The Los Angeles Police Department discovered former bodybuilding cosmetic surgeon Bruce Nadler, MD and his wife dead as the result of gunshot wounds on Monday, February 4, 2008. Authorities believe it is an apparent murder-suicide perpetrated by Bruce Nadler.

Bruce Nadler called himself the “world’s strongest plastic surgeon.” He was probably the best known cosmetic surgeon catering to amateur and professional bodybuilders. He had performed over 700 gynecomastia surgeries in his career; “gyno” is a side effect of anabolic steroid use when antiaromatase and/or estrogen antagonists are not use concurrently.

After retiring from the practice of medicine in August 2005, Dr. Nadler, who called himself “the world’s strongest plastic surgeon,” wrote the “The Nip Tuck Workout: Exercise through the Eyes of a Plastic Surgeon” and subsequently moved with his wife to Los Angeles to reinvent himself in a new career as personal trainer with the opening of Nip Tuck Fitness LA in Beverly Hills.

Retired plastic surgeon and certified personal trainer Bruce J. Nadler M.D. has brought his Plastic Synergy training system to Los Angeles. As stated in his book, “The Nip Tuck Workout - Exercise through the Eyes of a Plastic Surgeon,” Dr. Nadler has created an exercise program based on the plastic surgical principles of proportion and symmetry. It combines careful analysis with an individualized exercise prescription.

Bruce Nadler, MD retired after the New York State Board of Professional Medical Conduct charged him with 29 specifications of professional misconduct in thirteen patients according to public records. Rather than fight the charges, Nadler submitted and consent agreement and voluntarily relinquished his medical license.

The specifications of professional misconduct were primarily related to prescribing a variety of anabolic steroids, growth hormone and ancillary medications used by bodybuilders including Saizen, Serostim, Genotropin, Androgel, Depo Testosterone, Delatestryl, Deca Durabolin, testosterone cypionate, testosterone enanthate, Nolvadex, Proscar, Clomid, tamoxifen, Arimidex, Finasteride and Viagra. In each case, he was accused of the following:

• Failure to obtain and/or note an adequate and complete medical history and/or history of current complaint from patient.

• Failure to perform and/or note a complete and appropriate physical examination of patient.

• Failure to obtain and/or note appropriate and medically indicated laboratory studies on patient including: prolactin, TSH, LH, hepatic and renal function, and assays for estrogen levels and HCG.

• Failure to properly diagnose patient’s condition and/or rule out underlying disorders.

• Inappropriately and without medical idnication and/or justification, prescribing and/or maintaining patient on various medications.

• Failure to maintain a medical record for patient in accordance with accepted medical standards which accurately reflects his care and treatment of the patient.

Bruce Nadler’s beliefs regarding anabolic steroids and bodybuilding were controversial for physician. He explained his own steroid use and his willingness to prescribe steroids and growth hormone to his patients in an interview with Testosterone Nation:

I’m my own test laboratory in that respect because, in the last two years, I’ve been taking 6 to 8 IUs a week of growth hormone, and I alternate between 200 mg a week of deca and 200 mg of testosterone cypionate the next week. Instead of going super physiological, I believe in just going to maximum natural levels to that of a man in his twenties. In this way, there are no side effects.

Nadler was also critical of the steroid hysteria in the U.S. and the political posturing surrounding anabolic steroids:

I’ve always felt that politicians always have to make the majority of the electorate think that they’re doing something? So they inconvenience a small, unimportant group, like bodybuilders. They have no idea what they’re talking about. Somebody hands them a speech, and they go! They took something that could have been done safely and sent it to the black market and all of the inherent dangers that go along with dealing with that element. Will they ever be legal again? I hope so.