BALCO’s Victor Conte provides a detailed outline of performance enhancing drugs for elite level (sprint) track athletes in a letter written to Dwain Chambers entitled “Improving UK Sport’s Anti-doping Policies and Procedures.”
Victor Conte’s letter details how elite track athletes can used performance enhancing drugs to maximize performance with precise dosing and timing for each ergogenic drug.
THG is a previously undetectable designer steroid nicknamed “the clear.” It was primarily used in the off season and was taken two days per week, typically on Mondays and Wednesdays. Generally, these were the two most intense weight-training days of the week. The purpose was to accelerate healing and tissue repair. Thirty units (IU) of the liquid was place under the tongue during the morning time-frame. THG was used in cycles of “three weeks on and one week off.”
Testosterone/epitestosterone cream was also primarily used during the off season. It was rubbed into the skin on the front of the forearm two days per week, typically Tuesdays and Thursdays. The dosage was ½ gram which contained 50mg of testosterone and 2.5mg of epitestosterone (20 to 1 ratio). The purpose was to offset the suppression of endogenous testosterone caused by the use of the THG and to accelerate recovery. The testosterone/epitestosterone cream was also used in cycles of three weeks on and one week off.
EPO was used three days per week during the “corrective phase”, which is the first two weeks of a cycle. Typically, it was on Mondays, Wednesdays and Fridays. It was only used once per week during the “maintenance phase” thereafter, typically this was every Wednesday. The dosage was 4,000 IU per injection. The purpose was to increase the red blood cell count and enhance oxygen uptake and utilization. This substance provides a big advantage to sprinters because it enables them to do more track repetitions and obtain a much deeper training load during the off season. EPO becomes undetectable about 72 hours after subcutaneous injection (stomach) and only 24 hours after intravenous injection.
HGH was used three nights per week, typically on Mondays, Wednesdays and Fridays. Each injection would contain 4.5 units of growth hormone. Once again, this substance was used primarily during the off season to help with recovery from very strenuous weight training sessions.
Insulin was used after strenuous weight training sessions during the off season. Three units of Humalog (fast-acting insulin) were injected immediately after the workout sessions together with a powdered drink that contained 30 grams of dextrose, 30 grams of whey protein isolates and 3 grams of creatine. The purpose was to quickly replenish glycogen, resynthesize ATP and promote protein synthesis and muscle growth. Insulin acts as a “shuttle system” in the transport of glucose and branch chain amino acids. There is no test available for insulin at this time.
6. Provigil (Modafinil)
Modafinil was used as a “wakefulness promoting” agent before competitions. The purpose was to decrease fatigue and enhance mental alertness and reaction time. A 200mg tablet was consumed one hour before competition.
Liothryonine was used help accelerate the basic metabolic rate before competitions. The purpose was to reduce sluggishness and increase quickness. Two 25mg tablets were taken one hour before competition. There is no test available for liothryonine at this time.
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.
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.
Today, the U.S. Food and Drug Administration (FDA) approved a new recombinant growth hormone manufactured by the Canadian drug company, Cangene, and designed for subcutaneous injection. The brand name for Cangene’s injectable growth hormone is Accretropin. Accretropin has an identical amino acid sequence to natural human growth hormone produced in the pituitary. It was approved for treatment of children with short stature and Turner’s Syndrome (a chromosomal disorder in girls resulting in short stature and infertility). Cangene submitted the new drug application (NDA) to the FDA in July 2006.
