The first edition of this work, published in 1982, concentrated on the athlete's use of and the physician's knowledge of, anabolic steroids. This fully updated second edition discusses the continuing controversy over their use in competitive sports. An introduction of the use and abuse of anabolic steroids is followed by chapters on such topics as anabolic steroid compounds, the anabolic-to-androgen ratio, basic principles of muscle building, current anabolic steroid preparations, anabolic steroid regimes used by athletes, the enhancement of athletic performance, adverse physical effects and mental health risks, the classification of anabolic steroids as controlled substances, growth hormones and other anabolic hormones, the limits of urine drug testing, medical applications of anabolic steroids, muscle building and ergogenic supplements, and addictions.

This text presents research findings on the use and abuse of steroids in sports and exercise, and information on steroid use within professional sports and among Olympic athletes. In addition, information on drug use among international student athletes, adolescents and body builders is explored.

Doping, Performance-Enhancing Drugs, and Hormones in Sport: Mechanisms of Action and Methods of Detection examines the biochemistry and bioanalytical aspects of performance-enhancing drugs (PEDs) and other questionable procedures used by athletes to enhance performance. The book informs the specialist of emerging knowledge and techniques and allows the non-specialist to grasp the underlying science and current practice of the discipline. With clear and compelling language appropriate for a broad spectrum of readers, this book provides background on prevalence, types of agents, their actual or supposed benefits, and their negative effects on health. The technical aspects of detection are discussed, followed by a discussion of why detection is a problematic and still-evolving science. To facilitate comprehension, each chapter is organized in a uniform way with six sections: (1) standard medical uses, (2) why the drugs are used by athletes, (3) biological mechanism of action, (4) what research says about efficacy in improving performance, (5) major health side effects from use and abuse in sport, and 6) concluding key points. - Presents the scientific concepts of how performance enhancers work, how they are used, and how they are detected and masked from detection - Features language that is neither simplistic to scientists nor too sophisticated for a large, diverse global audience - Provides a short "close-up in each chapter to illustrate key topics that engage, entertain, and create a novel synthesis of thought

New developments in testosterone therapy are summarized here by internationally renowned experts. They review both basic and clinical knowledge in fourteen chapters. The book begins with the biochemistry of testosterone, its biosynthesis, metabolism and mechanisms of action in target organs. Three chapters deal with specific aspects of testosterone action, namely its role in spermatogenesis, its psychotropic effects and its effects on bones. Syndromes caused by androgen resistance are described in order to highlight the importance of properly functioning enzymes and receptors in the target organs. Causes and symptoms of male hypogonadism, the major indication for testosterone treatment, are described. Five chapters are devoted to the pharmacology, pharmacokinetics and clinical uses and abuses of testosterone preparations. The new transdermal testosterone application is described in detail. Side effects of testosterone treatment are reviewed. The possible role of androgens in the development of prostatic hypertrophy and carcinoma is discussed extensively since this question is of major concern to the clinician.

Anabolic androgenic steroids (AAS) remain the most used/abused drugs in the athlete and recreational gym user. However, there are some new drugs such as human growth hormone and insulin that are being used by athletes in order to gain a competitive advantage. This book presents separate and multi-disciplinary perspectives of anabolic androgenic steroids and other current drugs of use in sport. The perspectives discussed in this book range from those of sports medicine research scientists, a medical practitioner and sports physician, behavioural scientists and molecular physiologists. There are further contributions from experts in the sociology and ethics of sports doping.

Drug abuse in sports has become so widespread that it threatens the safety, health, and longevity of athletes, while perverting the idea of sport as the play of the spirit. This text begins by exploring the societal and athlete-specific foundations of drug abuse. The second part details and describes the drugs most commonly used by athletes. Part III addresses the issue of recognizing and managing drug abuse in the athlete. A final chapter analyzes the legal aspects of the subject. Appendices include the policy of the American College of Sports Medicine, and the drug testing policies of major national and international sports organizations. For physicians and professionals working with competitive or recreational athletes. Annotation copyrighted by Book News, Inc., Portland, OR

Steven Ungerleider's Faust's Gold is the stunning expose of the East German sports juggernaut of the 1970s and 1980s that forced young athletes to unknowingly take steroids. For nearly twenty-five years, East Germany's corrupt sports organization dominated international athletics. While the German Democratic Republic's secret "State Plan" was in effect, more than ten thousand unsuspecting young athletes--some as young as twelve years old--were given massive doses of performance-enhancing anabolic steroids. These athletes achieved miraculous success in international competitions, including the Olympics, but for many of them, their physical and emotional health was permanently damaged. Faust's Gold draws on the revelations of the ongoing trials of former GDR coaches, doctors, and sports officials who have now confessed to conducting ruthless medical experiments on young and talented athletes selected for Olympic training camps. It also draws on the extensive research of Brigitte Berendonk, who escaped from East Germany to begin a decade-long crusade to bring justice to her fellow athletes, and that of her husband, Professor Werner Franke. Berendonk's story, and those of her colleagues in the GDR, offers a unique insight into a bizarre regime. Faust's Gold is a true-life detective story that plunges into the dark, secretive world of the GDR doping scam, where elite competitors and their families are up against a formidable opponent: the East German secret police, known as the STASI. What emerges is a complex tapestry of the politicized modern Olympics that culminates in a powerful testimony to the massive wrong done by one Eastern Bloc nation to its world-class athletes.

This BMA report discusses the current situation regarding performance enhancing drugs as well as the effects of prescribed medication on sports people's performance. Written with expert advice, and rigorously reviewed by specialists, the report addresses the physician's role and responsibilities in this highly sensitive area. It will prove an invaluable guide for all doctors who are involved with the well being of sports people.

This volume is intended for clinicians, researchers, residents, and students. The range is wide and the depth considerable for all the topics covered in the treatment of this timely and relevant subject. This book may serve equally well as a general introduction and a scholarly reference. Ultimately, it is designed to serve those patients suffering from abuse of and addiction to drugs and alcohol. The content and organization of the book flow from general concepts of abuse and addiction to specific details of the pharmacology of alcohol and drugs. Special chapters on topics not found in most other books, such as pharmacology of drug-drug interactions, abstinence, and prevention, are included. This book is written especially for the clinician interested in the pharma cology of alcohol and drugs of abuse and addiction. The pharmacology is integrated into a conceptual approach to diagnosis and treatment of alcohol and drug abuse and addiction. The form and style are didactic, critical as well as straightforward in presentation. Literature references from recent clinical research and basic research provide the foundation for the chapters throughout the book. Be cause the book is written by a clinician-researcher, the information is readily adaptable to clinical problems and research ideas. I would like to express my deep appreciation to Susan Newsom and Darlene Tucci for their invaluable technical assistance. Norman S. Miller vii Contents Preface ....................................................... vii CHAPTER 1 Introduction to the Pharmacological Effects of Alcohol and Drugs and Addiction on the Brain and Behavior .... . . . . . . . . . . . . . . . . . .. . . 1 . . . . . .