Steroid Report

Senators Charles Schumer (D-NY) and Chuck Grassley (R-IA) have modified a bill that would have added human growth hormone (HGH) to the Controlled Substances List. The bill was introduced as a kneejerk reaction to revelations of widespread HGH use in professional baseball. But in the end, legislators avoided making the same mistake with HGH as they did with anabolic-androgenic steroids (AAS) with the Anabolic Steroid Control Act of 1990. (”HGH bill altered to help children,” April 16)

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According to  the New York Times, the World Anti-Doping Agency (WADA) has purchased thousands of doping kits that will be used to screen blood for exogenous human growth hormone (HGH). The top-secret HGH test has been available for some time but WADA only recently found a secret European-based manufacturer capable of producing significant quantities of the blood screening kits (”Agency will increase blood tests for HGH,” April 2).

WADA says the out of competition testing for HGH will begin within weeks The test will be used at the 2008 Beijing Olympics. Additionally, a WADA spokesperson says the the HGH screening kits will be used to analyze previously frozen blood samples from athletes.

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A recent literature review of the performance enhancing effects of growth hormone has concluded that HGH does not help athletes (”Systematic Review: The Effects of Growth Hormone on Athletic Performance,” Annals of Internal Medicine).

Claims that growth hormone enhances physical performance are not supported by the scientific literature. Although the limited available evidence suggests that growth hormone increases lean body mass, it may not improve strength; in addition, it may worsen exercise capacity and increase adverse events. More research is needed to conclusively determine the effects of growth hormone on athletic performance.

This confirms what J.C. Bradbury, Ph.D. has been saying all along.

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The steroid hysteria related to steroids in sports continues to have an adverse impact of the availability of anabolic-androgenic steroids and human growth hormone for legal use in legitimate medical conditions. Congressional attacks upon anabolic steroids and other anabolic drugs (solely because athletes use them) are hurting those patients who stand to benefit from these highly beneficial and effective drugs.

Nelson Vergel, HIV activist and co-author of Built to Survive, published a letter on his blog that outlines how patients with legitimate medical needs for these pharmaceuticals suffer as a result of the steroid hysteria and legislation that limits the availability of anabolic steroids and human growth hormone (”Hearings on Steroids in Sports and the Impact on Treatments for HIV and other Medical Conditions,” March 12).

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Filip Bondy wrote a story today about the likelihood that growth hormone would be more expensive and more difficult to obtain for parents of children with growth-related disorders as a result of a Congressional bill that would reclassify human growth hormone as a controlled substance (”Littlest victims of an HGH bill,” March 17).

Here’s the problem: The proposed legislation would re-classify HGH as a Schedule III drug, increasing penalties for its illegal use and limiting access in several ways. The penalties are fine, the parents agree. Limiting access for growth-challenged kids is the deal breaker.

The Champs, for example, would need to go to Mount Sinai Hospital in Manhattan once every month for a new prescription, which would last 30 days. Currently with each visit, they are able to obtain a three-month supply of HGH, with two refills. They only need to go once every nine months. Meanwhile, their insurance co-pays would triple for the extra doses.

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John Lombardo, M.D. is the drug advisor to the NFL on anabolic steroids and other performance-enhancing drugs. He has granted waivers to football players who have tested positive for anabolic steroids based on medical need. The medical rationale was “testicular disease” in each case.

John Lombardo, has granted waivers to players who have failed drug tests but then explained their medical need for testosterone. NFL spokesman Greg Aiello won’t disclose names or reveal how many players have been allowed to pump synthetic hormones into their bodies except to say it’s “a very small number.”

This is the National League Football (NFL) version of the therapeutic use exemption that can be submitted after failing a drug test. An interesting article by Tom Farrey of ESPN the Magazine suggests this is a precedent opening the door to widespread use of hormones in sports like football. Read the rest of this entry »

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