Mortality among steroid users 4 to 5 times higher than among non-steroid lifters!

**SpeedDemon** · 08-07-2004, 05:25 PM

This is for 90% of the board who claims that to this date that has been no documented case or link between steroid use and death either by suicide or physiological causes:

Increased premature mortality of competitive powerlifters suspected to have used anabolic agents.

Parssinen M, Kujala U, Vartiainen E, Sarna S, Seppala T.

National Public Health Institute, Laboratory of Substance Abuse, Helsinki, Finland. [email protected]

Misuse of supraphysiological doses of anabolic steroids is claimed to have serious side effects. The aim of the study was to determine the mortality, and the cause of premature deaths among a group of subjects who are strongly suspected to have used anabolic steroids for a non-medical purpose over several years. The mortality of 62 male powerlifters placed 1st-5th in weight series 82.5-125 kg in Finnish championships during 1977-1982 was compared with the mortality of population controls. The mortality during the 12-year follow-up was 12.9% for the powerlifters compared to 3.1% in the control population. By 1993 eight of 62 powerlifters and 34 of 1094 population controls had died, thus the risk of death among the powerlifters was 4.6 times higher (95% CI 2.04-10.45; p = 0.0002). The causes of premature death among the powerlifters were suicide (3), acute myocardial infarction (3), hepatic coma (1) and non-Hodgkin's lymphoma (1). These findings add to the growing amount of evidence of an association between anabolic steroid abuse and premature death, and support the view that measures to decrease AAS misuse among both competitive and amateur athletes are justified.

There is also growing evidence that steroid use increases the risk of suicide, depression, psychotic behavior and homicidal behavior and aggression among regular users. Steroid use among adolescents and young adults seems also correlated with poor self steam, problems with self image and parental over concern with body image. Steroid use is also likely to instigate regular users to experiment with other recreational illegal drugs, particularly opioids. Don't believe me? Check out those links:

http://www.ncbi.nlm.nih.gov/entrez/q..._uids=10641914

http://www.ncbi.nlm.nih.gov/entrez/q..._uids=12633124

Bottom line: It is time to stop the fallacy that "steroids when used safely won't have major detrimental effects on your health". To be honest, these research studies won't stop me from using juice in the future, but I rather be using AAS in therapeutic doses rather than the dosages proposed in this board.

Ok.....I ready for the flames! Hit me!

**max-it** · 08-07-2004, 05:32 PM

exactly define supraphysiological please

**kokosmash** · 08-07-2004, 05:35 PM

most heavy weightliftin competitors use high doses of toxic **** like halo and tren , usually a lot longer than they should. aas are drugs, and yes if you seriously abuse them without thinking first, yes you might die, but these freaks you talkin about used all the wrong stuff, way too much. there is a big difference between a responible bodybuilder and a drug addicted lifter.

**Anhydro78** · 08-07-2004, 06:10 PM

When most people try to make the argument that you can use steroids safely without any health concerns, they are correct. But they ussually dont cycle the way that would be heathly. The only thing that study said is that Power Lifters have a higher mortality rate than what average people. I can tell you that being a power lifter for a few years now. That putting on massive amounts of weight without any care for cardiovascular health. Is what would make power lifters more likely to keal over. m sure the steroids dont help.

Saying that steroid users are more likely to use recreational drugs is stupid and is just another part of the propaganda machine. Just because a select few Body builders abuse opiate based drugs (Nubain) doesnt mean in no way that the majority of steroid users use drugs.

Really I cant believe you even posted this nonsence. They dont even know if these people actually used steroids. Like they said they just suspected that they did. This is the same thing as telling kids in the D.A.R.E. program that they will die from smoking weed.

**Lozgod** · 08-07-2004, 06:29 PM

I dont care.

**einstein1905** · 08-07-2004, 06:34 PM

circumstantial evidence at best. That is NOT a controlled study. It does NOT account for the various lifestyle differences between the two groups

**weightshead** · 08-07-2004, 06:38 PM

Originally Posted by Anhydro78

When most people try to make the argument that you can use steroids safely without any health concerns, they are correct.

no offense intended but i think this is a little naiive. with prescription drugs of any kind (when there is really no _need_ to take them) there is some risk involved. however i definitely agree however that one can _minimise_ any associated health concerns.

**Paingain** · 08-07-2004, 06:43 PM

Yeah, these articles piss me off because they are not telling you facts, just media bull. I understand where this guy is coming from about insane dosages and everything though. I mean, I've seen some pretty big guys in the gym that hardly lift while they're in there. If they didnt take the crazy amounts they take, there is no way in hell thier intensity levels would yield a much better than average physique!!

**craneboy** · 08-07-2004, 07:10 PM

i think its a cop out

**Anhydro78** · 08-07-2004, 07:26 PM

Weightshead log onto any Body rejuvenation clinics website and they will have a whole list of theraputic benifits with Testosterone ,Deca ,HGH therapy. Im not saying this has anything to do with the way we cycle but. It can be argued that it has some benifit to health in safe doses.

This thing reads like a study but it lacks certain requirements that would make this legit. First of all taking all the top level power lifters that died between certain dates and saying they assume that they where taking steroids is a little out there. They could look at any group of people that they wish to come of with these statistics. They like Einstein said above they didnt perform a controled study. They had the option of picking any group of people they wanted to make their case. It just so happened they decided to proove their point with what could be considered the least healthy group of athletes. Huge fat powerlifters!!!!! I wonder what the statistics are on the moirtality rate of obese people.

**Anhydro78** · 08-07-2004, 07:47 PM

Here you go heres an article that actually references real studys.

Testosterone and Your Ticker
The Positive Effects of Testosterone on the Heart
by Doug Kalman MS, RD

Steroids will cause your kidneys to implode, your heart to blow a ventricle, and your liver to squirt out of your arse, fly across the room, and knock the cat off the futon. We read it on the Internet and saw an after school special about it, so it must be true, right?

Actually, the more you learn about steroids, the more you come to realize that, like all drugs, there's a difference between their intelligent use and outright abuse. In this article, Doug Kalman takes a look at the effects of Testosterone on the heart. What he found may surprise you.

Over the years we've all heard the repeated mantra that anabolic steroids are bad for the heart. Some physicians will tell you that gear raises your risk of heart disease by lowering your good cholesterol (HDL) and raising your bad cholesterol (LDL). In fact, as some docs will tell you, steroids are known to even induce cardiac hypertrophy (enlargement of the heart). And since you can't flex your heart in an effort to woo women, who'd want that?

But, as in every story, there's more than one side. In fact, let it be said, the dangers of steroids are overstated and, hold onto your seats, may even be good for the heart. Let's examine some of the scientific studies on the positive effects of Testosterone on the heart.

What are the cardiovascular effects of steroids ?

Cardiologists at the Royal Prince Alfred Hospital in Australia recruited both juicing and non-juicing bodybuilders for a study. Each bodybuilder had various aspects of the heart measured (carotid intima-media thickness, arterial reactivity, left ventricular dimensions, etc.). These measurements indicate whether bodybuilding, steroid usage or both affect the function, size, shape and activity of the heart.

The doctors found some obvious and not so obvious results. Predictably, those bodybuilders who used steroids were physically stronger than those who didn't. What was surprising was that the use of steroids was not found to cause any significant changes or abnormalities of arterial structure or function.

In essence, when the bodybuilders (both groups) were compared with sedentary controls, any changes in heart function were common to bodybuilders. The take home message from this study is that bodybuilding itself can alter (not impair) arterial structure/function and that steroids do not appear to impair cardiac function. (1)

Does MRFIT need a T boost?

A famous cardiac study was published about 10 years ago. It soon became on ongoing study known as the Multiple Risk Factor Intervention Trial (MRFIT). The present study examined changes in Testosterone over 13 years in 66 men aged 41 to 61 years. The researchers determined if changes in total Testosterone are related to cardiovascular disease risk factors.

The average Testosterone levels at the beginning of the study were 751 ng/dl and decreased by 41 ng/dl. Men who smoked or exhibited Type A behavior were found to have even greater decreases in T levels. The change in Testosterone was also associated with an increase in triglyceride levels and a decrease in the good cholesterol (HDL).

The authors concluded that decreases in Testosterone levels as observed in men over time are associated with unfavorable heart disease risk. (2) Sounds to me like a good reason to get T support/replacement therapy in the middle age years!

In a similar study, researchers in Poland examined if Testosterone replacement therapy in aging men positively effected heart disease risk factors. Twenty-two men with low T levels received 200 mg of Testosterone enanthate every other week for one year. Throughout treatment, Testosterone, estradiol, total cholesterol, HDL and LDL were measured.

The researchers determined that T replacement returned both Testosterone and estradiol levels back to normal and acceptable levels. They also found that T replacement lowered cholesterol and LDL (the bad cholesterol) without altering HDL (the good cholesterol). Furthermore, there was no change in prostate function or size.

The take home message from this study is that T replacement doesn't appear to raise heart disease risk and it may actually lower your risk. (3) It appears that more physicians should be prescribing low dose Testosterone to middle age and aging men for both libido, muscle tone and for cardiac reasons.

What about younger men?

It's been long established that men have a higher risk of heart disease. One of the risk factors implicated is Testosterone. Reportedly, the recreational use of Testosterone can alter lipoprotein levels and, in fact, case reports exist describing bodybuilders who've abused steroids and have experienced heart disease or even sudden death. But the question remains, is the causal association one of truth or just an association?

To answer this, researchers at the University of North Texas recruited twelve competitive bodybuilders for a comprehensive evaluation of the cardiovascular effects of steroids. Six heavyweight steroid-using bodybuilders were compared with six heavyweight drug-free bodybuilders.

As expected, the heavy steroid users had lower total cholesterol and HDL levels as compared to the drug-free athletes. What was unexpected was that the steroid users also had significantly lower LDL (the bad cholesterol) and triglyceride levels as compared to the non-steroid users. In addition, the juicers also had lower apolipoprotein B levels (a marker for heart disease risk). Thus, the authors concluded that androgens do not appear to raise the risk of cardiovascular disease. (4) The take home message from this study is that the negative cardiac side effects of steroids are most likely overstated.

In a little more progressive study, researchers at the Albert Einstein College of Medicine in the Boogie Down Bronx (the BDB to those in the know) examined Testosterone as a possible therapy for cardiovascular disease. (5) The researchers note that T can be given in oral, injectable, pellet and transdermal delivery forms. It's noted that injections of Testosterone (100 to 200 mg every two weeks) in men with low levels of T will decrease total cholesterol and LDL while raising the HDL.

In fact, Testosterone therapy has been found to have antianginal effects (reduces chest pain). Low levels of Testosterone are also correlated with high blood pressure, specifically high systolic pressure. The researchers determined that returning T levels back to normal and even high-normal levels have positive cardiovascular effects and should be considered as an adjunctive treatment for maintaining muscle mass when someone has congestive heart failure.

Putting it all together

Strong research demonstrates that the risks of negative cardiovascular effects of steroids are overstated. In fact, a recent paper published in the Canadian Journal of Applied Physiology questioned the whole risk of using steroids. (6) Joey Antonio, Ph.D. and Chris Street MS, CSCS published strong data showing that the risks of steroid use are largely exaggerated, much like scare tactics used by your parents while you were a kid. Of course, it goes unsaid that abuse of anything will lead to unwanted consequences.

We know that as we age, circulating Testosterone levels naturally decrease. For most people the Testosterone decrease goes from high-normal to mid to low normal. Data shows that there's an inverse relationship between T levels and blood pressure as well as abdominal obesity (that paunch we see on so many middle age males).

Testosterone replacement lowers abdominal obesity and restores Testosterone back to normal levels. Restored Testosterone is correlated with better mood, better muscle tone, stronger sex drive, lower cardiovascular disease risks, stronger bones and better memory. It's important to note that while conservative use gives a pronounced positive health benefit, higher doses may not necessarily lead to further health benefits.

What to do

If you see your body composition changing (your gut starts looking like your Uncle Lester's), your strength or muscle tone diminishing despite your hard training and good diet, and your sex drive not matching up to TC's columns, have your Testosterone levels checked. The acceptable normal range for Testosterone to physicians is 300 mg/dl to 1100 mg/dl. Yes, that's a pretty wide range.

In the clinic, we see people with the complaints consistent with "andropause " (a term for male menopause) and/or increased cardiovascular risk having Testosterone levels between 300 mg/dl and 550 mg/dl. Bringing it up to the mid to high-normal level is what gives the health and "youthful" benefits. Traditionally 200 mg/dl of supplemental Testosterone given every one to two weeks improves body composition, lowers total cholesterol and LDL, while raising HDL.

It appears that supplemental T is a healthier and safer way to go than many of the drugs used to treat poor lipid profiles. The data presented in this article applies for males over 35, not those who are 18. If you think that you can benefit from Testosterone therapy look for physicians who market themselves as "anti-aging" or "longevity physicians" as well as the more progressive endocrinologists or cardiologists.

Long story short, used intelligently, Testosterone is good medicine!

About the author: Douglas S. Kalman MS, RD is a Director for Miami Research Associates (MiamiResearch.com) a leading pharmaceutical and nutrition research organization in Miami, Florida. Doug is also a national spokesperson for the American College of Sports Medicine and according to his latest test has high T levels. Doug can be reached at [email protected].

References:

1) Sader MA, Griffiths KA, McCredie RJ, et al. Androgenic anabolic steroids and arterial structure and function in male bodybuilders. J Am Coll Cardiol 2001;37(1):224-230.

2) Zmuda JM, Cauley JA, Kriska A, et al. Longitudinal relation between endogenous testosterone and cardiovascular disease risk factors in middle aged men. A 13 year follow-up of former Multiple Risk Factor Intervention Trial participants. Am J Epidemiol 1997;146(8):609-617.

3) Zgliczynski S, Ossowski M, Slowinska-Srednicka J, et al. Effect of testosterone replacement therapy on lipids and lipoproteins in hypogonadal and elderly men. Atherosclerosis 1996;121(1):35-43.

4) Diekerman RD, McConathy WJ, Zachariah NY. Testosterone, sex hormone-binding globulin, lipoproteins and vascular disease risk. J Cardiovasc Risk 1997;4(5-6):363-366.

5) Shapiro J, Christiana J, Frishman WH. Testosterone and other anabolic steroids as cardiovascular drugs. Am J Ther 1999;6(3):167-174.

6) Antonio J, Street C. Androgen use by athletes: A reevaluation of the health risks. Can J Appl Physiol 1996;21(6):421-440.

**100%NATURAL-theGH** · 08-07-2004, 09:18 PM

good read.... now I have an argument for all those Media watching sh1t heads!

**daos** · 08-07-2004, 09:36 PM

Originally Posted by SpeedDemon

This is for 90% of the board who claims that to this date that has been no documented case or link between steroid use and death either by suicide or physiological causes:

Increased premature mortality of competitive powerlifters suspected to have used anabolic agents.

Parssinen M, Kujala U, Vartiainen E, Sarna S, Seppala T.

National Public Health Institute, Laboratory of Substance Abuse, Helsinki, Finland. [email protected]

Misuse of supraphysiological doses of anabolic steroids is claimed to have serious side effects. The aim of the study was to determine the mortality, and the cause of premature deaths among a group of subjects who are strongly suspected to have used anabolic steroids for a non-medical purpose over several years. The mortality of 62 male powerlifters placed 1st-5th in weight series 82.5-125 kg in Finnish championships during 1977-1982 was compared with the mortality of population controls. The mortality during the 12-year follow-up was 12.9% for the powerlifters compared to 3.1% in the control population. By 1993 eight of 62 powerlifters and 34 of 1094 population controls had died, thus the risk of death among the powerlifters was 4.6 times higher (95% CI 2.04-10.45; p = 0.0002). The causes of premature death among the powerlifters were suicide (3), acute myocardial infarction (3), hepatic coma (1) and non-Hodgkin's lymphoma (1). These findings add to the growing amount of evidence of an association between anabolic steroid abuse and premature death, and support the view that measures to decrease AAS misuse among both competitive and amateur athletes are justified.

There is also growing evidence that steroid use increases the risk of suicide, depression, psychotic behavior and homicidal behavior and aggression among regular users. Steroid use among adolescents and young adults seems also correlated with poor self steam, problems with self image and parental over concern with body image. Steroid use is also likely to instigate regular users to experiment with other recreational illegal drugs, particularly opioids. Don't believe me? Check out those links:

http://www.ncbi.nlm.nih.gov/entrez/q..._uids=10641914

http://www.ncbi.nlm.nih.gov/entrez/q..._uids=12633124

Bottom line: It is time to stop the fallacy that "steroids when used safely won't have major detrimental effects on your health". To be honest, these research studies won't stop me from using juice in the future, but I rather be using AAS in therapeutic doses rather than the dosages proposed in this board.

Ok.....I ready for the flames! Hit me!

get your facts straight before coming here with some lame ass bull**** like that. sounds like just more bleeding heart bull****.

**pretty_tony** · 08-07-2004, 09:41 PM

too many big words, me no understood

PT · 08-08-2004, 03:53 AM

great post anhydro. really informative.

**Toenail Juice Z** · 08-08-2004, 04:33 AM

Everything under the sun, when used in moderation (& not abused) is healthy.

**woodiechopper** · 08-08-2004, 10:33 AM

One problem with the study is that there was no comparable control group, as Einstein implied. To take 62 individuals who may or may not have been juicing and compare it to "population control" groups which might have been hundreds of people doesn't make sense. 3 of the deaths were from suicide -- it's possible that powerlifters in Finland are more prone to suicide generally, but these suicides are attributed to AS use. Similarly, powerlifters might be more inclined to have heart attacks, but no attempt is made to control for this. In other words, it may be physically more risky to be a powerlifter, with nothing implied about AS. This is just sloppy science.

**UrbanDawg** · 08-08-2004, 10:52 AM

The reserachers for this article must have studied the guys I hung with in the 70s and early 80s. They ate dbol like candy and never heard of PCT or SERMs.

These guys would stay on orals for 6 months at a time. Even after they turned yellow, pissed blood and many other things they could not be talked out of abusing the toxic orals.

Fortunately - noone is that stupid or impatient anymore - to start juicing before they know what they are doing

**Anhydro78** · 08-08-2004, 12:20 PM

Thats not even a study. First of all its a goverment organization. If I wanted to proove all homosexuals molest little kids, I could do it in the same manner. They didnt conduct a study they just looked into the deaths of people that they think where on steroids . If you notice they dont even have any statistics for what persentage of steroid users die from unatural causes. That would be more informative and wouldnt seem like they where once again preying on the ignorant.

**Todd Scott** · 08-08-2004, 12:32 PM

Originally Posted by SpeedDemon

This is for 90% of the board who claims that to this date that has been no documented case or link between steroid use and death either by suicide or physiological causes:

Increased premature mortality of competitive powerlifters suspected to have used anabolic agents.

Parssinen M, Kujala U, Vartiainen E, Sarna S, Seppala T.

National Public Health Institute, Laboratory of Substance Abuse, Helsinki, Finland. [email protected]

Misuse of supraphysiological doses of anabolic steroids is claimed to have serious side effects. The aim of the study was to determine the mortality, and the cause of premature deaths among a group of subjects who are strongly suspected to have used anabolic steroids for a non-medical purpose over several years. The mortality of 62 male powerlifters placed 1st-5th in weight series 82.5-125 kg in Finnish championships during 1977-1982 was compared with the mortality of population controls. The mortality during the 12-year follow-up was 12.9% for the powerlifters compared to 3.1% in the control population. By 1993 eight of 62 powerlifters and 34 of 1094 population controls had died, thus the risk of death among the powerlifters was 4.6 times higher (95% CI 2.04-10.45; p = 0.0002). The causes of premature death among the powerlifters were suicide (3), acute myocardial infarction (3), hepatic coma (1) and non-Hodgkin's lymphoma (1). These findings add to the growing amount of evidence of an association between anabolic steroid abuse and premature death, and support the view that measures to decrease AAS misuse among both competitive and amateur athletes are justified.

There is also growing evidence that steroid use increases the risk of suicide, depression, psychotic behavior and homicidal behavior and aggression among regular users. Steroid use among adolescents and young adults seems also correlated with poor self steam, problems with self image and parental over concern with body image. Steroid use is also likely to instigate regular users to experiment with other recreational illegal drugs, particularly opioids. Don't believe me? Check out those links:

http://www.ncbi.nlm.nih.gov/entrez/q..._uids=10641914

http://www.ncbi.nlm.nih.gov/entrez/q..._uids=12633124

Bottom line: It is time to stop the fallacy that "steroids when used safely won't have major detrimental effects on your health". To be honest, these research studies won't stop me from using juice in the future, but I rather be using AAS in therapeutic doses rather than the dosages proposed in this board.

Ok.....I ready for the flames! Hit me!

I think that this probably holds some truth, though it does not differentiate between recriational users and professional users, also it ony counts fatalities "suspected of using steroids"
Also it neglects the posability of the fatalities using way more dangerous stuff like diuretics.
This research is interesting but is clearly floored.
I have actually read some good research about synthetic test actually prolonging youth (it is the hormone of youth afterall)
I just think that we should all keep an open mind and take EDUCATED risk
I bet Millions more people die of obesity than aas use and aas can directly fight obesity.
Todd