CONTENTS

Dedicated to my wife Barbara and my children: Rob, Foreword .............................................. ii

Ron, Chris, Laura and David; I love them all.
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Special thanks to my family for their particular patience Chapter One ......................................... 15
with me during the writing of this book. Laboratory Tests
Chapter Two . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
TO: Dr. and Mrs. Harold Chandler, who guided Diet and Supplements
me to things biological, hence, to where I am Chapter Three . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
today. Steroids, An Over-all View
TO: My Chief Office Nurse: Lana, for the special Chapter Four . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
interest she takes in aiding the athletes. With- Anabolic Steroids
out her my life would be a great deal more Chapter Five 37
hectic. Anadrol-50
TO: Tony, my office manager and my two nurses: Chapter Six . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Carmel and jennifer for their fine assistance Anavar
and friendship. Chapter Seven . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
TO: Mrs. Irene D. Twardy for her splendid typing. Deca-Durabolin
TO: Larry Kidney and Bill Pearl for their inspira- Chapter Eight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 7
Dianabol
tion.
Chapter Nine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
And to all my patients for their confidence in me; to their Methandriol
cooperation and friendship throughout these years.
Chapter Ten .......................................... 59
Maxibolin
Chapter Eleven . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
STH- Human Growth Hormone
Chapter Twelve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
.....
• I

Copyriglit,© 1982 by Robert Kerr, M.D.

Testosterone
, '
·. .. Chapter Thirteen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
~ f ~11 ri s ~seryed. No part of this book may be Miscellaneous Anabolics
i"., • reprooucoo:of- utilized in any form or by any means,
~/" /·· ~lectron,ie'~t mechanical, including photocopying or Chapter Fourteen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
~//"/' r,k~9tCling, or by any information storage or retrieval Human Chorionic Gonadotropin
' '''S'fls~dm, without the prior permission in writing from Chapter Fifteen ...................................... 81
the author. Brief text quotations for book review Other Drugs Related to Athletics
purposes are exempted.
Summary ............................................ 89
 FOREWORD

Before we begin this discussion of anabolic steroids I would

like to emphasize, and will keep emphasizing throughout the book,
that this is not a guide book for self-help. The material included in
this manuscript is simply to give the athlete some background
information, while supplying some useful imformation for the
physicians who are treating and medically guiding these athletes.
The indiscriminate use of these drugs will pose a definite hazard to
your health without close, personal medical supervision. So, if any
of the enclosed information is of interest to you, please see your
physician.

R. Kerr, M.D.
San Gabriel, California

INTRODUCTION
In the last analysis, we see only what we are
ready to see, what we have been taught to see. We
eliminate and ignore everything that is not a part of Out of 18 years of private medical practice, I have been treat-
our prejudices. ing athletes with anabolic steroids for 16 of those years. In the
early days, as I struggled to gain size and strength for playing the
position of prop in Rugby football, I was continually approached by
Jean Martin Charcot, M.D. friends from the local gym for guidance with their anabolic ste-
(1825- 1893) roids. Their drugs had generally been purchased in Tijuana, Mex-
ico with no medical prescription. And with no medical guidance,
the athlete was questioning the drugs' effectiveness, safety and
adequate dosage. I had to confess to them that like all other physi-
cians, I had not been trained or experienced in the drug's useful-
ness. With probably 50 or more volunteers, I learned along with
them as they used the various anabolic drugs and I witnessed the
gains and the minor setbacks, until I gained enough experience to
be able to guide them, and others, in a more secure manner.
There are a number of people both in and out of the medical
community who could be thinking that I treat these athletes
strictly for my own gains. Well, if you know me and if you know
how I charge my patients- you certainly couldn't think that.
Perhaps I am in this for some personal gratification. That's quite
correct, don't we all look for acceptance in our deeds and acts? If I
can help someone to achieve a goal, whether it be a well-recognized
body building title or a World title in track or power lifting, or a to announce their expertise, so as not to arouse any wrath from
professional contract for a football player ... isn't that really quite their medical colleagues. Perhaps this treatise might arouse some
nice? It's always nice to know that you played a small role in interest in other physicians or convince others to speak out on
helping someone achieve some of their goals in life. What about the their statistics with anabolic steroid therapy. The steroids have
ethics of prescribing or helping athletes obtain these controversial been tucked away in the closet long enough.
drugs? How about the question of "doping" the athlete-is it In regard to "doping," what about those critics of anabolic
natural for someone to gain something that they perhaps could steroids who still place these drugs in that category called "dop-
never have achieved without the drugs? Well, let's explore these ing." To my way of thinking "doping" is a term for the use of
areas for a moment. In my own mind I don't really know if it's medicinal agents that will cause an athlete to act or think in a
absolutely to the best good for someone to alter their body pro- highly abnormal manner. A drug that energizes the athlete by
cesses away from the true normal-to take medication that they causing him to feel "high" or hyperactive, or to perform in an
don't really need for their health or to prolong their life. In this abnormal way before and during an athletic event, is not proper. A
area, what about silicon breast injections or implants, is it really "natural high" should suffice, but something that causes the
normal? I think that you'll agree that if the "alteration from sensorium to function in an abnormal manner should not be used.
normal" is neither a true hazard for the patient, or others, and if Now, I often refer to anabolic steroids as exercise aids. They
the patient derives a certain amount of happiness or satisfaction do not replace good work-outs, but simply enable the athlete to
from it, then perhaps it isn't so bad after all. make the very most out of his weight training. Unlike stimulants,
Whether you, or I, agree with people taking anabolic if anabolic steroids are taken just before a contest, nothing will
steroids-it really doesn't matter, the important factor is that happen. The effects are cumulative- that is the gains are gathered
they're going to take them anyway. The surgeon general notes on over a prolonged period of time. If work-out or exercise aids are
each cigarette package that they "could be harmful to your health" improper, then is not the Nautilus or similar type of exercise
and the implication is clear that cigarettes could cause lung equipment cheating, after all this new technology was developed
cancer. Has that notation or warning really halted cigarette smok- to give greater gains with less effort-isn't that why anabolics are
ing? It should-but it hasn't. Marijuana possession is illegal, but taken?
does that stop people from buying and using it? A state or federal Many of my new patients first came to me for assistance with
law could be passed outlawing the sale and use of all anabolic their anabolic steroid therapy after working out in a "natural
steroids, but the use would be little affected. Somehow people manner" (without drug assistance) for years and experienced
would obtain the steroids and use them, perhaps even more fla- gains that were very few and far between. If you've ever expe-
grantly than now. The only change would be that there would be a rienced this type of extremely slow and exasperating training-
new crime with a new group of criminals and probably with the old you'll realize why many potentially successful athletes have
criminals illegally supplying drugs for the new ones. My feeling is dropped by the wayside. Anyone experienced in body building, let
that athletes are going to use these drugs, whether you or I, the alone power lifting and many other sports, will tell you that this
International Olympic Committee, or the NCAA, or whoever likes sport would not be making the tremendous gains that it has made
it or not. So, if they're going to take these drugs anyway, then at in popularity in the last number of years, were it not for the use of
least I can play a role in guiding them in the right direction. To anabolic steroids. Body building has taken literally thousands of
advise the athlete on appropriate use of the drugs and be on the short, small and shy men out of their doldrums, and produced a
watch for any sign of a side-effect appears to be a worthwhile new generation of well-built men with a sound sense of pride and
activity. If I should stop performing this work right now who self-confidence. These men would have given up a long time ago in
would my few thousand anabolic steroid patients go to for help, most cases, had they not had the benefit of faster and greater gains
understanding and guidance? Unfortunately, there are so few of us through steroid therapy.
scattered throughout the country. I think that some of the physi- Is anyone telling the Russians and East Germans not to use
cians who are advising athletes in these matters are shy or afraid anabolic steroids? It would appear that they are the World paceset-
ters when it comes not only to athletic anabolic therapy but to the not usually handed just such as large a group of more-than-willing
full gamut of the unconventional in training to win athletic con- subjects as was I. The list of subjects would grow as others saw the
tests. So, can our trackmen and powerlifters abide by the code of unexpected gains without the oft-mentioned side-effects.
conventionaltiy and refuse to take the strength and speed gaining My practice today includes both private patients and anabolic
drugs and allow the other countries to defeat us- of course they steroid patients, alike. The anabolic patients number several
can't. Until the time comes that all athletes agree to refrain from thousand and come not only from the United States but from a
taking anabolic drugs, then most athletes are going to continue to number of foreign countries, as well. A few of my patients seek my
find the ways and means to excel, and this means taking anabolic advice simply for gaining weight and for developing a trim, muscu-
steroids. Do we really want our international athletes to come in a lar, "beach physique," but the majority of my anabolic steroid
far second, or third, or worse, behind athletes from other countries patients are involved in power lifting or body building in all levels,
who do not have the willingness to refuse to take the drugs? I don't from amateur to world class competition quality. I see athletes
think in the long run that we do. We might say that we have today from most every athletic endeavor, except perhaps for mara-
certain standards that we feel we must follow, but in the end we thon runners, as they're interested in stamina, not just size or
really want to win at nearly any cost- and you know that's true. speed. They appear to be quite content with just finishing a race,
We've been witnessing today, and for the last number of years, beating their "personal best." This is a fine, healthy attitude, but
how our female athletes are being defeated in certain strength and totally unrealistic for nearly all the other athletic events of today.
power sports by Russian and East German women who just seem The idea in most sports today, perhaps unfortunately, is to win-
to have an edge- a masculine edge. Right now we don't want our to be number one- the best. This attitude seems to become inten-
women to be defeminized in order to win, but in the next olympics, sified as each year goes by. No one boasts of being number two or
or the next after that, will we still be willing to feel the same way? I number five. It appears that everyone wants to be number one. I
don't know, I hope in this case that we don't change. suppose that it's fine to have lofty goals, if the athlete is willing to
New tartan tracks for racing have allowed runners to run spend the time and energy to meet such a goal. Natural talent, of
faster; new running shoe developments have also increased the course, plays a big role in the attainment of success in athletics.
racer's speed. The flexible pole vaulting poles have allowed Many sports have shown us that with only a small amount of
vaulters to reach new heights never imagined before. Well, I could natural talent, but with a great deal of time, energy, perspiration,
goon reciting such examples of track and field innovations but I'd and good guidance an athlete can reach pinnacles that he or she
just as soon not-the point is, man is just not content with retain- never dreamed were accessible before. In this process the drive
ing old standards. New records are constantly being sought in all forces the person to use methods never anticipated beforehand- a
forms of athletic endeavor. So why is it so strange that man wants willingness to use any method necessary to out-achieve and defeat
to take drugs that will increase his strength or dimensions? After all of the other competition. And to be crowned the best in the
all, isn't this just speeding up evolution just a bit. To return to the world, the body builder must defeat all other body builders of his or
question of "doping," to me, then, "doping" is the use of stimulat- her sex in the entire world!
ing drugs. Amphetamines have been and are used for just such Power lifters, on the other hand, have a slightly easier
stimulation. They are used by some body builders in their daily schedule to become the holder of a world's record. Here they must
work-outs and some power lifters in competition, but only a few to defeat all of their sex in their particular weight category. That still
my knowledge. I don't condone or prescribe these drugs to my leaves a mightly difficult position for any power lifter.
patients and I don't feel that there is a justified need for them in I've stated that my practice is made up of athletes from many
either weight work-outs or contests. Mind altering drugs of any disciplines, but the number is made up nearly entirely of male
kind have no place in athletics, and to be honest with you, I don't athletes. The female athletes that I see for anabolic steroids are
know any athlete who takes them. extremely limited. I see only one or two female body builders and
In returning now to my commentary on my past work with only a few more power lifters. Female body building has generally
athletes-in researching a drug or group of drugs, physicians are remained an extremely feminine activity, quite divorced from the
 male counterpart. At first I was repulsed, like most men, by the took ten tablets a day! He apparently soon became quite ill and the
thought of women with highly developed muscle groups, but I was causative agent was brought to light. The boy lived but all con-
plea.s~ntly surprised to find them to be charming and ultra- cerned learned a lesson through the Emergency Room physician
femmme. The naturalness to their symmetry was pleasant to the about strychnine poisoning. I admire the courage of the one lad in
eye and t~e "rout~ne" was more like a dance routine than the gross confiding to me his nearly serious error, but, as you can see, some
muscle display given by the men. If you haven 't seen a women's people will do almost anything to reach their goals!
body ?uilding contest-please do, I think that you'll be pleasantly Physicians are not experienced in anabolic drug therapy for
surpnsed. The female body builders that I see as patients see me two simple reasons. Very rarely do any physicians see serious
for the usual physical problems of any athlete and not for the male competitive athletes in any quantity and, number two, the drugs
hormones that the males all expect that they take. I'm glad that themselves are rarely used by the medical community in conven-
the women have thus far been able to keep the naturalness in their tional medical patients. You learn about anabolic steroids simply
end of the sports, but how long will that last? from clinically using them, using them in a large number of ath-
Sometimes on the road to winning the athlete will be tempted letes and using them for a number of years. There is no way that
t~ use anything and everything in order to reach his or her goals. you can learn the clinical use of these drugs in just a short period of
Sixteen ~ears ago, with no real medical guidance, the power lifters time or with an inadequate supply of willing patients. Dr. Wright,
an.d particularly body builders, took literally "anything and every- in his fine treatise on "Anabolic Steroids in Sports" points out the
thmg" that they felt might give them some gains. At a popular meager research performed on athletes in the past. Thus far, Dr.
southland weight training center some 15 or 16 years ago, the Wright's book has been the only one that I'm aware of on this
"usual" dose of anabolic steroids recommended to the novice, not subject. I hope that this book of mine will fill the void, but it's
by the gym management, but by other body builders was 100 certainly not going to be the definitive work on this subject. I,
Dianabol tablets, 100 Anavar tablets and perhaps 40 or 50 Anadrol myself, learn new things about anabolic steroids practically every
tablets per day! Can you imagine that? I'll bet that somewhere day, and I'll continue to learn as the years go on. An up-to-date
today someone is still taking similar amounts of medication with revised edition of this book, years from now, will probably reveal
no more gains, I'll wager, than those on sensible doses. I spok~ once information not even dreamed of at this time. My steroid patients
to a world class competitor who admitted to me that he once felt it are great in number at this time, but with ten or more new patients
n~cessary to take 1500 Dianabol tablets each day! Even with per week, more information is yet to be gleaned as new difficulties
Dianabol at $5.00 a hundred in those days, that's ridiculous just are found and solved. With the welcoming of more physicians into
from the price alone, forgetting the expected side-effects from this the practice of athletic medicine-anabolic steroid therapy, obvi-
dose. One current patient of mine confided in me that he had once ously there is even more to be gained as new ideas are introduced
found an old medical text of his grandfather's a few years ago in and tried by the medical community. New blood with fresh ideas
the garage. In that old physician's journal it mentioned the good can never hurt, only help.
effects of strychnine on muscle tissue. The grandson did not read Anabolic steroid therapy is individualized therapy. You just
that the text said smooth muscle, not skeletal muscle. He probably can't stereotype a group of athletes, predicting drugs, dosages, etc.
~ould not have recognized the difference in any regard, but a great It just doesn't work. The patient must be appraised from a number
difference there is. Up until twelve or so years ago, strychnine was of areas. What sport is the person mainly interested in? Are there
sol~ for various medicinal remedies, impotency was one. My more than one sport endeavor in which the patient is participat-
patient thought he had fallen into a long forgotten secret from the ing? What gains has the person made up to this point? What gains
past and somehow purchased some strychnine tablets and started does he hope to make from anabolic therapy? Are the gains realistic
taking one a day. One of his work-out partners somehow was let in from a standpoint of the patient's training habits and motivation?
on the supposed secret, and as he wanted to be even bigger than his Any history of disease entities in the past, or in the family? What is
partner, he took two tablets a day. Another acquaintance discov- the patient's current health? Does he or she take medication regu-
ered the plot and as he wished to be bigger than the other two, he larly? Any history of taking anabolic steroids, and, if so, what
 successes or side-effects were encountered? Is the patient allergic But back to the non-steroidal body builders, I mentioned that
to anything, medication or whatever? Are there any current they must be admired for their willingness to pass up the pres-
abnormal psychological or physical signs or symptoms? Age could sures of their peer group and refuse to take the anabolic steroids.
have a bearing, though slight, on the steroid therapy. In the female T he ones that I've seen are not dramatically developed, but they do
athlete, is she currently using an adequate birth control method have that certain "naturalness." They are no match in a mixed
with some of the drugs this could be quite important. Are he; contest with steroid users, however, and frequently succumb to
menstrual cycles regular or are they abnormal? A very important the temptation for greater size through steroid therapy usage. It
factor is the patient's structure, size and weight. Are there abnor- really is a shame that to successfully compete today you must
mal deposits of fatty tissue? Does the patient work out at an follow the dictates of your competition or fall by the wayside and
adequately supplied weight training center? Who is advising the not many are willing to fall. Sometimes this follow-the-leader
athlete in regard to a weight training regimen? Does the person attitude forces the athlete into feeling that he must take more and
work out often enough or perhaps too often? Does he work out well more drugs just to keep up. Instead, he should follow the heed of
or just going through the motions? Who advises the patient on his the "natural" body builder and develop as much as he can without
nutritional status? Does he take in an adequate amount of protein? any drug stimulation at all. Then, when the gains finally become
Is there a protein supplement being taken, if so, what kind? What few and far between and he wonders if it's worth all the effort-
vitamin supplements are being taken and when? Well, we could go then the addition of a single, oral anabolic drug could make a world
on but I think that you can see that there is a great deal of of difference. But, remember, nothing takes the place of a good
information that must be gleaned from the patient before deciding work-out. The use of anabolic steroids is not a short cut as far as
upon an appropriate form of anabolic therapy for him or her. horter work-outs are concerned. If anything, the athlete on ana-
I don't really think that the pharmacist in Tijuana, Mexico or holies must work harder, not less. It must be clear that anabolic
the black market anabolic supplier at the neighborhood gym is at teroids are for the sincere, well-motivated athlete who needs
all concerned with these figures. Generally it's: "here are some omething that will simply accentuate his own natural develop-
D-bol, they're great- they made Arnold as big as he was,'' or some ment or talents.
similar bit of nonsense. I'm certain that Arnold himself would not Some of my patients are in their later teens and their parents
be willing to advise someone in so haphazard a way. As you'll read, have sometimes expressed some doubt concerning their son's
Dianabol can be a wonderful drug for some, a tragedy for others. interest in weight training. Many people from my parent's era in
For those body builders who are opposed to the use of anabolic life related body building with being gay. They felt that the some-
steroids, there are contests that are referred to as "naturals." For times exaggerated poses developed to show up or accentuate mus-
one thing, a weight trainer who is not enticed by either his friends le groups, appears to be effeminate in appearance. The younger
or his competition into taking the anabolics is to be admired. He people today know that this is ridiculous. Body builders are no
must certainly have self-confidence, and few are found today to more or less masculine than the rest of the community. It's a sport
have that. Lack of self-confidence is certainly a major reason for like all others and sexual preference plays no important role in it.
many men entering into body building today. Along with the Now, one important reason for aiding these athletes and not
muscular development comes a self-assuredness not present I tting them become discouraged is that they become better per-
before. Sometimes the shy, retiring man develops a "chip-on-the- sons. The body builder, as an example, does not smoke, does not
shoulder" attitude along with the muscles. This new attitude and use alcohol, does not use narcotics, does not generally eat "junk
outlook is probably very good psychologically as it pulls the person food," is oriented to health and, therefore, should live longer, and
out of his shell where he can converse well with others as never be healthier than the rest of us. These athletes usually don't age
before. Some successful body builders might overdo the self- like the rest of us- isn't that nice? They workout in the gym, work
assuredness thing once in a while, but I'm certain that they're ttt t he job, or go to school- they're too tired to get into trouble with
better overall because of it. , the law. This is also a fine feature for it implies good citizenship.
So, I really can't think of any good reason for keeping someone tion is fine-it isn't. There is no one better at guiding and directing
from "working out." The trouble with many athletic endeavors, your medication than a physician. The wei.g~t training coach will
and particularly weight training, is that certain early gains are do an excellent job of developing your trammg program and the
reached fairly easily but to gain further is seemingly near impossi- nutritionist is best at recommending dietary needs, but only a
ble. The weight trainer struggles for long hours to make only physician should recommend and prescribe your dr~g ther~py. H~s
meager gains, or none at all. It gets discouraging, when someone knowledge of pharmacophysiology with drug mteractlons IS
else, working out either as hard, or less than you, is making better unsurpassed by any other. Of course, you expected me to say that
gains than you are. That's enough right there to convince you to didn't you, but it's quite the truth. .
take up tennis or racquet-ball. Then you find out that he's taking Earlier I was discussing the side-effects that I see m my
"steroids." That's all it is, you're not deficient or abnormal-he's patients, the four things mentioned as side-ef~ects to. ana~lic
just got an edge on you. So, what do you do about it? Do you find teroid therapy are baldness, sterility, liver and kid~ey fail~re. I ,ve
someway to get the drugs yourself or do you forget about the whole aid that in 16 years of practice in using anabolic ste~mds I ve
thing? You've heard the guys at the gym talking about those never seen any of these disease entities in any of my patients who
terrible side-effects from "steroids." You know-the liver or kid- are following my advise. First, in regard to baldness. I see thre~ or
ney failure or the baldness, or even worse ... the sterility. Let me four men who are bald, they were bald before they started taki!lg
say that in sixteen years of working with anabolic steroids and teroids and their fathers were bald before them. The anabohcs
thousands of patients, I've never seen any of these side-effects imply did not cause their baldness. I don_'t k~ow of any of my
happening to any of my patients. Now, I don't mean that these patients who are complaining of losing their hair today, actually
medicines are absolutely safe-like any medication, there is hey generally comment on how much mor~ luxurious th~ir hair is
always a chance for side-effects. But in my practice they have thus growing. A slight increase in body hair will be found with some
far been extremely remote. In preparing for this book I surveyed thletes taking the anabolic steroids. Some athletes state th~t
the year 1981. In this last year, with a few thousand patients on their straight hair is now becoming wavy. I can't r~ally ex~lam
various anabolic steroid regimens, I had fifteen patients report to his last statement, but why don't I see more bald weight tr~mers
me that they had developed acne. I had twelve patients develop than I do? Why is there not the same percentage of baldnes~ m the
high blood pressure from their anabolic drugs, and I had one weight training athletes as in the rest of the male popul~tlon? Do
patient with gynecomastia (an enlarged, tender nipple). In all of balding men not work out with weights? I can't really behev~ t?ey
these twenty-eight patients I simply changed their medication and don't. Could it be that a good exercise program, clean hvmg,
the problem disappeared. One patient with a long history of hyper- vitamins, protein supplements, (or perhaps anabolic ~te~oids) are
tension and who did not wish to halt his medication, was placed on keeping men from balding? Now, just as an observatiOn It almost
a mild anti-hypertensive tablet with good results. I said twenty- appears that this is so.
eight patients, out of several thousand. Now any physician who In regard to sterility, I perform a sperm count on. my no.n-
uses antibiotics, or pain-relievers, or arthritis medication or blood asectomized male patients every three months, as will be dis-
pressure medicine or heart medication or blood cogulation medi- cussed later under laboratory tests. Occasionally I do find a
cine or cough or cold products-or most any kind of medication on pecimen with a very low sperm count. H~lting the ana?olic ste~­
his patients, will tell you that he sees a certain percentage of oid or using human chorionic gonadotropm usually reheves th~s
side-effects. In practically every case, the percentage will be higher problem. Occasionally the problem is associa~ed With ~ ~ro.stat.Ic
than that that I find in my anabolic steroid patients. What I'm saying infection. In this case, clearing the infection with an antibiotic will
is that if the physician develops a good knowledge of these drugs t liminate the sterility problem. .
through experience and if he hopefully gives the right drug to the Liver and kidney problems have never been present m my
right patient, the chances are great that the anabolic will be as patients and yet liver and kidney tests are performed every ,three
safe, or safer, than any other type of drug that he could give to that months in looking for just such problems. Now, I shoul?n t say
particular patient. Again, I don't want to imply that self-medica- never, but there is an explanation. This last year I received the
routine laboratory reports back from one of my old patients. He innovations have been developed in lifting techniques, but let's
had stated that he was feeling fine and was preparing for a contest, ace it, anabolic steroids have played the major role. Anyone who
but the liver tests were grossly abnormal. The lab, after seeing the s ys that anabolic steroids does not build stronger, bigger, faster
results, ran a test for viral hepatitis and this was read as normal. 1 dies is simply blind, deaf and ignorant, or just misinformed.
So, I asked the patient to come in and see me. I read from his chart Prostatic hypertrophy (enlarged prostate gland) and peptic
that he was taking four Anavar tablets per day and 100 mg. of tlcer have been quoted by a few medical authorities recently as
Deca-Durabolin each week. I told him that I couldn't really 1 ing caused by anabolic steroids. In 16 years I have never seen
imagine how that dose could cause the liver picture present on the t•ither condition in any of my patients. Prostatic hypertrophy is
lab test. I told him that I thought that he was taking much more g nerally thought to be an enlarged gland caused usually by.an
than that dosage. He confessed that while training for the contest, adenoma (a benign tumor)- I've never heard of any athlete havmg
he had been unable to train as often as he would have liked due to this condition, whether on anabolic steroids or not. Prostatitis is
his job. He was taking fourteen Dianabol and fourteen Maxibolin < used by a bacterial infection, while prostatosis is usually found

tablets with Deca-Durabolin and testosterone cypionate in rather with sexual abstinence, again not anabolic steroids.
large doses intramuscularly each day. No wonder his liver reacted! Peptic ulcer emcompasses two main disease entities: gastric
After halting all the medication for one week, the liver tests or stomach ulcer, and the duodenal ulcer. Gastric ulcer is rather
returned to normal. They remained normal after he later returned 11 ncommon and affiliated with a stomach irritant: charcoal-cooked
to the Anavar and Deca-Durabolin dosage. He learned a lesson- f od for one, not anabolic steroids. Duodenal ulcer is simply a
don't fool with mother nature by using too many steroidal drugs. r • ponse to internalization of adverse external stimuli: stress at
In a recent medical journal the comment was made that work mostly- again not anabolic steroids. So, I can't imagine
anabolic steroids can cause euphoria. Webster's defines euphoria where some of these medical, and lay, authors derive their infor-
as a feeling of well-being. I certainly can't believe that statement. ltlation on anabolic steroids. Hearsay probably plays a great role
Well-being most assuredly can come from successfully working .t nd you know how a rumor changes as it spreads. I have quoted my
out, being satisfied with a more muscular frame, or from correct- "ide-effect statistics and as I've not seen any of these often quoted
ing a previous feeling of shyness or inadequacy with a new feeling o..,i de-effects-I'd really like to know who is seeing these problems,
of self-confidence. I can think of other reasons for a feeling of .tnd are these patients, if they're present at all, taking sensible
well-being- but certainly not anabolic steroids. I wonder where o~mounts of anabolics under good medical supervision?
the author of the article ever heard that one? He also reports that In the course of this book I will be mentioning gynecomastia
oft-heard bit of garbage seen on anabolic steroid insert sheets: ,, · a possible side-effect. This condition involves the male nipple
"anabolic steroids have no effect on strength or athletic perform- .md breast tissue. It can be uni- or bilateral, though unilateral
ance!" Anyone who believes this statement must be either totally rn volvement is much more commonly found in my practice. The
misinformed or is like an ostrich- with his head stuck in the sand rn volved nipple becomes enlarged, due to the inflamed breast
and ignoring everything he sees or hears. I'm sure that body t i sue beneath it. The degree of tenderness can range from no pain
builders from forty and fifty years ago worked out very hard, and 1c a very sharp pain. More comments on this condition will be
yet I would imagine that Mr. America from somewhere in the found throughout the commentary.
Forties would have difficulty today in just placing in the Mr. Los Hypertension is another term that will be mentioned from
Angeles contest. Today's athletes are obviously stronger and t i me to time in my discussion. Hypertension is high blood pres-
bigger than ever before. Does this mean that today's power ath- wre, and in my mind hypertension basically is present when the
letes work out harder than power athletes from years ago- o..,ystolic (upper number) is over 150 mm; The lower number, or
probably not. The athlete today has many advantages not obtained diastolic pressure, is abnormal if it is found to be over 90 mm. Now
before. Anabolic steroids is only one of these advantages, but various physicians will be found that will have different numbers
perhaps the one advantage with the greatest influence. Why are f r their criteria, but these are the criteria I use.
power lifting records being continually broken? Now certainly new When in the course of the book I mention labile hypertension,
 I'm speaking of a patient whose blood pressure can elevate either
systolically or diastolically, or both, with only slight prov~cation.
The emphasis here is that this individual must be monitored
closer than the normotensive person (his blood pressure is taken
more often) .
. In mentioning something about an appropriate dose, how do I
arnve at what is an appropriate dose of anabolic steroids for
someone?. Well, I w?uld say first that the least amount of drugs
th~t contmues to give a good effect is the best idea. Stacking, or
usmg more than one drug, is fine if the one drug, an oral first has
now lost it's effecti~eness. Don't rush headlong from one dr~g to
three or start out With both an oral and an injectable drug. First,
get the most good out of the oral. Probably your gains couldn't be
bet~~r, and then add the injection only after absolutely "peaking
out on the oral product. Just because your work-out partner is on
two or ~hree drug~, that doesn't mean that you need to go to that
CHAPTER ONE
many, JUSt stay With it- probably eventually you'll be on two or
three drugs, but not now, not as a novice. Don't listen to other
lifter~ .telling you what drugs are probably best for you. Your
LABORATORY TESTS
physician knows better than anyone else, listen to his guidance,
not to some loudmouth at the gym. He could mean well but he'll
probably only confuse things worse than ever. Laboratory tests give the physician clues to the inner world of
. A.ll the criteria mentioned earlier in the chapter are used as I he patient. Changes in the body chemistry can predict a very early
gmdelmes for dete:mining medications and dosages. In the chap- arning of an impending problem. The physician with his educa-
ters on the anabolic drugs, to follow, I'll outline with whom and 1 ion and experience is the only person capable of truly unlocking
w~ere I would use the various drugs and combinations thereof. I hese clues to the inner body, as the non-physician, who is not
Without a doubt, the wrong drugs or the wrong combination of working daily with and interpreting these tests, cannot hope to
d~ugs, or drugs taken at the wrong time in competitive training 11nderstand all of the complexities involved with the interpreta-
will have a definite adverse effect. 1ion. Even with a good basic understanding of laboratory interpre-
Recently on television a power meet was seen involving some 1ation, the athlete, whether he be on anabolic steroids or not, must
of the strongest men in the world. Two of the contestants were b viewed in a different light than the non-athletic patient. Some of
patients of mine, and they fared quite well. Another contestant I he lab tests can be interpreted at face value with results showing
from the Eastern United States, I believe, was noted on T.v: no real difference between athlete and non-athlete alike. Some of
close-ups to have hundreds of acne lesions all over his face, neck, I he tests, however, must be read with the athlete definitely in
shoulders, back and upper arms. My concensus is that this indi- rnind. His drug intake, type of athletic endeavor, diet, supplements
~id~al is incorrectly taking high doses of injectable testosterone- .tnd body habitus all play a role in deciphering the information.
m-oil. The ~ower.that he has achieved is fine-but for a high price. Let's look first at the blood glucose determination: the blood
My two patients m that contest lifted just as well and had no acne " ugar" must be viewed with an understanding of when the
lesions. In fact, none of my thousands of patients at this time have 1 atient last ingested food or drink prior to the blood being taken.
any such defects in their complexion. I think that with better I he time of ingestion is important, but equally as important is the
guidance th.e other lifter could be just as strong, or stronger than I ype of food or drink taken in and the quantity ingested. Two hours ,
now, and without any mar to his health and complexion. after an average meal the blood glucose should rise to about 150
---L---
 mg./dL, while 190 mg./dL is acceptable one hour after ingestion of What I've said so far regarding the handling of laboratory
food. Likewise, a 12-hour fast should produce a level much below sts is probably the very same method used by most physicians
90 mg./dL. These levels are examples only, and the rates vary from t day. Today people want to know exactly where they stand,
physician to physician and laboratory to laboratory. So what is ·xactly what is wrong with them, if anything, and how severe the
deemed borderline by me might be considered quite abnormal by problem might be. Years ago physicians routinely kept laboratory
someone else or in the high normal level by a third physician. The 1 sts a secret from their patients and generally explained little-
above quoted glucose levels are found in non-athlete patients, ! day that's all different. Athletes are probably more interested in
while in the athlete, lower than expected values are quite com- their laboratory test results than the non-athlete, as the athlete is
monly found in the blood glucose determination. The non-athlete u ually more health conscious and certainly more literate about
with a glucose level of 20 mg./dL would be questioned for signs and h alth problems than the average person.
symptoms of hypoglycemia (or low blood sugar), whereas the ath- In this monograph I'm not going to try to tell your physician
lete will "burn up" his sugar stores for energy while training and h w to interpret your own laboratory tests. I do hope, however,
abnormally low-appearing glucose levels are frequently found on I hat I can pass on to other physicians some comments on the tests
blood panel studies of asymptomatic athletes. In my practice a 1hat I have found to be pertinent in evaluating athletes. If a
blood glucose of 18 or 20 mg./dL is not surprising in a training physician is open for suggestions, possibly he can make use of
athlete, though most are higher than this. Upon questioning the · orne of this material to expand his own knowledge. As physicians
patient he tells me how well he feels with no symptoms referrable w quite often learn from one another. Let's speak now of some of
to his relatively low blood sugar levels. Thus, an athlete might be I h specific laboratory tests that I recommend be routinely per-
expected to have a lower normal blood glucose reading than the formed on anabolic steroid patients. By routinely, I might say that
non-athlete, while higher than normal blood glucose levels are I've found throughout the years that every three months seems to
never found in athlete or non-athlete alike. In the latter case, Ia• a safe interval of time for testing. Any more often makes testing
further studies are needed to rule out diabetes mellitus. One recent ,.x pensive for the athlete's budget, any less often makes it difficult
medical writer has theorized that the use of anabolic steroids can lo fi nd a problem early and arrest it's development. There are
aggravate or be causative of diabetes mellitus. I've found no physi- 1 hose cases, of course, where re-testing, more often, is to be
opharmacological basis for this idea and my experience has shown d(• ired. For example, if a certain test on the panel study is abnor-
just the opposite to be the case. The diabetic patient on anabolic rnal and the patient is given a specific therapeutic regimen in order
steroids generally improves, requiring a lessening in his daily 1o liminate the problem, a repeat evaluation of that particular test
medication or dietary requirements. The reason for this is not a 111 ight be in order before three months has passed. On the other
direct action of the anabolics, but rather a decreasing blood glucose It and, I can't think of any case where I would delay the tests longer
level due to a more spirited work-out and increased dietary con- 1han the three month's period of time.
trols. Also, I've never seen a case of diabetes be precipitated by I've already made some comments about the blood glucose
anabolic steroids and/ or good weight training. l,·v 1found in athletes. Now let me mention the other tests, one by
In my practice I send the blood specimens to a laboratory, as nn , with a suitable commentary after each.
I'm certain do all other physicians. Reports are uniformly con- First, the white blood count (or WBC); I've seen no deviation
veyed to my office the next morning as two copies of the final I rom the normal range with patients on anabolic steroids. An
reports. One copy I file in the patient's permanent chart, while the !I!Tasional upper respiratory infection or such will give an
orginal is sent to the patient himself. A list briefly describing the ,. p cted rise in the count, as might be expected in anyone, but
function of each test is included with the report and I write a note 11c·v r a depletion as might be found with many other non-anabolic
on the lab report itself, analyzing the results of the entire test for · lc•roids , or other drugs, for that matter, taken for a prolonged
the patient. This is done for a better understanding of the test's twriod of time. I'm speaking here of aplastic anemia, as realistic-
meaning, though any abnormality is discussed with the patient in .cll y might be found with the long term use of certain antibiotics
person, again for better understanding. 11 HI arthritic medications.
 Next, the red cell count (or RBC), plus the MCV, MCH and It' l , is a serious consideration, though an extremely rare one in
MCHC - thesefour tests tell us of the amount of red cells, the cell's 111 patients.
size and shape, plus the amount of hemoglobin within the cells. The uric acid can be indicative of an impending case of gout,
Goodman and Gilman in their fine text, refer to large doses of ,1• with any individual. Many times the uric acid is found to be
androgens causing ''excessive erythropoiesis leading to moderate .It g h. tly or moderately eleva ted in weight tra~ners du_e t? the excess
polycythemia." This means an increased amount of red blood .11 nount of purine foods taken in with the1r protem mtake. _For
cells. This reference that Goodman and Gilman make appears to ,.. tmple, many athletes will take in copious amounts of l~ver
be the entity that we used to call stress polycythemia. This was , t r ct tablets to increase their body's protein level. The punnes
described as an increased red cell mass seen in males who are IHc';\kdowninthebodyintouricacid,andanover-abundance,that
under increased stress and strain. In no one case have I found a 1• not eliminated from the body, can lead to the development of an
deviation from the expected RBC normal except in cases of dehy- ,. qui itely tender, gouty joint. Diuretics (or "water pills")_tak~n
dration (excessive perspiration and/or the use of diuretic medica- 11 , 1t hletes to reduce their fluid weight, can increase the unc ac1d
tion, without replacement of orally taken fluids). In the case of "'"''the same as the hypertensive patient who takes the diuretic
dehydration, the fluid in the blood is decreased making the cells tilt 1t antihypertensive qualities. . .
appear to be in greater supply. Liver function studies- namely: total protem, albumm, glob-
The hemoglobin and hematocrit: these two tests refer to the t1ltn A-G ratio total and direct bilirubin, alkaline phosphatase
capacity for the red cells to carry oxygen to the tissue levels. Again, 111 d' rglutamyi trans peptidase. These are ~ound elevate_ d in one
an increase is seen, and expected, in mild dehydration. A decrease, t, 11 111 or another in cases of liver dysfunction (as seen m those
as with any patient, deserves a good hematologic work-up to detect 1 11\ 111 g abnormally high levels of anabolic steroids), viral h~patitis,
the cause-bleeding or whatever. 1 1 cs ive Vitamin D intake, dehydration (or over-hydration) and
Thedifferentialistheenumerationofthepercentageamounts 111 ,dnutrition. When I see an elevated alkaline phosphatase and
of the various types of white cells. Here once again no change is 1 ,, .'II I think of an obstruction to the bile flow (as in gallbladder
seen in anabolic patients or athletes in general. ,11 ··a~ ). When one or the other of these two tests is elevated I look
The mineral calcium can be elevated in those people taking in f111 , 1 hemical cause of the problem (liver overload from drugs).
more of this mineral via their mineral tablets each day than is , 11,.1 1fically with the GGTP, here an elevation can be caused ~Y
necessary. An increased level such as this can lead to kidney de nh 1 certain narcotics and other drugs, though not necessanly
stones and other factors. A high calcium level can be found also in '
111 , 1holic steroids.
patients who are taking an over-abundance of milk for it's protein 'I he transaminases: SGOT, SGPT and LDH levels are liver
qualities, or milk and antacids for some upper bowel problem such (11111 t i n studies and are also called ''muscle enzymes.'' An eleva-
as hyperacidity or peptic ulcer disease. The over-usage of some 1,, 111 of these is found with cholestasis (the obstruction of bile), as
types of diuretics will also increase the calcium level in certain 11 . 11 with an over-abundance of anabolic steroids, but is very
people (diuretic usage is discussed further in another chapter). 11111 monly seen with just simple mechanical exercis~. ~het?er the
The mineral phosphorus can be decreased with the same 11111 •• ri is injured by a poorly conditioned man strammg h1s ~ack
diuretic medication. This is the only change I see in my patients' t 1 ~ lifting some heavy object over the weekend, o~ the w~1~ht
phosphorus level. It 11111 .r who constantly "injures" his muscles by we1ght trammg
BUN (or blood urea nitrogen) and creatinine levels: these will tilt "I ulking and pumping up" exercises, an elevation again will
be slightly increased with mild dehydration from loss of body 1•1• 11 with these enzymes. In other words, if the LDH, SGPT ~r
fluids and a notation to increase the fluid intake will be made to the ,( ,.1 i~ lightly, abnormally high, this I expect in someone who 1s
patient. A decrease in BUN is seen rarely in athletes as over- 11 1 ,.~~fully exercising his skeletal muscles, whereas I would not
hydration is seldom a problem. The high protein diet required of 11 ,., t to find these elevated in a non-exercising, well pers?n. In
anabolic steroid users quite often also elevates the BUN. Kidney Ill\
11 , a tice as the athlete begins to train successfully, w1th or
disease, as evidenced by high elevations of these two laboratory _ ..__....u.........."' ut th anabolics, usually the LDH is the first of the enzymes
to become elevated. Later, as the training becomes more rigorous, uldilive in his vitamin-mineral intake. A decrease gives cause for
the SGPT is the next most likely to elevate. Finally, an occasional "·" m and further studies are needed to determine the cause.
mild elevation of the SGOT is seen. In other words, I expect these Magnesium-! find this mineral to be low in many weight
elevations to occur with good weight training in most individuals. t 1,11ning athletes, the cause of which is not always clear. My
If a toxicity to the liver is suspected, then the other liver studies 111 v y has shown no particular anabolic steroid, nor any other
should and will reflect this. In the case of a suspected liver abscess d' 1w r dietary regimen, to be at fault.
or cyst all of these tests can be normal with the exception of an , odium, potassium and chloride: these chemicals (or electro-
elevated white count and abdominal physical symptoms. I have ! t , ...,)are elevated, or depleted, in various states such as dehydra-
never seen nor found a liver abscess nor cyst in any of my anabolic '"'" (or over-hydration), chemical imbalances, over-use of diuretics
steroid patients in 16 years now. I do see a rare case of a liver 111d profuse sweating, to name just a few of the often seen causes
reacting to over-dosage of medication now and then. The cause is 111 .1thl tes.
always the same: the insecure or misguided body builder or power Urinalysis-in my office we perform various tests upon the
lifter who ignored my therapy plan and decided that a greater p,tlll'nt's urine: pH, urobilinogen, bilirubin, specific gravity, sugar,
dosage of steroids was needed. ld1tod, nitrite, protein and ketones. Examination of the urine sedi-
It should be mentioned that a heart attack (the heart being 1111 111 ·an be performed in looking for such things as casts, bacte-
made of muscle) can be implied from elevated enzymes also. But in 11'· 1nineral sediment and others.
this case a greatly elevated level will be found for each enzyme and The density of the urine is tested with the specific gravity. I
not the mild elevations that I implied would be found in weight l't, tly found an unusual disease entity in one of my new patients
training athletes. In the suspected heart attack patient, other 11 It this test. The disease is diabetes insipidus, it is a disease of
blood enzymes can be used to rule this condition in or out. lu tnluitary gland and not to be confused with "sugar diabetes"
Cholesterol (a true chemical steroid-but not an anabolic one) It d wt r mellitus). This disease is rare and is in no way connected
is a blood fat. This is often found to be elevated in my patients due '' h anabolic steroids.
to the high protein diets consisting usually of a large quantity of I h urobilinogen and bilirubin gives an early warning of
eggs, fatty meats and milk products. A notation on their laboratory 1 , .thlc liver disease, while the pH can vary sometimes with the
results sheets for them to decrease their high fat intake (and t ltl1·ll' diet. A persistently alkaline urine can lead to a renal
substitute other protein forms in the diet) will nearly always bring
on a decrease in the cholesterol content to the blood. Comments are 1h urine with sugar in it must be considered as diabetic,
made in journals now and then that anabolic steroids can give a 11,,11 •h the blood sugar determinations are much more accurate in
cholesterol rise, but I don't find this to be true. I believe that the 111 , as . A follow-up two-hour, post-prandial blood glucose is
athlete's diet plays the biggest role in the blood fat elevation. If the 11 1111Lt! ry.
dietary fat is decreased, then the blood fat content will be Blo din the urine is found now and then with male athletes
decreased also, even though the anabolic steroid is continued. At t h .1rute prostatitis. This is a non-venereal disease that is not
thistimeihaveonlyoneanabolicsteroidpatientonafat-lowering 111 ~;tl 'd with anabolic steroid therapy. Blood cells can also be

drug regimen in combination with the low fat diet. n 11clt outinely in kidney or urinary bladder infections, and, even
Triglyceride is also a blood fat and similar comments can be h ~~~~~ 11 it' an uncommon disease, cancer of the bladder. So, when
made for this as with the cholesterol, except that here a mild 1 1tlnocl ells are detected in the urine, a good urological evalua-
elevation is expected if the athlete has not been on a fat-freediet for 11 "' 1n, ndatory. This is true of athlete and non-athlete alike.
the 24 hours prior to the blood being drawn. Thus, I call a mild itrit s in the urine can be a predictor of a renal tract
triglyceride elevation as normal; the cholesterol level, it might be 11 1 11on, while ketones could be found in athletes who are simply
mentioned, can be elevated in a person who is emotionally upset- l1 It 1l1 ;tied.
nervous or under undue stress. l't olt•in in the urine I have saved until last. Simple exercise
Iron can be found to be elevated in the patient with an irou_.._---&..£U.J...LLL~uu•a.cL.t;JkLain_._amoun f om · · th urin an while
this finding might be an ominous sign in a non-athlete, it is an 11 rtll . It might be noted that the semen examination can also
expected thing in many athletes. First, athletes are usually on a ., 1 du s to the presence of a prostatic infection.

very high protein intake and "spillage" of excess protein in the In the above dissertation on laboratory tests, I have men-
urine from the blood might certainly be found. Protein in the urine llllltt·d hat the urine and semen tests are generally performed on a
should be a reason to examine the urine sediment. True exercise 1 '"''n basis-every three months-on my patients who are tak-
proteinuria (protein in the urine of exercising athletes) will fre- '"f .utabolic steroids. Obviously, like the blood tests , the test
quently show the presence of hyaline or granular casts in the 1r ttl I can offer to the physician an ever wider variety of diagnos-
sediment. Orthostatic proteinuria means, simply, protein found in 11 1 111 than I have mentioned. I have discussed abnormalities
the urine of someone who has been in the upright position for a found in my athlete patients, abnormalities that are not
number of hours. There are specific recumbency tests that can 1 ,, found in my non-athlete patients. The more obvious con-
rule this condition in or out. If repeated urinalysis show persistent ton reached with these tests I need not relate to another
moderate to heavy amounts of protein, then a careful urological 1111 H •an, as he is well aware of the meaning or interpretation of
work-up is again called for. Exercise proteniuria has been reported 1" , t p ls under non-athletic conditions.
in some cases to show red blood cells as well as protein in the urine,
but I've never seen this in any of my anabolic steroid patients, thus <n HER TESTS: The above tests are the usual tests per-
far. • 11wd routinely on my patients, I'm currently considering the
Curvature of the lower spine-called lordosis-can be just 1 l•lll t11n of the high density lipoprotein determination to the panel.
another benign cause of protein in the urine of athletes. Some 1 11111 t tosterone and estrogen levels are occasionally desired ,
power lifters, after engaging in heavy or prolonged dead-lifts can 1 11nl routinely performed, due to the high cost by the Ia bora to-
show protein in their urine following this exercise maneuver. The ' Mo t patients would simply not be able to budget for these
hyperextension of the spine with the dead-lift can give a lordotic t, , 1w tests if they were routinely performed.
effect to the lower spine as the body is standing holding the weight, I II roid panel studies are not too expensive and are included
with the pulling of the shoulders backward and a forward pull on tIt '''' panel study in those cases where a possible indication of
the lower back. Repeated urinalysis before and after dead-lifting 1 ,., or under-active thyroid gland is present.

will show if this is a cause for the patient's protein in his urine.
The sperm count-this is a test that is also required of my
patients every three months, or more often if the athlete desires. It
is performed only on non-vasectomized males and requires simply
a semen specimen brought into my office, no older than four hours
after collection. As this test can cost the patient $25.00 to $75.00 at
most labs, I perform this, like the urinalysis, free of charge. This
test I perform myself-not designating it to a nurse or technician.
The technique, using a counting chamber and diluent is standard
throughout the country. The semen specimen is examined for
signs of bacteria, red and white blood cells, casts, sediment, sperm
count, motility and deformities of the sperm. This test gives an
indirect indication of the pituitary-hypothalamic feedback mech·
anism (discussed in another chapter of this book). If the sperm
count is low or nil, then cessation of the anabolics should be
considered, with or without HCG therapy (also discussed in
another chapter). A normal count gives the athlete a psychological
boost if he fears that sterility could be a product of his anabol.u.-----~~
 CHAPTER TWO

DIET AND SUPPLEMENTS

Body builders in particular are generally very knowledgeable
1 1l11 · .ll'l'a of nutrition. Power lifters might not always be aware of
I rl ', good for them but the more successful ones know fully well
I tl IIH'Y can and cannot eat or drink. I try to counsel my patients
t r11111l ion if any of them need advice, but I would prefer to leave
11t1lr1t ion problems up to an expert- a nutritionist. So many of
n~tlritionists today, though, are too expensive for most ath-
' httdgets. So, information is gathered by the athlete from
111' ·•H 1rces and a consolidation is made generally from all of the
I 11111.11 ion gleaned and used by the athlete to select what seems
l1t lot him or her.
I11Ld aloric intake is guided by a number of factors: age,
Itt, wt•ight, goals, hours spent working out, metabolism, train-
'' \ ,., and on and on. So, to say that the "average" male body
t ld• 1 llt't'd 7,000 to 9,000 calories per day is absurd. But the
111 .11 hlete who works out hard and hopes to maintain his
Itt, or gain, must be ready and financially able to eat well.
11 1hou sa nds of calories are needed each day as a certainty,
h I till' ftomale counterpart obviously must take in much less.
• 111 voiH' trying to maintain their weight, or trying to lose
ht lot I hat matter, a dietary restriction with good nutrition is
 the weight fluctuating in the proper way. More importantly is the I lbvi usly, the powder can be made to taste well to your
breakdown of the total food intake each day into percentages, and "11 ''' tdar taste buds. Added to milk you have a shake; added to
amounts: of carbohydr~tes, protein and fats. There are probably ~ 1111 ltttr · i also fine. I have yet to find one that tastes good with
as many Ideas on what IS a proper proportion of these elements as j It ttl 11ld water. One of my patients mixes his with diet Pepsi ...
~h~~e a~e body builders in California. I do suggest to the new I 11 11111 o ure about him.
I~Itlate m~o ?ody building, or power lifting to always maintain 1,, t h shake a banana can be added for potassium and, of
high protei~ mtake. Now, I m aware of studies that imply just ho 11 • , taw eggs for more protein. Ice cream and syrups are fine
~uch protem you can successfully take-in in any given period 0 I dl~ lor someone who needs the weight-but that soon ends.
t~me, and how much protein you can use in any given period 0 I ttpp se to most of you I'm speaking of things that you're
time.' and I must admit, I don't know how much protein you can II 1 .11 of-but one factor is for certain-keep your protein
use m a 24-hour day. I do know from experience that the mor I • ttp t at least 150 to 250 grams per day.
su~cessful lifters that I see, the ones who are making the best It ' • .t~ always proper before to keep your carbohydrates low-
gams, ~re on 150 to 250 grams of protein each day. Nearly always It ''II' '· but now the trend has changed. Greater emphasis is
t~e patient who comes back to see me saying that in two months on 11 tclt· on keeping the carbohydrates higher, but the right kind
Dianabol he hasn't ~adeany gains, will be found to betaking in 9 111".11 drates nonetheless.
or so grams of protem each day. I always ask him to increase th I tl · h ve always needed to be low, very low for men and
amo~nt _of protein to at least 150 grams and to stay on the sam all low for women. Usually this is no trick for even the
medicat_w~. Gene~ally he will be back in four or five weeks talking I 1 tl1·l xperienced body builder. More about fats are included
~bout his fme weight gains. The girls seem to be content with an It • ll.tpt ron laboratory tests.
mt~ke of 70 to 90 g~?ms per day. Some athletes use as a guideline, I•·· t h dy builders are probably taking in more vitamins
or . rule of thumb, one ?ram_of pro~ein for each pound of body 111 ~ <, n use. I suppose that it's better to have too many than
weight, and up to a certam weight this amount seems fine. lt••ll~•lt. The vitamin packs, and there area wide variety on the
Now protein is obtainable from a number of sources, as you t now, eem the easiest and the most practical way to go, but
well kno~. In thegeneraldietwethinkof nuts, eggs, milk and meat 1111 ld you decide what's best for you and your budget.
as the c~Ief sources. In the meat list, I'm certain that you know: 1 ltt1· word of warning. Everything I've read in the medical
that white meat seems to be the best (white meat is fish and n d \ .trns that Vitamin B-15 is worthless. No researcher in
po~ltry). Tuna in spring water will be loaded with pure protein I 11111 I hat I've read has found a single worthy use for this
while tuna packed in oil contains unnecessary calories and fat. j 1t It, 1· ·p nsive additive. I'd rather see you spend your money
guess t~at you can eat tuna in only so many ways ... but you hear I 111·• protein additive or vitamin product.
of new Ideas all the ~ime. Twelve or so years ago at Pearl's Gym 111 1 ln-.m , just read the articles in the power magazines and
~orne of the body builders put their tuna in a blender and pureed I 111111 listen to the claims of the manufacturers-then
It-then drank it down ... awful! 1, 11.11 's rightforyou. I don't think that you'llgowrongwith
~aw nuts taste very good and don't have quite the sam tltl" lt·ad ing products.
calones or fats as the processed kind. Protein tablets or liver I 11 i11 rl ing I would like to mention a word on the "natu-
tabletsarefinewithnocaloriesbutmustbetakeninquantity and 111 dtnlt ... All I see are expensive forms of simple protein.
they usually smell bad. They look just like the things they feed t 1 1 II :l.tnd xtract is just protein, nothing more. I honestly
goats. Th~ liquid protei? tastes awful, though I have been told that 1 t h 11 11 111 uch a simple means would give you all the gains
someone Is now producmg a pleasant-tasting liquid protein drink. 11 hout prescription drugs, but the fact is that they just
The overwhelming favorite for protein supplements remains 111 I pt as part of your daily protein intake. A number
the powdered variety. Egg-milk and soy seem to be the favorit p.ll 11•nts hav come to me simply because they tried the
bases. As Y?u're,aware, there is quite a variety of prices for the 1 d" ·"'"" li and they didn't work, besides that they're
nowderPrl ktnrl T IIIP!luP th., h .. .,..,r~ ,.., t" ...._,_ : .. ~~-~-.. ___J._--UJL.LLLIL.U..:.JLUL:_i_U:t~V'_L;· i r wh t vou'r ttiruz:.
 CHAPTER THREE

J{OIDS, AN OVER-ALL VIEW

111 c· we advance any further let's first define steroids. A
' I 1 basically a hormone (Greek: hormon = to stir up). A
111111 llll'n is a substance which is secreted by glands in small
I Ire . to produce their effects in areas remote from their
I •l•liiKin. The steroids have been with us a longtime. In fact,
"' c ic•ntists conclude that the first steroids were biosyn-
11• ' primordial organisms some 1.5 billion years ago!
1 1111cl, hemically, is simply any substance whose chemi-
c"" rst of a skeleton comprising three cyclohexanes and
II 'I~~" nl an . The various steroids differ from one another
1 111 ' i11 I hat all that is required is that the hydrogen atoms,
II\ lrnl<l'cl to the carbon atoms, are replaced by two-armed
1111111~ or by additional carbon atoms. The steroids are
tlrc·cl in I heir scope and effect upon the body. Some of the
11 "" nt st roids are cholesterol, pro-vitamin D, bile acids,
1 "" • prog terone, adrenocortical hormones (cortisone),
t 11111 , c· t rog n and testosterones (anabolic steroids).
, "' ""mg the word steroid I always caution my patients
111 d mean different things to different people. If an
lc 1 loa steroid I know that he means an anabolic steroid,
regarding a steroid, I am certain that he is referring to one oft 11 111, < rtisone. The patient retorted that he had never taken
cortisone products- absolutely. As physicians, many of us ha 11 ntw in his life, but the surgeon, referring to his history sheet
long ago forgotten that there are other chemical and medicin " I 11nt111g the "steroid" comment, said certainly he had and that
products in this world called steroids. In medicine we call testost 1111 t i one delays healing they could not possibly have oper-
rone and estrogen-hormones, not steroids, and cholesterol 1 '"''II
all the cortisone steroid was out of his system. Well, I
call a blood fat, certainly not a steroid. And so, I warn my patien 1 I tltt• picture is clear to you-the orthopedist simply did not
thatinspeakingtoanotherphysicianornurse,tocalltheproduc I 1 t.tnd the patient's definition of "steroid." The Dianabol
anabolic steroids, or by the specific drug name: Dianabol 11 lt.tv increased the healing effect, certainly not delaying it,
Anavar, but certainly not as steroids. The physician is mo , , w ti one would. Everything finally worked out well, the
assuredly going to think of a cortisone product when he hears th 1 1tOW fine and the player is still playing but the next time
the athlete is taking a steroid. Now, cortisone is a wonder drug i I 1.. llt•t define his "steroid" medication, and for certain the
certain life-threatening situations, such as adrenal failure 11 d1 t will understand what "steroid" means to an athlete.
allergic reactions, but if ever there was a drug with side·effects l11 IItts book then, our focus will be on the anabolic steroids,
that's also cortisone. Cortisone products are not anabolic, the on 11111 p of drugs which are generally male hormone derivatives.
thing you will develop from their usage is fluid and fat gain 1lll't<llly, because one or two of the currently popular ana·
muscle wasting, ulcers, and on and on. So, from the outset let's n !1 11Wi are not derivatives of testicular functioning. Also, I
confuse anabolic steroids with corticosteroids. Though a sm II lllt't tion it has been stated that estrogen, a female hor-
amount of anabolic steroid is manufactured in the adrenal glan 1l o has an anabolic function, but with regard to bone
anabolic steroids are testicular hormones and have absolute , I 'm ertain that new anabolic drugs from various gland
nothing to do with the corticosteroids from the adrenal glan 11111 .tndsyntheticswillbefoundinthefuture,butourprime
You've no doubt heard stories of "steroid" abuse where athlet til h • on the present state of androgens-male hormones
are taking an over-abundance of anabolic steroids, but perha Ill• 11 ynthetic derivatives. The functions of testosterone are
more devastating are the stories of "steroid" abuse involvi tlu 1110 t obvious is the masculinizing effect. Second, is the
cortisone products from arthritis treatment clinics in Mexico. 1l1o 111 1rotein-building effect and, thirdly, the inhibitory
if the athlete is asked what drugs he takes by an examini '" 1 ht• hypothalamus of the brain.
physician in an Emergency Room, and he replies with the bra t1rl1 ov< nicity describes the masculinizing effect of the male
name of the product, such as Dianabol, then there cannot be, 1 1111 " implied above, all steroids are not androgens, but
should not be, any confusion with the cortisones. 1 ttn non-steroidal androgen has been discovered. Anabolic
As an example ofthis: one of my patients, a football player I tl11·n are compounds that might promote general body
a professional team, randomly takes Dianabol for size and stren tIt 11111 rou ld have masculinizing effects.
gains. He relates that a short while ago he injured one of his kn I "\ 1' 'iome background to the synthesis and secretion of
cartilages during a practice game and was referred to one oft 1 '""'· It l' start by saying that the newborn male infant
team's orthopedic physicians. The orthopedist diagnosed the pr I 111 c•l high concentrations of testosterone, but after a few
lem and confirmed a surgery date for the operation. During t I 1111· lev l falls off, not to rise again until puberty. At
pre-surgical history and physical he asked the football play 1lw .tnt rior pituitary gland begins to secrete increased
among other questions, if he took medication routinely. The a 111 l>ot h the luteinizing hormone (LH) and the follicle-
lete replied that he was taking a steroid. My patient said that I 11111~~ hmmone (FSH). Both sexes respond to FSH and LH
was then admitted to a hospital and remained there for the n I t 1111 I h two secretions are called gonadotropic hor-
four weeks. Various tests and medications were given but no wo 1 )'Ill I .lei t ropins. In the pre-pubertal years the pituitary
was again mentioned of a surgery. Finally, after four weeks, t nd tl~t· hypothalamic area of the brain are very sensitive to
orthopedist, while making rounds, told the athlete that they co tll1 1l '' f l't•dba k inhibitory m chanism. ''As such, the small
fln!lllv crhPrl11lo h;c. lrna.o Cttrrtor·H '"'3fi-.or o,..,...,...o.C'~+ull,.,. ..,,._.,......,;_....w,.,_ _ _ _....__..___~-~-- · _,.__, ' 1 ••
secretion of the gonadotropins. But due to an unknown cau 1()' , (the male production of testosterone is from the adrenal
puberty makes this feedback mechanism less sensitive, and t 1 ''" 1hi amount is not sufficient to maintain sperm or the
gonadotropins are released in a pulsatile manner. The actual co 1111 !.11 exual features, as evidenced in castrated males in
centrations of LH, FSH and testosterone in the plasma fluctuate 1udies.
amounts during the course of a day. In the body's plasma abo 1h teen reaches towards adulthood, and as a result of the
98% of testosterone is bound to the sex hormone-binding globuli , 1 , ., ,, ...,,the skin becomes thicker and oil glands develop. Infec-
cortisol-binding protein and albumin. The actions of the gona 1 11 ti t<• glands will develop into acne vulgaris in some indi-
tropins are probably regulated by a chemical hormone such I I h androgens are thought to be probably also responsible
cyclic AMP. LH, sometimes called interstitial cell-stimulati h N~l'r ssive and sexual behavior of males.
hormone (or ICSH), acts with the Leydig cells of the testes l r 1o. terone plays an important role in finally allowing the
increase the production of cyclic AMP and subsequently the p ' " , ch their full adult height. This effect takes place
duction of androgens (testosterone) from acetate and cholester · till' late teens and probably as late as into the early twen-
FSH is thought to promote spermatogenesis (sperm devel 1 111 i an important consideration, for if any exogenous
ment) in the seminiferous tubules of the testes. Testosterone I• , n tH (testosterone products taken orally or by injection) is
required, however, for spermatogenesis and the maturation of t l tlttn adolescence for any prolonged period of time at all,
sperm. It is felt that the sertoli cells of the seminiferous tubu 11 11 closure of the epiphyseal plates could ensue thus caus-
may also produce testosterone, as well. The androgens not o 1 d t11n ~telyshorterstaturethanexpectedforthatparticular
cause the production of sperm in the seminiferous tubules oft 111 t1 'I his is the most important reason why the androgens
testes, but also are responsible for their passage through t I I 1111 I> ' given to youngsters in their early teens or before. It is
epididymis and the vas deferens. I t~~ ~· 1o note that one estrogen, estradiol benzoate, if given in
Both FSH and LH have a growth-promoting effect on t ol 11 ,,., ould have the same effect as testosterone propionate
testes and they both probably regulate the synthesis of testos tlllt ' r gard.
rone. As will be pointed out later, human chorionic gonadotro l it • I t it ther mechanism of action of testosterone is interest-
(HCG) is used in the male to increase testosterone production a 1( ptnhably not so to the readers of this book, so I'll refer
in doing so, identically mimics the action of LH. As the producti 1 ,,,1,., • ted to one of the fine physiology or pharmacophysi-
of testosterone increases, the inhibitory feedback mechani 1 .tvailable on this subject.
causes an effect on the pituitary and hypothalamus to decrease ·ort h mentioning that testosterone is inactivated pri-
halt the release of the gonadotropins. This, in turn, decreases "1 ht •li v r. Therefore, a serious disorder of the liver, cirrho-
halts the testicular production of testosterone and sperm. Estro 1 p 111 ,..,, would be a certain contraindication to testosterone
(the chief female hormone) is also produced in the testes and i 1. 11 as excretion of the hormone is concerned, about 90%
potent inhibitor of gonadotropin secretion. 10 to 25% of the est 1 "' lit e urine, while 6% is in the feces. A portion of the
gen in a man is accounted for by direct testicular secretions. , , , t·l d hormone is referred to as 17-keto steroids. Only
remaining 75 to 90% is derived from conversion of testicular t nf 1h e are derived from the breakdown of testicular
tosteroneintoestradiolandfromtheadrenalgland'smanufact , 1l11t s a measurement of the 17-keto steroids is a poor
of estrone. It is believed that the conversion of androgens i 1111 111 of testicular activity but a much better index of
estrogens takes place in the adipose tissue of the body. I l.nt<l fun tioning. I mention this latter as I am occasion-
Oxandrolone (Anavar), when given to normal men in h · til• ,, pal i nt to run a 17-keto steroid index. He, no doubt,
doses does not reduce the seminal volume or count, nor can it 11 h . tl 1hi i a test for androgen activity. First of all, it's
converted (aromatized) into an estrogen. Goodman and Gilm 1 , t , •.., , and , secondarily, it really doesn't tell anything.
have thus concluded that perhaps the feedback mechanism is tl "'' ' " • for xampl , can have a normal 17-keto steroid
activated by the amount of testosterone as much as the estro I I, tn stt•roid will giv information to the physician on
1~-.~1 --,..;....._----~-~
 CHAPTER FOUR

ANABOLIC STEROIDS
I lu· following pages I'll discuss the various anabolic drugs
1 . ,111cl don't use in my practice. Like any physician, I've
lu •111gh the years that there are certain medicines that have
1 luI a hi and successful, these I prescribe to my patients.
I '' I n11ncl other medications that either do not give an
I 11 tdl, or are not worthy of my time nor my patient's
• l'lllnention names and doses, plus side reactions that I've
'111 t my patients. What I'm not including in the book
111 •·ff ts that I have not personally witnessed with my
I nol din the beginning of the book I'm not offering
1 it c okbook method for self-medication. I expect
lut lt••t•d ' my advice to do so only under a physician's di-
ttul.lncc, and prescription. I've implied that I see very few
t 111 111y patients on anabolic steroids, but this is entirely
"' ,ttl t n tant monitoring method that enables the
I 11 • •" It m •at any time regarding any fluctuation from the
I I '"' k really quite hard in keeping my patients away
ltl•• harm. To experiment upon yourself is foolish,
11 • ,1 dt•finit h alth hazard that is to be expected, not
.___......,~......,-llu l 1\t'f\h<> hi I
 I've also tried throughout this book to stress that there are n
safe guidelines for anabolic steroid therapy that everyone can fi
into. It's strictly a matter of continued clinical evaluation of th
patient by the physician that determines drugs, doses, etc. S
a~ain : work with your physician, let him use this book for sugge
tlons lf he feels that he needs some guidance. Don't get caught u
into that old practice of buying the medicines from "a friend." It'
no doubt costing you not only a great deal more money than t
legitimate way but it could cost you a great deal in other ways .
. . A word here about dosage: don't judge drugs milligram t
milhgram. The usual dose of Dianabol is four tablets per day . .
that's 20 mgs. total. The dose of Anavar is usually four tablets
day ... that's 10 mgs. total, while I usually recommend two An CHAPTER FIVE
drol tablets each day and that makes 100 mgs. It would appear th
two Anadrol tablets are five times stronger than four Diana
tablets and ten times stronger than the Anavar. Actually, as far ANADROL-50
I'm concerned, they're all clinically equal. Two Anadrols fo
Dianabols, or four Anavars are the same as far as being my ~su
1111 1h
lone or Anadrol-50 is a 50 mg. per tablet from
daily dose of each type. I've found that more medication each da
can lead to side-effects, whereas in my practice the above dos I ''"' ' .1l ries. A Similar product from Parke-Davis is called
generally do not. Now, of course, each drug will give a differe I 11111 il 's only 5 mg. per tablet and, therefore, worthless for
effect ... so the doses that I recommend to my patients refle I jtl I I

what I feel is a fairly safe and effective dose for that particul ' ol i ·t potent "bulking" drug. The weight and strength
1 It

medication. I 1 1 ttl I rom Anadrol arequitegood, but I think, personally,

There are a few words and phrases in this book that should I '' thul is a slightly better drug in these same aspects.
defined: "bulking or bulking up" refer to the stage of developeme I 11 1 It· s co tly, in fact, a lot less costly with the currently
where the athlete is gaining size- muscle size and weight siz II " .,. ,H·ri Dianabol" from Rugby Laboratories. This cost
1 lu• .111 important aspect in prescribing the drug as 100
Later, when the body builder has " bulked up" and ·is preparing £
a contest by reducing his fluid and fat weight and is beginning •I tl• l• 1 will generally cost the patient Forty-some dollars
11 . 11 clt s ount drugstore prices. The same amount of
show the muscular fibers and individual muscle outlines ... th
he is "cutting up." Dietary control plays a major role in the "cu I 1 "'" hoi wi ll be Twenty-four or Twenty-Five dollars per
ting" process. "Vascularity" refers to the pronounced venous dil , ·I 11ll· l h generic Diana bol varies so mew here between
tion overlying the muscles. I 111 1 ,. " doll r per 100 tablets. The cost of Anadrol-50 is
"Peaking," "peaking out" or reaching a "plateau" descri I 111 tllti ><lrtant factor to someone on a very limited budget.
1 '' "11 p01n t h re isthatigenerallyprescribeoneAnadrol
the time when a particular medication has ceased working.
I 1 l.d t'll on a twice-daily basis, while Dianabol is used
1l l 1 Iom tablets per day in divided doses. So, instead of
' .1 I ' 1i ng ~ days, it will last, of course, 50 days. Tablet
1 11 111' l in thi lightis similartoconventionalDianabol

cllo giv Anadrol to a patient rather

............_--'u.....-...._~.JJ.-11 1 -··- . • -_..a o 1..- o : - ~- • ·• ~ .&~ ... : - ~• ~- ~~~ ... :11
acne develop in Anadrol patients. The patient who is desirous
"bulking up," but who has shown either a present indication of
a past history of acne, should be tried first on Anadrol-50 '
daily, after meals. Weight and fluid gains are similar to '
but in my practice are slightly less than with the Dianabol.
drug, Anadrol, is very androgneic and so a very unwise choice
women. Another type of patient to consider for Anadrol therapy
the fellow who has developed gynecomastia (enlargement
tenderness of the masculine breast tissue) from Dianabol u
After the signs and symptoms of the gynecomastia have
give~ time to subside, Anadrol could be tried, though in
particular case of gynecomastia I would prefer to use Ana
Probably 7 out of 10 patients in my practice with such a situat
will respond favorably to Anadrol therapy. Anavar is however
" . , ,
cuttmg drug, and will not give the weight gains of Anadrol.
'
"bulking" injectable drug, such as methandriol, added to CHAPTER SIX
Anavar, could give this patient the desired gains . . . ·
intensifying the acne.
Anadrol combines, or potentiates, very nicely with all of ANAVAR
injectable drugs. Anadrol plus testosterone cypionate or tes
rone enanthate will give a vigorous increase in size and
whereas Anadrol plus Deca·Durabolin will be somewhat less 1,,,1on i manufactured by Searle Laboratories using
to give the massive size gain, or puffiness, bu should give '' tlllt' of Anavar. There is only one Anavar, as no generic
1 lr, vr·t h n introduced into the pharmaceutical market,
athlete some gain in size plus a considerable strength
Side-effects with Anadrol in my practice are 1 ' 11111 ne strength, a 2.5 mg. tablet. For many years
limited. An occasional case of hypertension has developed , ,,1, ,I I>t' hind Diana bol and Anadrol as the least expensive
Ill tonal oral anabolic agents that I routinely prescribe.
withdrawal of the Anadrol should place the blood pressure as
, I 'nl of neric Dianabol this last year has found this
was in the pre-Anadrol period. ·
1 • 1o lld h least expensive of all-by far. Searle has had
I have found only one patient in all these years who
1 111111 It lik Dianabol's Ciba Laboratories in one respect
reported an "aggressive" attitude while taking Anadrol. This is
contradistinction to the reports of this manifestation that you I h., r utinely withdrawn from the manufacture of
, , ntH' or two times per year basis. This left the athletes
rumored about the gyms. Perhaps over-dosage will bring on
I "' < t' through Anavar floundering for a substitue
attitude more readily.
I have not found a huge success using this drug on lit '" 1wo until Searle decided to produce the drug once
1 II ttu lt·vpry time, to my recollection, the heralding of the
athletes as it does not give the increase in running speed as
fr?m Dianabol. Of course, I have only been working with <>T.o,..n,, I I "IIIII' drug was preceded by an announcement that the
with athletes for 16 years and I'll confess that I'm stilllearni I I I, ,, dollar or two higher than before. Currently most
1 ' ' ' ot $2:3 a hundred tablets, but some have reported
daily.
So, to recap, Anadrol-50 is a drug I have been using 1 lr ' hit less for their Anavar.
1 ' til pr ·scribe th drug on a two-tablet, twice daily
p~tients desirous of an oral "bulking" agent, without all of
side-effects that could be found with Dianabol. The price is II "'''~ ts 1 tt r a b. orb d, in my exp rience, when
-..I:::E:.:....:......-- . . ; . . . . -
1 • • .. - - • 4 -
This is my standard..routine for men, but for women I recomme 1h1111}:h very limited. To this date I have seen no evidence of
starting with one tablet, twice daily with usually very g 1 111!11 ization in any of my few female patients. I start them
results. The drug can be used in combination with other drugs f 1 d1ll'! twice daily and increase the dose as "peaking out"

optimum results after "peaking out" on the Anavar alone. If so I 1 1n I hree and finally to four tablets per day, though this
I

size is required and no injection drug is desired, Dianabol 1 1 1.11 1 ly necessary. The signs and symptoms of masculini-
Anadrol can be combined with the Anavar. Here, I usually sugg 11 1 .11· fully explained during the first visit with both the
initially adding one ianabol, twice daily, or Anadro1, one tabl 1 11111 h ·r husband, or training partner or friend. She is told
per day. Later, and for greater size gain, going to the full fo 11 t In 111 immediately any deviation from the normal. Mas-
Dianabol or two Anadrol per day, with the four Anavar table 1 11111 rould include persistent hoarseness or deepening of
each day. I u IH' 1decreased libido (or sex drive), enlargement of the
For greater gains I would rather recommend to my patien l1 VIH'. of the vaginal tissue or a smaller breast size.
that an injection be added to the Anavar when the gains ha I 11 tile women finally "peak out" after reaching four
halted. The injection would vary from Deca-Durabolin for "c 1 d.1y I eca-Durabolin is usually a good addition, though
ting up," to methandriol for some size gains, or perhaps a lo 1 11~dly progress quite far without resorting to the injec-
acting testosterone for optimum weight and strength gains. 11 tllon. Obviously some use these drugs and are unwill-
you can see, there are variable factors governing the determi lntil Ill ir usage to others (or to me)!
tion of which drugs to use and what dosages would be appropria 1 nl1on d earlier, a certain amount of testosterone in man
Talking to the patient and examining him will generally guide 1It d h the body into estrogen. This process can, in some
to a reasonable and successful solution. I ~ d lw f und to convert more than the usual amount of
I

Anavar is the one drug least likely, in my experience, to cau 1 111• 111 t the estrogen. A softening of the tissues can occur

any side-effects. I honestly cannot remember when someone Ia 1 1 llft•nt f minine-type breast development. Anavar is the
complained about some ill or unexpected effect from this dr I 1!11 ;tndrogenic product that will not convert into estro-
There is rarely any fluid gain from Anavar, thus generally dee 111 11 I!Ill', can be very beneficial when treating this unus-
ing it the drug of choice with labile hypertensive patients. In t ' 1 p.d 11'11l. The usual dose in this case is the same as that
area, it should serve well with the patient who must keep '""'" .1b ve. In this same respect, the patient who devel-
weight down to the minimal amount for a contest (for "cutting u l!lll.t' 1Iii or acne with the more androgenic products will
or "making weight.") ' pon I much more favorably with Anavar. After "peak-
I have not found this product to be especially useful wi It h Anavar, adding the injectable testosterones will
speed athletes. Dianabol usually gives a much better gain in raci II 11 l11111g back the same adverse signs and symptoms of
speed, but there are occasionally those who should not take Di 11 11 , ,, noted before, so methandriol can cautiously be
abol. Severe acne is just another example of the latter. tl11 navar, or more safely and with less weight
Anavar is the best drug of choice for the body builder in t , '''" ;tl lin.
latter months prior to a contest, when "cuts and vascularity" are lwt·n staling that my usual dose of Anavar is two
prime importance. The power lifter who must maintain his wei , d. ttl , ft r meals, but there are a few patients who
carefully also likes Anavar. I have had some World Class po It 11 .ttl by oingfromfourtabletstosixtabletsperday.
lifters declare that Anavar was, by far, the best drug for gaini I"' 1,tlly 1ru for the patient who is benefitting from the
strength. I don't know if I would wholeheartedly agree with t 11 Ito 1s h ' itant (or plain unwilling) to go next to the
statement, as Dianabol and Anadrol can produce some electrifyi " ' IIIJI'I t a hi type of medication. In this latter situation

examples of strength and power, but for the strength-gain, wi 1 1 1hat h Lak imply three tablets, morning and
out an appreciable weight-gain, nothing can touch Anavar in Ill< II c• than s ix Anavar p r day is only inviting the

practice. ulc· l'ffec ts. I us ix tabl t p r day only in a few

~~~~~~~~~~
side-effects statistics with you earlier so I feel that four tablets
best and I never prescribe more than six per day.
Anavar is also the drug of choice for initiating anabolic
apy in an over-weight person. Here the fat-weight is to be lost
the athlete changes the fat into firm muscle. The "bulking"
Dianabol and Anadrol, will only add to the problem by ·
further weight gain (probably regardless of the restricted diet
rigorous training routine). Anavar will generally allow the IJa,_u;;o~~•
the opportunity to lose total weight while gaining muv\.,u•••
strength. I recommend that the patient take the usual dosage
outlined above.
To recap Anavar: this is the oral anabolic drug that is best
"cutting up." It is found to be low on the androgenic list
therefore, a good drug to use in the patient with a history of
gynecomastia or hypertension. My experience has shown
drug to be the least likely oral to show any side-effects, and CHAPTER SEVEN
price is quite affordable.

I >ECA-DURABOLIN

I• holi n, or nandrolone decanoate injection, is avail-

11 .1
'' 111or1 Laboratories in strengths of 50 and 100 mg. per
1 , , ,. quit expensive, though probably well worth the
,, Ire •.1111s derived. The same chemical product, called a
"' 1111tfactured by quite a number of companies. The
1r d"' 1• .1r xactly the same as the name brand in all
1 11 1·. do sa , effect, et al. The only difference is the
"' '" ;1n quite a bit cheaper.
I I ,, rlin is th premiere "cutting up" drug. Thereten-
1 r1l1 1h'ra urabolin is very minimal, if present at all.
, '"' 11 y 1..., quite low and is, therefore, excellent for the
11 11 1 .. II all r quired. "Deca," on the other hand, is a
lit dr11~: for "bu lking up," as little weight gain can ~e
'" 11 In rn y sixl n years experience in treating stermd
, , 111111111 (' tr mely few cases of side-effects with this
t 11 1IIi . ., tim I can't recall the last time anyone
de c•llr·c t with ca-Durabolin therapy and acne has
l.t 1 "' \ ,, h any of my patients using this drug, nor
cient size so that "bulking" is no longer needed or desired. 1 11 ", u ting up," or maintaining the person's weight, but
, II II' 1h strength, I would suggest to the athlete that he use
patient who is heavy and in need of weight reduction before
taining any thoughts of competition could benefit from this 11 , 1\ o tablets twice a day, after meals and 100 mg. of Deca-
after reaching a stalemate with an oral product. I might also ' .! 111 p rweekintramuscularly. Thestrengthanddefinition
this drug as my drug of choice for injection in cases where 1 1111 1t e along with the "vascularity," while the only
borderline or unstable hypertensive is found, and also in pa · 1 1111 i being derived from the increased muscle mass, not
with acne vulgaris. 11 .1ppreciable fluid weight. As the body builder nears
lllllt', he Deca-Durabolin can be increased, if the need be,
The companion drug, Durabolin, is available but I have
found a good application for it. I think that the Deca-form, or ' W 1wi -weekly (rather than 200 mg. once-weekly). There
other drug, for that matter, would be a better choice 1 llllt''i where I might even use 200 mg. twice-weekly in
Durabolin. 11111sUc 1 worthwhile cases for short periods of time only.
The drug information sheet found with the drug states 1 I h 1r bolin is then halted entirely, or in certain.excep-

this drug "is a synthetic derivative of testosterone." "The action ' d( reased to 100 mg. per week in the athlete who must
mainly anabolic (protein sparing) in that it promotes the 111 1111 ·d ia tel y following this one con test for another con test
building tissue-building process.'' ''The nitrogen balance 1 11111 •t• weeks hence. As you can see there are exceptions to

improved but only when there is sufficient intake of calories 1 1111 d( age rules to compensate for individual variations.
protein." This latter statement is important as deficient I , .1:1' d viations can only be judged by the physician guid-
of protein will lead to poor gains. An adequate caloric intake 1 nl builder. Everyone is in someway different from the
likewise necessary, with the amount dependent upon the pauo;:;••L- 11d o individual variations dictate a change in quantity
stage of training-"bulking up" or "cutting up" -prior to , · wh never a custom-designed "steroid" plan for the
contest. l11 11111ividual is desired.
, ll ll t' n athletes- body builders and power lifters-the
The drug insert also makes that non-sensical
"anabolic steroids do not enhance athletic ability." I think that , tlu1l1n generally works quite well with doses of 50 to 100
all know that this is a false statement probably written by 11 pt' l w ek in conjunction with Anavar-two to four
one who either doesn't know, or is trying to dissuade the u 1, 1 t1 .1 . Both of these drugs are low in the androgen
vised athlete from experimenting. More on this statement is to 1 111d ,II' (' least likely to develop masculine signs in the
found elsewhere in the book.
The drug is contraindicated in patients who are pregnant
are in an advanced state of kidney disease. The drug is also
advised in people who are concomitantly taking oral ·
drugs (these are drugs that are designed to "thin" the blood
are used primarily in blood clotting disorders). I don't believe
patients with as severe a medical problem as this would
involved in weight training to the same degree as the heal
athlete, but, of course, the ill-guided might do anything, so
warning is well worth mentioning.
So, let's repeat that Deca-Durabolin is a fine, injectable
for the athlete who is "bulking up" a bit, if it is combined
"bulking" oral such as Dianabol or Anadrol. I generally
mend that the patient use two Dianabol5 mg. tablets twice
after meals, with 100 mg. of Deca-Durabolin once a week, or t
same "Deca" dosage with Anadrol used twice daily by mouth.
 CHAPTER EIGHT

DIANABOL
'' thol i Ciba Laboratory's trade name for methandros-
11• lit~ • drug is available in two commercial strengths, 2.5
tl l.t Ill ts. The 2.5 mg. tablets are quite useless for our
11 I lt.tll be forgotten. When I refer henceforth to Dianabol
1 ' til that I'm always speaking of the 5 mg. tablets,
1 llwv h the conventional Dianabol or the generic drug.
I• "111 sixteen years ago when I was first asked for some
1,, .om Rugby teammates with their newly purchased
•I t lw drug cost them something in the neighborhood of
lundrt·d. In the last sixteen years I have seen the cost
11 I , or sometimes twice yearly, to the present $25.00 a
I 'l•l,•t s. 'I his is a good price found at discount drugstores
I '1 •It I'll wager that most of you have been charged, or
I h 11 ,, s much higher, by other drugstores or, of course, on
1 11 l" ·t. I 'v been told that the once inexpensive Mexican
",. now harging $35.00 to $38.00 per hundred tablets
I t1 IItts ·o t, plus the possibility of confiscation at the
I tl• hmcl<'r, makes the price expensive indeed. At this

____
:::..;._
c ''' r 11· I >iana bol varies in price from $9.00 to $15.00 per
l•lt t , which make it quite a worthwhile bargain. I've
 and I've found no surprises. The drug works exactly as it should 111111 np r use of Diana bol by some "developing countries of
exactly like the Ciba-manufactured product. Thus far, I've 11111 ''Apparently Dianabol is used in some areas of the world
no complaints from my patients and I've heard no reports 1111'1'1 it stimulant and is apparently being used in these
unexpected side-effects, and the gains are every bit as generous II 111lant and young children, male and female alike! Ciba,
with the conventional drug. One objection we've always had · 1, , \\ ishes to dissociate itself from such erroneous usage as
t he Ciba Company was that once, occasionally twice, a year t t lt11d w can all understand their move but many an athlete
company would suspend production of Dianabol. It was li lll ld i thankful for the generic product entering the
unobtainable from any American source. Then the tli1 Ia t winter.
would appear that the drug's price would be raised another doll a 11 t11.1hol is basically and simply a "bulking" drug. The
a-hundred and within a day or so it would be available~-.,·-···· ·· 1 l1 r•lop weight and strength. It is also a very dramatic
once again. But from the time the company suspended 11 tng in a very fast and effective manner. My typical
until the drugstores could obtain supplies of it again-two tl ll ',t'r gains two to five pounds the very first week of
had elapsed. This, of course, was a catastrophe to the l lw weight is mixed weight- that is, weight derived
counting on the availability of the drug for his training. At 1 11 .1• t•cl muscle size and density, plus weight derived from
times I generally had to find a fast substitute for the Dianabol 1 11l1o1L T his latter aspect would make it undesirable for
my phones were jammed with calls from anxious athletes. t I t, \ 1l h a fragile blood pressure. The fluid weight aspect
were the times when I called upon that drug that finds an l11 rl 111g the greatest offender in raising the blood pressure
sional breath of life in my practice- Maxibolin. Just about 11 ttgs I prescribe. Though I recorded hypertension in only
one on Maxibolin was greatly relieved, however, when Diana l'·''"'nl in 1981, out of a few thousand, Dianabol was the
was once more available to them. Many found that this period t rt ivt• agent. Simply changing to another oral product in
time was a good time to take a break or rest period in their trai 1 ra e brought the pressure down to normal levels.
routine. 1 111·11 t s will not be given Dianabol again, or at least not in
The generic Dianabol has every promise of maintaining lrllt' .1g . If an additional "bulking drug" is to be added to a
steady supply with no quiescent periods. With new patients \II' '1 outine in order to add a little more weight for a short
are candidates for Dianabol therapy, I generally explain the flllrlr', t h n a small dose of Dianabol could be attempted if
ence between the two drugs and with their agreement I us lprr·ssur is monitored very closely.
write the prescription for the less expensive generic product. To II ll111d w ight found with Dianabol could also add stress
honest with you , for those patients who are on a prepaid tl 1111 ln•art conditions. For instance, the older patient with
insurance plan, where the drug costs nothing or perhaps a dollar ,, , on stive heart failure would have to be monitored
prescription, I write the prescription for Ciba's Dianabol. Ci I , tl 1h drug should be used at all with these people. The
was, after all , quite good to us as the only supplier of the drug for rtlr l ,1 lso serve as a nuisance factor to those athletes who
many years, so that I do want to continue to support them in I to 1h amount of weight gained. Power lifters and
convenient manner in which I can. I don't believe that Ciba made 11r' ,.. amples of this latter group. The strength given by
great deal of profit from their Dianabol sales throughout the 11 d•o l would be nice but not if the athlete is forced to
and yet, unlike so many products from other companies, t 11 , lll'av i r, tougher weight classification.
never abandoned the drug altogether. I prescribe many of Ci It dtll l '>t'<'ms to be the drug most easily obtained on the
other products as I can count on their quality and effectiveness , 11 I , 1.' ' It is generally purchased in Mexico, without a
all times. •11 h a "friend ", or someone who works out at the
As this book is being written, an announcement has rr1 . .1 11 cl r - old to the athlete, with a liberal profitfor the
made that Ciba is now discontinuing the manufacture of 111 Word of mouth generally directs the athlete to an
product Dianabol. The generic equivalent, however, has not lh rio oilg' with li ttle regard for those vital factors that
affected by this move. Ciba states that its only reason for this 1 111 rr rrportant rol in determining which drug and dosage
 - - -~----= -

the physician should prescribe for a particular patient. In 1• 1 , ol patient out of 200 or so. Gynecom~stia is fo~nd to be
,1 ciated with the highly androgemc-a~~bohc drugs.
11 1
words, this is a risky and possibly dangerous manner in which
,, nurse, always is a strong statement but thts ts exa~tly the
take medication of any kind.
Dianabol is probably the most widely prescribed ana ,, 111 practice. Low androgenic products usually satisfy t~e
steroid in my practice. I say probably as there are one or two 111 ,, ds for this person with a history of gy~ec?mastia,
1 1,,. ·urrence of the breast problem. Gynecomastia, 1t should
oral an~bolic agent~ that are close. It is also the one drug
11 .t, an be found naturally in adol~scent b~ys, w~_o are
1
responsible for the side-effects, though small in number, that I
1 1 not on any anabolic drug and m chrome manJua~a
see. What I am saying is that Dianabol is a wonderful drug if u 1
11 11 THC drug in marijuana apparently_ can cause. thts
with the right person in the right dosage, Otherwise, it could be
1 ,·d ri k of gynecomastia in certain us~rs. Smce the ac~tvely
worst thing around. So, as I have stated, when I prescribe
abol: hopefully, I do give it to the right people in the right ........., ..... ". 1.. 11hlete has little or no time for manJuana, th~~entwnof
11.1. t ia caused by THC here is only of academtc mte:est.
and If I do, these people are usually elated with the effects. As 11
1111' hi h androgenicity of Dianabol also plays a role m the
example of a desired effect, I saw a football player this
1 11 ·nl of sebaceous glands. Infecti?n of th~se glands leads to
sum~er. He was tall and lanky and had also been considered just
r1l1ltOn known as Acne Vulgaris. Dtanabolts then cle~rly the
1111
mediocre football player in the past. With his height the coach 1
, <' f acne in my patient population. I would predtct that
mo:ved him to a line position and requested that he gain 1 111
tpl 1on is found in one Dianabol patient out of every 50 or 60
wei~?t. I r~~~mmended hiiJ? to a local weight training center
for It s facih ties and expertise in guidance. I further 11 1 .., • . If the condition is mild, perhaps the dr_ug can be
, d with the addition of the antibiotic !etrac_rclme, or t~e
a high protein drink for him to take twice daily and a mul
'"' odtt t Cleocin-T . If I have a new patient ':'1th ~past hts·
1
vitamin-mineral combination. He was placed on Dianabol
tablets twice daily, after meals. At the end of two weeks h~ 1 11 til', with or without drugs, I will not presc_ n be Dta~abol as
1 dr 11g of choice for him. I think the reasomng here ts clear.
gained 25 pounds! He was elated. His gains continued
t. 1tol i certainly the drug of choice for the speed at~lete.
th~ summer and by the time football practice had begun he 1 1

gamed 43 pounds. This weight consisted of hard muscle with ,,,,,·rs to middle distance runners , for hurdlers, long Jump
1 · ntl l rs, Dianabol works better than any other drug.
small amount of fluid gain. I say small amount because with t
do not ive speed, but stronger, more musc~lar ~e~s do.
running _in~olved with football practice, the fluid weight had
1 .1 , ti l give the speed increase if the at?l~te ts wtll~ng to
nearly dissipated. In this boy's case a combination of hard
1 • ·,tl d al of time away from the trammg trac~ m the
g?od guidance at the weight training center, protein su..,..,."'.. '"''
Ill• 1111 111g facility. Easy squats, leg extensions, leg hfts ~nd
11

VItamins and Dianabol- all played a role in his success. The

1 11 • , uri will pay off with faster speed on t~e ru~mng
ended the football season as a first string, all-league player wi
1 1rlit•t [ mentioned that Dianabol will retam flmd. It
college prospects. Talent, no doubt, played a role in his case
the added weight and strength gave him a definite ' 1 '""' '' l;k ly that the running speed will be s~ow_ed, ~ut the
and physiological advantage. Some purists might still say that l1n.uld : running to his training regimen wtll fmd l~ttleor
1 •·1:hi t hamper his performance. Unfor!unately m on~y
placebo (sugar pill) would have worked as well ...
1 11 1• ·a es do body builders or power hfters run. Thts
There is absolutely no way that anyone could have made 1
, ; , 1-.e while healthful, can be only detrimental to the
gains without an advantage. The advantage being an ana
.. " :1 a 1~1 of these at hletes by reducing the muscle mass
steroid drug. This was a story of a good effect. I can also tell 1
1 1 ll c't'dNI. e ides the leg strength, the upper body devel-
some other stories of patients who have been changed from 1
' ' ll. ttl ll'd hy th field eventerwillgivegreaterstrengthfor
abol to other anabolics due to the onset of unwanted side-effec
When gynecomastia is detected, it is found 75% of the time 1 11 t1 1, FIV< lin and other field events. The sh~t putter, of
n1c' 1 one rn d with pure str ngth, much hke a power
be associated, in my practice, with Dianabol. Cessation of the 111
nearly always clears the condition. I probablv find thi!:: rnnrl;t-;
injectable, such as testosterone cypionate, enanthate or methan- p •aks out," but rather I recommend going to an additional ster-
driol, is generally excellent for this athlete. .11 d, T he additional steroid, called "stacking", could be in the form
Football players find the reward from Dianabol quite worth- ' '' .1nother oral product or an injectable product. Now let's say that
while. While football players, like any other athlete, have individ- ! Itt· athlete has been on four Dianabol tablets for some time now
ual problems such as acne, high blood pressure, fluid retention, ""'has made fantastic gains. He recently reported to me that the
etc., I generally find that Dianabol is most commonly favored. It 1111 have ceased and he has made no appreciable gains in size or

gives the overall body size and strength desired, plus a faster time 111 ngth in the last two weeks. If continued size is needed, the~ an

in the 40-yard time-trials. Quite commonly the football player, dd ilional "bulking drug" is needed. Adding Anadrol to the Dlan-
whether he be college or professional, finds that as he gets into the lutl i a poor idea as these two drugs are so similar that the effect
football training and game playing, and thus gets away from daily •111\d be simply like taking eight Dianabol tablets per day. The
weight training, he finds that his weight and strength are lessened. 1111 in this latter case are not going to be that great and the chance

He loses weight and he is forced into keeping his weight up by 1 tde-effects would be quite good. I would rather see the addition
means of the training table- that is, overeating. Obviously this .t " bulking" injected drug, such as methandriol or possibly one

leads to the gain of unwanted weight. The muscles that were so t 1 h long acting testosterones. The gains in this case are usually
firm and strong at the very first part of the season become softer , llt•r than fantastic. Many an experienced body builder has
and weaker as the season progresses. In order to prevent all of this, 1 •lt·d that when the injection was added to the oral product that
plus ensuring the player a faster running speed, I recommend that 1 , s previously taking, probably the best gains of his career
he continue his "steroids" during the season. Where, four tablets , 1 achieved, far surpassing the gains made on the initial oral

per day, two twice daily after meals, are taken during the off- , 'oid alone.
season, two tablets each day are then taken during the football In those cases where strength is moreimportant than size, a
season itself. The two Dianabol tablets will give no muscular , nnd oral product, such as Anavar can be used. In this situation I
gains, but as a maintenance dose they will protect the pre-season 11.tlly suggest that the original four Dianabol tablets be con-
gains by maintaining the weight and strength and also giving the llllt ·d and that two Anavar tablets per day be taken in divided

player some added speed. So, in the latter part of the football , with the Dianabol. The addition of an injection, however,
season, instead of being lighter and weaker than in the pre-season, It I ' r than the second oral will have a much more drama tic effect.
the player should be just about as well-developed as before. , lloice of an injected steroid might include methandriol, 2 cc's
As you might have guessed, my usual dose of Dianabol for 1 , ek for some great size and strength gains, or Deca-
most anybody, whether body builder or power athlete, is the same. l , h lin, 100 mg. per week. This latter dose will give an extreme
I recommend to them four tablets per day, two twice a day, after 1111 · growth of the muscle strength with some size gains. 50 mg.
meals. This is taken for seven days a week. The athlete might (It I ol Durabolin would be a good dose to start with, but if price is
weight train for four days or five days or whatever, but the medi ••ltwct 100 mg. is much, much better.
cation is taken for all seven days. "Pyramiding," or gradually Wh n the body builder reaches the end of his "bulking up"
increasing the dose, is just not effective. When the person is taki , o~d and starts his "cutting up" process for a contest, I recom-
one or two Dianabol tablets each day- I feel that this dose is just ttd 1hat he totally halt the Dianabol and switch toAnavar. Fluid
maintenance dose. Two tablets will give no gains, just maintai 1 ·ltl will then be lost allowing for "cuts" and "vascularity."

ing what is already there. In other words, there will be no gains a I• o t n the athlete loses 4 or 5 pounds the first week after
all, or very, very slight gains at the most. Three tablets is just 1tt~·111 his medication.
as good as four, so I suggest to them why not take the l'lll women athletes Dianabol has no effective usage. The

dose- four per day. I do have a very few people on six tablets ttl1n ization effects on women would be extreme. I have found
day. These patients have been found to have certain varied 11 11 absolutely must take something, then the less andro-
sons for needing the six tablets per day. Generally I don't advoca '' p1 oducts such as Anavar will give all of the desired gains
the patient going from four tablets a day to five or six hanc:e for thP onsPt of thP m::~ .c:rnlini?:::~tion siriP-PffPrtc:
 Many of us have heard the stories of emotion~! irri_tability
found with Dianabol usage. In my 16 years of workmg with ana-
bolic steroids I've seen no more than four recallable cases. Two
were many years ago and in each of these two cases I found that
the recommended four tablets were not taken each day, but rather
16 and 20 tablets per day! When the dose was reduced to four
tablets per day the two body builders no longer felt or acted
irritable. Two other cases have occurred in more recent years. In
both of these cases the person was a long-suffering "small" man
who suddenly became a "strong" man. They became "cocky" to
the point of pushing and shoving others. When each case was
reported to me by family mem hers I spoke to the_ two ~ffenders and
explained that no one was going to tolerate thei_r actmg out. Each
of them seemed to readily understand how their sudden onset of
strength had "gone to their head," so to speak. Each cool~d down
and today all four of these people are appa:ently ventmg any
anxiety with their iron weights at the gym, mstead of on other CHAPTER NINE
people. . .
One unusual side-effect reported on rare occaswns IS that
when the second dose of Dianabol is taken before bedtime, sleep- METHANDRIOL
lessness (or insomnia) can develop. When these same indiv~duals
move the dosage up to the mid or late afternoon, no detemmable
effect upon their sleep was further noticed. Methandriol is an injectable form of anabolic steroid. It is
To sum up Dianabol: this is the primary oral "bulking" drug. urrently available in two distinct forms. One is the aqueous form
It can serve well the new initiate into anabolic steroids as well as and is found to have 50 mg. per cc. This drug, as with the aqueous
the Mr. Olympia candidate. In my practice it might be the most lestosterone, is definitely limited in it's scope. The drug really
widely prescribed oral anabolic drug used, while it is also the drug should be used two or three times per week for best effectiveness.
most responsible for side-effects. So, like any oth~r _drug men- As an aqueous solution it is easily injected with little or no discom-
tioned in this book, it might be prescribed by the physiCian to those ort, but the drug in all practicality is rarely found to be of use with
athletes exhibiting certain worthwhile criteria, :W.hile n_o t pre- alhletes. It could be useful in the latter days, when nearing a
scribed for others with certain other, adverse quahtles. It IS not a r ntest, for both power lifters and body builders alike. It's used in
I hose cases where little or no fluid weight gain is desired, while
drug to be dispensed in a haphazard manne: by someone not
o., ( rength and density are wanted. In these cases I maintain the
totally well-trained in it's usage and effects. !his means that your
.1 1hlete on the drug for only a short period of time and only in a few
physician should be your only source for this drug. Man~ tens. of
thousands of athletes around this country today are supphed with 11nusual cases have I kept a patient on this drug for longer periods
Dianabol by the local "black market" dealer. This unlawful source of time. These latter cases would include acne and a friable blood
of Dianabol has in my opinion, produced the so-often-heard-of 111 ssure. In other words, the aqueous Methandriol is of benefit
multitude of sid~-effects attributed to all anabolic steroids in gen- \ here an oil-based product is aggravating a case of acne or when a
eral, and has given the very bad reputation that " steroids" share Piltient's blood pressure lies in the upper areas of normal, yet
1.ti es with the oil-based (longer-acting) products. This drug will
with athletics.
~~ 1 v less size than that obtained from the aqueous testosterone,
l111 t would be better for ''cutting up,'' though not nearly as ood as
L...-- -
 The second, and much more often used form of Methandriol is case 200 mg. of testosterone cypionate, for example, can be given
methandriol dipropionate in-oil. This also comes from the manu- with 50 mg. or 100 mg. of the methandriol dipropionate on a weekly
facturers as 50 mg. per cc. I have been prescribing this drug for basis. This combination should give tremendous size and strength
quite a number of years with excellent success. In all of these years to the patient without the increased chance of side-effects from
I have rarely had an athlete not rave about the drug's effective- using a larger dosage of the testosterone itself. Let me interject a
ness. I like to refer to this drug as a cross between Deca-Durabolin word of warning here . . . just because I have stated that the
and testosterone cypionate, for in my practice that's exactly how it combination of these three drugs will give tremendous size and
reacts. It gives the size and mass of testosterone in-oil but without strength, that doesn't mean that this group of drugs is for every-
the fluid-retaining qualities of the testosterone in-oil, and besides one. Only a very limited number of athletes will require this
that gives the strength and gains found with Deca-Durabolin. combination of drugs-most of the others will derive excellent
Methandriol is basically a "bulking up" injectable drug that will gains from another combination or possibly only from one drug,
be replaced in the "cutting up" phase by a "cutting up" drug like and then perhaps adding something else when it is genuinely
Deca-Durabolin. Methandriol can well assist in developing "cuts needed. Going directly from no anabolics to three drugs or even
and vascularity," but not nearly as well as Deca-Durabolin. Acne progressing from an oral to the combination of three drugs is
development is found only in rare instances and the blood pressure certainly never warranted. This is only wasting the effects of one
is also extremely rarely affected. As a bonus with methandriol or two drugs. Getting the most that you can derive out of any one
fluid retention is kept to a minimum and I've never seen this drug drug is the rule, before ever thinking of taking on the second drug,
fail to please the patient in at least one way or another. and so forth for the third (if it's ever needed at all). I think that the
I generally use 100 mg. (2 cc.) per week, given intramuscu- ''stacking'' of drugs is fine if it's used in a safe and sensible manner
larly, never intravenously. There are rare cases where I've used it and that includes minimal doses.
twice weekly, but these cases have been few and far between. Methandriol's use in female athletes would be extremely
Methandriol is an excellent drug with which to initiate injection limited as this is a very masculinizing drug. It is not nearly as
therapy. That is, in a person who, while "bulking up, " has masculinizing as Dianabol or testosterone but the masculinization
"peaked out" on the oral drug. Whether the oral is Dianabol, would certainly come sooner or later.
Anavar or Anadrol, the combination with methandriol takes the Methandriol dipropionate is applicable for field eventers but
athlete out of the "no gain" phase, and he nearly immediately not for track athletes. It's slight advantage for gaining speed is far
notices renewed strength and size gains once again. For the body outweighed by adverse factors in this paticular patient. The field
builder who is in the "bulking up" phase of his work program and eventers-hammer throw, shot put, etc., can use methandriol
who needs quite a bit of size and strength gain, he will find that much the same as the power lifter.
Dianabol plus methandriol will give him all the size and strength To conclude the chapter on methandriol, this is a potent
he can desire. The power athlete who does not want the fluid gain " bulking," injectable drug. I usually prescribe 100 mg. to be given
or body weight gain from testosterone-in-oil will benefit greatly on a weekly basis. Alone it is nearly useless, but when added to a
from this drug. If the gains, particularly in weight, are coming too ood oral product, it will give good size and strength gains. Side-
fast- then the "bulking up" oral drug, either Dianabol or Anadrol, ffects with methandriol are quite rarely seen in my practice, and
can be substituted with Anavar. Here I use Anavar or Dianabol as is usually can be used quite nicely with patients with a history of
two tablets twice daily, after meals. The Anadrol-50 is one tablet cne. It is effectively used by power lifters and body builders alike
twice daily, after meals. Methandriol, given alone without an oral nd it is generally well received by all who are prescribed this drug.
of any kind, gives very limited gains, as with most any injectable One very nice factor in closing- it is cheap in price, costing
medication given alone. For the power lifter who is currently on an about 1/ 3rd the price of the generic Deca-Durabolin and a great,
oral product such as Dianabol or Anadrol, plus testosterone-in-oil, great deal less than the conventional "Deca" - though Deca-
and who is not getting the strength that he feels that he should be !>~:~b~li~. will be s~~s~ituted for the methandriol in the body
 CHAPTER TEN

MAXIBOLIN
Organon Laboratories calls their brand of ethylestrenol-
Maxibolin. Maxibolin is available in a 2 mg. tablet and an elixir
(that no one uses).
I seldom recommend this drug as it has little of the effective-
ness of most of the other anabolic drugs. I have found that four to
six tablets per day seems to be a rather safe dose with relatively
few side-effects, but is appears to be hardly the amount needed for
really effective gains. Twenty-some tablets could be effectiv<•, hut
very likely to cause a side reaction, besides being quite expt·n a c· 1
The cost of Maxibolin, per tablet, appears to be similar to I h u I
of Anavar but the drug itself, in my experience, is far lc ff I
than Anavar or Dianabol.
My main use for Maxibolin in the past h a t t
times when Dianabol and/or Anavar wen· un I II
drugstore shelves were once again suppli I I I
these two products, no one wantt"cl tor 1
might prescribe it today for scun c 1
oral additive for an athlett• h
effective, dose of somethin I
type medication. It's "II
don't prescribe dru
 As an example of the use for Maxibolin, I migh~ prescr~b~ it to
a patient as four tablets per day, in divided dos~s, w1th the ~n)ecta­
ble methandriol. I would expect the methand~10l to pot~?tlat~ th~
Maxibolin and thus give some fairly good gams- of a bulkmg
type.

CHAPTER ELEVEN

STH-Human Growth Hormone

STH or Somatotropic Hormone has recently reached nearly
every power athlete's attention. Claims of gigantic gains in
strength have been intermingled with claims of skeletal deformi-
ties and even cardiac complications!
To start with , somatotropin is formed along with the gonado-
tropic, thyrotropic and adrenocorticotropic hormones in the ante-
rior lobe of the pituitary gland. Secretion of somatotropin appears
to be chiefly stimulated by hypoglycemia (low blood sugar levels in
the blood). Other factors playing a role in the action of STH would
include stress from both anxiety and exercise. This hormone
increases the transport of amino acids into the body's tissues and
accelerates their incorporation into protein. Fat deposits in the
body, appear to be converted into energy by the STH.
Early experiments with growth hormones involved giving
xtracts of pituitary gland to dogs and rodents. Increased growth
f body size was found. In man, experimentation has nearly
, lways involved dwarfs, particularly dwarfism resulting from a
1oorly functioning pituitary gland. As the drug has always been in
short supply in this country, obviously the treatment of short
'ilature in children has always come first and only in the last few
_ _
ars, with renewed sources of supply, has word of it's use in
_ . _. __ , ...._ _ 1 .. ~ - ~
 Therapeutic STH is prepared from pituitary glands, and athlete might find his blood sugar levels worsening, while a non-
since there has never been an over abundance in this country of diabetic could develop signs of low blood sugar. Blood and urine
such material from human sources, the human extract has been sugar levels are thus watched closely at timed intervals.
difficult to obtain in any case, except in well-documented cases of It should be mentioned that cortisone or cortisone-like drugs
short stature in children. Generally the form of STH used in the (taken for joint or inflammatory problems) can interfere with the
past by athletes has been obtained from Rhesus monkey origin. STH effect.
Many have thus referred to the material as "monkey hormone" or Thus far an acceptable dosage appears to be .04 International
"gorilla hormone". One thing is important-somatotropin is spe- Units per kilogram of body weight per week. The amount is,
cies specific. That means that if you want large monkeys-then therefore, dependent upon the usual factors, as outlined in other
give them monkey STH, but if you want larger, stronger humans, chapters, plus the athlete's body weight. The amount can be given
then somatotropin from a human source is mandatory. If the two or perhaps three times a week. The half-life of STH is mea-
claims of skeletal deformities, as claimed by some atheletes, are to sured in hours but the effects are quite prolonged, and thus could
be believed- could these deformities be due to the use of monkey even be given on a once weekly dosage.
STH? I don't know, as I've never known anyone who has used the The STH form that I prefer is available as a sterile white
primate source of STH. One thing is for certain- only human STH powder contained in a vial with an accompanying vial of normal
has been used with the above cited children and no skeletal deform- saline. When reconstituted, 4 International Units per vial is
ities have ever been reported with them. Goodman and Gilman in obtained. Another brand comes already mixed but contains forty
their fine text state that undesirable side-effects and complica- per-cent Mannitol, thus diluting it's contents.
tions are notably lacking with STH therapy; pain from injection, So far with this drug I've witnessed only great gains in both
allergic reactions and chronic ill-effects simply do not occur. size and strength. The gains were probably derived faster and in
I've had no experience whatsoever with monkey STH, and greater degree than with the conventional anabolic drugs, and of
even though my experience with human STH has been limited, in course, with the above mentioned cost, great gains are hopefully
comparison to my experience with the other anabolic drugs, I have expected. Gains in height in individuals who have obviously
seen no side-effects at all to this date. reached their maximum adult height have been reported and wit-
In the last year or so, an increased supply of human somato- nessed in my patients. I'm speaking here of individuals in their
tropin has been found from European suppliers. Apparently in mid-twenties to later thirties.
certain Scandinavian countries anyone dying of any cause is sub- To sum up STH, it appears thus far to be an effective, but
jected to an autopsy. Pituitary glands have thus been made avail- costly, anabolic additive. It should be used only by experienced,
able in abundant supply. The cost of processing the hormones is well-motivated athletes and administered only by competent phy-
expensively prohibitive. The cost to the drug store, and ultimately sicians. If the drug lives up to it's successes seen so far- this could
the athlete, is thus reflective of this process. A week's supply could be the anabolic steroid of the future. But I must say that further
cost upwards to one-hundred and fifty dollars in many cases. One observation and trial is greatly needed before this drug can take a
pharmaceutical company has stated that they hope to have a leading role in anabolic therapy.
synthetic product on the market soon. So, if the drug lives up to it's
reputation, perhaps soon the cost can be found in most everyone's
budget. Until then, it's simply not for everyone- to put it mildly.
I have used the drug only in selected individuals, obviously
athletes who can well afford the cost, and secondarily, in estab-
lished athletes who are dedicated and weli-motivated to their task.
Careful monitoring, as with any drug, is mandatory. An
initial thyroid
. function . study is necessary,
. as. an individual .with.a
 CHAPTER TWELVE

TESTOSTERONE
Some of the various testosterone products were the earliest-
used anabolic drugs for improving athletic abilities. Those used
were generally the aqueous, injectable testosterones. Since these
were best used on a daily basis, they drew little appreciation. In my
practice I use a number of true testosterone products with ath-
letes. I'll mention them briefly by name and then discuss them
generally.

1) Aqueous testosterone: This is manufactured by a number of

laboratories and is available in a wide variety of strengths.
It is quickly used by the body and daily injections are
mandatory. "'
2) Testosterone propionate: This has a sesame seed oil base
and lasts, at most, a few days. It is available in strengths of
25,50 and 100 mg. per cc. I prefer to use the 100 mg. per cc
strength and it is generally used on a 2 or 3 time per week
basis.
3) Testosterone cypionate: This also is an oil-based product. It
is available in strengths of 100 and 200 mg. per cc. It is used
as weekly or bi-weekly injections.
4) Testosterone enanthate: Again, has an oil-base and is like-
. . ~ -
 You will notice that I have not mentioned the oral testosterone strength athletes the testosterones are excellent second-stage
products, nor the buccal-absorbed testosterone products. I don't therapy, that is, as an addition to the initually used, strictly oral
find a single need for these products in my practice. They are products.
generally expensive and simply do not work! They are actually a The way I generally use the testosterones in power athletes
waste of time and money. The products possibly have some thera- would be initially using a long-acting product for the person who
peutic appeal for the impotent cases but probably then only for has "peaked out" on the oral anabolics ... Dianabol, Anadrol,
their placebo effect. In those cases an endocrine work-up or psy- Anavar, or whatever. Each person must be treated individually,
chotherapy would be the much more favored approach. but let's use a hypothetical case here. The power athlete has been
Testosterone basically and realistically is a "bulking up" using an oral agent ... four Dianabol or four Anavar or two
drug. The products build strength and size, with weight gains Anadrol per day, and then with the cessation of gains, the addition
being one of the more desired results. Some of the gain will make of testosterone cypionate is made to his anabolic steroid program.
use of fluid-weight gain. The effect will be massive size but The cypionate is generally prescribed as 200 mg. per week, given
smoothness. For power athletes such as power lifters and field intramuscularly. This is a small, but adequate amount. Pre-
eventers (shot put and hammer throwers) the effects are very viously the patient reported little or no gains after "peaking out"
desirable, but where speed counts, the effects are very undesirable on the oral product and now begins to notice renewed strength and
here. Where there is fluid-weight gain there are the usual warn- size gains-one drug potentiating the other. If there is too much of
ings, such as hypertension. Testosterones, especially the oil-base a weight gain, or a fluid retention problem, or certainly with the
types, must be used with great caution in a person with a high- suggestion of an increasing blood pressure, the "bulking up" orals,
normal blood pressure reading, and then the patient must be such as Dianabol and Anadrol, can be changed to Anavar. The
monitored closely. The drug should not be used at all in truly Anavar will continue to guarantee strength increases, but will be
hypertensive individuals. Edema (or fluid retention) will give t~e leaving any further "bulking up" (weight gains) to the injectable
puffy appearance seen so often in misguided athletes. The f~md testosterone cypionate.
accumulation on the right side of the heart could develop mto As the power lifter nears contest time and if the body weight
right-sided heart overload and subsequently congestive heart fail- is no object, and if further strength gains are desired-the testos-
ure. This is not to be readily seen in a well-conditioned athlete, but terone cypionate can be increased to two times per week for the
it is something to ponder. last few weeks and in rare occasions three times weekly for the last
Cases of priapism with testosterone usage are probably quite week or so before the contest. Though this latter dosage is rarely
rare but they are reported in the medical literature, though not in necessary. The testosterone cypionate is either halted or greatly
my practice. In this condition the penis becomes erect and. fails ~o decreased immediately following the contest.
soften. It is reported to be quite painful. In 16 years of expenence m If "making weight" is a problem for the power lifter or
treating athletes I've never seen a case of congestive failure nor wrestler, then Deca-Durabolin or methandriol can be substituted
priapism and I doubt that I ever will, though I'll always be for the testosterone. Another alternate here would be the use of the
anticipating. other testosterone products: Now, testosterone enanthate would
Testosterone usage in my practice is the third leading cause of be of no help at all and would have the same weight retaining
hypertension and the second leading cause of acne vulgaris. properties of cypionate, but the aqueous testosterone or testoster-
Dianabol leads in both of these categories. The testosterones, one propionate might be considered. If keeping the weight within a
again the oil-based varieties, are also a close second in causing certain narrow limit is desired, then I would suggest to the athlete
gynecomastia, as discussed earlier. Testosterone is tied for first that he add to his oral product testosterone propionate. In this case
place in decreasing the sperm level in cert~in individuals. I've_just I would possibly use 100 or 200 mg., two or three times per week,
been enumerating the deficiencies with testosterone but bnefly the time and dosage would vary with the result desired, along with
... it is excellent for developing mass and strength. I really don't other variables. Let's use, just as an example, 200 mg. of testoster-
know what the power lifters would do without these products. For ne propionate, three timeS Oer Week for thP h~t tulf\ nr throo
 weeks before the contest. The weight gain here would be expected individual needs and problems as opposed to placing people in
to be quite small and we're talking of the fluid-weight gain. Again, catch-all groups, I find the need now and then to give a testosterone
the medication would be halted once the contest is over. product to a body builder. In these cases, usually t_estost~rone
If the weight gain is still slightly more than desired, then the cypionate or enanthate, either one at 200 mg. doses , will do mcely.
aqueous testosterone can be used. Daily or every other day injec- This is used on a once-a-week basis in combination with the oral
tions are used with no gain in the fluid weight. Noone enjoys being product, and can be mixed with some Methandriol or Deca-
injected on a daily basis so this medication is limited to the last Durabolin. In combination with either of these latter two drugs I
week, two at the most. As the solution is water-based, a very small would probably use 100 mg. of Methandriol, or more effectively
caliber hypodermic needle can be carefully used, and if given 200 mg. I would suggest 100 mg. of Deca-Durabolin, if that is the
correctly, it could be pain-free. If the daily injections are desired drug elected to be used with the testosterone. To sum this up, for a
and recommended to the patient, I would probably suggest 100 to maximum " bulking" effect, I would probably use testosterone
200 mg. per day of the aqueous testosterone solution, again the cypionate at 200 mg. combined with 100 mg. of methandriol, all
dosage depends on the various variables. combined with a suitable oral product. This combination would be
Testosterone enanthate in my practice is used less commonly used only once weekly and for a short period of time. Dianabol in
than the cypionate product, though the dosage of 200 mg. is the this combination might give too great a "bulking" effect-that is, a
same. The enanthate is somewhat more expensive than the cy- fluid-retaining, puffy appearance. Anavar, on the other hand, will
pionate but the effect is found to be more intense. The effect from give the combination greater strength gains and any fluid weight
the cypionate is generally superb and so the enanthate is seldom will be minimized. Let me say here again. that testosterone in body
n ded. I see no more side-effects, percentage-wise, with the enan- building is used in only limited areas. I think that in this area of
t hate than the cypionate. athletics methandriol is a better and more pract ical " bulking"
As the longer-acting testosterones , cypionate and enanthate, agent. .
Ps p cially when used on a twice or three times weekly basis, are
For speed-oriented athletes, I have rarely found a practical
going to set off the testosterone-pituitary "feedback inhibition application for injectable testosterone. The undesirable side-
fiH•cha nism," I would probably suggest that the power athlete use effects would far outshadow the good. The runner will probably
II ( c; injections for the few weeks following the discontinuation of slow down, not run faster .
t i lt' testo terone therapy. Human Chorionic Gonadotropin is men-
For women athletes, I see no need for testosterone injectable.
l lo l u·cl in some detail in another chapter in this book, but the
The side-effects far outdistance the desired effects. Masculiniza-
IIIJ«·c 11o n of this product generally will nicely restore the produc-
tion would be the rule rather than the exception.
111111 of sp rm and endogenous testosterone to a normalcy level.
At a power meet you can usually quite easily tell who is taking
I h Ill <, is rarely needed in my practice following the infrequent large, unnecessary, amounts of an oil-base testosterone. Tlw
11 tlw oil -based testosterone, or the aqueous testosterone that individual will be found to have from dozens to hundred s of :u n
I 11 11 onl y a two or three times weekly basis for a short lesions over his face, shoulder, chest and back. Thr df«·«t on I h
II 4 I I IIIII' .
complexion is terrible, but possibly the athlete is ohll 11111 I II
I 11 1d« h ,._ ing my comments thus far mainly to the acne lesions. He is so intensely pre-occupied with h1 I I II I
I 11 hll'l«·. What about the body builder or speed- little else matters. My patients simply do nol h
1 t 1.with body builders: there are times when lesions start to appear, the athlete willn nl lf
I 111 ,1 s is desired, most obviously, in the his steroid program will be mad(•. If ll u I h
ample of this problem area let's say anabolic steroids, then change· in I h I
1 not getting all the gains desired will alter any advers!' t•ff t I II
11 h as Dianabol or Anadrol, or
desired effects. Th(•n • 1 I
I handriol, or combinations gain tremendou s I r t II
-~, ...,.. an individual with
 CHAPTER THIRTEEN

MISCELLANEOUS ANABOLICS
WINSTROL:
Winstrol or stanozolol by Winthrop Laboratories is available
in 2 mg. tablets. This price is comparable to that of Anavar tablets.
That's where the similarity ends. In my point of view the drug is
absolutely useless in every respect. There are no appreciable side-
effects in conventional doses of Winstrol, but in any dose there is
no appreciable gain in size nor strength. It is of no more use with
women or men. I don't even think that it's effect as a placebo is
effective, a pink aspirin might be a better choice for a placebo drug.

ORAL TESTOSTERONE:
Oral testosterone is another useless drug. It's available under
various trade names, Methyltestosterone is one form varying from
5 to 25 mg. tablets for oral or buccal usage. Oreton and Halotestin
are two other brand names. Chemically these are named testoster-
one propionate tablets and fluoxymesterone tablets, and are, like-
wise, a waste of time and money. These products are usually
expensive but whether they. are taken orally or buccally, there is
little absorption to make them worthwhile. Many physicians pre-
scribe these products to older men who are impotent. I believe that
the physician gives these drugs to them strictly for their placebo
effect, and when that fails, as it most commonly does, then an country, I have thus had no experience with them and I would like
endocrine work up and/or psychotherapy is proposed to the to refrain from passing on "old wive's tales" and "sea stories" of
patient. drugs that I have not had direct contact with in my practice.
Fluid gain is found as a common side-effect in most of the
people treated with methyltestosterone. Emotional irritability is
also a very common side-effect with those using methyltestoster-
one. Whether this is a side-effect to the drug or a side-effect from
the impotency problem is debatable.

PRIMOBOLIN:
Primobolin is available only in other countries as an acetate
and in an enanthate form. This is a tablet or injection for the first
form and an injection form for the latter. The manufacturer is
Schering, an old European company, and why this drug has never
been allowed to be sold legally in the United States is a good
question. The Federal Drug Administration performs a very good
job in keeping away from us harmful or useless medications. I can,
therefore, only assume that they are responsible for the drug being
only available in Europe and South America. Most of the larger
drug companies will market their new products in these same
locations and only after years of trials and experimentation for
safety and effectiveness will the FDA allow the drug to be used
within the United States. Do any of you remember Thalidomide?
This drug for pregnant women was sold in Europe and South
America by the thousands. Babies were delivered of many of these
women without arms or legs. The FDA (a female researcher for
them if I recall correctly) recognized the hazard with this drug and
would not permit it's sale within the United States. I don't know if
they harbor any such thoughts in regard to hazard with Primobolin,
but I'd like to know why then the drug has been withheld from
U.S. sale for so many years. I really don't know what else to say for
it. As a drug that is brought into this country illegally I cannot
condone nor prescribe it's usage. My patients uniformly win
national and international contests and repeatedly set new World's
records without the use of Primobolin, so I feel that no matter if
Primobolin is effective or not, we have better drugs that are legal
and, perhaps, safer.

OTHER ANABOLICS:
We hear from time to time of other anabolic-androgen pro-
 CHAPTER FOURTEEN

HUMAN CHORIONIC
GONADOTROPIN
Human chorionic gonadotropin, or as it is commonly abbre-
viated, HCG, is a glycoprotein hormone produced by the human
placenta. It is chemically and biologically identical to the anterior
pituitary LH or luteinizing hormone. HCG is, in action, similar
also to the anterior pituitary's FSH as well as the thyroid stimulat-
ing hormone TSH. In mimicking the LH it stimulates the produc-
tion of gonadal steroid hormones by stimulating the interstitial
cells of Leydig of the testes into producing androgen-testosterone.
Medically, HCG is used in selected cases with low gonado-
tropin production due to pituitary deficiency in males. It can aid in
the non-surgical treatment of cryptorchidism, that is non-des-
cended testes, and for the induction of ovulation and pregnancy in
certain infertile women.
This drug is contraindicated in persons with carcinoma
(cancer) of the prostate gland and can bring on an early puberty
when administered to a young child. In rare instances allergic
reactions to the drug have been reported, though none in my
practice.
Fluid retention can be found with the drug's usage, though it
is found to be far, far less common than with oil-based testosterone
injectables or the very androgenic oral anabolics, such as Dianabol bolic effect. When this is combined with the exogenously taken
and Anadrol. Probably the fluid retention with HCG is even less oral or injected testosterone product, the effect will bring on a
than that found with Anavar. Thus, athletes who are prone to renewed "pumping effect" that will increase the muscle size, and
fluid retention symptoms such as hypertension, headaches and this "pump" will, in turn, better show the muscle divisions, fibers,
weight gain, should use HCG with some caution, as they would striations, etc. The increase in the muscle size will bring on the
with some of the previously mentioned products. Chorionic gona- increase in blood vessel size or "vascularity," so desired by body
iotropins have been used for years by weight reduction clinics builders.
:hroughout the country. In these institutions the patients were Many weight training athletes, body builders, and power
;veighed every day or so and given an injection of the HCG. When- lifters alike, report that at the end of their training cycle, just
~ver he or she returns, and if there is a weight gain, the patient is before or following a contest, and especially when they have been
;colded and thus the patient is embarassed and possibly then taking rather heavy doses of either an oral or an injectable anabolic
tdheres more closely to the dietary measures. A report out of the steroid, or more likely both, a sexual decline is noticed. In this the
Jniversity of California- San Francisco a few years ago, showed libido or sexual appetite wanes from a few weeks to a few months.
hat HCG offered no effect on lessening the fat content or any other Sex is simply not as important to the athlete as before. Sometimes
eature involved with the reducing treatment. I was once able to the athlete complains, sometimes it's the spouse or girlfriend who
nterview a representative of one of the companies supplying med- complains about this condition.
:ation to the medical reducing community. I told the representa- In these cases, the chorionic gonadotropin will usually be of
ive that I seriously questioned the use of HCG in such a situation help. The exogenous use of steroids-taken orally and/or injec
s weight reduction. He said that the success of the plan involved ted-causes the body to exert the so-called "feedback inhibition,"
he frequent "weigh-ins," but that the clinics could not charge the causing the anterior pituitary gland to decrease or even halt pro-
~e that was charged for just weighing the patient on their scales. duction of LH and FSH. This, in turn, decreases or halts the
[e said that the HCG was used for its placebo effect. In this manufacture of sperm and testosterone by the testes. After the
~spect, a sugar pill would probably have worked just as well. contest, and the higher levels of exogenous hormones are halted or
The HCG package insert states clearly that the HCG "has no decreased, the body will need sufficient time for the feedback
nown effect on fat mobilization, appetite or sense of hunger, or mechanism to diminish and restore normalcy to the hormone and
)dy fat distribution" and further states- "HCG has not been spermatozooic manufacture. This lag period can bring on the
~monstrated to be effective adjunctive therapy in the treatment decreased sexual arousement. The HCG, on the other hand, will
= obesity, it does not increase fat losses beyond that resulting continue the endogenous production of testosterone and the ath-
om caloric restriction." lete will usually not notice any decrease in libido functioning, to
Many body builders have the feeling that HCG is used for the relief of all concerned.
:utting up," claiming that it rids the body of the subcutaneous fat Occasionally one of my patients on one of the various anabolic
~eded to show "cuts and vascularity." From the product insert steroid agents will be found to have a greatly reduced sperm count
1d the research previously performed, I think that we can dispel (see semen examination under laboratory tests). Discontinuation
1y thoughts that it "shifts the fat." During the latter weeks, or of the particular drug will gradually bring back the normal count
:utting up" period for a body builder prior to a contest, dieting is found earlier, but sometimes the patient cannot halt his medica-
the utmost importance. Total caloric restriction plus decreasing tion due to an upcoming contest. He will generally benefit greatly
e fat intake and, to a lesser extent, the carbohydrate intake, will from the HCG injections given twice weekly. Here the careful
ost assuredly rid the body of a certain amount of fat deposit, and monitoring of his sperm count will be found to raise significantly
the main aspect of "cutting up." HCG can play a number of in the next few weeks.
tportant roles during this aspect of the body builder's calendar. I have also found that chorionic gonadotropin is useful in
1e LH mimicking ability of the HCG will add more endogenous certain male patients with gynecomastia. In this condition, as in
. naturallV manuf::trJllrPfl) tpdoctPrf\n<> tn th<> hrvln f.~- ;._•~ - - -
the nipple and breast tissue to normalize again.lf the gland has not The multiple ova can lead to multiple births. Enlarged ovaries can
reduced significantly after two or three months, then I try HCG bring on pain in the lower abdomen due to the rupturing of the
and the cases usually respond well. ovarian cysts. This, in turn, can develop into hemorrhaging of
HCG is sold by various manufacturers, some calling their blood into the abdomen and possibly arteriothromboembolism
product HCG, some using a specific brand name. Pregnyl is the (blood clots in the arteries). The lower abdominal pain reported
product name used by the Organon Laboratories, APL Secules and with the rupture of the ovarian cysts can be severe in degree. Now
Antuitrin·S are two others. The HCG comes in various strengths, the latter problems are quite rare but the possibility of multiple
5,000 to 20,000 units per vial. In my practice, I generally use the pregnancies within the uterus can be, of course, a much more
10,000 units per vial size, giving 10 cc of medication. This comes complicated situation than a single pregnancy alone. For this
Jackaged as a two-vial combination. One vial contains the dry, reason, I would certainly not advise HCG in a female athlete who is
Jowdered drug, the other the diluent. The fluid diluent is injected not sterile, entirely celibate, or on an adequate birth control
n a sterile manner into the vial containing the dry product and method. I wonder if the weight control clinic physicians ever
liter mixing, the vial is ready for injection. Once so mixed, the part warned their obese patients about this complication. I'm certain
>f the solution not used immediately should be stored in the refrig- that obese women conceive just as readily as thin ones.
~rator. This will ensure its effectiveness for up to three month's One final word on HCG, it is used entirely by intramuscular
>eriod of time. The non-mixed combination package, however, can injections, as there are no oral or intravascular uses for this drug.
>e stored indefinitely on the shelf. So I warn my patients who are
·eceiving their injections elsewhere not to mix more than one vial
:ombination at a time.
Dosage could vary with HCG but I generally recommend
tsing one or two cc's, that's 1,000 to 2,000 units, twice, or in rare
nstances, three times weekly. With body builders the HCG could
1e added to the anabolic regimen during the last two months or so
f the pre-contest cycle and continue it for three weeks or so
fterward, with a lessening in the anabolic dosage if there are no
urther contests in the near future. The more advanced power
fters will be on a greater anabolic dosage (probably including
mg-acting testosterone injections at two or three times per week
1st prior to a contest), and will, with no other contest in the next
!W weeks, halt the steroids altogether after the contest. The HCG
ere can be used by the power lifter during the last month or so of
1e cycle and for at least three weeks following the contest. A
'orld-renowned power lifter confided in me recently that for years
~fore coming to me for advice he dreaded the post-contest sexual
~cline. After heeding my advice in regard to the use of HCG he
aims to have had no problems whatsoever with his sexual func-
on or appetite.
Human chorionic gonadotropin is currently being used by
male body builders and to a possibly lesser extent by female
>wer lifters. The drug in women could promote the production of
·ogesterone, one of the female hormones. Ovarian enlargement
tn thUS enSUe due to thP (lpvpJnnmPnt f\f """"""""""' orrrr f,_J1;~1~~
 CHAPTER FIFTEEN

OTHER DRUGS RELATED

TO ATHLETICS
Cytomel is a synthetic thyroid preparation manufactured by
Smith Kline & French Laboratories for the treatment of hypothy-
roidism. It is available in 25 and 50 meg. tablets. This drug appears
to be the most potent and productive thyroid medication I have
found for the use of my athletes in various training situations.The
drug will stimulate the metabolic mechanism of the body and will
thus usually rid the body of a small amount of excessive fluid and
fat deposits. Now this is not to mean that it rids the body of a great
deal of these substances, careful dieting and food management will
do that quite nicely. I recommend this drug for only very small
amounts of fluid and at a particular time in the training cycle, and
then it is forgotten. It is used by power lifters in certain cases
where a small amount of weight is needed to be lost prior to a
contest, but using this drug in power lifters is quite unusual in my
practice. It is much more commonly found to be used with body
builders in their "cutting up" process, that is the last few weeks
prior to a contest. Now remember that an over-abundance of any
thyroid product can lead to thyroid over-stimulation. Symptoms
here could show up as a weight loss, or, more commonly, as a fine
hand tremor. Nervousness, anxietv. restlessness and insnmni~ ~rP
ther findings of over-stimulation. Obviously these symptoms help in keeping the sperm level up during a time when the body
mid be detrimental in a number of ways to the body exhibitor, might exercise the "feedback inhibition" mechanism to the ante-
~sides on his training partner and family. As an example of all rior pituitary gland.
tis: I attended a contest not too long ago where one of the guest Diuretics are commonly referred to as "water pills" and come
)Sers was a man known the world-round for having a particularly in a variety of brands and doses. These are used in medicine for
nail waist and possessing great "vascularity." At the contest it such conditions as hypertension and conjestive heart failure, to
as quite noticeable that the guest poser had a very noticeable name just two. The drugs act in various ways to rid the body of
md tremor. Both hands exhibited this fine tremor and he excessive fluids, the methods of diuresis varying with the type of
1peared to be, besides that, a bundle of energy. It was also noted drug used. These drugs are commonly used by body builders and
at he seemed to imbibe alcohol a great deal of the time during the power lifters alike for either "cutting up" or "making weight." As
enings of the contest and really showed no temperament for was mentioned with thyroid preparations, with poor guidance, or
~ting. My feeling was that he possibly retained a "cut" appear- no guidance at all, the diuretic drug can produce an adverse effect
.ce due mainly from over-stimulation of his thyroid gland. I don't on the human body.
rsonally know the gentleman but from his drinking and eating All diuretics cause fluid loss from the body and most of them
opensities, I'll bet I'm correct in my guess.lf the athlete is going also cause the body to lose electrolytes. These electrolytes consist
use a thyroid preparation at all, then a small amount for a mainly of sodium, chloride, potassium and bicarbonates. The
1ited amount of time might give some beneficial results. Injudi- excessive loss of these chemicals can lead to muscle cramping,
'us use will, in the long run, be universally harmful for his or her muscle weakness and nervous irritability. Muscle cramping could
1y. Muscle wasteing with resultant loss of size and strength be disastrous to a power lifter straining to maintain a loaded bar,
1ld be expected in such a case and if the metabolic rate is or a body builder straining a muscle group during competition.
1tinuously over-stimulated, a "dragged out" sensation will The muscular weakness would be detrimental to their training
me. I could go on like this but let's remember not to over-use any program, as valuable time could be lost from the training schedule.
rroid product. The irritability would be a strain on everyone around, besides the
If I feel that a thyroid drug might lend some benefit, pre- athlete himself.
jbe Cytomel25 or 50 meg. tablets, taken once daily. The dosage If I feel that a diuretic could be useful on a short term basis I
:ourse depends on my evaluation of the particular patient. The might prescribe any one of a number of diuretics that are on the
1g is usually used for the last two months or so of the body- market today. Dyazide exerts only a very mild diuretic action and
lding regimen prior to a contes , with the Cytomel being halted generally does not deplete the electrolytes from the body, though
nediately following the event. I explain the signs and symptoms its usefulness is limited. Hydrochlorothiazide is produced by a
typer-stimulation of the thyroid to the patient and admonish number of companies and is a more potent diuretic than Dyazide.
patient to warn me of any sign of adverse stimulation. Both of these drugs could be useful if a maintenance diuresis is
My choice of Cytomel as the particular type of thyroid prod- desired. Lasix is the most active of the diuretic drugs by far. It
I use is based on the principle that it is a more refined product starts it's diuresis in a very few minutes after ingesting the pill
n some of the other thyroid-replacement products on the and continues for a number of hours. If there is excessive fluid
·ket. It gives an equal dose tablet. It's onset of action is much build-up the urination should be expected every few minutes, but
·e rapid and dramatic than all of the other thyroid products that an athlete at a "dry weight" can probably expect no change in his
seen. One notation that has appeared in the Cytomelliterature or her normal urination pattern. Lasix removes a great amount of
years was the mention that Cytomel could be used for the electrolytes from the body during the diuresis and muscle cramp-
tment of low sperm conditions. I cannot find any pharmaco- ing would be most likely from this drug.
siologic basis behind this principle but if the premise is true, For a mild diuresis, Dyazide or 25 mg. of hydrochlorothiazide
tit might lead us to think that perhaps some anabolic effect would be used. For a moderate amount I would prescribe 50 mg. of
1t also accompany the drus;r's use. or ;lt Jp::~d rv:>rh!>nc it ""';,...1..-.
1rge amount of excessive fluid can be expected, I would then use Of the anti-estrogens, Nolvadex from the Stuart Company is
0 mg. of Lasix. These doses might be used daily, or every other relatively low in toxicity. Clomiphene citrate or Clomid is more
ay, or whenever needed. The frequency of use would be dictated toxic and used less often than Nolvadex. Clomid is used medically
y my clinical evaluation of the athlete's fluid problem. When I in a much different manner also. The drug stimulates the devel-
rescribe the hydrochlorothiazide 25 mg. I recommend that the opment and hormone activity of the female ovary. It is basically
:hlete replace his potassium loss by eating a banana or drinking a used to promote pregnancy in those women experiencing ovula-
ass of orange juice or taking in any other food containing an tory failure. This product is used by athletes to promote gonado-
lequate amount of potassium replacement. With the higher tropin production and thus bring on an increase in endogenous
>ses of diuretics such as Lasix 20 or 40 mg. I also prescribe a testosterone, such as when "coming off" a vigorous anabolic cycle.
•tassium replacement medication as a routine thing. There are a I think that HCG will work much better, with far fewer side-
tmber of types of potassium on the market, some tablets, some effects, and at less cost. So, why use Clomid?
tuid, but no matter the brand or type, the potassium here would To get back on the track to Nolvadex once again, it is felt that
imperative. I quite often use four tablets of Slow-K each day this product could also eliminate fluid retention problems at con-
th Lasix and two tablets with hydrochlorothiazide 50 mg. This test time.
tassium drug is effective and does not usually upset the athlete's Both of these above products could bring about even greater
strointestinal tract. endocrine problems when taken by women athletes, even if she is
on an adequate birth control method. Both of the above products
Anti-estrogens:Some male athletes on anabolic steroids should be limited to those extremely rare situations that arise so
d that an appreciable amount of their testosterone, exogenous seldom, if at all. A thorough medical and laboratory evaluation is
endogenous, is converted into estrogen. Unwanted side-effects necessary before, during and after the drug is to be taken. So, don't
~n occur, side-effects such as tissue softening, sagging and soft- experiment on yourself, besides that there are, no doubt, better
ng of the male breast tissue and retained fluid. First, let me and safer products that can be prescribed for you by your physi-
te here that this is a very unusual endocrine state. The usual cian. Too many times the insecure body builder feels that he needs
tse of these signs and symptoms in most normal lifters would be just such an off-beat drug to give him the needed edge over the
tply poor workouts. Sagging muscle is usually found where the competition. This is generally an unwarranted assumption that
~kouts did not produce a good "pumping" effect. Improved a different type of drug will bring on the miracle gains.
-kouts will usually firm things up just fine without the need of In other unusual situations drugs known collectively as
· medication. The need for anti-estrogen drugs is strictly for aldosterone antagonists are considered.
;e men whose hormone levels have shown that just such an Aldosterone is the most potent of the naturally occurring
ocrine anomaly truly exists. The continued or accelerated use corticosteroids, and as such is released by the adrenal gland to act
tighly androgenic products such as Dianabol, Anadrol and upon the distal tubules of the kidneys to further absorb sodium
osterone, will only worsen the condition. The first step and increase the excretion of potassium from the body. This regu-
ards correction, after the clinical and laboratory methods lation of sodium and potassium balance is necessary for the body
al the problem, is the use of the drug Anavar. This is the only to function adequately. If there is inappropriate re-absorption of
Jolic drug that will not convert into estrogen. Human chori- sodium and excretion of potassium, fluid will be retained. This
gonadotropin can increase the body's production of testoster- could lead to fluid retention problems such as hypertension and
though much of this can also again be converted into the congestive heart failure.
>gen. Aldosterone antagonists are drugs that compete with aldos-
When the diagnosis is clear and all else has been tried, then terone for receptor sites, thus allowing for greater excretion of
:ertain products referred to as anti-estrogens seem to help. sodium and chloride and increased body stores of potassium. Cal-
;e products are used medically for the treatment of advanced cium is also excreted from the body with the use of these antago-
;t cancer in women. n;e:t;r n ...A,..~,..,..t"
 Spironolactone is a generic name for the aldosterone antago- joint. The side-effects from the medically alternative drugs, the
sts. This spironolactone is sold under the trade name of Aldac- anti-inflammatory drugs, could be much more likely and pro-
ne and is a product of Searle Laboratories. A companion product nounced. Though in severe problems both are currently, com-
called Aldactazide. It is Aldactone plus 25 mg. of hydrochloro- monly used together. The medical community is still waiting to
iazide. The drug is used by body builders, male and female to hear more from research about this drug but the power lifters have
mbat the fluid retention found near the end of a "cutting up" appearently heard enough and use it in copious amounts on the
riod prior to a contest. The most serious side-effect of spirono- surface of their joints.
:tone is hyperkalemia (or too much potassium in the body), but
e use of the diuretic could help in the elimination of the over-
undance of potassium. When the drug has been taken for a
nsiderable length of time, gynecomastia has been reported,
ough I've never seen this in my practice. Now it must be remem-
red that Aldactone and Aldactazide are used medically for
pertension. A normotensive individual could become hypoten-
•e with the use of these drugs and, therefore, their use should be
termined only by an adequately trained physician and no one
e. Muscle cramping could also accompany the use of Aldactazide.
In this chapter on miscellaneous drugs I don't really want to
: involved into the discussion of drugs used for sports injuries,
tt alone would take another book. I would like to comment,
wever, on DMSO, Dimethyl Sulfoxide. This drug is not cur-
ttly, legally, available in my State of California. It is used openly
physicians in other states and probably will be available at
1rmacies here in California some day.
Power lifters, especially, find DMSO as a necessary additive
heir work-out or contest travel case. This product is manufac-
ed by a number of companies and is generally sold "under the
mter." This leads to the problem of solution strength and uni-
mity. The solution is clear and has the aroma of either garlic or
ns, or perhaps both. The athlete never rubs this solution into
sore joint, it must be wiped on, generally with one wipe. It will
se the skin to appear warm with rubbing, and use after a warm
wer will only intensify the warmthness. It works best on a
:ler, inflamed joint. It will not work nearly as well, or at all, on a
ctly muscle or tissue problem. The solution can be repeated
'to four times per day, apparently. It can be diluted with water
te warming effect is so intense as to cause a rash to form. One
'd of warning, when you add water to it or place DMSO on a
;piring area of skin, more warmthness and perhaps some
es might be emitted from the area.
I've not heard of any side-effects from the use of this drug to
date. It does appear to be a useful adjunct to therapy for a sore
 SUMMARY
Let me now briefly summarize some of the points that I have
tried to make in regard to anabolic steroid usage. First, these drugs
are like any other medication, some people will derive a great deal
of good from them, while others could gain only undesired compli-
cations. A good medical evaluation with a recommendation of
medication from a physician who has an adequate background in
the use of these drugs, combined with good monitoring of the
patient for side-effects, will hopefully gain the desired effects.
Whereas, the use of illegal medication, dispensed by unqualified
persons, can only bring sorrow for the recipient. So, let me again
repeat ... if you must take anabolic steroids-do so with the help
of a physician interested in you and your good health. Hopefully
through this book I have been able to pass on some of the informa-
tion I've gained throughout these years to physicians who are
eager to increase their knowledge in this area of athletics. If the
physician is willing to help these athletes, I'm certain that he'll be
well received by the athletes in his area and he should gain a great
deal of inner satisfaction in helping these fine people.
Athletes do not generally come from the affluent portion of
the population-so high fees are not involved with this work. Fees
that can fit into the budget of most of the athlPtPs: will nAt hr; ... ,..
·ealth as far as money is concerned, but a wealth in helping others not only expertise in the subject, but also make their fees afford-
1 achieve their goals in life, safely, is easily obtainable. Personal able by all-then why would anyone want to obtain their drugs and
mtact between the physician and athlete is mandatory for suc- guidance from anyone but a physician?
$S, as it is in every doctor-patient relationship. Laboratory test- Until local and federal drug agencies close down the illegal
g is next in importance, for through this method disease entities drug supplier, the dangers of side-effects from anabolic steroids
m be often halted before their presence is otherwise known. will continue to pose a great threat to our athletes who choose that
Anabolic steroids are unwarranted in the young athlete and manner of securing their medication. But, of course, until more
most women. The power athlete who is just in the early stages physicians are willing to come to the aid of these athletes, the
his training should not need these drugs, nor the person deriving illegal sources will continue to flourish.
od gains from the "natural" method. Certain people with un- Typically, physicians today are denying prescriptions to their
ual disease processes, as outlined in the book, should not take patients for anabolic steroids. If the physician has not had expe-
me or all of the anabolic steroids. Only the physician can deter- rience in the use of these drugs then that is exactly the correct step
[ne who can and cannot benefit from any medication. for him to take. But, to deny the prescription and then lecture the
I've stated that most women athletes do not need these drugs, athlete on why he should not take the drug is very unrealistic. The
d yet to be realistic, I can see the time when the drugs will be athlete is simply going to take the anabolic drugs no matter what
:tctically mandatory for success in many women's sports. I think anyone says, if he believes that there are gains to be made with the
:tt we all hope that our women athletes will remain as feminine drug's usage. We are well aware that people in general simply do
can be, but the trend towards masculinization, in certain sports, not pay heed to what is shown to be harmful for them if they feel
occurring today. Women's basketball and softball games are themselves that there is some good to be derived from the use of
tyed today with a vigor that nearly approximates the male that product. We've all been shown in the last few years the
mterpart. Spitting and profanity are a small, but colorful part of dangers of cigarette smoking, and yet people continue to smoke.
l's softball, even on the highschool level. In many sports the Practically every day I see the terrible effects of smoking in some of
Is today emulate the mannerisms and practices of men who play my patients and practically every day I still see physicians, them-
! same sport. How long will the ladies be content playing in a selves, smoking. The same generalizations could be made for alco-
1inine manner entirely? Greater strength will no doubt be hol usage. Does public permissiveness not recognize the hazards in
.ired and with it will be the desire for strength gaining drugs. cig!lrette smoking and alcohol ingestion and yet frown at the
ten we see the Russian and East German women competing in a athletes using anabolic steroids? I say that I see practically daily
~erior manner in power athletics, are we really viewing what the ill-effects of smoking and alcohol and yet I see no serious effects
·women athletes will be looking like in a few years-I hope not. from anabolic steroid usage, only an occasional, minor, reversible
-,.,we know that our women athletes are certainly talented but effect. The effects from alcohol and cigarette smoking are rarely, if
1e are now feeling that the only advantage that the Eastern ever, reversible. One point for the athlete in this regard . . . ath-
nen hold is the power advantage of male hormones. If our letes rarely smoke or drink alcohol as these are contrary to the
nen are not accorded good medical guidance, and with the training rules. Those officials who are speaking out for the con-
ilability of the illegal drugs, masculinization is surely to come. demnation of anabolic steroids-! wonder how many of them
Anabolic steroids will never be viewed by the public and smoke and drink? I sympathize with their efforts to keep athletics
!etic officials as anything but a hazard to the athlete's health "clean," but in regard to the use of anabolics, I question the
il the drugs are strictly controlled by physicians. Only with realism of their policies. Do they really believe that the athletes
1uate, safe controls can the anabolic steroids be viewed in the will abide by the decisions to ban these drugs-of course not. If an
e light as antibiotics, anti-asthmatic, and other medications athlete today knows that testmg for the presence of these drugs is
lin daily life. To eliminate that myriad of side-effects so often to be carried out prior to a contest or meet-then the athlete simply
t in the mis-guided is to remove the availability of the drugs halts the drugs a number of days beforehand. He has already
1 the hands of non-physicians. And if the physicians can show derived all the good size and streru!th from thP clrno-c in tho J.,,:+f.o. ...
months or years, and halting the medication prior to a contest will
mean little.
As I've implied before, the only way that I can see athletes
giving up anabolic steroids is if all athletes from all countries also
give up the drugs. This will never happen. Megalomaniacal coun-
tries will use any means for their athletes to win at any cost.
So, finally, find a physician in your area who is adept in using
anabolic drugs and willing to work with you. Use his knowledge
for guidance and ignore the rumors and ill-derived information
from other athletes, and I'm certain that you'll achieve your own
greatness. I hope that the information that I've tried to impart
from this book will be of assistance to your physician in his quest
for knowledge. If your physician has any question not covered in
this book, let him write to me and I'll try to aid him in any way
possible. Thank you.

Robt. Kerr, M.D.

316 E. Las Tunas Drive
San Gabriel, California 91776