Illicit Steroids: If MDs Don't Ask, Patients Won't Tell

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If clinicians are uncomfortable addressing use of anabolic-androgen steroids, patients will continue to look to each other and the internet to fill the void.

Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit.Before he attended medical school, Thomas O'Connor, MD, had a not-very-well-kept secret: As a competitive powerlifter, he had used steroids to build strength.

"People using anabolic steroids should be aware of the health risks associated with such use and that laboratory analysis is an important step toward improving health outcomes," he said,"I'm all about open education, but not self-diagnosis and treatment." "A third of teenage boys across the US report they're trying to gain weight to bulk up and gain muscle," Nagata, an associate professor of pediatrics at the University of California San Francisco, told, Nagata and colleagues found that use of legal performance-enhancing substances in young men aged 18-26 years was associated with a higher odds of using AAS 7 years later .

Vergel has advocated for the use of hormones to treat HIV-wasting disease for nearly 40 years, after his own diagnosis of the infection in 1986. After losing 40 pounds, steroids saved his life, he said.Vergel said he was shocked to learn about the lack of continuing medical education on AAS for physicians and agreed with O'Connor that more training is needed for the medical profession. He also recognized that stigma on the part of clinicians is a huge barrier for many AAS users.

Many healthcare professionals would disagree with that statement. Nagata said he was concerned that management of side effects is too complicated."There are a lot of nuances in the interpretation of these tests," he said. Arriving at the correct interpretation of the results requires a clinician's thorough review of each patient's health history, family history, and mental health history along with lab results.

 

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