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Excerpt from The Steroid Deceit
Having abused steroids for three and a half years, I was always afraid of being found out. I took pains to keep my steroid use hidden from my parents. They thought my newfound muscles were the result of all the time I spent at the gym, as well as the various supplements and powders that I always seemed to be taking. Little did they realize that some of those pills I called “vitamins” were actually oral steroids.
The façade to my life of deceit began to crack, when I received a panicked phone call from my mother. She had evidently found one of my syringes.
I rushed home. Since using steroids, I had become a much better liar than I ever could have imagined, and naturally I was ready to give her an Academy Award winning performance.
My mother was waiting for me at the front door, and started in on me as I made my way up the pathway. “Are you using heroin?"
“Mom,” I told her, offering her a big smile. “You’ve got it all wrong.”
She waved the syringe in her hand as if to say, “How could this be wrong?”
I didn’t stop smiling, even though inwardly I was cursing myself for having been careless with my needles. I had slipped up. Until that mistake I had always cleaned up after my usage and secreted everything away. While my mother brandished the syringe, I was doing some waving of my own, showing her a prescription form. By this time we were in the house.
“I am not a junkie, Mom,” I told her. “I was given a prescription from a doctor.”
“What for?” she asked.
“For steroids,” I said, “only steroids.”
She still looked doubtful, so I said, “I’ll go show you.”
I went up to my room and returned with a vial. “See,” I said, showing her the vial, and then repeated, “It’s only steroids.”
It’s only steroids. As a parent I can tell you that if I heard those words from one of my two boys I would be as concerned as if my child had announced, “Don’t worry, it’s only heroin.”
I made a big show of throwing out the syringe and vial in front of my mother, My mother appeared pacified. Luckily, she didn’t know anything about steroids, and what I was saying must have sounded reasonable. Besides, my tossing out the vial and syringe clearly demonstrated that I didn’t have a problem. What she didn’t know was that I had a secret stash in my closet with dozens more vials and needles.
It was also a good thing she didn’t look closely at the prescription, or she might have wondered why a vet was prescribing a drug to a human. In my hunt for bigger and better steroids I had found a veterinarian willing to write me a scrip for equipoise, a steroid prescribed for horses. As if that wasn’t bad enough, I had made copies of the prescription. I didn’t even have horse sense. I was a drug abuser with an illegal prescription covering up his habit by lying.
I wish my mother hadn’t trusted me. I wish she had challenged me. I wish she had taken note of all the warning signs my body and behavior were giving off, and had pulled me up short.
According to the U.S. Center of Disease Control, up to 6% of high school students have tried, or are using, steroids. Even if that figure is wildly exaggerated – even if it’s only half of that number – we are still talking about an incredible number of young people using steroids.
Teens typically use steroids to get buff, or try and get an athletic edge. What they don’t take into account is the potential hazards that come with the drugs.
Some of the side effects include: Psychological addiction; Depression and mood swings; Insomnia; Severe acne; Hair loss; Infertility; Liver disease; Testicular atrophy; Arteriosclerosis; Heart disease; Permanent stunting of growth; Feminization of males including breast swelling (gynecomastia – also known by steroid users as “bitch tits”); Stretch marks; Water retention; High blood pressure; Tendon and ligament damage
Specific side effects of females are: Virilization (becoming more masculine) of females, with such symptoms as excessive face and body hair, deepening of the voice which is irreversible; suppression of menses; decreased breast size; and enlargement of the clitoris;
It is hard to believe that given all the health risks associated with steroids that they continue to grow in popularity. I am afraid that either the message of their dangers isn’t getting out, or maybe it’s just that the other “message” is so much more prevalent that it’s hard to refute. When people look at the hard, muscled bodies presented by smiling, oversized human beings, they see a tempting portrait. Users and potential users are seduced by this picture of health and vitality. The picture doesn’t show the strain on the arteries, the wear and tear on the heart, or the pinball effect on the psyche.
Because society has not yet raised enough red flags over steroid use, the burden for this scrutiny has to fall on parents and loved ones. At the time I abused steroids they were an “under the radar” drug; my parents didn’t even know what they were. Public awareness about steroids has grown, but judging from their increased popularity, teens and adults have not yet come to the realization that using them means playing Russian roulette.
To protect their children from the dangers of steroids, parents need to be vigilant. For their own good, no child should be able to get away with what I did. It was wrong of me to pretend indifference about my drug habit and proclaim, “It’s only steroids.”
Steroid use is the hidden epidemic. Somehow the war on drugs has missed this target. Parents can’t afford to turn a blind eye, though. Among the warning signs parents should be looking for in a child who might be using steroids is: A rapid increase in the musculature of your child; Your child’s preoccupation or obsession with “getting big”; An outbreak of acne (predominately on chest and back) far and above the usual; Pronounced mood swings;The presence of muscle magazines (look for the usual smiling steroid figures on the cover). There’s an old axiom: if it’s too good to be true, beware. Those bodies are too good to be true;
Vials and pills and syringes – it is up to you to read the labels. I told my parents that the oral steroids I was taking were vitamins. Watch out for the following pills: Anadrol; Dianabol; Winstrol; tamoxifen; clenbuterol; clomifen citrate; masterolone
Anything in a vial is suspect (if it is in a vial, it is usually vile). The brand names are many and varied, but look for the following substances: stanazalol; nandrolone decanoate; nandrolone phenilpropionate; dromastolone dipropionate; and testosterone.
Despite all those misleading advertisements which claim you can lose 10 pounds of fat and put on 10 pounds of muscle in just a few days, it doesn’t happen that way. The human body doesn’t change overnight. When not using steroids, professional athletes are hard-pressed to put on 10 pounds of muscle in a year, even with rigorous workouts. If your child suddenly sprouts muscles, it is your job to be suspicious. Don’t be surprised if your teen credits those muscles to his or her pumping iron, and taking protein shakes and supplements. Speaking from experience, I can tell you that those pills and shakes are all but worthless. Invariably, the spokesperson for those kinds of products is a steroid abuser. The fact is that those supplements will not pack on the pounds and muscles as the manufacturers claim. Steroids will do that. They might also cause you to die or go crazy getting those muscles, but that’s not something you are ever likely to hear coming out of the mouth of Mr. Big Biceps.
What should a parent do if they discover that their child is using steroids? One of the first priorities is opening up a dialogue with your child and start discussing this risky behavior. One of my favorite sayings is, “There is nothing uglier than truth when it is not on your side.” Truth is a great antidote to combating steroid usage.
From the onset I would impress upon the child that what they are doing is both illegal and harmful. If you take a steroid, in the eyes of the law it’s the same thing as popping an amphetamine or Quaalude. Possession of steroids is a federal offense, and can result in jail time of up to one year in prison along with a fine up to a thousand dollars. If you manufacture or distribute steroids, the penalties are much more severe. It is common for many steroid users to sell or distribute their drugs. Doing a “favor” for another user can now result in a jail sentence.
Expect your child to be defensive. When you start explaining about health risks associated with steroids, you are sure to hear, “I don’t know anybody who has had those kinds of problems.” It is entirely possible they’ll be telling the truth. You will have to explain that sometimes the effects are not immediate, and sometimes they can’t be seen. Tell them that steroids are like cigarettes; often they debilitate over time.
You also have to try and impress upon them what I think of as “the X Factor.” Every day more evidence comes forward showing the detrimental effects of steroids. It’s only recently that steroids have been linked with depression, just as there have only been preliminary studies on steroids being a possible “gateway” drug. Before the mid-nineties, though, no one was talking about ‘roid rage. And before that no one had any idea about the potential for kidney damage and arteriosclerosis due to steroid usage.
Your child will tell you that steroids work, and he’ll be right. They do work, but it’s one of those cases of their working too well. Your child might not want to hear about heart disease or liver tumors or hardening of the arteries. You will hear about the strength gains, and the “incredible” workouts. Your response should be, “At what cost?” The human body is designed for certain maximum levels. Those who abuse steroids can, and do, spend more time at the gym or on the playing field, and are able to push themselves harder and longer. Sooner, usually than later, though, the human body rebels; joints tear and ligaments rip. It isn’t surprising that sports medicine has seen an epidemic of career ending injuries in the past decade. Steroids have given athletes a false platform upon which to perform; when that platform collapses, too often it is game, set, and match. This trend of serious injuries extends from high schools to the professional levels. Sports doctors say they are seeing a huge increase in tendon and muscle ruptures. That isn’t a coincidence. When bodies get pushed too hard, they snap even harder.
Student athletes are under enormous pressure to perform and that makes steroids tempting. Non-athletes feel their own pressures; everyone wants to look “buff” and fit. Parents should also tell their children that steroids are cheating. In simple terms of right and wrong, they are wrong, and you don’t want your child to be a cheater. If your son or daughter is looking for an athletic advantage, tell them that you don’t believe in winning at all costs and neither should they. Stress to them that the muscles they think they are getting are artificial and temporary, and if they want the real thing then they are going to have to work for it. Talk to your child and make sure his or her self-esteem is not dependent on body image. This will probably be another case where your child thinks you are old-fashioned and out of it; when your child grows up he will see how wise you were (but don’t expect to get thanked any time soon).
It is possible your child has body dysmorphia, with a resulting skewed view on what his/her body really looks like. Harrison Pope established a formula to calculate what he called the “fat-free mass index” (FFMI). Based on those calculations, the upper limits of musculature and build can be defined by their scoring system. The researchers found that a drug-free individual could be muscular, but in a proportional and natural way. Unfortunately, these days we see so many images of bodies accomplished through steroids that we don’t realize them for what they are – fakes. Teens need to have a realistic idea of what is normal body image, and what is abnormal.
When confronting a child’s usage of steroids, the natural reaction for any concerned parent is to ban steroids from the household. That prohibition won’t work, though, unless your child realizes it is in his own best interest to quit. Going off steroids is something that can be fraught with problems; consult with a doctor. Going “cold turkey” can have tragic consequences. If you get steroids out of your house, be aware that your child might seek out steroids through friends and find a way to try and hide further usage from you. Don’t be afraid of looking like the “bad guy.” Your child might not understand the serious consequences involved with steroid usage. If you suspect continued use of steroids, take your son or daughter to a physician and have them tested.
I would also strongly encourage you to get your child into counseling. Most males will resist this, and will no doubt insist that it’s unnecessary. These are the same males who might suffer severe depression in silence, not doing anything about it. Unfortunately their ultimate solution might be suicide. Without being overly dramatic, parents need to be on a “suicide watch” for a child that is using steroids, or has recently stopped. Coming “down” from steroids can be a perilous time, especially for young people. They need to understand what is happening to them. Because they have tinkered with their body chemistry, stopping steroid usage might result in considerable physical and mental shocks to the system.
When young men act rambunctious, people often roll their eyes and say, “Too much testosterone.” Imagine, then, too much testosterone for months and years at a time. Your child needs to know that’s what they wreaked upon their system, and that sometimes body and mind take time to find their way back to normal.
Take it from me; it will be one of the most important journeys they ever undertake.
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Penile Implants
These are the most irreversible and drastic ways of achieving artificial erection. Only when all other measures have been exhausted with no longer-lasting effects are achieved is that penile implants are warranted. These are prosthetic devices made of inert silicone, which are surgically inserted into the penis. Normal erection cannot be achieved after that. There are two kinds of penile implants:
Passive Implants: Two rods of silicone are inserted into the penis, which remains erect all the time. The silicone rods can be put in different angles, but this may be an embarrassment in public occasions such as swimming. Orgasm may be achieved unless there are hormonal or neural factors which impede it.
Active Implants: These are inflatable silicone pouches which are also implanted into the penis. The penis remains in flaccid state until a proper manipulation of the prosthesis causes its inflation and consequent erection. One type of implant is activated by pressing the glans (the head of the penis) with one hand. Liquid is transferred from a reservoir to the main inflatable pouches. In another type, the liquid reservoir is implanted into the scrotal sac, and can be pumped by hand.
Other Treatments
Other surgical and non-surgical treatments for impotence are being tried in an experimental basis, and there may be a promising future for some of them. For instance, groups of physicians in Russia and Germany have been experimenting with electrical stimulation of the pelvic area using an external pad applied to the abdomen and back. There are already commercial devices using this principle, which seems to increase the blood flow in the genital area. Direct stimulation of pelvic nerves (leading to a nerve-induced erection) by using implanted electrodes and an electrical pacemaker-like device are also being considered.
"Natural" or alternative methods do abound. They range from "natural" foods which have high testosterone or DHEA levels, such as green oats (marketed under the brand name of SEXATIVA) or saw palmetto; to yoga exercises to increase muscle tone and blood flow in the genital area. It is hard to say whether there are real effects or they are just the effect of suggestion or placebo phenomena.
One thing has been scientifically determined, however. The blood levels of testosterone increase just after exercise, or by loosing excessive weight. Thus, a natural way of combating mild hypogonadism might be frequent exercising and keeping a normal weight.
Controversial and unapproved treatments
Controversial and unapproved treatments
Bremelanotide
The experimental drug Bremelanotide (formerly PT-141) does not act on the vascular system like the former compounds but increases sexual desire and drive in male as well as female. It is applied as a nasal spray. Bremelanotide works by activating melanocortin receptors in the brain. It is currently in Phase IIb trials.
Ginseng
A double-blind study appears to show evidence that ginseng is better than placebo: see the ginseng article for links and more details.
Enzyte
Enzyte is a product that has been advertised by saturation coverage on television channels such as Court-TV. However, the Center for Science in the Public Interest (CSPI) has filed a complaint with the Federal Trade Commission (FTC) about Enzyte for deceptive advertising. It is manufactured by Berkeley Nutritionals, which is alleged to be the subject of an investigation by the Attorney General of Ohio and the defendant in class-action lawsuits.
Enzyte is a supplement that claims to increase the male libido or frequency of erections of the penis. Commercials for Enzyte are shown regularly on television. These commercials feature a man named Bob who never stops smiling, apparently because he had taken Enzyte and improved the size of his sex organs. The commercials are riddled with symbolic phallic imagery, e.g. golf clubs, remarkably tall glasses of iced tea, and a hose spraying barely a trickle of water (carried by someone who doesn't use Enzyte).
The effectiveness of Enzyte is in dispute. Some medical professionals in fact advise against taking Enzyte, saying that it can lead to damage. The Center for Science in the Public Interest have urged the Federal Trade Commission to disallow further television advertising for Enzyte due to a lack of proper studies supporting claims. Enzyte maker Berkeley Premium Nutraceuticals, Inc., is currently under a class action lawsuit for false advertising.
Enzyte is said to contain: Tribulus terrestris; Yohimbe Extract; Niacin; Epimedium; Avena sativa; Zinc Oxide; Maca; Muira Pauma; Ginkgo biloba; L-Arginine; Saw Palmetto. Other ingredients: gelatin, rice bran, oat fiber, magnesium stearate, silicon dioxide.
Herbal and other alternative treatments
These are generally ineffective when tested blind, but may be useful for their psychological (placebo) effect: if a good result is expected, any highly-praised, and often expensive, treatment can be effective. Reputable drugs can also benefit from the same effect.
Uncontroversial treatments for erectile dysfunction
PDE5 Inhibitors
The prescription PDE5 inhibitors sildenafil (Viagra®), vardenafil (Levitra®) and tadalafil (Cialis®) are prescription drugs which are taken orally. They work by blocking the action of PDE5, which causes cGMP to degrade. cGMP causes the smooth muscle of the arteries in the penis to relax, allowing the corpus cavernosum to fill with blood.
Vacuum pump
An external vacuum pump will produce an engorged penis with success approaching 90%; a penis ring will maintain this state, although it should be removed after not more than 30 minutes. The erection is not as rigid or hard as a natural erection; drugs or injections, when they work, may be preferable. Various studies show the degree of satisfaction of users and their partners to be vary variable, even when drugs and injections do not work; in one study, about 20% of men who tried a (high-priced) pump decided to proceed to purchase one. Other studies show higher percentages of satisfied users.
In some cases frequent use of a vacuum pump can eventually improve the degree of erection attainable without use of the pump. Claims of cheap "penis pumps" to permanently increase maximum penis size should be viewed with caution, however.
Some vacuum pumps are sold at a higher price with 100% refund within 90 days to dissatisfied users, with a somewhat lower price with 50% refund guarantee (Osbon Erecaid, [7]). This pump is supported by medical insurance schemes, including the UK's NHS and US Medicare and private insurers. The better-known pumps sell for prices of around 200 GBP/400 USD (2006). There is at least one vacuum pump with rings which sells for around one-fifth of this price (Noogleberry, [8]). Specific devices are mentioned for information only; mention should not be taken as endorsement.
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Researches have established that a diabetes patient is more prone to succumb to erectile dysfunction than a normal person. Erectile Dysfunction besides diabetes can prove a disastrous combination that can have an impending effect on the psychological and physical well being of a man's life. Men who are having erectile dysfunction problem may became so concerned with the inadequacy that they try to avoid the sexual situation altogether. Same time it increases the stress level, frustration and can trigger a bout of depression.
It is estimated that more than 50% diabetic patient are suffering from ED. Erectile Dysfunction occur at younger age. Within 10 yrs of the diagnosis of the disease trait of ED begin to surface, although not all diabetics develop ED.
Why the diabetics are easy prey to Erectile Dysfunction? Men endowed with healthy blood vessel, nerves, male Harmon and “desire” to perform gets the erection on wish. Diabetes can kill blood vessels and nerves that make the erection possible. Therefore even the normal amount of male hormones and desire to have sex can not help getting a firm erection.
Medical people believe that presence of a blood sugar in diabetic prove an impediment to the enzyme that start the series of events which lead to erection.
Endothelial nitric acid syntheses (eNOs) enzyme considered responsible to start the chain of vascular events that produce and sustain erection.Enzyme (eNOs) cause the release of Nitric Oxide at the nerve ending in penis. The initial release of NO get a quick and short duration increase in penile blood flow it also cause short time relaxation in penile muscle to get an erection. Enhanced penile blood vessel and smooth penile muscle relaxation increase the blood flow in penis which results in erection.
When blood sugar O-GLcNac present in hyper glycemic(high blood sugar) circumstances interrupt eNOs enzyme this may cause permanent penile impairment over time.
A patient of diabetes should always take extra care to understand the complexities of his health psychosexual counseling is mandatory in these situations. Sexual therapy is vital for people with diabetes, since the chronic condition is fraught with situational stresses, performance anxiety, and problems in relationships.
A range of different modes of medication are available for the diabetics. Penile injection or vacuum erection device therapy has been used by many patients with satisfaction. A penile prosthesis was certainly a viable option in these individuals should they fail those therapies or wish to go directly to penile prosthesis. Obviously one must bear in mind that diabetics have a higher incidence of infection and thus they should be counseled in that regard. Sildenafil is also proving a good source that diabetics can look up to.
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It is normal to shed hair every day and the truth is we loose between 100-125 hairs on any given day. Hair that is shed falls out at the end of growth cycle. At any given time 10% of our hair is in what is called a “resting phase” and after 2-3 months resting, hair falls out and new hair grows in its place. Some people, however, experience more hair loss than is normal.
As we get older, both men and women experience some hair loss. It’s a normal part of the aging process. Called Androgenetic Alopecia, it accounts for 95% of all hair loss. Androgentic Alopecia often runs in families and affects some people more than others. In men it is often referred to as Male Pattern Baldness. It is characterized by a receding hair line and baldness on the top of head. Women, on the other hand, don’t go entirely bald even if their hair loss is severe. Instead, hair loss is spread out evenly over their entire scalp.
Hormones play the dominant role when talking about Androgenetic Alopecia. Simple put, both men and women produce testosterone. Testosterone can be converted to dihydrotestosterone (DHT) with the aid of the enzyme 5-alpha-reductase. DHT shrinks hair follicles causing the membranes in the scalp to thicken, become inelastic and restrict blood flow. This causes the hair follicles to atrophy. As a result, when a hair does fall out, it is not replaced.
Needless to say, men produce more testosterone than women and experience more hair loss.
While Androgenetic Alopecia is the number one reason why individuals experience hair loss, it is not the only one. Medical conditions such as hypothyroidism, ringworm and fungal infections can cause hair loss. Certain medications such as blood thinners, gout medication, birth control pills and too much vitamin A can cause sudden or abnormal hair loss as can following a crash diet, sudden hormonal changes, chemotherapy and radiation.
Emotional stress, pregnancy, or surgery can also cause our hair to fall out and is usually not noticed until 3-4 months after the stressful event has taken place. Stress can cause a slowing of new hair growth because a larger number of hair follicles enter into the resting phase and no new hair growth is experienced.
Another way in which individuals experience hair loss is due to mechanical stressors on the hair and scalp. Wearing pigtails, cornrows or tight rollers that end up pull on the hair can scar the scalp and cause permanent hair loss. Hair products such as hot oil treatments and chemicals used for permanents can cause inflammation to the hair follicles which can also result in scarring and hair loss.
Note: Hair loss may be the early warning sign of a more serious disorder such as lupus or diabetes, so it is important to talk to your doctor.
Recommendations For Wellness
If you are taking prescription medications, talk to your doctor and find out if your medication is contributing to your hair loss.
Avoid mega-doses of vitamin A. Too much vitamin A can cause your hair to fall out.
Exercise, do yoga, meditate or find some other practice that will help to reduce your anxiety and stress levels.
If you are a women, have your female hormones tested. If they are imbalanced, talk to your health care provider about bio-identical hormone replacements.
If you wear pigtails, cornrows, use a curling iron, hair dryer or hot rollers, try changing your hair style to one that puts less pressure and stress on your hair and scalp.
If hot oil treatments or chemicals such as those used in permanents are causing inflammation to the scalp, discontinue their use, or reduce the number of times you are using them.
Use gentle shampoos and conditioners to avoid any unnecessary damage to your hair.
In men, herbs such as saw palmetto and licorice root help block the formation of DHT. The same holds true for supplementation with zinc. As an added benefit, studies show that these supplements can also help prevent prostate enlargement.
Massage your scalp with rosemary oil in an olive oil base. Both rosemary oil and massaging the scalp can stimulate the circulation in the scalp and promote hair growth.
Again, if you are experiencing hair loss, check with your doctor to ensure that a more serious disorder isn’t the cause.
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Just about everyone is aware that a male or a female can contact genital herpes from someone who has this sexually transmitted disease. This type of herpes virus is very well known as HSV-2. Recent studies have proven that this herpes virus can also be passed on orally.
Both sets of symptoms are very similar to one another. Blisters and sores can appear on different parts of the body. Although as the name suggests, those who have contacted oral herpes will have signs of the virus on the mouth. While those who have contacted genital herpes will show signs of the disease on the penis of the male, and vagina or cervix of the female. In some cases, the virus may also be inside the urinary tract of both males or females.
Oral herpes will first begin as lesions. Doctors refer to the initial outbreak as the primary episode. These lesions will appear between two to tens days after the start of the infection. These are small red lesions that will mature into blisters, and then turn into full-blown sores.
The infected individual’s gums will become swollen and red. There have been incidents with some patients where their tongues develop a white coating. This condition will last for two to three weeks. After that time, they will dry up, and heal without scaling.
In addition to the obvious physical signs of oral herpes, other symptoms may be finding it difficult to eat, running a fever, feelings of irritability, and muscle pain. The varying symptoms make it very difficult for the doctor to conclusively tell if the patient has oral herpes. It is not until the sores or blisters begin to appear on the face that a final diagnosis of oral herpes can be made.
Oral herpes, just like genital herpes, is passed on while touching, kissing, and during intercourse.
Unfortunately, an infected adult can also unintentionally transmit this to a child with a simple good night kiss. The good news regarding this infection, is that oral herpes can be controlled with the proper medication.
Proper hygiene goes a long way in helping to prevent the spread of oral herpes. People should wash their face regularly, especially the affected area, with soap and water. For someone infected with this disease, it is important to remember not to hold, or even touch an infant, since the immune system of a baby will be unable to fight off this disease.
Oral herpes may last longer than another type of herpes virus. The reason is stress. Those who are not highly stressed individuals can recover in two weeks, while those who have to face the daily pressures of work, or home life, and find doing so to be difficult, will suffer a little while longer.
Anti-viral tablets are the best-known medication to help control oral herpes. Studies have shown that these medications can also help to prevent the disease from recurring.
Some patients are forced to be confined in the hospital, and to undergo IV medication until they recover. This happens only to those patients who are suffering from severe cases of oral herpes, or to infants and young children.
