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2012-12-13 7:57 AM
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Subject: RE: Testosterone Supplements
draeke - 2012-12-13 9:51 AM

Wow, step on the brakes. OMG


Huh?

ETA - assuming you were responding to my post. I was simply trying to provide some information on the TUE process and use of T when one is planning to compete in triathlon.

Shane

Edited by gsmacleod 2012-12-13 7:59 AM


2012-12-13 8:16 AM
in reply to: #4068861

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Subject: RE: Testosterone Supplements
WOW, far too much testosterone flying about on this thread. I feel a punch up coming on. Fight! Fight! Fight! Laughing
2012-12-13 9:08 AM
in reply to: #4068861


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Subject: RE: Testosterone Supplements

Without a TUE, testosterone supplements in any form are doping.

2012-12-13 11:18 AM
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Subject: RE: Testosterone Supplements
morey000 - 2012-12-12 1:09 PM

I'd be a little scared of the increased risk of prostate cancer... but admittedly, I don't really know what I'm talking about.


Testosterone doesn't seem to increase your risk of getting prostate cancer, but it does make certain cancers(including prostate) progress faster. Since most men will get prostate cancer if they live long enough it's important to monitor the prostate if you are taking a testosterone supplement.
2012-12-13 3:31 PM
in reply to: #4068861

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Subject: RE: Testosterone Supplements


Testosterone makes your testicles smaller, right?

Smaller testicles would be easier to manage while on the bike.

I see no issue....


2012-12-13 4:18 PM
in reply to: #4533515

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Subject: RE: Testosterone Supplements
Billyk - 2012-12-13 7:08 AM

Without a TUE, testosterone supplements in any form are doping.

Even with a TUE, it's doping. You just get an exemption when you test positive.



2012-12-13 5:52 PM
in reply to: #4068861

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Subject: RE: Testosterone Supplements

As other have pointed out, there is a big difference between a Dr. Script for Low T and getting a TUE.  You can walk into pretty much any clinic and be 'diagnosed' with Low T.  No issue there. 

My issue occurs that as soon as you take that Testosterone and line up to race, you are committing a violation of use of a Banned Substance.  It's truly that simple.  There, IMHO, no debate.

And while the use of the word never is cast about plentiful these days, I'm fairly certain that Never is appropriate for a recreational athlete getting a TUE and I will extend it to pro's as well most likely.

An Aside:

I think that this issue is going to be a big deal very soon in our sport.  Now that "Low T" is a common medical issue like Erectile Dysfunction has become in the last few years, there will be more and more athletes on Testosterone supplementation.  These athletes are not attempting to KQ or get an edge but just trying to "live life".  But once AG testing become more prominent they WILL get popped for T. 

And then what do we do as a sport?

2012-12-13 6:01 PM
in reply to: #4534341

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Subject: RE: Testosterone Supplements

bradleyd3 - 2012-12-13 1:31 PM Testosterone makes your testicles smaller, right? Smaller testicles would be easier to manage while on the bike. I see no issue....

I guess I need to use T just to be able to sit down then, because dayum, these things are big



Edited by ChrisM 2012-12-13 6:02 PM
2012-12-13 6:59 PM
in reply to: #4534507

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Subject: RE: Testosterone Supplements
Marvarnett - 2012-12-13 5:52 PM

And then what do we do as a sport?

I guess send our small testicled compatriots to the penalty box for a couple years?

2012-12-14 8:15 AM
in reply to: #4534507

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Subject: RE: Testosterone Supplements

With all do respect it is not such a clear cut issue. If you suffer from low testosterone (not just fall below some artificial clinic's measure) then your body is out of hormonal balance and life can be very unpleasant. So if a person desires the same quality of life as the rest of us and takes medical steps to increase his testosterone levels to normal levels for their age then by your rule they are dopers and should not line up to race. I think that is unfair.

Better doctors will prescribe safe medications that stimulate your natural production (HCG) rather than giving you exogenous Testosterone which only makes things worse. Under those circumstances there will be no failed test. But in the event that they can not restart normal production then they should be allowed to race and only be sanctioned if their total levels are outside of normal ranges for their age. (Of course I do not know if someone could dope and then stop and have their ranges normal but cheaters will always cheat).

2012-12-14 8:46 AM
in reply to: #4535043

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Subject: RE: Testosterone Supplements
paulieman - 2012-12-14 9:15 AM

With all do respect it is not such a clear cut issue. If you suffer from low testosterone (not just fall below some artificial clinic's measure) then your body is out of hormonal balance and life can be very unpleasant. So if a person desires the same quality of life as the rest of us and takes medical steps to increase his testosterone levels to normal levels for their age then by your rule they are dopers and should not line up to race. I think that is unfair.

Better doctors will prescribe safe medications that stimulate your natural production (HCG) rather than giving you exogenous Testosterone which only makes things worse. Under those circumstances there will be no failed test. But in the event that they can not restart normal production then they should be allowed to race and only be sanctioned if their total levels are outside of normal ranges for their age. (Of course I do not know if someone could dope and then stop and have their ranges normal but cheaters will always cheat).

I respectfully disagree with you.  I agree that if it's a real or perceived quality of life issue, then by all means, go ahead and get supplementation (natural or other-wise).  But as soon as you step on that start line, regardless of the reason you are taking those drugs, you are indeed a doper.  Like it or not, those are the rules. 

You are a cheater if you are on a banned substance regardless of the reason (assuming no TUE).

That persons quality of life simply does not include Triathlon or any other sport that is a signatory to the WADA code.  In the end it's a choice, pure and simple.



2012-12-14 8:59 AM
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Subject: RE: Testosterone Supplements
paulieman - 2012-12-14 10:15 AM

But in the event that they can not restart normal production then they should be allowed to race and only be sanctioned if their total levels are outside of normal ranges for their age. (Of course I do not know if someone could dope and then stop and have their ranges normal but cheaters will always cheat).



So how do we define normal for T levels? A quick Google search gives this:

Age Tot. Test.
25 700
35 650
45 600
55 550
65 500
75 450
85 400

However, the normal range for T is 300-1200ng/dL so do athletes get to dope up to the average for their age, the high value for their age, the low value for their age? Further, would a 35yo with a level of 300 be able to supplement up to 650 just to get to the average?

Ultimately the line has to be drawn somewhere and that somewhere is that testosterone is banned in and out of competition. So, an athlete who is using T needs to either have a TUE in place or they are in violation of the rules of the sport (assuming they race in events sanctioned by a NGB such as USAT).

Shane
2012-12-14 11:38 AM
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Subject: RE: Testosterone Supplements
So you have to make a choice of being healthy or not do multisport?  I'll gladly not accept a AG medal (if it would ever happen) if I'm on T for health reasons otherwise I'm not stopping from having fun in a race.  Sorry.  As soon as all the other cheating is resolved in the sport (drafting, etc), T is the last of my problems.
2012-12-14 11:55 AM
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Subject: RE: Testosterone Supplements

RVachon - 2012-12-14 12:38 PM

So you have to make a choice of being healthy or not do multisport?  

No.  You have to make a choice of being 'healthy' or racing in competition.  You are free to do multisport.  If you race without a TUE, you are cheating.  Saying 'others cheat' does not make it OK.

And I bet there will be RDs that are more than happy to allow people to 'have fun' in a race setting that are taking T supplementation as long as they agree to exclude themselves from AG results.  In fact, that might be a good way to consider dealing with the growing issue (haven't really thought about it before, so there may be negatives that didn't jump to mind)--have athletes 'self-declare' themselevs 'non-AG racers' with their results reported but not included in 'official' overall results.

2012-12-14 11:56 AM
in reply to: #4535450

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Subject: RE: Testosterone Supplements

RVachon - 2012-12-14 7:38 AM So you have to make a choice of being healthy or not do multisport?  I'll gladly not accept a AG medal (if it would ever happen) if I'm on T for health reasons otherwise I'm not stopping from having fun in a race.  Sorry.  As soon as all the other cheating is resolved in the sport (drafting, etc), T is the last of my problems.

I could be wrong on this, but I thought when you sign up for a race put on by an organization like the USAT, that is governed by USADA, it doesn't matter if you are trying for a podium spot or not.  If you are taking a banned substance without a TUE, you are considered doping no matter what place you finish in, and if tested and you fail, you will be subject to the same penalties as podium winners or pros. 

Maybe someone can correct me if I'm wrong though...that was just my assumption.

2012-12-14 12:05 PM
in reply to: #4535496

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Subject: RE: Testosterone Supplements
JohnnyKay - 2012-12-14 7:55 AM

RVachon - 2012-12-14 12:38 PM

So you have to make a choice of being healthy or not do multisport?  

No.  You have to make a choice of being 'healthy' or racing in competition.  You are free to do multisport.  If you race without a TUE, you are cheating.  Saying 'others cheat' does not make it OK.

And I bet there will be RDs that are more than happy to allow people to 'have fun' in a race setting that are taking T supplementation as long as they agree to exclude themselves from AG results.  In fact, that might be a good way to consider dealing with the growing issue (haven't really thought about it before, so there may be negatives that didn't jump to mind)--have athletes 'self-declare' themselevs 'non-AG racers' with their results reported but not included in 'official' overall results.

That type of segmentation might work.  But if I was a race insurance provider, I'm not sure how I would feel about it if the race I am insuring is openly allowing some participants to take banned substances.  Does that increase the risk of athletes having a medical condition while racing?  Maybe...maybe not.



2012-12-14 12:39 PM
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Subject: RE: Testosterone Supplements
gsmacleod - 2012-12-14 6:59 AM

So how do we define normal for T levels? A quick Google search gives this:

Age Tot. Test.
25 700
35 650
45 600
55 550
65 500
75 450
85 400

However, the normal range for T is 300-1200ng/dL so do athletes get to dope up to the average for their age, the high value for their age, the low value for their age? Further, would a 35yo with a level of 300 be able to supplement up to 650 just to get to the average?


It's more complicated than these numbers. Average T in men is falling yearly. Average T levels are down 16% for 65-69 year old men in the last 20 years. So do you get to increase your levels to what the average would have been 40 or 50 years ago?

Another post mentioned that people could take HcG instead of Testosterone, but HcG and Estrogen Blockers (Anastrozole works by preventing Testosterone to Estrogen conversion so it causes an increase in Testosterone.) are also banned by WADA/USADA. I don't know if it's easier to get a TUE for those, but we should stop pretending that it's possible to get a TUE for Testosterone. Unless you are missing your testicles or have zero T production (and can prove a physical cause) you aren't getting a TUE.
2012-12-14 12:43 PM
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Subject: RE: Testosterone Supplements
bufordt - 2012-12-14 2:39 PM

I don't know if it's easier to get a TUE for those, but we should stop pretending that it's possible to get a TUE for Testosterone. Unless you are missing your testicles or have zero T production (and can prove a physical cause) you aren't getting a TUE.


Who's pretending?

Shane
2012-12-14 12:47 PM
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Subject: RE: Testosterone Supplements
gsmacleod - 2012-12-14 10:43 AM

bufordt - 2012-12-14 2:39 PM

I don't know if it's easier to get a TUE for those, but we should stop pretending that it's possible to get a TUE for Testosterone. Unless you are missing your testicles or have zero T production (and can prove a physical cause) you aren't getting a TUE.


Who's pretending?

Shane


I've seen lots of people mention that if you are using T without a TUE that you're doping. That statement seems to me to imply that someone could actually get a TUE.
2012-12-14 12:52 PM
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Subject: RE: Testosterone Supplements
bufordt - 2012-12-14 2:47 PM

I've seen lots of people mention that if you are using T without a TUE that you're doping. That statement seems to me to imply that someone could actually get a TUE.


It is possible to get a TUE for testosterone but it is, and rightly so IMO, very hard to get one. So yes, if one is using T, even if prescribed by a doctor, without a TUE, then they are in violation of the anti-doping rules governing our sport.

Shane
2012-12-14 1:10 PM
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Subject: RE: Testosterone Supplements

gsmacleod - 2012-12-14 1:52 PM
bufordt - 2012-12-14 2:47 PM I've seen lots of people mention that if you are using T without a TUE that you're doping. That statement seems to me to imply that someone could actually get a TUE.
It is possible to get a TUE for testosterone but it is, and rightly so IMO, very hard to get one. So yes, if one is using T, even if prescribed by a doctor, without a TUE, then they are in violation of the anti-doping rules governing our sport. Shane

We are all on the same page. 

I used those words because 'someone' will come back with a single case with such outside the box circumstances that it happened.  I do not know of one single instance where a TUE was issued for T nor do I think one will ever be granted, hence the 'disclaimer'.



2012-12-14 1:33 PM
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Subject: RE: Testosterone Supplements

This is an interesting topic that I'm glad people are talking about.  Unfortunately, I'm in the mix of this.  Over the past year, I've been feeling in the dumps for no apparent reason.  Well a visit to my doctor in July resulted in a blood test and low and behold they call back and say "Hey!!  You have low T (200, age 46) The doctor wants to prescribe a patch and it will probably make a world of difference for you."  Now enter Ironman and I had to say well that's all great but it's not that easy.

Like many others, I came from a complete non-athletic background and at age 41 a friend talked me into triathlon.  I weighed 210, high blood pressure, I could go on and on...  Fast forward to present and I weigh 165, eating healthy, and training daily for my 4th Ironman in as many years, and have never been more fit except for....  yep, catch 22.

I'm really on the fence on this.   It's a hobby and a lifestyle choice and I don't feel like going through all the paper work that will most likely be met with a dead end if I decide to go forward with the patches.  The past three races I have finished right around 12:30 so in my mind I'm only racing myself and the others in the race are helping me push myself more than I would if I just decided to go out on a week and "go the distance".  This really has been heavy on my mind for the last few months because with my luck, I'd get caught and be broadcast across the net as a doper.  (Maybe not as bad as broadcasting myself as low T across the net. LOL)

This might be an excellent way for Ironman to get rid of the mass swim start craziness.  Have the pros go, then the weekend warriors that are out to qualify for Kona or those concerned they might show up as finishing 1,623 when that Todd "doper guy" finished 1,622 and then have a start for the non-competitive, just in it to finish and see what time we get guys?

I have been a flight instructor for many years and one of the worst things is having a student show up that has wanted to be a pilot all their life, just for me to tell them that their past medical condition may not make that possible.  Sure some of them can spend hunderds and thousands of dollars to prove they are still fit and they do but... is that really where we want the sport to go? 

Not trying to start a fight, just a discusssion because I truly understand both sides of this issue.



Edited by tamason 2012-12-14 1:35 PM
2012-12-14 4:50 PM
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Subject: RE: Testosterone Supplements
tamason - 2012-12-14 11:33 AM

This is an interesting topic that I'm glad people are talking about.  Unfortunately, I'm in the mix of this.  Over the past year, I've been feeling in the dumps for no apparent reason.  Well a visit to my doctor in July resulted in a blood test and low and behold they call back and say "Hey!!  You have low T (200, age 46) The doctor wants to prescribe a patch and it will probably make a world of difference for you."  Now enter Ironman and I had to say well that's all great but it's not that easy.

I see where you're coming from here. I think in participatory sports (like tri is for most), the people who are taking banned substances should DQ themselves from medal contention/KQ slots, etc. IOW let them participate, but not win. When you get to the pointy end, it starts to look more like people are taking the substances to win, which is a definite no-no.

Keep in mind, this is a common argument for many dopers. 'Hey, if so-and-so gets to have a hematocrit level of 50%, why can't I?' It can become a slippery slope.

2012-12-15 9:57 PM
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Subject: RE: Testosterone Supplements
tamason - 2012-12-14 1:33 PM

This is an interesting topic that I'm glad people are talking about.  Unfortunately, I'm in the mix of this.  Over the past year, I've been feeling in the dumps for no apparent reason.  Well a visit to my doctor in July resulted in a blood test and low and behold they call back and say "Hey!!  You have low T (200, age 46) The doctor wants to prescribe a patch and it will probably make a world of difference for you."  Now enter Ironman and I had to say well that's all great but it's not that easy.

Like many others, I came from a complete non-athletic background and at age 41 a friend talked me into triathlon.  I weighed 210, high blood pressure, I could go on and on...  Fast forward to present and I weigh 165, eating healthy, and training daily for my 4th Ironman in as many years, and have never been more fit except for....  yep, catch 22.

I'm really on the fence on this.   It's a hobby and a lifestyle choice and I don't feel like going through all the paper work that will most likely be met with a dead end if I decide to go forward with the patches.  The past three races I have finished right around 12:30 so in my mind I'm only racing myself and the others in the race are helping me push myself more than I would if I just decided to go out on a week and "go the distance".  This really has been heavy on my mind for the last few months because with my luck, I'd get caught and be broadcast across the net as a doper.  (Maybe not as bad as broadcasting myself as low T across the net. LOL)

This might be an excellent way for Ironman to get rid of the mass swim start craziness.  Have the pros go, then the weekend warriors that are out to qualify for Kona or those concerned they might show up as finishing 1,623 when that Todd "doper guy" finished 1,622 and then have a start for the non-competitive, just in it to finish and see what time we get guys?

Not trying to start a fight, just a discusssion because I truly understand both sides of this issue.

I'm currently going through this same ordeal and I totally agree with your viewpoint. I'm a 26 year old guy and my testosterone has been tested multiple times and it has ranged from 77-183.  It's my personal viewpoint that if you have chronically low T and have to take synthetic hormones (prescribed by a doctor; not the OTC stuff) you should be able to race, receive medals, & KQ. It takes a lot more than a single hormone (training, time, money, etc.) to get to that level and if you obtain a doctors exemption then you should be able to race.

The last thing I'm willing to do is give up on my passions and live a sexually repressed life to satisfy USAT rules. There are long-term & irreversible effects of testosterone replacement (impotency namely) and that's the reason I haven't opted to take the synthetic hormone (yet). I've met with my doctor & an endocrinologist so I'm fairly informed on this topic.

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Edited by TX_TRIron 2012-12-15 10:02 PM
2012-12-16 7:09 AM
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