to enhance physical abilities, improve athletic performance, or accelerate muscle recovery. Erythropoietin is a hormone that stimulates the production of red blood cells, which carry oxygen to the muscles.

Despite the raft of online vendors (many underground) for performance-enhancing drugs, some products (such as testosterone) still have a medical purpose for patients when taken under supervision and with the right testing support. For example, low testosterone in those of male-born sex could trigger decreased libido, sexual dysfunctions, depressive episodes, tiredness or fatigue. “These drugs are frequently used by people who are unhappy with their appearance, have lower self-esteem and self-worth, and who may have co-occurring mental health conditions,” Hemendinger said. Many users consider more traditional efforts – exercise combined with diet and nutrition – insufficient or too slow, she said. Stimulants such as ephedrine and caffeine are used by adolescent athletes for their ergogenic effects.

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The thematic clusters of research are discussed chronologically, following the average year of the documents’ publication, from the earliest to the most recent. For Alcohol Use Disorder each cluster, the main citing documents will be discussed together with their coverage (i.e., the number of cited documents in the cluster) and Global Citation Score (GCS; i.e., the number of citations received on Scopus). Chemical structures of popular selective androgen receptor modulators (SARMs) of abuse.

Other than athletic enhancement, anabolic steroids are also used in certain medical conditions like hormonal imbalance, delayed puberty, and muscle-wasting disease. Athletes and those active in doing other forms of physical activity, can benefit from anabolic steroids in lowering the damage that happens to muscles during intense workouts, which means getting faster recovery. Most athletes have dreams of winning, from getting lots of medals to playing for a professional sports team. An athlete at any level always have the desire to win and succeed, which can lead to negative thoughts and the use of performance enhancing drugs.

What are the side effects and complications of anabolic steroid misuse?

The pressure to win at all costs can lead to increased stress, anxiety, and even burnout. Ensuring athletes have access to mental health resources and support can contribute to their overall well-being and success in sports. The psychological effects of performance-enhancing drugs on athletes can be significant. The use of such substances can have far-reaching effects on the fairness and integrity of sporting events, impacting both individual athletes and the overall spirit of competition.

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Limited resources, jurisdictional constraints, and the enormous financial incentives in professional sports further complicate anti-doping efforts22. As we look ahead to the future of sports, it is clear that the issue of PEDs will continue to be a major challenge. While progress has been made in terms of testing and education, there is still much work to be done to create a culture of clean competition.

He is currently taking a multiyear personal and professional sabbatical to explore the relationship between childhood trauma, disease, and the processes of healing. He is developing a clinical practice for patients with complex trauma, as well as for others going through significant life transitions. He is working on a book distilling the insights from his sabbatical, teaching, and leading retreats on trauma, integrative health, mindfulness, and well-being for health professionals, students, and the community. Justin Laube, MD, is a board-certified integrative and internal medicine physician, a teacher, and a consultant with extensive expertise in integrative health, medical education, and trauma healing. These steroids could impact adult height if they’re taken in adolescence, according to the DEA.

Performance Enhancing Drugs

Risk Factors

Many athletes take anabolic steroids in quantities much higher than doses prescribed for medical reasons. Maneuvering the complex legal landscape surrounding performance enhancing drugs poses significant challenges for athletes, sports organizations, and regulatory bodies alike. The use of performance enhancing drugs is a contentious issue with various laws and regulations governing their use in different sports and countries. Because many athletes use PEDs without medical supervision, there is a high risk of overdose or misuse. Taking excessive amounts of performance-enhancing drugs can amplify the health risks, leading to severe side effects performance enhancing drugs or even death.

Latest Publications and Research on Performance Enhancing Drugs

  • The use of performance-enhancing drugs raises concerns regarding fair play and the integrity of sports.
  • Ben Hill, PharmD, an assistant professor in the Department of Clinical Pharmacy at the Skaggs School of Pharmacy and Pharmaceutical Sciences, provides a rundown of some major categories.
  • This can lead to unintentional doping violations and subsequent penalties, tarnishing the athlete’s reputation and career.

From growth hormones to blood transfusions, here’s a list of the substances and procedures athletes are trying, how they work and the health risks they carry. Anabolic steroids, in particular, are effective at increasing muscle mass and strength. By boosting protein synthesis and promoting the growth of muscle fibers, these drugs help athletes develop larger, stronger muscles in a shorter period. Many sports organizations and health experts consider them unethical and dangerous due to the health risks and unfair advantages they confer. In most professional sports, the use of PEDs is banned, and athletes caught using them often face severe penalties, including suspensions, fines, and damaged reputations.

Anabolic agents

Performance Enhancing Drugs

Anabolic agents, also known as anabolic steroids, are drugs that promote protein synthesis and reduce protein breakdown, increasing muscle mass and strength. Anabolic steroids, for example, are known to increase the risk of heart attacks, liver damage, and infertility in both men and women. Stimulants like amphetamines can elevate blood pressure, leading to hypertension, and can also cause irregular heartbeats and even cardiac arrest. Additionally, human growth hormone (HGH) abuse has been linked to joint pain, muscle weakness, and an increased likelihood of diabetes. Studies have revealed that males who read men’s, teenager, fashion, or health and fitness magazines were twice as likely to use a performance-enhancing substance to improve strength.

1. Bibliometric analysis on the citing documents

But being forced to go in and testify in front of the grand jury, I felt like, all of a sudden, that was my moment and I had all this guilt built up that I didn’t even know how deep it went. And finally, I got there in front of the grand jury and maybe the first 10, 15 minutes were a little bit hard, but then it was just like – PHEW – and it just came out, and for as hard as it was, it felt also just wonderful. Here we go, here’s the truth, and it’s not pretty, it’s really ugly and I’m ashamed about it.

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