The Use of Anabolic-Androgenic Steroids & Associated Drugs

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madman

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Anabolic-androgenic steroids (AAS) and associated image and performance-enhancing drug use are now recognized as significant emerging public health issues. Once restricted to the elite sporting arena, recent decades have seen AAS diffuse through bodybuilding to the gym culture and an increasingly image-conscious general population. Countries across the globe have identified the use of AAS, for musculature enhancement within their population. The last 30 years have also seen the identification and recognition of the potential adverse consequences of this form of drug use, in particular, for those who use it at high dosages for prolonged periods of time. This inaugural professorial lecture will include a summary of some of the research that McVeigh has contributed in relation to the populations of AAS users and the associated potential harms. These findings will be discussed in the context of what this means for future research, policy development, and service provision for this population of drug users.

The lecture will conclude with a brief overview of the Anabolic Steroids UK (ASUK). Recently established by Manchester Metropolitan University and chaired by McVeigh, the network brings together 50 academics representing 20 UK universities and international partners from 10 countries. Integral to the network is the inclusion of practitioners working with AAS users and input from representatives from the AAS-using communities. The first event of this network is an online international conference: The public health implications of anabolic androgenic steroids, on 10th November 2020. Find out more about the conference here: https://www.anabolicsteroids.org.uk/c...

Jim McVeigh, Professor in substance use and associated behaviors


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Why should we be concerned?

*well, we've got good evidence for the harm that people experience from the use of anabolic steroids, not all people, and we don't know the exact reasons why some people for one a better expression get away with use for many years

*but we do know that the more you use and the longer you use the more damage that will be done in particular on things like cardiovascular disease and we've got new evidence emerging all the time and the key to this example is the change to the cerebral cortex and that impact on memory and cognitive function and that's work that's been led by Ashley Bjornabek in Oslo
 



 


















 
Why should we be concerned?

*well, we've got good evidence for the harm that people experience from the use of anabolic steroids, not all people, and we don't know the exact reasons why some people for one a better expression get away with use for many years

*but we do know that the more you use and the longer you use the more damage that will be done in particular on things like cardiovascular disease and we've got new evidence emerging all the time and the key to this example is the change to the cerebral cortex and that impact on memory and cognitive function and that's work that's been led by Ashley Bjornabek in Oslo
 
I believe every person should be free to do whatever he or she wants to do with their body. Some may choose to look better for whatever personal reason. We allow plastic surgery (not really risk-free!) and other options. The key is using PEDs and AAS intelligently!

I am tired of the "nanny" researchers that should be empowering people for harm reduction instead. Why not study educated and monitored bodybuilders? Because while stigma is rampant, no clinician will research this topic responsibly.
 
I believe every person should be free to do whatever he or she wants to do with their body. Some may choose to look better for whatever personal reason. We allow plastic surgery (not really risk-free!) and other options. The key is using PEDs and AAS intelligently!

I am tired of the "nanny" researchers that should be empowering people for harm reduction instead. Why not study educated and monitored bodybuilders? Because while stigma is rampant, no clinician will research this topic responsibly.
I posted the following reply to a researcher from one of the academic groups I belong to. She asked why monitor an AAS user.

"The importance is knowledge. What we know with some degree of certainty is that bodybuilders that polypharmacy (including rec drugs, stimulants, alcohol, etc.) who want to take their level of muscularity to that of a Belgian Blue with very high and prolonged doses of AAS will likely have multi organ issues sooner than later and suffer premature death, most likely from cardiovascular disease (CAD or heart failure). What we don’t know is where and when, and in whom the process begins, and if caught early enough, is it reversible? Moreover, what is the individual total threshold dose that brings about pathologic changes, what drugs and other variables add to the various pathologies, can some of these changes be mitigated with for example and ARB or ACE and avoidance of stimulants and rec drugs or specific AAS. The use of AAS is not going away and for many that want to increase their lean mass beyond their genetic limits, abstinence from AAS is not an option regardless of what the government does or medical community says. However, low to moderate dosing under a physician’s supervision with proper monitoring as outlined in this post would be the most reasonable solution to the problem. Certainly not all BBs or users of AAS will work with a doctor or stick with low to moderate dosing and accept something less than than the short lived Belgian Blue look, but I personally believe we could significantly reduce the risk of low to moderate use and add to the severely lacking body of literature on controlled/supervised use of AAS for both cosmetic and clinical application with a more reasonable and controlled approach. With roughly 50% of AAS users taking < 500 mg/wk (hardly a massive dose), that is a big chuck of users that could be moved from the underground market of uncontrolled, non-medically supervised and criminalized use to a much lower risk environment. Lastly, getting someone off AAS is more likely to have a successful outcome when undertaken with medical supervision by someone that fully understands the process (both mental and physical) not bro science."
 
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. She asked why monitor an AAS user.
Why do we measure stuff?



Perhaps one day we will have a genetic screening tool for AAS use fitness.
 
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