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THE 2005 AAB ON SUPPLEMENTS FOR ATHLETES

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A rule of thumb about performance-enhancing substances: Any drug that is powerful enough to effect metabolic changes will, almost by definition, have side effects.

WHAT WORKS?

  • Supplement studies are fraught with bias, usually funded by the manufacturer, and are difficult to interpret.
  • Performance benefits from legal supplements have been noted only with caffeine and creatine. Both have some modest drawbacks that may need to be considered on a sport-specific basis.

 


CAFFEINE

PRO'S

CON'S

  • Caffeine is an effective stimulant.
  • Caffeine allows the body to break down fat (triglycerides) into free fatty acids, which are used instead of glycogen stores.
  • Preserving glycogen means you can exercise harder, faster, and longer.
  • Improves mental performance including recall and reflexes.
  • The International Olympic Committee has set a limit to caffeine at 12 mcg/mL of urine tested.
  • The performance boost from caffeine diminishes in habitual users.
  • Caffeine tolerance and response are highly variable from person to person.
  • Caffeine is a diuretic, so hydration can become a concern.
  • For sports requiring calmness, caffeine may be harmful
 
CREATINE
PRO'S
CON'S
  • Safe and effective at helping to build muscle.
  • Buildup of muscle and retention of water can be detrimental to athletes who require joint range of motion, such baseball pitchers, or for whom weight is an issue, such as cyclists specializing in climbing.
  • No exhaustive studies tell us what happens when athletes stop taking creatine.
  • Some athletes report increased cramping and unwanted water retention with creatine.
 
ANABOLIC STEROIDS AND PROHORMONES
They do speed recovery, but are illegal.
 
ALL OTHER SUPPLEMENTS
There is no solid evidence of performance benefits for any of them. Manufacturers hire clever and experienced advertising and marketing people who use unpublished and fabricated "data" including paid testimonials and scientific jargon to make unsubstantiated claims and sell products to people (athletes) motivated to try anything that could potentially enhance performance.

The Stone Clinic

3727 Buchanan Street • San Francisco CA 94123 • info@stoneclinic.com • (415) 563-3110

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