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For a growing number of athletes, winning at all costs includes taking performance-enhancing drugs. Some may appear to achieve physical gains from such drugs, but at what cost? The truth is, the long-term effects of these drugs haven't been rigorously studied. And short-term benefits are tempered by many drawbacks. Take the time to learn about the benefits, risks and many unknowns regarding purported performance-enhancing drugs. You may decide that the benefits aren't worth the risks. Exercise physiology: The basics In most amateur and professional sports, the athletes who win are those with the greatest strength, speed or endurance. Each sport requires specific skills, such as the ability to kick a ball a certain way or hit a home run. Doing so with not just excellent but instead extraordinary strength, speed or endurance marks the difference between a good player and an elite player. Sheer strength is determined by two factors: amount of muscle and the ability of nerves to stimulate muscle contraction. Some elite athletes perform special exercises specific to their sports to improve the neural stimulation of their muscles, and many do weight training to build more muscle. Some, especially professional athletes, also take hormones, supplements and man-made (synthetic) drugs to induce their body to build even more muscle. The amount of muscle and the ability of your nerves to stimulate muscle contractions also play a big role in determining your speed. A larger muscle mass allows you to generate more power, which helps you perform short bursts of activity — a track sprint or short swim race — faster. Can performance-enhancing drugs and supplements improve your performance? Here's what the research says. Anabolic steroids Some athletes take a form of steroids — known as anabolic steroids — to increase their muscle mass and strength. The main anabolic steroid hormone produced by your body is testosterone. Testosterone has two main effects on your body: Anabolic effects promote muscle building. Androgenic effects are responsible for male traits, such as facial hair and a deeper voice. The anabolic steroids that athletes use are synthetic modifications of testosterone. These drugs were developed in an attempt to maximize the anabolic effects and minimize the androgenic effects of testosterone. As it turns out, these two actions of testosterone can't be separated. Given by pill, injection or topical treatment, these hormones have many medical uses. Some of these include replacement therapy for men deficient in testosterone, helping people with AIDS maintain muscle mass and reduce muscle wasting, and treating rare types of anemia. Why are these drugs so appealing to athletes? Besides making muscles bigger, anabolic steroids may help athletes recover from a hard workout more quickly by reducing the amount of muscle damage that occurs during the session. In addition, some athletes may like the aggressive feelings they get when they take the drugs. However, many athletes take anabolic steroids at doses that are much higher than those prescribed for medical reasons. The effects of taking anabolic steroids at very high doses haven't been well studied. Anabolic steroids come with serious side effects. Men may develop: Prominent breasts Baldness Shrunken testicles A higher voice Infertility Women may develop: A deeper voice An enlarged clitoris Increased body hair Baldness Increased appetite Both men and women might experience: Severe acne Liver abnormalities and tumors Increased low-density lipoprotein (LDL) cholesterol (the "bad" cholesterol) Decreased high-density lipoprotein (HDL) cholesterol (the "good" cholesterol) Aggressive behaviors, rage or violence Psychiatric disorders, such as depression Drug dependence If an injected form is used, you'll face a higher risk of infections and diseases that are transmitted in blood, such as HIV and hepatitis. And in teens, steroids can halt their normal pattern of growth and development and put them at risk of future health problems. Anabolic steroids aren't legal substances, unless your doctor has prescribed them for medical reasons. Taking anabolic steroids to enhance athletic performance, besides being prohibited by most sports organizations, is illegal.
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