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Is HRT cheating?

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Borges View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Borges Quote  Post ReplyReply Direct Link To This Post Topic: Is HRT cheating?
    Posted: 8/10/11 at 12:09pm
Too boring around here right now. As it happens, some master's
athletes are on hormone replacement therapy (HRT) of one kind or
another (injections, gels, patches). I heard one of them describe his
gel as "You rub it on and you're eighteen again." Clearly this has an
impact on their throws (sudden 10% improvements in events that
have been stagnant for years). So, is hormone replacement therapy
cheating? Discuss.
Cheers,

Carlos



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Post Options Post Options   Thanks (0) Thanks(0)   Quote Wayne Hill Quote  Post ReplyReply Direct Link To This Post Posted: 8/10/11 at 12:19pm
A sudden 10% improvement sounds psychological.
Testosterone at therapeutic dosages (say, raising test
level to "high normal") has pretty subtle effects, and
takes months to produce a significant effect on athletic
performance (mostly via muscular endurance and recovery).
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Roy Bogue Quote  Post ReplyReply Direct Link To This Post Posted: 8/10/11 at 12:46pm
If it is, I say good for them and they should increase their dosage
Donate lately?
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Post Options Post Options   Thanks (0) Thanks(0)   Quote AlDargie Quote  Post ReplyReply Direct Link To This Post Posted: 8/10/11 at 1:11pm
If it is, I don't have an issue with it. It's about
improving your quality of life and if throwing a little
further happens as a result, so be it.

Roy where have you been? Miss the color commentary.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote WALLY.OLECIK Quote  Post ReplyReply Direct Link To This Post Posted: 8/10/11 at 1:38pm
Originally posted by AlDargie AlDargie wrote:

Roy where have you been? Miss the color commentary.

Was thinking the same thing!!
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Duncan McCallum Quote  Post ReplyReply Direct Link To This Post Posted: 8/10/11 at 1:53pm
No...it's not...provided the athlete tests
(if tested) within a normal range.

Low test is a medical condition.
Penalizing, banning, or otherwise
sanctioning an athlete who engages in
HRT under the guidance of a qualified
physician is unsportsmanlike, at best,
and discriminatory at worst.
The man in the arena.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote titanium 2 Quote  Post ReplyReply Direct Link To This Post Posted: 8/10/11 at 2:33pm
Carlos, Can you get me a sponsor to pay for it?I'm getting weak and feeble...
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Post Options Post Options   Thanks (0) Thanks(0)   Quote ROB EVANS Quote  Post ReplyReply Direct Link To This Post Posted: 8/10/11 at 2:46pm
hmm good question.  I have been thinking about HRT since I am closing in on 40 and it's becoming harder to lose weight thinking this might help.  
If Spencer Tyler is the gamma bomb of explosion, you and I are like single-serving flan cups in his lunchbox. Pasty, Jiggly, Delicious, but otherwise not very explosive. DUNCAN MCCALLUM
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Post Options Post Options   Thanks (0) Thanks(0)   Quote The Jayster Quote  Post ReplyReply Direct Link To This Post Posted: 8/10/11 at 3:12pm
again! non drug tested sport! so who give s a f##k anymore! i'm sure there are athletes that are taking whatever they want knowing there is no testing. oh! wait, i know EVERYONES clean, why we take that shit for little or no money!.......EGO!.....i'm sorry, caught me at a bad moment, just going to go out saying, we are no cleaner/dirtier than any other sport! so just let it go, and lets throw!
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Borges Quote  Post ReplyReply Direct Link To This Post Posted: 8/10/11 at 3:19pm
Originally posted by Duncan McCallum Duncan McCallum wrote:

No...it's not...provided the athlete
tests
(if tested) within a normal range.

Low test is a medical condition.
Penalizing, banning, or otherwise
sanctioning an athlete who engages in
HRT under the guidance of a qualified
physician is unsportsmanlike, at best,
and discriminatory at worst.


Hmmmm. That's one perspective. The USADA (usada.org) has a
very different perspective. For instance, Androgel, a common HRT
therapy is banned regardless of whether it is prescribed by a
doctor or not. Moreover, they don't care what your levels are, you
simply may not use exogenous hormones. Period. So clearly they
don't think banning HRT is unsportsmanlike or discriminatory.
They also ban a number of widely used asthma medications even
though these are not 'quality of life' drugs as someone else
mentioned above, they are more like 'continuing to be able to
breathe' drugs.

Curious to hear some more perspectives.

P.S. Sorry Big Paul, can't help you but somehow I think your 'old
and feeble' is still enough to crush all but the strongest of men.
Cheers,

Carlos



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Post Options Post Options   Thanks (0) Thanks(0)   Quote Soul Eater Quote  Post ReplyReply Direct Link To This Post Posted: 8/10/11 at 5:02pm
I have a good friend on it and he is not a gamer but he does a sport. He is 46
the doctor said his hormone level was that of a 70 year old man, he said his
workouts were dismal at best and made no gains and was tired all the time.
Weather they are banned are not he made a decision based on feeling better
or hurting. Personally I could care less if a guy has to take HRT, he beats me
he beats me, plain and simple. People who have normal levels and take it
now have above normal levels, then I would say that's cheating. People take
this for health reasons because having low hormone levels could cause other
health related issues if left unattended. I guess it boils down to, it's not a big
deal if he is not beating you, and it's cheating if he does. So he gets a bigger
bag of kettle Corn than you.   
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Post Options Post Options   Thanks (0) Thanks(0)   Quote C. Smith Quote  Post ReplyReply Direct Link To This Post Posted: 8/11/11 at 12:35am
I would not consider that cheating, it is treatment of a medical condition. 

I would be really interested in hearing the IHGF stance on this though, since they are essentially the only ones "testing".  I have looked on their site and can't find a TUE, so I assume they don't have one.  Which I find quite odd...     

Ryan or Doc Bill have any insight into that?
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Krazy40 Quote  Post ReplyReply Direct Link To This Post Posted: 8/11/11 at 12:54am
Which doctor gets to decide what the "high normal" area is?  I bet he is the one that will make all the money.  Until the next Doc decides he wants to make money, then the "high normal" goes from A to B. Then the next doc.....you get the point. 
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Post Options Post Options   Thanks (0) Thanks(0)   Quote C. Smith Quote  Post ReplyReply Direct Link To This Post Posted: 8/11/11 at 12:59am
Originally posted by Krazy40 Krazy40 wrote:

Which doctor gets to decide what the "high normal" area is?  I bet he is the one that will make all the money.  Until the next Doc decides he wants to make money, then the "high normal" goes from A to B. Then the next doc.....you get the point. 


Acceptable levels are pretty clearly defined in the medical field.  If you have a doctor that is willing to do what you need him to do, then good for you.  I still don't see an issue. 

There are lots of people, young and old, that currently compete with this condition. 
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Post Options Post Options   Thanks (0) Thanks(0)   Quote thegnome Quote  Post ReplyReply Direct Link To This Post Posted: 8/11/11 at 1:00am
I'm on the fence on this one.  Part of thinks regardless of condition it is a PED.  It is also fairly easy to find a Dr. willing to do the Rx.  The other part of me agrees with the Jay view.  Let's just throw, you do what you want to do, I'll do what I want to do.  I knew a number of the people involved with a pretty high profile doping case involving test gel a few years ago, so maybe I'm a bit clouded in my opinions. 
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Borges Quote  Post ReplyReply Direct Link To This Post Posted: 8/11/11 at 1:53am
First of all, great discussion. Proof positive that we CAN have a
civil discussion about a touchy issue on this board. BRAVO!

To answer Craig, very few athletic organizations have specific drug
policies. Most of them simply subscribe to the WADA/USADA
regulations. Not sure if that is what IHGA is doing but that would
be standard when you are testing. Any organization subscribing to
those regulations would be banning HRT since that is how those
regs are interpreted (NO exogenous hormones). Not a big deal for
IHGA since their charter is general and, as far as I know, they
aren't really interested in running masters events. Frankly, it's
probably more important for the SMAI to come up with a policy on
this than the IHGA.
Cheers,

Carlos



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Post Options Post Options   Thanks (0) Thanks(0)   Quote K Rogers Quote  Post ReplyReply Direct Link To This Post Posted: 8/11/11 at 1:58am

Interesting question-

From what I've heard, the daily and weekly range of any individual's concentrations range quite a bit... large deviations to the mean. It may require several tests to find that temporal baseline range and median value for T for any individual. Any single test for T is suspect without a series of values to provide a range, st dev and median.

After establishing a person's range of values and the median value over time then it could be compared to benchmarks to determine if its many times greater than the therapeutic dosages. Without that work, its likely any claim about performance enhancements are pure spectulation. Seems like a lot of work to me ... with not much return.

On a side note: I feel like I'm eighteen, but I keep getting kicked out of the dorms. 

-uneducated guess

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Post Options Post Options   Thanks (0) Thanks(0)   Quote S McCracken Quote  Post ReplyReply Direct Link To This Post Posted: 8/11/11 at 2:02am

Originally posted by C. Smith C. Smith wrote:

Acceptable levels are pretty clearly defined in the medical field.  If you have a doctor that is willing to do what you need him to do, then good for you.  I still don't see an issue. 

There are lots of people, young and old, that currently compete with this condition. 

+1 This condition is a serious one. bone lose, joint damage , muscle loss and that includes the heart. If the Dr can fix it I am for it.

Abuse is a very different thing.

 

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Post Options Post Options   Thanks (0) Thanks(0)   Quote jsully Quote  Post ReplyReply Direct Link To This Post Posted: 8/11/11 at 2:14am

I don't think it's cheating at all, so long as the patient isn't doubling up on their dosages outside of their doctor's knowledge. But then again, they would run out of their script faster and the doc would know what's up.

According to WADA, the accepted T/E ratio is 4:1. If your natty levels are at 200ng/ml and you take test enough to supplement up to 800ng/ml, you will pass the test. The specific dosage required to get to 800ng/ml would be different for everyone, depending on their natty production and absorption. Even if an athlete was not tested, so long as they are within the natural levels of 250-1100ng/ml, I wouldn't have any issues.

In regards to an instant 10% increase in performance, I don't think that is possible. Going from below average test levels (say 150ng/ml) up to 500ng/ml will yield very little performance results. It's moreso for your libido, mood, quality of life, than it is for recovery and muscle growth. Yes, there will be SOME peformance enhancement, but IMO, this just brings the individual up to where the general population is. Instead of only being able to train twice a week before getting overtrained, you can train an 3x a week and your injuries heal a tidbit faster.

Take that vs someone who is actually on legitimate PEDs at high dosages. Being able to train 5-6 days per week, 100% effort for 2-3 hours at a time without overtraining, those are the ones that should be ridiculed (in a tested sport).  

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Post Options Post Options   Thanks (0) Thanks(0)   Quote johnallen Quote  Post ReplyReply Direct Link To This Post Posted: 8/11/11 at 2:16am

As someone who knows first hand, the effects of Low T, I can say that using HRT makes a huge difference on Quality of life. It doesn't make my throws any longer or higher, but using Androgel or Testim allows me to train like someone with a Normal Testosterone count. 

These medications are designed to bring the person suffering from low testosterone back into a well documented Normal Range of a person their age. My Dr. stated a typical count should be around 500-600. When I tested at 225, she said I had an issue that we could resolve with medication. It's made a huge impact on my energy levels and day to day functioning. With daily use, my numbers hover around 550. Pretty normal results based on data. the substance is highly controlled and I dare say any Dr. that wants to keep their license, would be hesitant in prescribing to someone without medical data supporting the use. Blood tests are required every 6 months to track T levels and it only takes 1 bust and investigation to create an issue for a Dr.

There are those who would seek this for alterior motives. As with any drug, when abused, it can and will have consequences. For those who have normal testosterone levels and great strength and seek a medical or chemical advantage, I would simply state that what they gain in strength, they lack in other areas.

I would say, by in large though, most men who use HRT's do it primarily to maintain a normal quality of life. It doesn't make us Superman and it really doesn't give us any competitive advantage. It only brings us to the level of someone who doesn't suffer from Low T. 

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Post Options Post Options   Thanks (0) Thanks(0)   Quote C. Smith Quote  Post ReplyReply Direct Link To This Post Posted: 8/11/11 at 3:03am
Originally posted by Borges Borges wrote:

First of all, great discussion. Proof positive that we CAN have a
civil discussion about a touchy issue on this board. BRAVO!

To answer Craig, very few athletic organizations have specific drug
policies. Most of them simply subscribe to the WADA/USADA
regulations. Not sure if that is what IHGA is doing but that would
be standard when you are testing. Any organization subscribing to
those regulations would be banning HRT since that is how those
regs are interpreted (NO exogenous hormones). Not a big deal for
IHGA since their charter is general and, as far as I know, they
aren't really interested in running masters events. Frankly, it's
probably more important for the SMAI to come up with a policy on
this than the IHGA.


Interesting, I was under the impression that most organizations handled it like USA Weightlifting, with TUEs set aside for those type cases.  To be fair, I based that impression on nothing, and basically just saw nothing to the contrary.

If their stance is NO exogenous hormones, then I wish they would publish that so everyone knows.  Although following your train of thought maybe that's clear.  I would certainly hate to see someone fail a test because the IHGF was unclear on their stance and someone with doctor prescribed HRT was to compete in one of their games. 

I also think you are underestimating the number of guys in their 30s who are taking HRT.  It's quite a few.  Understandably though, not everyone wants a medical condition to be public information. 
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Borges Quote  Post ReplyReply Direct Link To This Post Posted: 8/11/11 at 3:29am
I don't know what the IHGF stance is. But WADA is pretty clear on
these things.

Furthermore, I don't know what the right answer is here. I just
wanted to get a discussion going. I know that I would not attend a
'Championship' or claim a 'record' if I were using HRT. That's a
personal choice in an area where there is no clear consensus, and
certainly no clear written rules or policies. Others may choose
differently and I'm not trying to judge them here.

Anecdotally, I would note that when I was running drug testing for
Pleasanton I got a phone call from a masters athlete who was very
concerned because he was on beta-blockers for a heart condition
and he understood that they were a banned substance. He wanted
to be able to compete without an unfair advantage and was
considering going to see his doctor about going off of them. We
had a discussion where I noted that they were primarily banned
because of events like shooting where they do enhance
performance, but since they did not enhance strength or recovery I
didn't think they offered any advantage in HG. I put the phone
down with even more respect for that athlete than I had before the
phone call (which was amazing as this is someone I already had a
very high regard for).
Cheers,

Carlos



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Post Options Post Options   Thanks (0) Thanks(0)   Quote Ballard Quote  Post ReplyReply Direct Link To This Post Posted: 8/11/11 at 3:33am

My solution:  Instead of using HRT....  I just throw another plate on the bar!!

 

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Post Options Post Options   Thanks (0) Thanks(0)   Quote johnallen Quote  Post ReplyReply Direct Link To This Post Posted: 8/11/11 at 3:48am

There's a good article on WebMD:

http://men.webmd.com/features/low-testosterone-explained-how -do-you-know-when-levels-are-too-low

It's fairly common in men 40 and older. Most don't recognize or report the symptoms.

Again, treatment is aimed to improve "Quality of Life" not make you a Superior Athlete. Testing should be considered by anyone over the age of 40.

Is it cheating? I wouldn't consider it cheating.

Can it be abused? Certainly!

Is there any Major Advantage? Not really, according to Medical Data. It would have to be used in large Qtys and it's Very, Very Expensive.

 

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Post Options Post Options   Thanks (0) Thanks(0)   Quote brandell Quote  Post ReplyReply Direct Link To This Post Posted: 8/11/11 at 3:51am
Ok Normal testosterone ranges for men is 230-1100 depending on the test given. If a man is within that range then so be it.

The average TRT dosage if done correctly is 100mg per week or 200mg every other week. There is no way in hell anyone is ever going to reach 'steroid' like effects or levels doing that.  The goal for most knowledgeable doctors is to get the patient up to the 800 range on the scale.

Now what does this mean? It means the guy can actually get normal erections, feel good, have solid energy again. It does not and is not the goal nor will you get the effect of doing a steroid cycle. Some look at Sly Stalone. I guarantee that cat isn't doing just 100mg of anything per week lol  

Low testosterone is becoming more of an epidemic in today's society esp with guys that are about 35 and above right now. Mainly due to excess estrogen's in our environment esp food. I know of two of my friends from High School that have had to get pellets and will have to for the rest of their lives. Most of the time in TRT 1mg of arimidex is given per week for the estrogen issues.

Bottom line those on therapy need it and are not cheating nor are trying to, they are trying to just get to a normal, manly level of test and feel better and be healthy. And honestly if some Highland game association has an issue, screw them a man's health is more important.

I will just say it now, due to injuries to the click clacks and head growing up (lived martial arts tournaments across the nation) I have low test. I have a blood test showing a level of 190 a few months back. 190 folks, think on that. I am on TRT now and my doc says I will be for life. Something went wrong some where. My level is a whopping 354 right now, goal is around 800 so I can feel NORMAL again. If anyone or any org has an issue, I really don't give a shit. My health is more important and I have tons of games near me I can throw in with no issues. Anyone that has ever known me knows I would never gear up just to gain an advantage, I am doing this for health reasons only and my test results will always show it.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote brandell Quote  Post ReplyReply Direct Link To This Post Posted: 8/11/11 at 3:54am
Originally posted by Borges Borges wrote:

Originally posted by Duncan McCallum Duncan McCallum wrote:

No...it's not...provided the athlete
tests
(if tested) within a normal range.

Low test is a medical condition.
Penalizing, banning, or otherwise
sanctioning an athlete who engages in
HRT under the guidance of a qualified
physician is unsportsmanlike, at best,
and discriminatory at worst.


Hmmmm. That's one perspective. The USADA (usada.org) has a
very different perspective. For instance, Androgel, a common HRT
therapy is banned regardless of whether it is prescribed by a
doctor or not. Moreover, they don't care what your levels are, you
simply may not use exogenous hormones. Period. So clearly they
don't think banning HRT is unsportsmanlike or discriminatory.
They also ban a number of widely used asthma medications even
though these are not 'quality of life' drugs as someone else
mentioned above, they are more like 'continuing to be able to
breathe' drugs.

Curious to hear some more perspectives.

P.S. Sorry Big Paul, can't help you but somehow I think your 'old
and feeble' is still enough to crush all but the strongest of men.


My perspective is f**k the USADA. I don't give a shit what they think. I throw to have fun and if I need TRT then I am going to have it. BTW just because a company or org has rules, they can't violate rights. It is a mans RIGHT to be healthy and do whatever his physician deems nessacary. So don't be too shocked in the future if someone sues USADA and wins forcing them to change their policy.

Now if the USADA wants to quit being dickheads and check levels, amounts taken etc then you can clearly, beyond the preponderance of evidence or under any circumstance a reasonable person could presume, see the difference between 'using' for athletic gains and TRT. Its this thing called common sense looking at the test results of blood work.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote jsully Quote  Post ReplyReply Direct Link To This Post Posted: 8/11/11 at 3:58am

Originally posted by Borges Borges wrote:


I know that I would not attend a
'Championship' or claim a 'record' if I were using HRT. That's a
personal choice in an area where there is no clear consensus, and
certainly no clear written rules or policies. Others may choose
differently and I'm not trying to judge them here.

Not sure I agree. For instance:

Athlete A is 100% lifetime drug free and has natural test production of 800ng/ml.

Athlete B has natural test production of 200ng/ml and is prescribed 150mg/wk of test to bring his test up to 800ng/ml.

--------------

So, if athlete B were 100% lifetime drug free, then Athlete A would have the advantage, correct? Athlete B isn't trying to be superior. He's merely trying to be at the same level as Athlete A, both phyiscally and emotionally. Hypogonadism is a pretty severe medical condition. There is only speculation as to the cause that can lead to poor childhood diet, testicular trauma, prior PEDs usage, etc.

I don't see any problem with Athlete B competing in a championship game or setting records. If he passes a test with or without a TUE, he (or she) should be good to go. If he failes the T/E ratio test, then further tests are done (as prescribed by WADA) and it is up to the organization to allow or not allow the TUE due to prescription testosterone supplementation.

 

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Borges Quote  Post ReplyReply Direct Link To This Post Posted: 8/11/11 at 4:00am

Incidentally Craig, I wouldn't be in the least surprised by the number of athletes in their 30s who are on HRT. There have been numerous medical studies that have noted the prevalence of low testosterone levels in highly trained athletes. There have even been articles on how to manipulate your testosterone levels lower prior to blood testing so that you can get a doctor to prescribe HRT.

Also, I don't know what the specific TUEs are for say Masters T&F or other related sports. That is an interesting question in and of itself.

Cheers,

Carlos



"Live free or die"
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Post Options Post Options   Thanks (0) Thanks(0)   Quote brandell Quote  Post ReplyReply Direct Link To This Post Posted: 8/11/11 at 4:00am
Originally posted by Ballard Ballard wrote:

My solution:  Instead of using HRT....  I just throw another plate on the bar!!

 



That is a pretty ignorant statement and its obvious you know nothing about low TRT.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote brandell Quote  Post ReplyReply Direct Link To This Post Posted: 8/11/11 at 4:06am
Originally posted by Borges Borges wrote:



Furthermore, I don't know what the right answer is here. I just
wanted to get a discussion going. I know that I would not attend a
'Championship' or claim a 'record' if I were using HRT. That's a
personal choice in an area where there is no clear consensus, and
certainly no clear written rules or policies. Others may choose
differently and I'm not trying to judge them here.



I would and most likely will. If folks don't like it tough shit.  My goal is a test level of about 800 on a scale from 230-1100 which is clearly defined as 'normal' by every medical org out there. Now if I were showing up with say a 2000 level then yeah kick my ass out because it is more than clear based on common sense what my agenda would be.

My agenda is to be healthy, not cheat to compete in some game. Now

But if any man suffers from below a 350 on the scale his is considered 'clinical' and needs TRT. If he doesn't exceed the 1100 mark then there should be no issue.
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