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Clinical Use of Anabolics and Hormones
Clinical Use of Anabolics and Hormones
Androgenic Steroids Use and Abuse
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<blockquote data-quote="madman" data-source="post: 239184" data-attributes="member: 13851"><p><strong>CLINICAL CARE POINTS</strong></p><p></p><p><em><strong>*The possibility of androgenic steroid use should be considered in men who exhibit muscle hypertrophy, particularly if associated with infertility</strong></em></p><p><em><strong></strong></em></p><p><em><strong>*Laboratory clues include elevated hemoglobin/hematocrit, low high-density lipoprotein-cholesterol (HDL-C), and low sex-hormone binding globulin (SHBG)</strong></em></p><p><em><strong></strong></em></p><p><em><strong>*Hormone assessment demonstrates suppressed serum gonadotropins (follicle-stimulating hormone and luteinizing hormone) and low serum testosterone if abusing nontestosterone androgens, or high-normal to high serum testosterone, if abusing testosterone precursors or drugs with luteinizing hormone activity such as human chorionic gonadotropin (hCG)</strong></em></p><p><em><strong></strong></em></p><p><em><strong>*Clomiphene use results in a distinct pattern of high-normal to high gonadotropins and high serum testosterone without suppression of HDL-C or low SHBG</strong></em></p><p><em><strong></strong></em></p><p><em><strong>*The topic of discontinuation of use is best approached in a nonjudgmental manner by educating them about long-term adverse consequences</strong></em></p><p><em><strong></strong></em></p><p><strong><em>*There is not any recommended approach to helping men wean off anabolic androgenic steroid regimens but a prescription of modestly higher than replacement dosages of testosterone followed by a tapering of the dosage might be effective and prevent loss to follow-up. If the duration of abuse was less than 1 year, it is reasonable to recommend discontinuation of androgenic steroid abuse without a prescription for testosterone therapy. Most men who have abused androgenic steroids for less than 1 year will recover serum testosterone and gonadotropins to normal within 1 to 2 months</em></strong></p></blockquote><p></p>
[QUOTE="madman, post: 239184, member: 13851"] [B]CLINICAL CARE POINTS[/B] [I][B]*The possibility of androgenic steroid use should be considered in men who exhibit muscle hypertrophy, particularly if associated with infertility *Laboratory clues include elevated hemoglobin/hematocrit, low high-density lipoprotein-cholesterol (HDL-C), and low sex-hormone binding globulin (SHBG) *Hormone assessment demonstrates suppressed serum gonadotropins (follicle-stimulating hormone and luteinizing hormone) and low serum testosterone if abusing nontestosterone androgens, or high-normal to high serum testosterone, if abusing testosterone precursors or drugs with luteinizing hormone activity such as human chorionic gonadotropin (hCG) *Clomiphene use results in a distinct pattern of high-normal to high gonadotropins and high serum testosterone without suppression of HDL-C or low SHBG *The topic of discontinuation of use is best approached in a nonjudgmental manner by educating them about long-term adverse consequences [/B][/I] [B][I]*There is not any recommended approach to helping men wean off anabolic androgenic steroid regimens but a prescription of modestly higher than replacement dosages of testosterone followed by a tapering of the dosage might be effective and prevent loss to follow-up. If the duration of abuse was less than 1 year, it is reasonable to recommend discontinuation of androgenic steroid abuse without a prescription for testosterone therapy. Most men who have abused androgenic steroids for less than 1 year will recover serum testosterone and gonadotropins to normal within 1 to 2 months[/I][/B] [/QUOTE]
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Clinical Use of Anabolics and Hormones
Clinical Use of Anabolics and Hormones
Androgenic Steroids Use and Abuse
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