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All the Supplements in a Nut-shell – The Good and the Bad – Be Ready For a Good Ride!

The few good scientific studies available on these “dietary” supplements suggest that they either are ineffective or, at best, produce only slight changes in performance. More disturbing, they can contain powerful and potentially harmful substances, such as:

Androstenedione, which can upset the body’s hormonal balance when it metabolizes into testosterone and estrogen, and may cause premature puberty and stunted growth in adolescents.

Creatinine, a substance produced by the body that can help generate brief surges of muscle energy during certain types of athletic performance. Many others who use creatine monohydrate, a supplement used as a derivative, can gain up to 15 pounds and gain muscle mass. However, it is mostly water retention. After you stop taking the supplement, you will lose the weight and feel less strong. Again, nothing lasts a lifetime. Another negative side is that you can’t constantly use creatine since this would cause your body to permanently stop producing creatinine (body produces it naturally). You can be on it for just a couple of month and then take it again a year later.

Ephedra, a herbal stimulant that acts like an amphetamine (“speed”) and that some investigators hold responsible for dozens of deaths and permanent injuries.

“All you have to do to get these products is walk into a food-supplement store,” says Gary Wadler, M.D., a New York sports-medicine specialist and adviser to the White House Office of National Drug Control Policy. That’s because a federal law, the 1994 Dietary Supplement Health and Education Act, allows supplements to be sold to consumers of any age without rigorous safety testing and without meaningful oversight of product quality.

Little is known about the long-term safety of these products in adults, and even less about their effect on youngsters. However, if the supplement industry has its way, at least ever-increasing numbers of week-end athletes will consume some of these products.

“Sports nutrition isn’t just for hard-core athletes any more,” Anthony Almada, president of a California supplement company, told an industry journal. “It’s for anyone seeking energy improvement,” he said, or “a woman who wants to tone her body and lose a few pounds, or a quietum plus person who rides a bike and wants to perform like an athlete.”

Nutrition Business Journal, a trade publication that tracks the industry, estimates that 4 percent of American adults have taken a sports supplement at least once, including 1.2 million who use the products regularly.

Adolescents are using sports supplements at least as enthusiastically as adults are, according to a national survey conducted in 1999 for Blue Cross and Blue Shield Association. The survey found that 6 percent of youths ages 15 to 16 and 8 percent of 17- and 18-year-olds had taken a sports supplement; the vast majority of users were male. About one in four respondents said they knew someone who took the products.

Teenagers and adults seem to be taking the supplements for the same reasons. The first is to develop bigger muscles. Bodybuilding magazines such as Muscle & Fitness and Flex bulge with ads from supplement makers pushing these products.

For many young adults making a good impression is very important, especially when it comes to impressing the opposite sex. For boys, building big muscles and having the “Arnold Schwarzenegger” or “Incredible Hulk” look is, to some extent, essential to their survival. Going to the gym every single day and pumping iron feeds their obsession with their bodies. Only a small percentage of these young men are genetically predisposed to building huge muscles without the help of any sports supplements. For others, using products such as creatine is becoming increasingly popular.

To Marc, creatine “seems like a magical way to gain muscle effortlessly, to look good, impress girls and guys, etc.” (Children quoted here responded to a Consumer Reports questionnaire and are identified by first name and age only to protect their privacy.) Marc said he was tempted to try creatine because a friend, who “seemed unnaturally muscular for his age”, said it was from taking the supplement. However, sometimes the adults push youngsters to take the pills. “My football coaches suggested I take creatine to bulk up for this year’s season,” said Cyrus, 17.
The second motivation for using such supplements is to have extra energy to burn, either to improve athletic performance or as an aid to losing weight.

Heather, 16, said friends who use an ephedra supplement “are always telling everyone how much weight they have lost, and bragging and bragging.”

You don’t need to live near a nutrition specialty store to purchase these products. According to industry estimates, 28 percent of sports supplements are sold in mass-merchandise stores and another 17 percent by trainers and through direct marketing and the Internet.

Any dietary supplement can be marketed without advance testing under current federal law. The only restriction: The label can’t claim the product will treat, prevent, or cure a disease. However, the label can traffic in vague claims like “enhances energy” or “supports testosterone production”. If serious problems are reported, it’s up to the Food and Drug Administration (FDA) to prove they’re real before it can order a supplement off the market or impose other restrictions. To date, that has not happened; however, a few manufacturers have voluntarily recalled their supplements after the FDA warned them of possible dangers.

Sports medicine researchers have tested creatine and ephedra in adults. There has been no systematic testing in minors and, for ethical reasons, there probably won’t be.

Here, then, is what’s known about these supplements and their effects:

Of the sports supplements, “creatine” is the only one that, based on careful, published research, has shown to improve performance of certain athletic tasks. Creatinine is produced by the liver, kidneys, and pancreas; it also occurs naturally in meat and fish. It’s stored in muscle and elsewhere in the body and plays an essential role in producing immediate bursts of energy. Taking supplemental creatine causes a rapid weight gain of perhaps one to four pounds. Scientists believe the extra weight is mainly water retained in muscles. A few well-designed studies have found that creatine enhances performance requiring brief, intense bursts of strength, as in high jumping and weight lifting. Nevertheless, it doesn’t improve the endurance needed for sports like distance running or soccer. There has been no systematic study of creatine’s side effects, but there have been case reports in the medical literature of muscle cramping and the exacerbation of existing kidney problems. Most studies of creatine involved short-term use, so “long-term effects are completely unknown,” says Bernard Griesemer, M.D., director of a pediatric sports-medicine practice in Springfield, Missouri.