In the trade, it is called public service journalism, but this may qualify more as a disservice.  In the Sept. 21 issue with Tim Tebow on the cover (again?), ESPN Magazine devotes two well-illustrated and detailed pages on performance-enhancing drugs. This is a must read for every attorney who represents an athlete who tests positive. The article probably should not be allowed in the libraries of middle and high schools.

Curious about how to get in shape before pro hockey or baseball season starts? Use Tri-Test, says ESPN. Want to come off a steroid cycle? Do like Manny Ramirez and take HCG. The article explains how each drug works, its legal status with the World Anti-Doping Agency, and why athletes risk taking the product.

The article gives popular other names for a drug; our favorite is Apache, Dance Fever and Goodfella, all of which refer to Fentanyl, a synthetic opiate that ESPN writes has achieved popularity among some weightlifters.

ESPN warns, “Don’t try these at home,” to which we would add, ” or in a clubhouse, at a track meet or in a weight room.”

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David Ortiz

The confusion surrounding steroid use in professional baseball has taken another strange turn. The Associated Press and New York Times report that eight of the 104 players who tested positive for steroids in 2003 fall into another category. The AP says that the eight did not test positive; the Times says that the eight took 19-norandrostenedione, which was legally sold over the counter at the time. It is now illegal and a player caught with it in his system will be suspended for 50 games.

David Ortiz has said from the time his name was publicly tied to the list that he had been taking vitamins. At a press conference on Aug. 8 before his Boston Red Sox played host New York Yankees, Ortiz said that he had bought supplements in the Dominican Republic and the United States. “I’m not here to make any excuse or anything,” according to a Times article. “I really used a lot of supplements and vitamins.” He added that companies would send him supplements, “but I never used or buy any steroids.”

Former Red Sox teammate Manny Ramirez, Yankee Alex Rodriguez and former Chicago Cub Sammy Sosa were also on the 2003 list. But for what? The details are in the hands of federal investigators, the players’ union cannot tell its members, and a federal judge has told everyone to keep their mouths shut.

Any language confusion in identifying nutritional products may seem unimportant to the public, but to folks in this industry there is a huge difference between a vitamin and a steroid. Or a supplement and a steroid.

When companies do not make the distinction to the satisfaction of the FDA, they hear about it. In October 2004, the agency wrote a warning letter to All American Pharmaceuticals and Natural Food Corporation regarding the labeling of the prohormone as a dietary ingredient. “FDA is not aware of any information demonstrating that androstenedione, 19-norandrostenedione, and 5-androstene-3b 17b-diol were lawfully marketed as dietary ingredients in the United States before October 15, 1994,” the letter said in part.

Apparently, 19-norandrostenedione is pretty strong stuff: “One of the most frequently misused steroid precursors (prohormones) is 19-norandrostenedione (4-estrene-3,17-dione, NOR), which is, after oral administration, readily metabolised to nortestosterone, also known as nandrolone (durabolin),” begins the abstract to a study published in 2008 on the prohormone. Its effect on the careers of All-Star players and Major League Baseball is being felt today.

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Sergio Mitre

J.C. Romero

Major League players J.C. Romero and Sergio Mitre say they unwittingly consumed androstenedione when taking substances that they bought at GNC. The most famous baseball player to use the steriod is Mark McGwire and this week the slugger was not voted into the Baseball Hall of Fame.

Romero and Mitre say the ingredient was not listed on the labels of Halodrol from Gaspari Nutrition and 6-OXO Extreme from ErgoPharm. And that raises the question of liability. Mitre and Romero will not be paid while suspended for 50 days. Mitre may sue for lost wages and reputation. GNC says that the players are responsible for following league rules.

For the moment, the problem lies with the players. That could change, of course. Other athletes have gone to court over what they considered mislabeling. The message to athletes is clear: consume at your own risk. The lesson for manufacturers is still to come.

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