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Dezvoltare de Musculatura
Dezvoltare de Musculatura
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EDITOR’s LETTER
BY STEVE BLECHMAN, Publisher and Editor-in-Chief
CEDRIC M CMILLAN
Can He Bring Back Bodybuilding’s Golden Era?
Cedric McMillan has been hovering over the years prior. In “Extra Curry: How Brandon Added 25
bodybuilding landscape for years, like a presence Pounds of Muscle in 3 Months and Won 2 Shows” on page
from a higher authority with a message for his fellow 92, Brandon talks about the astounding improvements he
competitors: control your guts if bodybuilding is going made, an achievement that’s unheard of for a 34-year-old
to return to the days of aesthetically pleasing physiques man who has already been training for over 15 years.
like we saw in the golden era of Arnold A set of wide, round delts is the
Schwarzenegger, Lou Ferrigno, Frank hallmark of a championship physique
Zane and Sergio Oliva. and gives a man the look of rugged
Can Cedric bring back power. In “On the Shoulders of Giants!
bodybuilding’s golden era? At 6’1”, Training Tips and Routines From
the 39-year-old packs 290 pounds of 6 Deltoid Kings” on page 100, we
proportionate and flowing aesthetic gathered the best shoulder-training
muscle on his frame. Due to his
structure, trim waist and small hips,
comparisons have been made to Lee
Haney and to Arnold Schwarzenegger.
When he first saw Cedric’s physique a
few years ago, Haney said, “I was like
… what in the world? What a breath of
fresh air.”
Cedric became a poster boy for a
return to past values by no less a figure
than Schwarzenegger, who stated at the
2015 Arnold Classic that fourth-placed
Cedric was what a bodybuilder should
look like. Last March, Cedric won the
Arnold Classic— the most prestigious
title of his career— and became one
of the most popular bodybuilders in WHEN HE FIRST SAW
the world. In “Cedric’s Song” on page
84, Peter McGough follows Cedric CEDRIC’S PHYSIQUE
through the weekend that shook the
A FEW YEARS AGO,
LEE HANEY SAID,
bodybuilding world.
Brandon Curry shocked the
advice from men who built some Exercise Program” Nutrition ADVERTISING
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page 108. Zane has a sensational School Training” Bodybuilding
combination of qualities that are Science, page 122 Advanced Research Media, Inc. reserves the right to
reject any advertising at its discretion.
making him one of the fastest The rest of the book is
Advertisements meet legislation within country of origin.
rising stars of the 212 division. packed to the binder as
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Features
84 CEDRIC’S SONG
Cedric McMillan has long
marched to a different tune
than his fellow competitors.
Last March, he won the
Arnold Classic— the most
prestigious title of his
career. Peter McGough
follows Cedric through the
weekend that shook the
bodybuilding world.
By Peter McGough
92 EXTRA CURRY
How Brandon Added 25
Pounds of Muscle in 3
Months and Won 2 Shows
By Ron Harris
44 RESEARCH: NUTRITION
By Steve Blechman & Thomas Fahey, Ed.D.
52 RESEARCH: SUPPLEMENTS
By Steve Blechman & Thomas Fahey, Ed.D.
78 SUPPLEMENT PERFORMANCE
Creatine: What Is the Best Form? Be a Smart
Bodybuilding Consumer By Victor R. Prisk, M.D.
124 MUSCLETECH RESEARCH REPORT
FAT LOSS
40 RESEARCH: FAT LOSS
By Steve Blechman & Thomas Fahey, Ed.D.
DRUGS
56 RESEARCH: DRUGS
By Steve Blechman & Thomas Fahey, Ed.D.
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HOW I SEE IT with Shawn Ray and Kevin Levrone
course I have hosted many of them, too. The coaches. Do all the coaches know exactly their peaks, and looking either flat or spilled
atmosphere was always one of inspiration what they are doing in this aspect? Doubtful. over. That’s from the last-minute tricks that the
and discovery. How can someone do that if I certainly would never put a whole cocktail gurus employ. Theoretically, the guys today
they have simply been told what to do, every of drugs in my body without knowing exactly should all be showing up in top shape, since
step of the way? And why do today’s pros what each one was and why I was supposed they are paying a coach to make sure that
think they can’t make it in the sport without a to take it, and what the safe and effective dose happens.
coach? Arnold didn’t have a coach, and neither was. But I suspect that a lot of athletes simply Again, the worst aspect of all this, to me
did Frank Zane, Lee Haney or Lee Labrada, assume the coach is the expert, and leaves his personally, is that I just don’t see the individual
just to name a few. health in the coach’s hands. personalities of the athletes anymore. Who
One reason I think there is so much If the athletes today all looked better on is Big Ramy? Who is Shawn Rhoden or Phil
dependence on gurus today is that most of average than the stars of 20 or 30 years ago, Heath? I feel like I don’t know them the way
the athletes rely far more on chemicals. Of maybe you could justify all this. But as Dorian the fans knew Haney, Gaspari, Ray and so on.
course, drugs were used back in the day, Yates said in MD a while back, the guys today And the reason is that they aren’t making their
but things were much less complicated. are bigger, but not better. You rarely see the own choices and expressing themselves the
Now, you have guys using stacks of 10 or crisp, clear muscle separation and detail way a true champion should.
12 different things, with steroids, peptides, anymore that was common in the ‘80s and
etc. You practically need to be a pharmacist ‘90s. The balance is missing a lot of times, as Twitter: @LevroneKevin
to know how to use them all in conjunction, well. Guys have lagging body parts that they Instagram: kevinlevrone
properly. Rather than do the research on all never bring up. Years after turning pro, they www.levronereport.com
these substances and how they interact, are just bigger versions of the amateurs they www.levronesupplements.com
the athletes put that responsibility on their used to be. You also see more pros missing
“The guys today are bigger, but not better. You rarely see
the crisp, clear muscle separation and detail anymore
that was common in the ‘80s and ‘90s. The balance is
missing a lot of times, as well.”
I CHALLENGE
MY LIMITS
KEVIN ROY
WILDLAND FIREFIGHTER
@k_roy_bodybuilder
Read Kevin’s story at
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BY KA
A
AI GREENE
G
SALUTING IRIS,
CORY AND BEV
Led by company founder Vlad Yudin,
we at Generation Iron are currently in the
women’s bodybuilding, illuminating their
struggles— which are much more different
process of finalizing and editing the movie than the men’s. We learn of her entry into the
“Generation Iron 2” in time for its London sport, how she evolved into the champion she
premiere in May. As you know, the original was, what she did to achieve that and what
“Generation Iron,” which was released in she is doing now. We see her interaction with
2013, centered on the battle for the 2012 Mr. partner Hidetada Yamagishi, and as I look
Olympia title and the different personalities back on our filming, I’m drawn toward Iris’
giving their all to claim victory, with story and I’ll be more than interested on how
defending champ Phil Heath and myself that storyline is eventually presented.
seen as the main protagonists. Connecting with Iris made me think of a
The first movie was very much focused couple of women bodybuilders whose images
on that one event— the Mr. Olympia I really admired back in the day. I was 10
being the tip of the iceberg of the whole years old and doing push-ups in a small and
bodybuilding and fitness industry. dark backroom of an institutional facility.
There was a poster of six-time Ms. Olympia
Cory Everson standing on her tiptoes doing
a lat spread with an Olympia gold medal
around her neck. As a pre-pubescent 10-year-
old, I looked at that image and thought, damn
… if I attain even half her muscle, I’d be
satisfied. Inspired by Cory, I set my goal to be
much improved in the next year.
Then in the early ‘80s, a bodybuilding book
called Mass was published and there was a
black-and-white photo of Bev Francis helping
to illustrate a section on chest training. She
was hitting a most muscular, and while that
crab shot pose might be considered by some
to be unfeminine, that shot stayed in my mind
“Generation Iron 2” takes a much wider view, and inspired my gym efforts.
and really is a snapshot documenting the Looking at these photos of Cory and
whole bodybuilding and fitness world as Bev, displaying those round and hulking,
it exists in 2017. The movie shows how the veiny muscles that I couldn’t even name on
landscape has evolved and shifted, due to an anatomy chart, had a big effect on me.
the advent of social media and new figures Looking back on those early jump-starts to
and personalities that have been produced. my career makes me appreciate how far I’ve
Some of these personalities have never come on my bodybuilding journey. It’s the
competed onstage. understanding that with the right goals and
As I review what we have shot, one application, a man or woman can begin to
PER BERNAL STAGE; INSET: GENERATION IRON
segment stands out for me. It’s an mold another reality in which you create the
examination of women’s bodybuilding, which future you want.
was AWOL in the original. I was particularly
intrigued and inspired by the scenes we shot
with Iris Kyle, 10-time Ms. Olympia— just let “WITH THE RIGHT GOALS AND APPLICATION, A MAN OR WOMAN
that sink in, 10-time Ms. Olympia … wow! CAN BEGIN TO MOLD ANOTHER REALITY IN WHICH YOU CREATE
Iris, whose last title was 2014, in compelling
and candid style, opens the window into THE FUTURE YOU WANT.”
24 MD musculardevelopment.com June 2017
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presents
GENERATION RON
By Vlad Yudin
16 Get Friendly
With Fiber
Because we maintain
irregular hours, consume more processed
Not feeling like the man
or women you used to be? Consider
supplementing with DHEA. As you get into
your thirties your body’s levels of DHEA
food, and sometimes go without exercise,
start to decrease. Reduced
we are at times more susceptible to
levels of DHEA also usually
constipation than other times. Keep things
signifies reduced levels
moving, stay full, and help reduce your
of androstenedione,
holiday weight gain by getting at least
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17 “Just Ten
More Minutes”
DHEA today.
classes, are missing the point when it comes to the general population.
These activities are better than doing nothing. (The Wall Street
Journal, November 21, 2016)
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BRUTE SCIENCE
Training CUTTING-EDGE RESEARCH By Steve Blechman and Thomas Fahey, Ed.D.
muscle protein synthesis. It remains to be seen the loss of muscle tissue. Poor sleep patterns impair metabolic health, promote abdominal
if this training method is valuable for serious obesity, increase insulin levels, diminish blood sugar regulation, trigger abnormal blood
athletes. (Clinical Physiology Functional fats and raise blood pressure. Make sleep a priority in your training program. (European
Imaging, published online March 2, 2017) Journal of Applied Physiology, published online February 28, 2017)
BUILD
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Fat Loss CUTTING
G-EDGE
GE RESEARCH
R S
By Steve Blech
CH
d Thomas
hman and h h Ed.D.
Fahey, d .
ALCOHOL INCREASES
APPETITE AND
PROMOTES FAT STORAGE
Mice fed small amounts of alcohol for three days showed increased
appetites— according to a study led by Sarah Cains from the Francis
Crick Institute in London, U.K. Alcohol interferes with weight regulation
by preventing adipose tissue (fat cells) from releasing fat for fuel. At
the same time, alcohol’s high calorie content easily creates a positive
energy balance and increases fat storage. Drinking beer or other alcoholic
beverages affects both sides of the energy equation. Every gram of
g
alcohol has 7.5 calories— almost as much as fat. A typical eight-ounce
beer has 150 calories. Also, alcohol decreases the capacity ty to break doowow n
and use fats. Alcohol presents a triple whammy y for weight
g g gain: it is
high
g in calories, it increases appetite, and it inteerferes with fat use an nd
breakdown. (Nature Communications,, 8: 14014,, 2017))
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Fat Loss CUTTING-EDGE
By Steve Blechman and Thomas Fahey, Ed.D.
8-HOUR
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Nutrition CUTTING-EDGE RESEARCH By Steve Blechman and Thomas Fahey, Ed.D.
High-Protein,
Weight-Loss
Diets Promote
Cardiovascular
Health
Reduced-calorie diets containing
35 percent protein promoted
metabolic health better than
low-calorie diets containing 27 or
20 percent protein— according
to a study by Rocío Mateo
Gallego and colleagues from the
Aragon Health Sciences Institute
in Spain. Ninety-one women
followed a reduced-calorie diet for
six months that contained 20, 27
or 35 percent protein (80 percent
from animal protein). The high-
protein group showed the largest
improvements in fat loss, blood
fats and blood sugar regulation,
but there were no clear differences
between groups in weight loss.
The women tolerated the three
diets equally. High-protein, low-
calorie diets promote health and
reduce the risk of heart disease.
(Clinical Nutrition, 36: 371-379, 2017)
ORAL
DNA SHOCKER! PHOSPHATIDIC
Subway Chicken Half Soy ACID PROMOTES
TV shows such as “CSI: Miami” use DNA to MUSCLE PROTEIN
SYNTHESIS
capture murder suspects. A novel use of the
technology is to assess food composition of meals
served in restaurants. A Canadian Broadcasting Phosphatidic acid (PA) is
Corporation report revealed that DNA tests of an important component of
chicken sold at Subway sandwich restaurants phospholipids, which are the major
contained about 50 percent soy and 50 percent components of cell membranes.
chicken. McDonald’s and Wendy’s, on the other Phosphatidic acid and the amino acid
hand, contained close to 100 percent chicken. leucine are important regulators of
Several years ago, scientists discovered that muscle protein synthesis. Brooks
menu items sold in many sushi restaurants in Mobley from Auburn University, and
New York City contained substitute “garbage fish” co-workers, in a study on rats, found
instead of more expensive halibut and tuna. DNA that PA with or without consumption
is a complicated but effective method for keeping of whey protein increased the activity
restaurants honest. (USA Today, March 2, 2017) of a metabolic pathway critical
for muscle protein synthesis (i.e.,
mTORC1). Many recent studies have
shown that whey protein and leucine
activate muscle protein synthesis,
even in the absence of muscular
exercise. We need more information
to determine if PA is an effective
GETTY IMAGES
GETTY IMAGES
which promotes increases in muscle decreased appetite and promoted satiety— particularly in a second meal during the day. Drinking milk
mass and strength. (PlosOne, 12(3): is no magic weight-loss bullet, but it is an excellent source of protein, calcium, energy and fluid, and an
e0173174, 2017) important part of an athletic diet. (Clinical Nutrition, 36: 389-398, 2017)
WHEN THE GAME GETS TOUGH, ONLY THE
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Health CUTTING-EDGE RESEARCH By Steve Blechman and Thomas Fahey, Ed.D.
Exercise Is
Important,
But Keep
Moving All Day
Physical activity is movement by
muscles, such as standing and
walking that require energy, while
exercise is planned repetitive
movement such as jogging or weight
training. Both are important—
according to a study led by Nyssa
Hadgraft from the Baker Heart and
Diabetes Institute in Melbourne,
Australia. Walking fi ve minutes
each hour during an eight-hour
workday improved employee
emotional well-being and enhanced
the organizational structure in the
workplace. While the popularity
of the program is predictable,
researchers did not report important
data on fi tness, metabolic health,
Is Testosterone the Fountain of Youth?
Television advertisements push testosterone supplements for middle-aged and older men with
absenteeism or health care costs. “low T.” Low testosterone in aging men is linked to premature death, heart disease, erectile
This study was interesting, but they dysfunction, depression, decreased muscle and bone mass, and reduced energy levels. This
should have reported data important has triggered an avalanche of testosterone prescriptions that produced revenues of $2.8 billion
to most businesses. Exercise is in 2016 and projected revenues of $3.8 billion by 2018. An editorial by David Handelsman
important, but keep moving during argued that physicians should treat the cause of low testosterone in aging men rather than
the day. (International Journal of attempting to increase the concentration of testosterone in blood. The symptoms linked to low
Behavioral Nutrition and Physical testosterone levels can often be improved through exercise, fat loss, improved diet, reduced
Activity 14: 27, 2017) stress and more sleep. (Journal of the American Medical Association, 317: 699-701, 2017)
BIGGER
& STRONGER THAN EVER
AJ SHUKOORI
IFBB PRO
@AJFitnow
Read AJ’s story at
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Health CUTTING-EDGE RESEARCH By Steve Blechman and Thomas Fahey, Ed.D.
DOES MUSIC
Promote Neuroplasticity?
Your brain changes when you learn
physical skills such as the snatch in
weightlifting or the forehand in tennis— a
process called neuroplasticity. Learning
skills alters nerve synapses— connections
between nerves— and lays down more
myelin on nerve tracts that allow you to
eventually “play back” skills like a reflex.
Myelin is a fatty nerve covering that
speeds the rate of nerve conduction, which
allows you to perform skills smoothly and
consistently.
Listening to music when learning skills
may promote neuroplasticity— according
to Elizabeth Stegemoller from Iowa State
University. She has used music to improve
motor learning in people with Parkinson’s
disease, autism, traumatic nerve injury
and stroke. Music reinforces the brain’s
reward circuitry, which stimulates cortical
remodeling. The rhythmical nature of music
causes more synchronous firing of nerves,
which also promotes neuroplasticity.
Unfortunately, little data supports
Stegemoller’s theory. Motor skills are
extremely specific. Athletes should
strive to build precise techniques
by building nerve tracts that enable
fast and smooth performance. Music
High Blood Pressure could promote or hinder this process.
Unpleasant or aggravating music could
LOW
Rates Increasing interfere with focus necessary for making
TESTOSTERONE
Worldwide
precise changes in the nervous system.
Conversely, pleasant music might promote
Worldwide, nearly 1 billion people
have hypertension (high blood
neuroplasticity— provided that the music
does not decrease focus on the task.
Triggers Prostate
pressure)— a pressure greater than We need more research before we can Inflammation
140 over 90 mm Hg. The disease recommend using music to enhance motor Low testosterone is linked to
has increased by nearly 13 percent learning. (The Scientist, March 2017) decreased muscle and bone mass,
since 2000. Hypertension increases depression, cardiovascular disease,
the risk of heart attack, stroke, chest insulin resistance, impotence, obesity
pain, kidney disease and sexual and high blood pressure. It also
dysfunction. The problem is most increases the death rate from prostate
serious among Pacific Islanders, cancer— according to Ye Zhou and
central Asians and Eastern Europeans, Jeremy Jones from the City of Hope
and North Africans. Hypertension is National Medical Center in Duarte,
treatable and preventable through California. Low blood testosterone
regular exercise, reduced sodium levels caused changes in protein
intake, increased fruit and vegetable synthesis regulation in prostate cells
consumption, and taking prescribed in mice, which triggered infl ammation
medications for reducing blood and prostate enlargement. It is
pressure. A study called the Systolic not known whether testosterone
Blood Pressure Intervention Trial supplements can reverse this process.
(SPRINT) showed that the rates of Prostate cancer is the second-leading
heart attack, heart failure and stroke cause of cancer-related death in men
in the United States, causing more
GETTY IMAGES
DO KETONES BOOST
PERFORMANCE?
During the Olympics, the media reported that some
cyclists were supplementing ketones to improve
performance. Ketones produced naturally during
metabolism cause euphoria. Cyclists consume ketones
supplements to delay fatigue. The brain uses mainly
glucose (sugar) for fuel but it can also use ketones— such
as acetone, acetoacetate and beta-hydroxybutyrate.
During low-calorie dieting, the body produces ketones
to supply fuels to the brain. A literature review by
researchers from Maastricht University led by Philippe
Pinckaers concluded that supplementing ketones has
no effect on physical performance. The results are
predictable because the breakdown of ketones releases
energy more slowly than carbohydrates. (Sports Medicine,
published online July 16, 2016)
CLA LINKED TO
LIVER DAMAGE
Conjugated linoleic acid (CLA) is a fatty acid found
in beef and dairy fats and is also available in higher
concentrations in CLA supplements. CLA is a proven
fat fighter and is popular with bodybuilders. It
reduces body fat by increasing energy expenditure
and fat use. A study on rats by Brazilian scientists,
led by Camila de Moraes from the Central University
Hermínio Ometto in Uniararas, Brazil found that
feeding the animals CLA for 21 days triggered
mitochondrial uncoupling. This means that energy
was lost as heat instead of capturing it as fat.
However, the CLA also promoted fatty liver disease
(hepatic steatosis). CLA is a potent fat fighter, but
it may have unacceptable side effects. (Archives of
Endocrinology Metabolism, 61:45-53, 2017)
ANABOLIC STEROIDS
Stiffened Abdominal Blood Vessels
High blood pressure (hypertension) is sometimes called the silent killer because of the
lack of obvious symptoms. It can lead to coronary artery disease, heart failure, stroke,
erectile dysfunction and kidney disease. Chronic anabolic steroid use promotes blood
pressure problems. Steroid users often develop incredible levels of strength that can
put a significant load on the heart. Brazilian scientists from the Federal University of
the Espírito Santo, in a study on rats, found that long-term treatment with nandrolone
decanoate caused increased resistance in the blood vessels supplying the gut, which
are extremely important for blood pressure regulation. Blood vessel stiffness is an
important mechanism for developing high blood pressure. It is not known whether these
results apply to humans. (Steroids, 120:7-18, 2017
17))
TESTOSTERONE Low te
to pre
t stostero
emature d
one in aging men is linked
death, heart disease,
anabolic steroid users are typically more fit than non-users, which also make health problems, the drug appears to
comparisons difficult. Anabolic steroid use in adolescents might have severe long g- accelerate coronary artery disease in
term consequences but we can’t make that determination from this study. (Journa al older men. (Journal American Medical
of Steroid Biochemistry & Molecular Biology, published online February 5, 2017) Association, 317: 708-716, 2017)
56 MD musculardevelopment.com June 20
0
017
7
Drugs CUTTING-EDGE RESEARCH By Steve Blechman and Thomas Fahey, Ed.D.
Many people use Listerine mouthwash to keep their mouths “kissing sweet” because
LISTERINE nobody wants to kiss someone with jockstrap breath. Researchers from the Melbourne
Sexual Health Center in Melbourne, Australia found that Listerine killed gonorrhea
FIGHTS
germs (Neisseria gonorrhoeae, NG). Men treated for gonorrhea infections with a Listerine
mouthwash (one-minute rinse) had substantially lower NG levels in their mouth tissues
than those treated with a placebo (fake Listerine). Researchers speculated that daily
GONORRHEA use of Listerine could prevent many types of sexually transmitted diseases. The take-
home message is to rinse your mouth with Listerine before and after sex. (Sexually
Transmitted Infections, 93: 88-93, 2017)
GETTY IMAGES
THE SCIENTIFIC
APPROACH TO
FAT
BURNING
Over-the-counter fat-reducing drugs and
supplements strengthen the credibility of
their claims through the use of scientific-
ish reports and anatomical diagrams with
bold arrows. While the science might be
confusing (sometimes by design), who can
say “no” to bold RED arrows? To avoid being
inappropriately swayed, it is important for
the consumer to understand the science well
enough to discern among truth, fiction and
falsehood.
FACTS ON FAT
To keep things simple, fat in this article
refers to the yellowish tissue that accumulates
under the skin and around organs, often the
result of overeating and leading an inactive
lifestyle. Each meal we consume usually
contains more calories than the body can use
immediately, so excess nutrients are shuttled
into tissues specifically designed to store the
calories for later use. Sugars and some amino
acids (from protein) can be stored as long-chain
starch called glycogen. Most glycogen stores
are in skeletal muscle and the liver. Fat and
excess sugar can also be stored as, well, fat.
Fat is preferentially stored in specialized tissue
GLUTTONY IS ONE OF THE SEVEN
called adipose, which is mostly comprised DEADLY SINS; OBESITY IS A DISEASE
of white fat cells. There are other types of fat STATE. FOR OBESE PEOPLE, MANY OF
cells— brown and beige— but they have a
different function. Though most people bemoan THE INITIAL METABOLIC BENEFITS
the presence of adipose tissue, it is a vital SEEN WITH WEIGHT LOSS ARE THE
organ, serving a variety of needs. Adipose
stores energy for later use during periods RESULT OF REDUCING FAT CELL SIZE,
of starvation or prolonged activity; prevents NOT JUST LOSING WEIGHT.
the deposition of fat in abnormal tissue and
organs, such as arteries, intermuscular depots
or within the liver; and releases hormones and
PER BERNAL
PLAY.
It’s what we love to do. So play harder with NO2 Red Extreme®. It will
help you build and preserve the gains you’ve trained so hard for and
allow you to push through to your next level.†
REPEAT >
It’s what we thrive on. Figuring out what works, hitting our goals and then
repeating everything as we strive for the next level. Over and over again.†
References:
1. Stice E, Yokum S, et al. Weight gain is associated
with reduced striatal response to palatable food. J Neurosci
2010;30, 13105-13109.
2. Rawson R. (1999). Treatment of stimulant use disorders.
3. Volkow ND, Fowler JS, et al. Imaging dopamine’s role
in drug abuse and addiction. Neuropharmacology 2009;56
Suppl 1, 3-8.
4. Kohlie R, Perwitz N, et al. Dopamine directly increases
mitochondrial mass and thermogenesis in brown adipocytes. J
Mol Endocrinol 2016;58, 57-66.
5. Su W and Jones PJ. Dietary fatty acid composition
influences energy accretion in rats. J Nutr 1993;123, 2109-2114.
6. Vaughan RA, Garcia-Smith R, et al. Conjugated
linoleic acid or omega 3 fatty acids increase mitochondrial
biosynthesis and metabolism in skeletal muscle cells. Lipids
Health Dis 2012;11, 142.
7. Thomas JR, Lockwood PA, et al. Tyrosine improves
working memory in a multitasking environment. Pharmacol
Biochem Behav 1999;64, 495-500.
8. Katzenschlager R, Evans A, et al. Mucuna pruriens
in Parkinson’s disease: a double blind clinical and
pharmacological study. J Neurol Neurosurg Psychiatry
2004;75, 1672-1677.
9. Tharakan B, Dhanasekaran M, et al. Anti-Parkinson
botanical Mucuna pruriens prevents levodopa induced
appears to improve dopamine function more during exercise.17 This is probably why this plasmid and genomic DNA damage. Phytother Res 2007;21,
1124-1126.
potently, relative to steady-state cardio. In fact, class of drug has been used to enhance 10. Zheng X, Takatsu S, et al. Acute intraperitoneal injection
one investigation by Marusiak et al.15 showed athletic performance. Of course, using of caffeine improves endurance exercise performance in
that HIIT improved overall mobility in patients psychostimulants as an ergogenic aid is association with increasing brain dopamine release during
exercise. Pharmacol Biochem Behav 2014;122, 136-143.
with mild to moderate Parkinson’s disease, extremely dangerous, and should be avoided at 11. Habowski SM, Sandrock JE, et al. The effects of
signifying improved dopamine function within all costs. Yet, reversing the impact of dopamine Teacrine™, a nature-identical purine alkaloid, on subjective
these patients. degradation from intense training, by natural measures of cognitive function, psychometric and
hemodynamic indices in healthy humans. Int J Med Sci 2014;11,
Another intense training modality using means, represents a safe way to mitigate CNS 1-15.
heavy resistance training, at 10 reps per set fatigue for more energy and better performance 12. Willner P. Dopamine and depression: a review of recent
with relatively short rest periods of 10 seconds, while training. evidence. I. Empirical studies. Brain Res 1983;287, 211-224.
13. Marinelli S, Pascucci T, et al. Activation of TRPV1 in the
also had a considerable impact on dopamine In closing, the neurotransmitter dopamine VTA excites dopaminergic neurons and increases chemical-
activity. This effect was shown in a recent has many vital roles influencing divergent and noxious-induced dopamine release in the nucleus
study by Kraemer et al.16, where highly trained functions within the human body that range accumbens. Neuropsychopharmacology 2005;30, 864-870.
14. Al-Baghdadi OB, Prater NI, et al. Inhibition of
competitive bodybuilders and powerlifters from mental acuity, psychological well-being monoamine oxidase by derivatives of piperine, an alkaloid
performing this training mode showed large and overall vitality. Therefore, enhancing from the pepper plant Piper nigrum, for possible use in
increases in dopamine levels. dopamine activity with the Dopa Rush™ Parkinson’s disease. Bioorg Med Chem Lett 2012;22, 7183-7188.
15. Marusiak J, Zeligowska E, et al. Interval training-
diet, exercise and supplement plan will induced alleviation of rigidity and hypertonia in patients
REDUCE FATIGUE AND ENHANCE reestablish, or even embellish, the capacity with Parkinson’s disease is accompanied by increased basal
MENTAL FOCUS of this neurotransmitter to advance physical serum brain-derived neurotrophic factor. J Rehabil Med 2015;47,
372-375.
Enhanced dopamine function from and mental health. Moreover, the ability to 16. Kraemer WJ, Noble BJ, et al. Physiologic responses to
an optimal diet, exercise and nutritional stop unsound lifestyle habits should also heavy-resistance exercise with very short rest periods. Int J
supplementation regimen can also significantly be improved, as improved dopamine activity Sports Med 1987;8, 247-252.
17. Roelands B, Watson P, et al. A dopamine/noradrenaline
reduce fatigue caused by an exhausted central most certainly alleviates much of the torment reuptake inhibitor improves performance in the heat, but only
nervous system (CNS), providing greater focus provoked when attempting to conquer poor at the maximum therapeutic dose. Scand J Med Sci Sports
and more intense training in the gym for longer habits and addiction. 2012;22, e93-98.
sessions completed on nonconsecutive days For the more experienced weightlifter, encourages the use of split workout routines
while providing one to two days of exercise- promoting continued muscle growth requires that maximize exercise volume without
free rest days between workouts. Some a gradual increase in exercise stimuli. dangerously depleting recuperation time.
For most of Michael Rudolph’s career he has been engrossed in the exercise world as either an athlete (he played college
football at Hofstra University), personal trainer or as a research scientist (he earned a B.Sc. in Exercise Science at Hofstra University
and a Ph.D. in Biochemistry and Molecular Biology from Stony Brook University). After earning his Ph.D., Michael investigated the
molecular biology of exercise as a fellow at Harvard Medical School and Columbia University for over eight years. That research
contributed seminally to understanding the function of the incredibly important cellular energy sensor AMPK— leading to numerous
publications in peer-reviewed journals including the journal Nature. Michael is currently a scientist working at the New York
Structural Biology Center doing contract work for the Department of Defense on a project involving national security.
CREATINE
WHAT IS THE BEST FORM?
Be a Smart
Bodybuilding
Consumer
As you can see by the ads in MD, the supplement
industry is in constant flux. There are new products
and formulations introduced to the market every day.
However, it is very rare for a product or especially
an ingredient to create noteworthy evolution in
supplement performance. Arguably, the greatest
leap up this axiomatic evolutionary ladder occurred
with the advent of creatine supplements in the 1990s.
Creatine has proven over and over to be “the real deal”
in clinical research and bro-science. It’s a muscle-
building, performance-enhancing supplement that
nearly all athletes should use.
Many innovative forms of creatine have hit the
market since the introduction of creatine monohydrate
in the early 1990s. Companies bank on the fact that
creatine, at least in monohydrate form, is a reliably
effective supplement. Athletes and even average
consumers are familiar with the name “creatine,”
whether they think it is a performance-enhancing drug
or a healthy supplement. In order to create new buzz
about creatine, many different angles have been used.
First, creatine can come in various physical forms.
These could be liquids, powders, gels, chews or
pills. These products may mix creatine with other
supplements in the hope to increase absorption or
effectiveness. Second, creatine comes in different
chemical forms (i.e., salts and esters). Also, because
creatine is technically an amino acid, it can be
combined with other amino acids to make a peptide
chain (di- and tri- peptides). We will go into more detail
about this in the content that follows. Third, it has been
suggested that these various forms of creatine act
physiologically different than creatine monohydrate.
Claims of better absorption, greater strength gains, or CREATINE MONOHYDRATE SUPPLEMENTATION
less side effects are used in marketing to differentiate IS THE MOST SCIENTIFICALLY RESEARCHED
products from creatine monohydrate. With all of this FORM OF CREATINE, IS SAFE AND VERY
variety, has any form been shown to outperform
EFFECTIVE FOR BODYBUILDING AND SPORTS
PER BERNAL
what, I kinda like “blessed with the perfect genetic blueprint.” But can Cedric be a
threat to six-time Mr. Olympia Phil Heath? Not in Haney’s opinion,
how Cedric looks. who cited Cedric’s lack of consistency and the work and dedication
put forth by other very successful pros with lesser genetics who
I want to slowly “defied the odds.”
“If Cedric had what we called in the old days, ‘the eye of the
win the people over tiger,’ along with that physique, he’d be unstoppable,” Haney told
MD’s Ron Harris in “The Ronline Report” on musculardevelopment.
and that’s what I’m com. “Does he have the eye of the tiger to go with that physique?
trying to do.”
It has taken him too long to get where he has got. The eye of the
INSET: PER BERNAL
X RA
THE GREATEST TRANSFORMATION
OF A PRO— EVER
It’s a rare thing for a seasoned pro bodybuilder to
gain any appreciable amount of new muscle mass in
a short time frame. The best example fans often refer
back to is the transformation of Dorian Yates between
his first Mr. Olympia win in 1992 at 242 pounds, and
the 257 pounds that sealed his second title in 1993. But
Yates himself has stated for the record that he didn’t
actually gain 15 pounds of new muscle tissue. He had
in fact overdieted for the Helsinki show in ’92, and lost
approximately 10 pounds of muscle in the final weeks
of prep. So the net gain in one year’s time was more like
five pounds.
Contrast Dorian’s story to what was recently
accomplished by Tennessee’s Brandon “The Prodigy”
Curry. Curry competed in several IFBB events in 2016 at
220 pounds. In December, he traveled to Kuwait to train
at Oxygen Gym, where he would make the best gains
of his life. On March 11, Brandon stepped onstage at the
New Zealand Pro at 246 pounds, and in better condition
than he’d displayed since winning the 2008 NPC USA
Championships nearly nine years prior. This was 25
pounds of new muscle mass, on a 34-year-old man who
had already been training for over 15 years, an achievement that’s unheard of.
To say that Brandon shocked the entire bodybuilding industry with the bigger, more ripped package
he unveiled in New Zealand would be an understatement. With his incredible shape and structure also
providing ample ammunition, he was easily able to defeat pre-contest favorite Dallas McCarver, himself By Ron Harris
coming off a runner-up finish at the Arnold Classic in Ohio the week before. Curry went on to the Arnold
Classic Australia a week after New Zealand, and earned yet another win. Suddenly, all the talk was about Photography
Brandon and the astounding improvements he had managed to make in a brief three months. by Gary Phillips
SHOULDERS
On The
Training Tips need to ask yourself if you are feeling the right area
working, and if you are getting a pump in that area.
If you aren’t, you need to look at your form and you
probably need to go lighter until you get the right
feeling and pump.”
6 Deltoid Kings
BY RON HARRIS
to do more than 12, use a little more weight. It’s a
little bit of work to find that good balance for the right
weight, but this is how you get the best results.”
DO LATERALS FIRST
“I find that when I do laterals first, I feel
the presses working the muscle fibers a lot
more effectively than if I press first. Many
times I do my presses last on shoulder
day. It’s not so different from squatting
last on leg day, which I’ve been doing for a
while now. The weights can’t be as heavy,
but in this case that’s not a bad thing;
quite the opposite. Less weight is safer
on your joints, and at that point where the
muscle is fatigued already, it’s working the
muscle as hard if not harder than a heavier
weight would have.”
JAY CUTLER
LATERALS CAN COME FIRST
Many times, Jay does his lateral raises first, to get
a good pump going in the medial heads of his delts as
well as for a pre-exhaust effect. “I really believe that a
pumped muscle responds better to heavy weights, and
that you’ll feel the compound movement that much better
if you do an isolation movement first,” he points out.
Jay’s style of performing lateral raises might raise
an eyebrow among the form Nazis out there (who, I feel
the need to mention, often have very little muscle mass
to show for their perfect form in the gym), but it’s what JAY’S SHOULDER ROUTINE
works best for his particular structure. “You never know Seated Dumbbell or Machine Press 4 x 6-10
what someone is feeling when they do an exercise a Dumbbell Lateral Raises 4 x 10
certain way, which is why it’s ignorant to judge another Front Barbell or Dumbbell Raises 4 x 10
person’s form— especially if it’s obviously working well Bent Dumbbell Rear Laterals 4 x 10
for them.” High Pulley Rows or Cable Rear Laterals 4 x 10
One look at the bulging round caps of Jay’s shoulders Seated Machine Laterals (FST-7 “sevens”) 7 x 10
should be indication enough that the form he has Shrugs (dumbbell, barbell or machine) 5 x 12
adapted, which involves leading with the elbows rather
DEXTER JACKSON
Dexter’s Top 4 Shoulder-Training Tips
1. TRAIN SMART, NOT JUST HARD.
“If you have any desire to stay in this sport a long time, you have to learn
to pay attention to your body and not ignore warning signs. Whenever you
feel a strange ache or pain that could be the beginning of an injury, don’t try
to ‘train through it’ and just hope for the best. Take a week or two off and don’t
train at all. Crazy? This is what I have always done, and I have never had a
training injury. Not one. I don’t think too many guys training hard for 25 years
can really say that.”
BRANCH WARREN
How He Turned a Weak Body Part
Into a Strong Point
“My shoulders were my worst body part, for sure. My legs
are genetically gifted, but I am very sure my delts are not at “I can see pressing on a
all. It just took years of hard work. For about six or seven years, machine or using cables
I trained them twice a week. I had to stop that after a couple
of months because they were starting to feel like mush. They
as maybe a finishing
weren’t recovering. move or to hit the rear
“My shoulders were weak both to look at, and in actuality.
I remember struggling to try and get just a couple of reps with
delts, but barbells and
95 pounds on the military press as a teenager. Pretty sad. I dumbbells are what will
had to get pretty creative to bring my shoulders up. For a long build huge shoulders,
time, I would pick one shoulder exercise every day and do five
or six sets of it. That was no matter what else I happened to be for the most part.”
training that day. I would throw in laterals at the end of chest –Branch Warren
day, and rear delts and front raises after back. I also did my
full shoulder workout once a week. Later, I did shoulders twice
a week with a heavy and a lighter day for three years, and that
also helped them grow. But I knew if I did that forever, they
would have just gotten overtrained.
“The exercises I did in the early years are the same ones I do
today: military presses, lateral raises, rear laterals and upright
rows. You don’t need to get too fancy with shoulders. My form BRANCH’S SHOULDER ROUTINE
has changed a lot on certain things. I was training with these Reverse Pec Deck 4 x 15
older guys who were all huge and strong, including Ronnie Seated Barbell Military Press 4 x 10
Coleman and Brian Dobson, and I was determined to use the Dumbbell Lateral Raises 4 x 10
PER BERNAL; MICHAEL NEVEUX
same weights that they did. On presses I was OK, but on my Dumbbell Front Raises 3 x 10
lateral raises it was all momentum. My form sucked and my lack Standing Machine Press 3 x 15
of side delts showed it. It got to the point where I finally realized superset with
how stupid I was being. I cut the weights in half, used much Barbell Upright Rows 3 x 10
stricter form with my arms pretty much locked straight the whole Seated Overhead Cable Press 3 x 12
time, and all of a sudden I could feel my shoulders doing the
work. They started responding soon after that.”
3. OVERTRAINING CAN
KEEP YOU SMALL.
“The first few years I was training, I was
sure that more was better. Work out more
days a week, do more exercises, more sets.
You know what? My gains were horrible.
Only after I started talking to more people
and reading up on recovery did I realize that
I might have been screwing myself. Once I
started cutting back on how much and how
often I trained, the muscle mass started to
come finally. If you haven’t been making
any gains, don’t always think the solution is
more training. Most of the time, the solution
is less training and more rest.”
SHOULDER BOMBS
This is one shoulder blaster that helped earn
Oma her nickname of “The Trainer From Hell,”
and Winklaar still keeps it in his shoulder-training
repertoire. I will let him explain how this odd but
intense movement is done.
“Shoulder bombs start at about what would be
the middle of a lateral raise,” he begins. “Starting
with your arms straight out to your sides and
your palms facing up to the sky, you bring the
dumbbells up in a half-moon shape and rotate your
hands down. At the top position, the dumbbells are
almost touching, your pinkies are up in the air, and
ROELLY’S SHOULDER ROUTINE
your thumbs are aimed at the ground.”
PER BERNAL; MICHAEL NEVEUX
SECOND-GENERATION BODYBUILDER
Zane is the son of Mike and Michelle Watson, both accomplished
amateur bodybuilders. Mike won the Canadian Middleweight title
twice, and was runner-up on four other occasions. He also took
fifth place as a middle at the 1978 IFBB Mr. Universe. Tom Platz
won the class there, and beat out Mike Mentzer for the overall. Yet
oddly enough, young Zane (named after Zane Grey, famed Western
author best known for Riders of the Purple Sage, and not three-time
Mr. Olympia Frank Zane) wasn’t overly interested in becoming a
bodybuilder himself. It wasn’t until he was 18 that he finally began
weight training. “My dad was an entrepreneur who owned a chain
of fitness clubs, and he sold them off,” he tells us. With more time
on his hands, Mike started training and coaching his teenage son.
Zane enjoyed working out more than he had AESTHETICS AND POSING – afternoon’s judging round.
anticipated, and especially liked the way his YES, THEY DO COUNT! “For the longest time, the night show
body responded. As I noted the moment I first saw Zane, he and the posing round really didn’t matter,”
Genetically, Zane acknowledges he’s a is probably the tallest 212 pro. If you think of he states. “Now they do, at the Arnold
larger version of his father. “My dad was every inch of height as equating to about 10 Classic shows, and I think that’s great. We
always known for his legs too,” he explains. pounds of mass, he gives up 30-40 pounds to are professionals, and we should present
“He competed between 170 and 180 pounds. the shorter guys like Dixon, Jose and Ahmad. ourselves as such.”
I have a larger frame, and I’ve been able “That’s not always a bad thing, though,” he
to build more mass.” At eight weeks out notes. “There’s only so much muscle you can DORIAN-INSPIRED TRAINING
from their regional or level 1 show, the pack on a smaller frame with shorter limbs Though Zane has trained with fellow
Hamilton Championships, they decided to before it’s no longer aesthetically pleasing.” Canadian Ben Pakulski many times, it’s
go for it. Zane won the whole thing, and Watson’s shape and flowing lines six-time Mr. Olympia Dorian Yates who has
proceeded to do the same at the Ontario certainly scored him points with the fans and had the biggest influence on his training
Championships soon after, before placing judges, as did his masterful posing routine. style. “My dad was a huge Dorian fan, and
third in the heavyweights later that season Zane works hard on his posing, practicing he loves that system of brief workouts with
at the Canadian Championships. “Until this every day. For his actual routine, he hired heavy weights and low reps for off-season
Arnold prep, it was just me and my dad as a choreographer and began working on it mass building. That’s how he trained me,
my coach,” he says. Considering the father/ three months before the Arnold. That extra and I still do that.”
son team managed to turn Zane pro and effort paid off. Set to the Disturbed cover of Zane follows a periodization system of
win a pro show as well, they did pretty well Simon & Garfunkel’s “The Sound of Silence,” his own design, which is based on his yearly
together before he enlisted the services of it not only brought the house down, but schedule. “I will pick a contest I want to
Chris Aceto for this show. moved Zane up a full two places from the compete in, then work backward from that,”
Instagram: #zanewatson_ifbb
Facebook: Zane Watson
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TESTOSTERONE By Daniel Gwartney, M.D.
Your Heart?
Those old enough may recall 1970s-80s
aging” began to build.
MISGUIDED RESTRICTIONS
TORTURED DATA
There is commonality among the studies
that lessens the generality of the declaration
against the safety of TRT that deserves
package inserts and underdosed/short- AGAINST TRT brief mention before focusing on a more
duration studies stating anabolic-androgenic Unfortunately, rather than educating recent study. Three of the four studies were
steroids (AAS) do not enhance athletic policymakers on the metabolic and observational studies, meaning that they
performance. During the same period, Olympic anabolic benefits of testosterone/AAS, look back at what happened to people and
records were falling regularly and drug testing most companies and clinicians in this field try to draw associations, as opposed to
was receiving fervent support to detect have settled for the “low-hanging fruit” of planned and monitored controlled study
doped athletes. Stigmatizing the rewards of sexual function and mood. Regardless, there conditions. Observational studies have a
(illicit) AAS and their portrayal as addictive is a plethora of data and studies on the
NEW STUDY
recreational drugs was necessary to justify the safety and use of testosterone and select
highly contested designation of this class of other AAS in adult males. As the proven
drugs as Controlled Substances. forms of replacement are off-patent, more
Ephedrine/caffeine weight-loss products
were similarly attacked prior to withdrawing
profitable forms of delivery (e.g., topical
gels) or SARM [selective androgen receptor TESTOSTERONE
them from the market. Reports of stroke and
fatal cardiovascular events resulted in cost-
prohibitive increases in liability insurance,
modulator] drugs are being promoted
(without evidence) as safer. A recent study
reporting adverse cardiovascular effects
AND YOUR HEART By Team MD
and eventual restriction from sale. The true associated with testosterone use found Recent studies have generated mixed
cause for concern was likely use of ephedrine no difference among the various forms of signals as to whether supplementing with
and pseudoephedrine as precursors in replacement (injectables, gels or patches); testosterone increases cardiovascular
methamphetamine production, not consumer each form has its own distinct advantages risk. There is enough contradictory and
safety. An excellent review of the safety, not and disadvantages.2 potentially alarming science floating
the risk, of ephedrine/caffeine as a prescribed A small number of recent studies have around to give many people heart
weight-loss treatment was published in 2008.1 received prominent coverage in the media, palpitations— without taking testosterone.
Testosterone and AAS have been and are being presented as evidence to A new study by Budoff et al.1 may offer
prescribed for 70-plus years for the treatment restrict access or indications for testosterone insight into the ongoing debate, presenting
of many symptoms related to aging in males. replacement treatment (TRT).2-5 The U.S. findings that could raise eyebrows but are
Originally, the use was haphazard and Food and Drug Administration (FDA) of questionable clinical significance.
relied upon the hepatotoxic oral forms, as published an alert a few years ago to declare Researchers investigated whether
well as short-acting injectable esters. Later, that they were evaluating the potential risk, testosterone treatment of older men
sustained-release esters became available, and personal injury attorneys filed lawsuits with symptomatic hypogonadism (low
providing safer and more reliable means seeking damages against the manufacturer testosterone) slows the progression
of maintaining predictable concentrations of AndroGel.6,7 The studies report findings of noncalcified coronary artery plaque
of testosterone/AAS. Anabolic-androgenic that conflict with prior studies and reviews volume. The study authors concluded
steroids were replaced by other drugs/ present in the literature, and somehow that treatment with testosterone gel for
biologics with more specific actions (e.g., receive greater import due to their contrarian one year compared with a placebo was
associated with a significantly greater
increase in coronary artery noncalcified
plaque volume, as measured by coronary
THERE IS ENOUGH computed tomographic angiography
CONTRADICTORY AND (CCTA). In a controlled clinical trial, one
year of testosterone treatment of men 65 or
POTENTIALLY ALARMING older with a low serum testosterone level
SCIENCE FLOATING was associated with a significant increase
AROUND TO GIVE in noncalcified coronary artery plaque
volume of 41 mm3 more than men who were
MANY PEOPLE HEART
GETTY IMAGES
given a placebo.
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TESTOSTERONE
supplementation and cardiovascular risk was value, but it is not to draw conclusions deaths, etc. during this period?12-14
a double-blinded, placebo-controlled trial at or make declarations. It has been said, There are several issues with the
nine academic medical centers in the United “observational studies are designed to Finkle, et al. study, many discussed by Dr.
States. The participants were 170 men out find the right questions to ask, not answer Jennifer Landa in an article published in the
of a group of 788 men aged 65 or older, with them.” There are many factors that can Huffington Post that is well worth reading.15
an average of two serum testosterone levels result in misleading conclusions. These The data was obtained from an insurance
lower than 275 ng/dl and symptoms suggestive are nicely described in a 2004 article claims center, which did not provide an
of hypogonadism, who were enrolled in the titled “Interpretation of observational assessment of clinical or laboratory
Testosterone Trials (TTrials) between June 24, studies” published in the journal Heart.11 data. There is no baseline data on serum
2010 and June 9, 2014. The TTrials is a group The following quotes from that article testosterone levels or other relevant
of seven placebo-controlled, coordinated will describe the challenges in ascribing labs, duration of symptoms, severity
trials designed to determine the efficacy of significant weight to the findings of these of associated conditions (e.g., diabetic
testosterone treatment in men aged 65 and studies. control, blood pressure), monitoring of
older with low testosterone concentrations for “Observational studies give an idea patient response to therapy, use of PDE5
no apparent reason other than age. about the incidence, prevalence and inhibitor drugs as a control group, lack
In the study by Budoff et al., 82 men were prognosis of the disease that is studied, of documentation of social relationships,
assigned to placebo, and 88 to testosterone. and this information is necessary for proper etc. It is especially important to follow
Testosterone gel, with the dose adjusted to planning of the RCT.” estradiol response to TRT, as there is
maintain the testosterone level in the normal “The negative side is their lower limited evidence to support an association
range for young men, or placebo gel, was validity, and readers must carefully assess of estradiol with CVD.16
administered for 12 months. The primary all the four possible explanations of an
outcome was noncalcified coronary artery association: bias, confounding, chance and SERIOUS DESIGN FLAW
plaque volume, as determined by CCTA. cause.” There are many factors that need to
Secondary outcomes included total coronary “Any association will eventually have a be considered as to whether a person
artery plaque volume and coronary artery statistically significant point estimate if the is a candidate for TRT. Then, the patient
calcium score— a range of 0 to >400 Agatston investigator keeps adding to the sample receiving TRT needs to be monitored
units, with higher values indicating more severe size.” for changes in testosterone, estrogen,
atherosclerosis. The three observational studies hematocrit (red blood cells), mood/
Of 170 men who were enrolled, 138 (73 suggesting an association between TRT behavior, edema and a variety of other
receiving testosterone treatment, and 65 and cardiovascular disease (CVD) base effects. This was not documented in this
receiving placebo) completed the study and their conclusions on statistical findings. group. PDE5 inhibitors are drugs such
were available for the primary analysis. Among The amount of statistical manipulation as Viagra that used to treat erectile
the 138 men, the mean (standard deviation) that occurred is considerable, and often dysfunction. They dilate blood vessels
age was 71.2 (5.7), and 81 percent were white. At the findings still did not reach statistical and are being studied for use in forms of
baseline, 70 men (50.7%) had a coronary artery significance. The last quote should be hypertension and cardiovascular disease,
calcification score higher than 300 Agatston considered, as statistical significance which would potentially reduce the risk
units, reflecting severe atherosclerosis. For remained elusive despite swelling group of “heart attacks.”17 Further, Finkle, et al.
the primary outcome, testosterone treatment sizes. Further, there is a common saying, noted that they chose PDE5 inhibitors
compared with placebo was associated with “Torture any data set with statistics long as some of the indications overlap with
a significantly greater increase in noncalcified enough and it will admit to anything.” testosterone deficiency (e.g., erectile
plaque volume from baseline to 12 months. dysfunction), and they do not possess
Testosterone treatment was also associated LIMITED EVIDENCE, NO androgenic effects, or are metabolized to
with increased total plaque volume, but not SIGNIFICANT RISK sex steroids (DHT, estradiol). However, the
with changes in coronary artery calcium score. The word choice in the conclusion of authors failed to account for the known and
No major adverse cardiovascular events a recent observational study (Finkle, et documented property of PDE5 inhibitors—
occurred in either group. al.) is not inconsequential: “ ... the risk increasing endogenous steroidogenesis.18
The study authors noted that previous of MI [myocardial infarction] following In other words, PDE5 inhibitors increase
studies of the effects of testosterone on initiation of TT [testosterone therapy] testosterone production in men, with
clinical cardiovascular outcomes have been is substantially increased.” Note, they resulting increases in circulating
conflicting. More specifically, they pointed out, do not say significantly. One must testosterone. Both groups may have
meta-analyses of clinical trials have shown no also differentiate between statistical experienced an increase in testosterone
association between testosterone treatment significance (or “substantiality”) and clinical during the study period, a serious
and cardiovascular adverse events, but significance. Even with the statistical design flaw. Again, the failure to obtain
none of the trials in the meta-analyses were gyrations involved in the Finkle, et al. study, testosterone concentrations during the
designed to assess the events prospectively. the stated increase risk may result in one period of the study obscures the relevance
The researchers concluded that additional additional case of non-fatal heart attack of this effect in this group.
studies are needed to determine the clinical per 1,000 patient years. This means that Another issue with the Finkle, et al.
significance of their findings. if you followed a thousand people in the study is that one may reasonably assume
TRT group for a year, three or four would that men seeking PDE5 inhibitor drugs
Reference: experience a non-fatal heart attack without are sexually active, and possibly did not
1. Budoff MJ, Ellenberg SS, Lewis CE, et al. Testosterone
Treatment and Coronary Artery Plaque Volume in Older Men TRT; four or five might while on TRT. This have “testosterone deficiency.” This is
With Low Testosterone. JAMA 2017;Feb 21. [Epub, ahead of is a finding separated from other health important, as testosterone deficiency
print]. benefits or risks. Would there be fewer leads to increased risk of numerous factors
falls, bone fractures, cases of depression, associated with cardiovascular disease
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TESTOSTERONE
and systemic inflammation.9 The longer this with testosterone deficiency, and minimize risk
persists, the greater the cumulative damage. associated with patient demographics.
In addition, increased sexual activity is
associated with a lower risk of cardiac events.19 HEART ATTACK RISK: FIGHT
One wonders if the “testosterone-deficient” THE REAL ENEMY
men had fewer sexual contacts during the A final point needs to be made about the
period in question than the “control” group? relative risk of TRT compared to ordinary
exposures. Another revelation that received scant
POLAR DECLARATIONS SERVE NO media attention relates to the risk of FATAL heart
PURPOSE attacks to sugar consumption. The lifetime risk of
As stated earlier, there is some value to a fatal heart attack is increased by 30 percent by
the findings of these observational studies, consuming a single soda daily.21 Perhaps we need
as they raise an awareness of the potential to keep this finding in perspective as we learn
risk of a rapid (days to weeks) effect of TRT on more about human health.
heart attack or stroke in older men, or those
with pre-existing CVD. The polar declarations References:
serve no purpose. The greatest evidence of risk 1. Hallas J, Bjerrum L, et al. Use of a prescribed ephedrine/
caffeine combination and the risk of serious cardiovascular
follows the TOM [testosterone in older men] events: a registry-based case-crossover study. Am J Epidemiol
trial, in which men with mobility limitations 2008;168:966-73.
2. Vigen R, O’Donnell CI, et al. Association of testosterone
and testosterone deficiency were prescribed therapy with mortality, myocardial infarction, and stroke in
topical testosterone to improve physical men with low testosterone levels. JAMA 2013;310:1829-36.
strength and function. This trial was stopped 3. Finkle WD, Greenland S, et al. Increased risk of non-
fatal myocardial infarction following testosterone therapy
due to an increase in cardiovascular events prescription in men. PLoS One 2014;9:e85805.
in the TRT men, though many of the “events” 4. Xu L, Freeman G, et al. Testosterone therapy and
cardiovascular events among men: a systematic review and
were vague, self-reported or of very minor meta-analysis of placebo-controlled randomized trials. BMC
clinical significance. A later review of the data Med 2013 Apr 18;11:108(12pp).
5. Basaria S, Coviello AD, et al. Adverse events associated
demonstrated that the men who experienced with testosterone administration. N Engl J Med 2010;363:109-
the cardiovascular events had a significantly 22.
lower testosterone prior to treatment, 6. FDA.gov. Testosterone Products: Drug Safety
Communication— FDA Investigating Risk of Cardiovascular
responded with a significantly greater Events. http://www.fda.gov/safety/medwatch/
testosterone response, and greater estrogenic safetyinformation/safetyalertsforhumanmedicalproducts/
ucm384225.htm, accessed February 15, 2014.
response. The testosterone-to-estradiol ratio 7. Digital Journal. Low Testosterone Lawsuits Reviewed
was not reported, but appeared likely to have in Wake of FDA Alert, Wright & Schulte LLC. http://www.
digitaljournal.com/pr/1737464, accessed February 15, 2014.
been significant. Those who experienced a 8. Calof OM, Singh AB, et al. Adverse events associated
cardiac event did so in the first few weeks, and with testosterone replacement in middle-aged and older men:
the likelihood was much greater in the older a meta-analysis of randomized, placebo-controlled trials. J
Gerontol A Biol Sci Med Sci 2005;60:1451-7.
men (over 75) than those 65-74. Similar to the 9. Oskui PM, French WJ, et al. Testosterone and the
observational studies, the adverse effects cardiovascular system: a comprehensive review of the clinical
literature. J Am Heart Assoc. 2013 Nov 15;2(6):e000272(22pp).
arose shortly after TRT was initiated. 10. Fernández-Balsells MM, Murad MH, et al. Adverse
effects of testosterone therapy in adult men: a systematic
review and meta-analysis. J Clin Endocrinol Metab
EARLY TREATMENT, 2010;95:2560-75.
MORE RESEARCH NEEDED 11. Jepsen P, Johnsen SP, et al. Interpretation of
The press, media-hungry professionals, observational studies. Heart 2004;90:956-60.
12. Kurita N, Horie S, et al. Low testosterone levels,
pharmaceutical companies with vested depressive symptoms, and falls in older men: a cross-
interests, personal injury attorneys and the sectional study. J Am Med Dir Assoc 2014;15:30-5.
13. Muraleedharan V, Marsh H, et al. Testosterone
opinionated will engage their mouths before deficiency is associated with increased risk of mortality and
their minds, and voice a polar opinion of one testosterone replacement improves survival in men with type
2 diabetes. Eur J Endocrinol 2013;169:725-33.
sort or the other. Testosterone deficiency is a 14. Corona G, Rastrelli G, et al. Hypogonadism as a risk
real condition, and much like the findings of the factor for cardiovascular mortality in men: a meta-analytic
Women’s Health Initiative over 10 years ago, study. Eur J Endocrinol 2011;165:687-701.
15. Landa J. Testosterone therapy does not cause
it appears that treatment needs to be initiated heart attacks. Huffington Post. February 4, 2014. http://
early— not after the damage is done. It is www.huffingtonpost.com/jen-landa-md/testosterone-
therapy_b_4709168.html, accessed February 15, 2014.
likely that TRT needs to be titrated more slowly 16. Yeap BB. Sex steroids and cardiovascular disease.
in the elderly, and those with compromised Asian J Androl 2013 Dec 9. [E-pub, ahead of print]
17. Chrysant SG. Effectiveness and safety of
cardiovascular systems. Sadly, it has already phosphodiesterase 5 inhibitors in patients with cardiovascular
been determined that there will be no large- disease and hypertension. Curr Hypertens Rep 2013;15:475-83.
scale study for men, as was performed with 18. Spitzer M, Bhasin S, et al. Sildenafil increases serum
testosterone levels by a direct action on the testes. Andrology
women.20 The research money is going into 2013;1:913-8.
TRT for the elderly, and may result in adverse 19. Corona G, Rastrelli G, et al. Frequency of sexual activity
and cardiovascular risk in subjects with erectile dysfunction:
findings that are wrongly generalized to all cross-sectional and longitudinal analyses. Andrology
patient demographics.20 This group needs to be 2013;1:864-71.
20. Harman SM. Testosterone in older men after the
monitored closely during the first months, and Institute of Medicine Report: where do we go from here?
assessed frequently. However, it may also be Climacteric 2005;8:124-35.
true that TRT needs to be considered earlier in 21. Yang Q, Zhang Z, et al. Added Sugar Intake and
Cardiovascular Diseases Mortality Among US Adults. JAMA
life, to avoid the onset of conditions associated Intern Med 2014 Feb 3. [E-pub, ahead of print]
EW
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ANABOLIC RESEARCH UPDATE By William Llewellyn
looking for hormonal manipulation with testosterone, and in just the right dosing
things like athlete “passport” biological pattern, so as to not make the ratio go out
profiles. In such cases, they may flag a of range. There is actually quite a bit of
doping incident without actually knowing allowance for natural variation in this testing.
the agent used. But the number of athletes We all don’t produce the same ratio. As such,
subject to such extensive analysis is many athletes are able to exploit the bounds
exceedingly small in the grand field of of this testing to their favor. They take enough
sport. This is Olympic-level stuff, here. Most testosterone that they are able to receive
athletes remain outside this, and may still a doping effect, yet still maintain “normal”
potentially benefit from designer agents. (physiologically acceptable) ratios.
What about simply injecting
METHOD #2: TAKE TESTOSTERONE, epitestosterone? That is another option.
MONITOR EPITESTOSTERONE No, you’re not going to find epitestosterone
Testosterone can be a little more difficult at your corner pharmacy. It is not an FDA-
to detect than most steroids. The reason approved drug product, as it really serves
is simple. While humans don’t normally no therapeutic purpose. So don’t expect to
produce Dianabol, Winstrol or Anadrol in find it easily. However, it may be available on
the underground. Though the authors don’t
go into too much detail here, they do clearly
ANABOLIC-ANDROGENIC STEROIDS REMAIN PERVASIVE note the possibility of evading doping tests
IN ALL TYPES OF ATHLETIC COMPETITION. YOU MIGHT BE with the simultaneous use of testosterone
WONDERING HOW ATHLETES STILL GET AWAY WITH IT. and epitestosterone drugs. Epitestosterone
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ANABOLIC RESEARCH UPDATE
METHOD #3: HCG (HUMAN notable ability to inhibit the urinary excretion Often certain provisions will apply, so that
CHORIONIC GONADOTROPIN) of steroid glucuronide conjugates, the primary the substance is used within its intended
When it comes to muscle-building steroids, form of steroid metabolites in the urine. therapeutic dosage range.
few hold a candle to testosterone. This Unfortunately for doping athletes, probenecid As you can image, many athletes see a
means our very bodies have the potential to itself is known and tested for. However, that Therapeutic Use Exemption (TUE) as a key
help us dope … if we could only ramp up our isn’t to say other drugs of this type are not still opportunity to legitimize a doping program.
production of this powerful hormone enough. Of being applied today. Though many sports do not allow it, some
course, there are ways to do that. One of them 5-alpha-Reductase Inhibitors: These are do permit testosterone use exemptions for
involves taking the fertility agent hCG (human drugs like finasteride and dutasteride, which men with certain types of hypogonadism
chorionic gonadotropin). In men, this drug is prevent the 5-alpha reduction of steroids; (low testosterone), especially older men
a strong stimulator of testosterone release. at least those already open to this path of who commonly suffer from such dysfunction.
Furthermore, elevations in the testosterone metabolism. These types of masking agents The trick is, they might not actually need it.
level in this way are accompanied by can be successfully applied when 5-alpha- Instead, these men may seek to temporarily
increases in epitestosterone. As such, hCG reduced metabolites are the targets of urinary suppress their own testosterone, perhaps
use does not cause an immediate flag for analysis, or to shift hormone ratios during through substance use, or the manipulation of
high testosterone, even if it does raise your sophisticated biological passport testing. These diet, sleep and training. After, they will find a
physician to support a diagnosis of persistent
THEY ARE MANIPULATING THE DIAGNOSIS, AND IN THE hypogonadism, even though it might not be
the true long-term medical outlook for this
PROCESS ARE RECEIVING A “SCRIPT” THAT NOT ONLY PRO- patient. In short, they are manipulating the
VIDES TESTOSTERONE, BUT ALSO EXEMPTS THEM FROM diagnosis, and in the process are receiving a
BASIC PROVISIONS IN THE SPORT’S RULES ABOUT DOPING. “script” that not only provides testosterone, but
also exempts them from basic provisions in the
levels quite a bit. Be warned, though. The drugs are among those more recently used, sport’s rules about doping.
drug hCG itself is looked for during many and likely associated with more sophisticated
doping screens, and can be detected in the doping programs. SUMMARY
urine for several days after injection. As such, Diuretics: These are agents used to dilute This paper does a good job of reviewing
it use must be carefully planned. steroid metabolites in the urine. The application the basic complexities of the doping problem,
is very straightforward here. Likely, steroid use if not some of the actual ways doping is
METHOD #4: MASKING AGENTS has already been halted long before testing. carried out. As you can see, testing athletes
Masking agents are not doping drugs in However, to reduce the likelihood of a violation for steroid use is not such a simple task.
of themselves. Instead, they are used to hide from remnant metabolites, the diuretics are More and more sophisticated testing
the administration of other doping drug(s). applied alongside ample water consumption, protocols need to be applied to keep up
Commonly, this means anabolic steroids. so as to further reduce their concentrations with the increasing sophistication of doping
When properly applied, making agents could in the urine. These are old-school masking methods. If your sport simply doesn’t have
allow a competitor to still take certain anabolic protocols, to be sure. Diuretics are often tested the resources to test so vigorously, many
steroids close to competition, even throughout for, too, these days. loopholes and weaknesses likely remain in
competition, without urine testing finding it. Ketoconazole: This is an antifungal the process for athletes to exploit.
According to the paper, there are several types medication, commonly used for a variety of Now, I could add a few weaknesses to this
of these agents. ailments of the skin and scalp. In the context list. This paper is very detailed and informed,
Among the most common types of masking of masking agents, this is another drug but it hasn’t quite caught everything. However,
agents are those that manipulate the actual that interferes with steroid metabolism. It is it isn’t my interest to expose methods that are
body’s metabolism of steroids. Usually, testing specifically known for shifting the endogenous still considered trade secrets, but rather to
officials are not looking for the original steroid T/E ratio, and supporting other doping methods discuss what is commonly understood. I think
itself, but one or two common breakdown that elevate endogenous testosterone this still presents an interesting side to the
products. In certain cases, a masking agent secretion. doping issue that most people don’t get to look
can shift the drug metabolism so that these at. Of course, as other methods are exposed
commonly referenced metabolite(s) are not METHOD #5: THERAPEUTIC USE publicly, they are open game to report on. So
produced in sufficient levels. EXEMPTION you can expect to see more reports on this topic
Other masking agents may be used to This falls under the category of in the future. Until then, be careful … be safe.
simply block the renal excretion of anabolic “legitimizing” anabolic steroid use. Most sports
steroids. Again, if they aren’t in the urine, allow their athletes use of certain banned Reference:
1. Alquraini H and Auchus RJ. Strategies that athletes
they probably aren’t going to be noticed. And substances if these substances also happen use to avoid detection of androgenic-anabolic steroid
finally, some masking agents dilute steroid to be medications the athlete needs to treat doping and sanctions. Mol Cell Endocrinol 2017; Jan 24. pii:
metabolites in urine. With all doping tests, an acute or chronic medical condition. These S0303-7207(17)30041-2.
there are thresholds for the banned drug so may fall under many categories, including (but
that inadvertent exposure of micro amounts not limited to) bronchodilators (stimulants) Got a question for William Llewellyn? You can
does not flag a violation. If we can dilute their needed to treat asthma, and hormones to ask him directly on the MD website and have
levels with enough urine, it might not flag a treat endocrine deficiency. In such cases, the William personally answer your question! Go to
violation, even though they are present. Below athlete and his or her physician will submit www.musculardevelopment.com, MD Forums, MD
Staff and Pros, Q and A for William Llewellyn.
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NEW and EXCLUSIVE MD COLUMN!
The INCREDIBLELegacyLOU
Talk With Lou Ferrigno
By Lou Ferrigno
On the red carpet, moments before the 2016 IFBB Pro Ferrigno Legacy with (left to right) Lou Ferrigno, Jr., Sergio
Oliva Jr., Frank Zane, Lou Ferrigno, and his wife, Carla Ferrigno.
to see the changes they are capable of making, into some sort of an unfortunate chemical
they will often want to step it up a division. experiment gone wrong. Women who did not
One of the many positive changes with participate in the sport believed that if they
the new divisions is the impact on women. lifted a weight, their jaws would grow and their
In my day, many gyms were men only! (How voice would drop an octave. The reaction from
much does that suck?) Then came women’s women was not to lift; it was a world of cardio
bodybuilding, which within a short time was queens. “I want to be toned but not bulky,” was
completely out of control. The supplements the comment I’d always hear.
took their toll, turning many beautiful women Then came Figure. Women started to see
TOP PHOTO: BRIAN WALKER; STAGE: MARCELLO ROSTAGNI PHOTOGRAPHY
Rear Delt Machine 4 x 12 overhead.” Later in the workout, he often does the movement again a bit
High Cable Rear Delt Pulls 3 x 12 heavier and minus the external rotation component. After three sets of
that, Brandon is ready to rock.
Ahmad
ASHKANANI
How long have you been a member
at Oxygen Gym?
I joined the location in Adailiya
in Kuwait back in 2005, and it’s still
where I train all my clients. My own
training is done at the most famous
location, Jabriya. Every day from noon
until 2:00 p.m., the pros go there to
train. Ahmad Askar puts us all through
our workouts and makes sure we hit it
hard! It’s like a big family. We all push
each other and want to see each other
succeed.
Do you want to beat Flex Lewis?
Of course! It’s every 212 pro’s
dream to beat him and get the 212
Olympia title, but Flex is very hard
to beat. He has such great shape
and plenty of mass. That’s why he’s
the king of the 212s! If I do beat him,
I think I would be so excited that I ROAD TO THE PROS:
wouldn’t be able to sleep for a week. “IT DID NOT COME OVER-
Why do the New York Pro if your NIGHT. I HAVE BEEN
focus is the Olympia? WORKING VERY HARD
The thing is, I have only been a pro FOR YEARS TO DO THIS.”
for a year. A lot of people still don’t
know who I am. These other guys
like Jose, Hide, Henry and Guy have
been around for a long time. They
have done so many shows and have
so many fans. I need to get more wins
and get my name out there too, so
the fans all know who I am. If I just
compete and then disappear for half
the year, I am sure people might forget
about me.
What was it like to go from an
amateur to being a top pro so fast?
It was not fast! There were five
different pro qualifiers where I won
my class, but lost the overall to a
heavier weight class winner. For the
past few years, I have lived with the
dedication of a pro. I took every meal
and every workout just as seriously
as any pro out there. So really, I was
ready to be a good pro for a long time.
I just needed to get that overall and
earn my pro card, which I finally did
at the Arnold Amateur in Australia last
year. Then, I wasted no time. I entered
the Tampa Pro for my first contest, and
won that. Then I went to the Olympia,
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FROM THE MAKERS OF
MD TRAINING CAMP
Victor
MARTINEZ
RECIPE FOR GROWTH: FOCUS ON THE
BASICS AND EAT MORE
Hey Vic. My lower body seems to respond
fine to getting worked once a week (except
for calves), but my upper body does not. I am
thinking about hitting upper body parts twice
a week. What is your philosophy on training
frequency for younger guys? I am 21 years old,
123 pounds and taking in 220 grams of protein,
220 grams of carbs and 70 grams of fat. Do you
think the 1:1 ratio of protein to carbs is a good
thing to stick to? These are daily totals; earlier
meals and meals around workouts are higher in
carbs, of course.
You weigh 123 pounds? Unless you are a
midget, you need to start eating a lot more food,
kid! If you can’t get in enough calories from clean
food, which you probably can’t with a metabolism
like that, add in stuff like pizza, burgers and fries,
and those $5 foot-long subs from Subway. Eating
like that would turn most guys into a fat-ass, but I
think it’s exactly what you need. Keep the protein
where it is, but you should at least double the
carbs and fats you’re taking in now.
As for your workout, it’s tough for me to make
a recommendation when I don’t know what
you’re doing now. I can tell you this, though. If
you are doing a lot of machines and cables and
isolation movements, stop it right now! Someone
so desperately in need of mass such as you needs
to focus on the big compound movements. I don’t
even know if a traditional bodybuilding type of
split, where you focus on one muscle group at
each workout, is the best thing for you. Something
like this might be a lot more effective in your
case: “YOU WEIGH
Day 1: Push 123 POUNDS?
Bench Press 4 x 8-10 UNLESS YOU
Incline Bench Press 4 x 8-10 ARE A MIDGET,
Weighted Dips 4 x 8-10 YOU NEED TO
Military Press 4 x 8-10 START EATING
Skull-Crushers 3 x 12 A LOT MORE
FOOD, KID!”
Day 2: Pull
Deadlifts 4 x 8-10
Chin-Ups 4 x 10
Barbell Rows 4 x 8-10 You can do those three days in a row and then take a day off,
Dumbbell Rows 4 x 8-10 or insert rest days whenever you feel you need them. You’ll know
Barbell Curls 3 x 12 because you’ll start feeling tired and you won’t really feel like training.
Don’t ignore those signs. I was going to tell you to try doing three
Day 3: Legs weeks in a row of hitting a certain upper body muscle group like chest
Squats 5 x 10-12 twice a week, then rotating on to a different area like back for the next
Leg Press 5 x 12-15
IAN SPANIER
three weeks, and so on. But listening to your situation made me decide
Lying Leg Curls 5 x 10-12 you are probably going to put a lot more size on just focusing on the
Standing Calf Raises 5 x 10-12 basics— and eating a shitload of food!
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TRAINERS of CHAMPIONS
www.georgefarah.net
regimen should only be done under the directions
and auspices of a licensed physician. The writer
does not claim to be a medical doctor nor does he
purport to issue medical advice.
supplements, and astute attention to detail. Genetic the results can be spectacular. They can and Instagram: hanyrambod
factors aside, these “little things” all add up and can often do beat those with superior genetics Twitter: hanyrambod
often make the difference between first and 10th place. who are simply not willing to put the work in. Facebook: Hany Rambod (fan page)
Jersey Boys/Girls
(Juiced Edition)
Q: IS NEW JERSEY EXPANDING ITS RANDOM STEROID TESTING OF HIGH SCHOOL STUDENTS?
A: The New Jersey Senate recently percent among 10th graders and 1.1 percent most recent New Jersey Youth Risk Behavior
passed bill S-367, “An act concerning the among eighth graders. But using any Survey reported lifetime steroid use as two
prevention of steroid use among certain 2004 survey information wildly skews the percent, a full 1.5 percent lower than the
students.”1 The General Assembly passed its numbers. As I recently noted: corresponding national survey average.10
own version last September. Only two out of The highest overall rates of non-medical So, if all the surveys show steroid use has
120 politicians in both houses voted against teen steroid usage were during the years greatly decreased, do the actual New Jersey
the bill.2 While seeking to raise “aware- 1999-2004: jumping to 2.8 percent in 1999, drug-testing results show otherwise? No,
ness of the hazards of using steroids and hitting 3.0 percent in 2000 and 2003, again. There wasn’t a single positive test in
performance enhancing supplements,” the peaking at 3.3 percent in 2001 and 2002, and the New Jersey program in 2015-2016.11 The
bill also expands random steroid testing of remaining elevated at 2.5 percent in 2004 overwhelming majority of states apparently
New Jersey high school student athletes. The before dropping back down. What accounts don’t see the need to do any high school
state’s current program only permits testing for this inflated rate during those years? steroid testing at all. Texas once did— to an
of high school student athletes participating annual tune of $3 million— but scrapped
in sports championship tournaments. The its program in 2015 due to few positives
new bill appropriates $45,000 annually to
The new bill and a lack of evidence that testing was
expand testing to all student athletes. As of
this writing, the bill is awaiting signature by
appropriates $45,000 accomplishing anything.12
Bottom line: New Jersey legislators are
Governor Christie. annually to expand relying on skewed, outdated data to provide
OK, $45,000 isn’t a lot of money in a
state budget. But $45,000 would take quite
testing to all student support for a solution in search of a problem.
Would you buy a car today based on 2005
a while to flush down your toilet. Is that athletes. $45,000 safety ratings, or invest in a stock based on
where this money is going? Curiously, the the company’s 2005 earnings? Politicians, in
bill was created in response to a December would take quite a while a rush to curry favor with voters misled by
2005 report3 of the Governor’s Task Force on
Steroid Use and Prevention— information and
to flush down your fear-mongering media headlines, are ignoring
the best evidence and common sense.
reporting that is now 12 years old or more. toilet. Is that where this REFERENCES:
The report cites national trends in steroid use
relying on a 2003 Centers for Disease Control money is going? 1. http://www.njleg.state.nj.us/2016/Bills/S0500/367_
I1.PDF.
2. http://www.njleg.state.nj.us/bills/BillView.
and Prevention (CDC) Youth Risk Behavior asp?BillNumber=A2353.
Survey4, which reported that 6.1 percent of The answer, I suggest, has nothing to do 3. http://www.njleg.state.nj.us/OPI/Reports_to_the_
Legislature/steroidprevention.pdf.
students in grades nine through 12 had taken with the clandestine black market at all. 4. https://www.cdc.gov/mmwr/pdf/ss/ss5302.pdf.
steroids without a doctor’s prescription Rather, during those years a subcategory of 5. https://www.gpo.gov/fdsys/pkg/CHRG-109hhrg22241/
… and a whopping (and preposterous) products called “prohormones” was being html/CHRG-109hhrg22241.htm.
6. https://www.cdc.gov/mmwr/volumes/65/ss/ss6506a1.
7.3 percent of ninth-grade girls had tried openly marketed under the guise of dietary htm?s_cid=ss6506a1_w.
steroids! If you’re thinking the CDC study isn’t supplements.8 7. http://monitoringthefuture.org/pubs/monographs/
vol1_2004.pdf.
worthy of lining the bottom of your birdcage, Even the 2005 Task Force report itself 8. http://www.huffingtonpost.com/entry/
you’re right. The flawed CDC methodology acknowledges the prohormone problem. the-rising-epidemic-of-teen-steroid-abuse_
us_586d012de4b014e7c72ee516.
was subject to criticism by Harvard steroid However, a federal law change effective in 9. http://monitoringthefuture.org/data/16data/16drtbl5.
expert Harrison Pope, M.D., in his 2005 2005 greatly diminished the prohormone pdf.
Congressional testimony5 and it defies market (a 2014 “designer anabolic steroid” 10. http://www.state.nj.us/education/students/yrbs/2013/
full.pdf.
common experience. But even using this amendment decimated it). Today, MTF 11. http://www.njsiaa.org/sites/default/files/document/
flawed methodology, a more recent (2015) statistics show that for grades eight, 10 News%20Release%20-%20NJSIAA%20steroid%20
testing%20results%202016%20--%20FINAL.pdf.
CDC survey6 reports much lower numbers: and 12 combined, the percentage of youths 12. http://www.dallasnews.com/news/local-
only 3.5 percent of students had taken steroid reporting having used steroids at least once politics/2015/05/29/texas-high-school-steroids-testing-
effort-shut-down.
pills or shots without a doctor’s prescription in their lives is now only 1.3 percent.9 And
one or more times during their lifetime. that’s down from 1.5 percent last year. The Rick Collins, JD, CSCS [www.rickcollins.com] is the lawyer
The Task Force also cites the more reliable fact is that teen steroid use nationwide is at that members of the bodybuilding community and nutritional
national Monitoring the Future (MTF) survey7 an all-time low. supplement industry turn to when they need legal help or
representation. [© Rick Collins, 2016. All rights reserved. For
from 2004, which stated that annual steroid But is steroid use now higher among New informational purposes only, not to be construed as legal or
use was 2.5 percent among 12th graders, 1.5 Jersey teens? Nope. Student responses to the medical advice.]