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Despite this, in 1967, the International Olympic Council banned the use of anabolic steroids and by the mid 1970?s most major sporting organizations had also banned them. Just prior to the ban on steroids in the Olympics, the German Democratic Republic (GDR) began a program with the goals of synthesizing new anabolic steroids for their athletes to use in various sports. Their body of research remains the most extensive collection of information on the use of steroids in athletes ever complied (5). Despite the small size of their country, they managed to consistently dominate the top ranks of various sports, competing with both the United States and the Soviet Union for total medals in both the Olympics and various World Championships. In 1972, the IOC began a full scale drug-testing program (8). By 1982, the International Olympic Council had developed a test for the detection of excess levels of testosterone in athletes, known as the «Testosterone: Epitestosterone test». In this test, levels of testosterone vs/ epitestosterone are measured, and if the testosterone level is 6x that of the epitestosterone level, it can safely be concluded that some form of testosterone has been used by the athlete. This is because testosterone is commonly no more than 6x the natural level of epitestosterone found naturally in the body. Thus, if there were more than that ratio, it was not naturally occurring, in all probability. The IOC was, as usual, one step behind the athletes. The GDR had already done a study on their athletes using a form of testosterone which would leave the body quickly, and thus they would be ready for the IOC test within three days of their last injection (6). They then developed a protocol to allow their athletes to continue steroid use, ceasing it only long enough to pass the drug test. In addition, the German firm Jenapharm, who had been supplying the government with steroids for their athletes, developed an epitestosterone product to administer to athletes to bring the ratio back to normal without discontinuing steroid use (5). Their doping methods were so advanced, however, that they remained undetected for many years, until late 1989 when information was leaked to the western media about a government sponsored program of systematic anabolic steroid administration and concealment. Eventually, in the early 1990?s, the Germans had finally gotten caught, and the ensuing scandal was one which helped give anabolic steroids the bad reputation they have had ever since. Ironically, it was also in the early 1990?s that anabolic steroids had started to be used by the medical community to improve survival rates of AIDS and Cancer patients, when it was discovered that loss of lean body mass was associated with increased mortality rates respective to those diseases (14). A similar story was being played out in the United States at about that same time. Before 1988, steroids were only prescription drugs, as classified by by the FDA, is there an alternative to taking steroids. FDA determines which drugs will be classified as over-the-counter versus those which will only be available through prescription. At this time, the Federal Food, Drug, and Cosmetic Act, was invoked to restrict the access of steroids, making them available only by prescription. They were still not controlled substances at this time, however. A «Controlled substance» is one that is more firmly regulated than uncontrolled prescription drugs. As an example, contact lenses can only be legally purchased with a prescription, but they are not &qont;rolled» per se. This stricter control of steroids created a vastly more intense examination of the doctors prescribing them; and of course, more harsh penalties for wrongful dispensing. Now, steroid possession and/or distribution was considered a felony.
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