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 Chapter[ XI. Recommendations ]

 Section[ C. 3. Explain the Health Risks in Context and Provide Education on Alternative Methods to Achieve the Same Results                                                              ]      

                                                                                                                                                                                                                            


3. Explain the Health Risks in Context and Provide Education on Alternative Methods to Achieve the Same Results


Most of the performance enhancing substance educational programs we reviewed

address the side effects of performance enhancing substance use and the deleterious health

effects of long-term use. According to Dr. Hoffman, however, these health risks, although

important, generally will not deter a player from using these substances. This is because players

who use or are considering using performance enhancing substances do not consider them

dangerous if used properly. This view is reinforced when players see that other players who they

know are using performance enhancing substances are not experiencing the adverse health

effects described in the educational materials.


To counter this skepticism, Dr. Hoffman proposes that, while it is important to

educate players about the dangers of performance enhancing substances, it is just as important to

educate them on how to achieve the same results through proper training, nutrition, and

supplements that are legal and safe. While the clubs have done a better job in recent years of

informing players of the importance of fitness and proper nutrition through their strength and

conditioning coaches, this message should be delivered in the context of substance use

prevention, so that the players understand they can achieve some of the same benefits through

training and fitness and, if necessary, legal supplements.


Another health risk associated with performance enhancing substances is the

unknown nature and origin of the substances. Players need to be aware of the risks associated

with buying black market drugs. Veterinary steroids are sometimes sold illegally to steroid


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abusers.576 Similarly, many of the home laboratories that were raided by the Drug Enforcement

Administration as part of its “Operation Raw Deal” in 2007 were unsanitary, with steroids being

mixed in bathtubs or bathroom sinks in some instances.577 An effective education program must

highlight the potential health risks associated with taking drugs of unknown origin without a

prescription.



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