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C h a p t e r 8<br />

Performance Enhancing Drugs<br />

wide variety of claims without medical proof.<br />

4) Most of the substances that are available as dietary supplements can be easily and<br />

more cheaply obtained from the diet through good nutrition.<br />

There are a tremendous number of dietary supplements on the market with more<br />

appearing every day. Athletes are often approached to try a new product. The best<br />

advice is to check with a certified athletic trainer, physician or registered dietician<br />

before taking any dietary supplement. As a rule of thumb, if a product claims to<br />

“build muscle” it may contain a form of AAS. If it claims to “increase energy” it may<br />

contain a stimulant.<br />

Although it is impossible to provide details on every supplement, here are a few<br />

popular types.<br />

DHEA<br />

Dihydroepiandrosterone (DHEA) is the only relative of AAS that was left off the<br />

2004 Anabolic Steroid Control Act and continues to be sold as a dietary supplement.<br />

DHEA is metabolized in the body to androstenedione, which is metabolized to testosterone.<br />

It is worth noting that while very little DHEA is converted to testosterone in<br />

men, DHEA does get converted to estradiol (a female hormone) as well. There are<br />

no studies demonstrating either performance enhancement with DHEA or strength<br />

gains in normal males. Because only a small amount of testosterone results from<br />

taking DHEA, it is likely that its greatest effects would occur in females and developing<br />

adolescent males.<br />

CREATINE<br />

Creatine is one of the most widely used nutritional supplements by athletes and has<br />

been touted for its ability to increase strength and power. Creatine comes from three<br />

sources: it is a natural substance found in foods, the body is able to make it, and it<br />

can also be prepared synthetically as a dietary supplement. The average diet contains<br />

1-2 grams/day of creatine from protein-rich foods such as meat and fish. It is also<br />

naturally produced by the liver, pancreas and kidneys from the amino acids methionine,<br />

glycine and arginine at a rate of 1-2 grams/day. Although 90% of creatine is<br />

stored in skeletal muscle as free creatine and phosphocreatine, it is also found in the<br />

brain and testes.<br />

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