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Tuesday, February 12, 2008

Newsday: Doctors: HGH alone doesn’t help athletes

I await over 4,000 retractions articles…starting with a writer named Lupica.

With the Roger Clemens-Brian McNamee showdown on deck, four doctors took the stand on Capitol Hill Tuesday morning to assert that human growth hormone (HGH) and B12 probably aren’t worth the trouble.

...But the usage of HGH alone - rather than in tandem with anabolic steroids - is essentially a waste of time, according to the panelists.

Said Thomas Perls, an associate professor of medicine at the Boston University School of Medicine: “There is no credible scientific evidence that HGH substantively increases muscle strength or aerobic exercise capacity in normal individuals.”

Added Thomas Schlifstein, an assistant professor at the NYU School of Medicine: “When studying the performance-enhancing effects of HGH by itself, it has failed to improve performance. It has been shown to increase muscle mass.”

Pettitte said that he used HGH to help rehabilitate an ailing left elbow, but Schlifstein said of HGH, “We really don’t have any proof that it is beneficial in that matter.” Schlifstein said that he had never heard of an athlete using only HGH, without mixing in steroids - except when an athlete was “cycling off” steroids and looking to maintain the effects of the steroids.

Repoz Posted: February 12, 2008 at 05:46 PM | 60 comment(s) | Login to Bookmark
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   1. HGM Posted: February 12, 2008 at 06:10 PM (#2688971)
kevin, you do know that "muscle mass" and "muscle strength" are two entirely different things, correct? Or do you just not care?
   2. marko Posted: February 12, 2008 at 06:12 PM (#2688973)
wouldn't the recovery aspect alone be extremely beneficial?
   3. Guapo Posted: February 12, 2008 at 06:13 PM (#2688974)
A number of studies show that human growth hormone does not increase muscle strength in healthy subjects or well-trained athletes.


-Mitchell Report, p. 9
   4. Srul Itza Posted: February 12, 2008 at 06:16 PM (#2688979)
It is modern day snake oil.

It is a latter day monkey glands myth.

All of the money being spent just to develop a test for this, could be better spent on far more important medical research.

The perfect analogy may be bat-corking -- you may consider it an intent to cheat, if you like, but there is nothing to indicate that it actually works.
   5. BeanoCook Posted: February 12, 2008 at 06:27 PM (#2688994)
Witch hunt is what this is. Those of you not around like Repoz for the Salem witch trials of 1692, behold. At least they were persecuting sleazy witches, Bonds and Clemens are some of our "heros".
   6. HGM Posted: February 12, 2008 at 06:38 PM (#2689006)
They're NOT two entirely different things. They are two directly-related things. But I'm sure you don't care.

Increasing muscle mass does not necessarily increase muscle strength. HGH has been shown to increase muscle mass. It has not been shown to increase muscle strength.
   7. Pasta-diving Jeter (jmac66) Posted: February 12, 2008 at 06:44 PM (#2689015)
youse guys is missing the point entirely--it don't matter what HGH does or doesn't do

the new scientific principle is

1. Barry Bonds used it

2. ergo, it's evil
   8. Gonfalon Bubble Posted: February 12, 2008 at 06:52 PM (#2689032)
I await over 4,000 retractions articles...starting with a writer named Lupica.

Why bring Mike Lupica into it? If it can be said with ironclad scientific certainty that somebody hasn't taken human growth hormone, it's Grumbelina.
   9. HGM Posted: February 12, 2008 at 06:56 PM (#2689041)
http://www.baseballprospectus.com/article.php?articleid=5881
DL: A hot topic is Human Growth Hormone (HGH), which is reportedly replacing anabolic steroids in a lot of locker rooms. How effective is HGH?

AA: Conventional wisdom says that everyone is on HGH now because there’s no test to detect it, but what they don’t realize is that there’s a night and day difference between HGH and anabolic-androgenic steroids. Studies have shown that HGH supplementation will increase muscle mass; but there is little, if any, evidence of strength gains in these studies. In other words, when HGH supplementation has been studied in normal males, there are reports of small gains in muscle mass, but there seems to be no evidence from a randomized, double-blind study that you gain strength from HGH alone. If there is any effect of HGH, it is likely to be a small effect, especially compared to how anabolic steroids improve strength and baseball performance.


There's also http://www.sabernomics.com/sabernomics/index.php/2007/12/more-reasons-not-to-worry-about-hgh-in-baseball/, and the other articles over at sabernomics.

There's tons of other information out there. Try researching sometime. Muscle's getting bigger does not necessarily mean they're stronger.
   10. MSI Posted: February 12, 2008 at 07:03 PM (#2689050)
There's also no proof that the THEORY of evolution accurately happened according to our accounts. I guess we should all just discredit it until 100% proven otherwise. (/sarcasm)
   11. David Nieporent (now, with children) Posted: February 12, 2008 at 07:04 PM (#2689053)
Do you know how muscles actually work? Just asking.

Apparently you don't.
Yes, Kevin. They taught you in the army.

Do you even know what research means?
It means doing a database search and sort of reading an abstract. I learned that from Kevin.
   12. HGM Posted: February 12, 2008 at 07:06 PM (#2689055)
Since you won't go to the links I've provided, I guess I'll have to tell you that the first quote is from:
Andy Andres teaches a class called "Sabermetrics: The Objective Analysis of Baseball" at Tufts University in Medford, Massachusetts. Andres is also an Assistant Professor of Natural Science at Boston University and has taught a seminar in Exercise Physiology and the Physiology of Human Athletic Performance at Harvard for over 15 years. A data analyst for Ron Shandler at BaseballHQ, Andres has a PhD in Nutritional Biochemistry and Physiology.

Who I'd say definitely has some expertise.

And sabernomics quotes multiple sources from multiple places.
   13. ellsbury my heart at wounded knee Posted: February 12, 2008 at 07:06 PM (#2689056)
It is entirely possible to increase muscle mass without significantly increasing strength. You can do it right now at your computer - Just take a moderately heavy object, maybe 3-5 pounds, and do bicep curls with it for the next 2 minutes. If you feel your bicep, it should feel noticeably bigger than when you started, and you won't be any stronger.

Of course, this doesn't have a lot to do with HGH, but it's been a favorite trick of high school boys about to go on dates for years.
   14. Gonfalon Bubble Posted: February 12, 2008 at 07:07 PM (#2689059)
I just hope I'm there when David and Kevin suddenly lunge into each other's arms, like Hawkeye Pierce and Hot Lips Houlihan did.
   15. The Bones McCoy of THT Posted: February 12, 2008 at 07:12 PM (#2689064)
You want some data on the effects of hGH and muscle development. So where do you reference? Journal of physiology? Joural of Biochemistry? Steroid chemistry?


Dr. Suess.

Green Balls and Roids were my favourite.

I am Sam, juice I do, tell me why my balls are through?

Best Regards

John
   16. ronh Posted: February 12, 2008 at 07:12 PM (#2689065)
Here's a trial that does show increased power output by males on HGH for one month.

Link

Look at Fig 1.

One of 5 males in the pacebo group had a power increase over 30 days.
Two of 5 in the low HGH group.

FOUR out of 5 in the high HGH dose group.

The results did show no increase for women. And by combining the two groups (men and women) the report stated that there was no effect, when clearly there was one for men.
   17. The Good Face Posted: February 12, 2008 at 07:14 PM (#2689070)
It is a latter day monkey glands myth


I am unfamiliar with this myth, but want (and dread) to learn more.
   18. HGM Posted: February 12, 2008 at 07:18 PM (#2689076)
The results did show no increase for women. And by combining the two groups (men and women) the report stated that there was no effect, when clearly there was one for men.

If by "clearly" you mean "Of a very small sample size of 5, 3 people had no increased strength, and 2 did."

But, that's usually not my definition of clearly.
   19. David Nieporent (now, with children) Posted: February 12, 2008 at 07:19 PM (#2689079)
Kevin, if you were a tenth as smart as you thought you were, you'd have won a few Nobel Prizes by now.
   20. ellsbury my heart at wounded knee Posted: February 12, 2008 at 07:20 PM (#2689080)
The results did show no increase for women. And by combining the two groups (men and women) the report stated that there was no effect, when clearly there was one for men.

Did you read the abstract of that study? Because the researchers conclude:

"Administration of supraphysiological recombinant human GH during a period of 4 wk does not improve power output or oxygen uptake."
   21. The Bones McCoy of THT Posted: February 12, 2008 at 07:24 PM (#2689085)
Kevin, if you were a tenth as smart as you thought you were, you'd have won a few Nobel Prizes by now.


My wife says the same thing about me ... except you have to replace "won a few Nobel Prizes" with "paper trained."

Best Regards

John
   22. RoyalsRetro (AG#1F) Posted: February 12, 2008 at 07:27 PM (#2689089)
I think they really buried the lede in this story:

While HGH carries dangerous potential side effects like diabetes, a "cro-magnum" like (square-faced) appearance and joint degeneration, the usage of B12 has virtualy no risk, the panelists said.


I know this isn't conclusive, but if true, what's the big deal over PEDs? Even those HGH side effects seem kinda tame compared to some of the other things we put in our bodies.

And I imagine as technology improves, PEDs will become safer and safer. Will that cause them to be accepted by the public or will there continue to be this venom and gnashing of teeth?
   23. Sean McNally Posted: February 12, 2008 at 07:31 PM (#2689095)
And I imagine as technology improves, PEDs will become safer and safer. Will that cause them to be accepted by the public or will there continue to be this venom and gnashing of teeth?


Soon, they'll be in the water like fluoride.
   24. Styles P. Deadball Posted: February 12, 2008 at 07:42 PM (#2689102)
Soon, they'll be in the water like fluoride.


The most monstrously conceived communist plot in history...
   25. Pasta-diving Jeter (jmac66) Posted: February 12, 2008 at 07:48 PM (#2689109)
speaking as a NEXpert (no ####--I published the first paper on the molecular mechanism of action of GH exactly 30 years ago--full disclosure: the mechanism we proposed turned out to be completely and utterly WRONG, but that's beside the point)

this review is a good one, talking about the GH/IGF1 "axis"

(unfortunately, most of you don't have full text access)

the authors say "the pattern of GH abuse by athletes may differ considerably from controlled clinical trials."

"pattern of abuse" means, we don't know how the (forget) much these guys are jabbing into themselves compared to the 40micrograms/kg/day used in the trials

I'm not sure it's COMPLETELY a placebo; it's could be exerting it's effect by preventing or slowing the protein breakdown that occurs during exercise

as the authors say

"There is evidence, therefore, that supraphysiological GH administration to trained subjects results in conservation of protein and that this effect is particularly marked during exercise."
   26. Sparkles Peterson Posted: February 12, 2008 at 07:54 PM (#2689114)
Look at Fig 1.

One of 5 males in the pacebo group had a power increase over 30 days.
Two of 5 in the low HGH group.

FOUR out of 5 in the high HGH dose group.

The results did show no increase for women. And by combining the two groups (men and women) the report stated that there was no effect, when clearly there was one for men.


If you have no idea how statistical analysis is performed, just stick to reading the conclusions instead of making asinine statements like the above.

They're NOT two entirely different things. They are two directly-related things. But I'm sure you don't care.


Kevin, do you even know what the word "edema" means?
   27. The Bones McCoy of THT Posted: February 12, 2008 at 08:01 PM (#2689122)
Kevin, do you even know what the word "edema" means?


Use the downstairs bathroom.

Best Regards

John
   28. Shredder Posted: February 12, 2008 at 08:05 PM (#2689126)
Wow, it really does say "cro-magnum". Umm, I'm not anthropologist, but isn't the term "Cro-Magnon"?
   29. The Bones McCoy of THT Posted: February 12, 2008 at 08:07 PM (#2689131)
Wow, it really does say "cro-magnum". Umm, I'm not anthropologist, but isn't the term "Cro-Magnon"?


cro-magnum: Four and twenty blackbirds baked in a P.I.

Best Regards

John
   30. The Piehole of David Wells, Red Sox Colostomy Bag Posted: February 12, 2008 at 08:15 PM (#2689138)
Thank you "Best Regards John" for keeping the tone light and interesting. I swear, I read these threads and feel angry because of the tone. Then I realize that I don't give a #### about this stuff.
   31. Sean McNally Posted: February 12, 2008 at 08:16 PM (#2689139)
Then I realize that I don't give a #### about this stuff.


BBTF is no place for a steroid agnostic it seems... and that's regrettable.
   32. The Essex Snead Posted: February 12, 2008 at 08:21 PM (#2689143)
BBTF is no place for a steroid agnostic it seems... and that's regrettable.

Hey, if you ignore the 10-12 folks that are content to dryhump that particular soapbox, it ain't no thing!
   33. DCW3 Posted: February 12, 2008 at 09:04 PM (#2689201)
I think there's little question that HGH *hurts* baseball players' abilities. Who was the most devastating offensive force in baseball history? No, not Babe Ruth or Barry Bonds--Eddie Gaedel, a hitter so dominant that the rules of the game had to be changed to keep him from completely unbalancing the competition. But if Gaedel had used HGH, he never would have even made the majors.
   34. MM1f Posted: February 12, 2008 at 09:35 PM (#2689233)
Um, is EVERYONE missing the part where it says HGH is useless UNLESS used with steroids?

It's not snake oil, its not useless.
When used with steroids it is, evidently, effective.

Is everyone just assuming that all the baseball players who were on HGH were on that IN LIEU of steroids?
C'mon people
   35. PETCO Thread Posted: February 12, 2008 at 09:43 PM (#2689249)
   36. Charter Member of the Jesus Melendez Fanclub Posted: February 12, 2008 at 09:46 PM (#2689256)
Those of you not around like Repoz for the Salem witch trials of 1692, behold. At least they were persecuting sleazy witches ... and Bearded Wizards


I wonder who the PI was on that study?

And once again, look who makes the joke late and lame!
   37. Chris Dial Posted: February 12, 2008 at 10:05 PM (#2689289)
so kevin, is this another thread where you end up wrong but never admit it? Is that your new MO?
   38. Chris Dial Posted: February 12, 2008 at 10:11 PM (#2689300)
So, you equating muscle mass with edema too, Chris?

No, kevin, I made no comment about that, but I'd suggest the people making the statements before Congress know considerably more about it than you do.
   39. Rich Posted: February 12, 2008 at 10:44 PM (#2689338)
...It has been shown to increase muscle mass.


For those who think it's better to look good than to feel good.
   40. Lassus: Posted: February 13, 2008 at 12:07 AM (#2689379)
Is that your new MO?

New?
   41. AROM Posted: February 13, 2008 at 01:01 AM (#2689412)
The most monstrously conceived communist plot in history...


The other day I had nothing to do, searched through Comcast's free movies on demand, and watched Dr. Strangelove. I must not be the only one, that's the second reference to that movie I've seen in 3 days, on completely unrelated blogs.
   42. Srul Itza Posted: February 13, 2008 at 01:07 AM (#2689417)
For those who think it's better to look good than to feel good.

Image is everything.
   43. Srul Itza Posted: February 13, 2008 at 01:13 AM (#2689422)
It's not snake oil, its not useless.
When used with steroids it is, evidently, effective.


If you know of a study that actually compares the effect of taking steroids with, and without, HgH, please let us know.

Otherwise, this looks like nothing more than speculation. I.e., guys who take steroids and HgH together get bigger. Of course, guys who take steroids and seltzer together also get bigger.
   44. Zach Posted: February 13, 2008 at 03:33 AM (#2689511)
Pasta-diving Jeter's point about patterns of abuse not really being tested in clinical trials is a good one, and I wish someone would study the issue at dosages consistent with abuse.

I remember reading one unintentionally humorous study about health risks of steroids. In the conclusions they mentioned something along the lines of "with the exception of one subject, who took many times the recommended dosage..." Good papers should not contain sentences that make you groan out loud while reading them.
   45. David Nieporent (now, with children) Posted: February 13, 2008 at 03:49 AM (#2689517)
Pasta-diving Jeter's point about patterns of abuse not really being tested in clinical trials is a good one, and I wish someone would study the issue at dosages consistent with abuse.
Really? I wish someone would study the issue at dosages consistent with what baseball players actually use, which is obviously not the same thing as "abuse." (As opposed to, say, citing East German women's sports teams from decades ago.)
   46. Shredder Posted: February 13, 2008 at 04:23 AM (#2689531)
I must not be the only one, that's the second reference to that movie I've seen in 3 days, on completely unrelated blogs.
I'm guessing that seeing the movie has done two things: 1) It's made you more attuned to the references, and 2) it gave you more material to find as a reference. I mean, if you hadn't seen the movie before, how would have known if someone was referencing it?
   47. ValueArb Posted: February 13, 2008 at 05:39 AM (#2689568)

CROWD: A witch! A witch! A witch! We've got a witch! A witch!
VILLAGER #1: We have found a witch, might we burn her?
CROWD: Burn her! Burn!
Sir Bedevere: What makes you think she's a witch?
Peasant 3: Well, she turned me into a newt!
Sir Bedevere: A newt?
Peasant 3: [meekly after a long pause] ... I got better.
   48. Sparkles Peterson Posted: February 13, 2008 at 06:20 AM (#2689572)
Kevin, do you even know what the word "edema" means?

Yes. And it doesn't mean muscle mass.


Okay, then. Guess what the most universal side effect of hGH administration is. And guess what effect this would have on muscle mass.

And then dismiss it with some idiotic quip because you are too stupidly stubborn to admit that doctors and researchers know more about this than you do.
   49. ValueArb Posted: February 13, 2008 at 07:22 AM (#2689584)

For those who think it's better to look good than to feel good.


Who doesn't make that obvious connection?

Looking good Billy Ray... Feeling good Lewis


I believe the Duke brothers cornered the HGH market at one time, but it only made them feel bloated and edemic...
   50. rfloh Posted: February 13, 2008 at 12:57 PM (#2689607)
Do you know how muscles actually work? Just asking.

Apparently you don't.


Increase in muscle mass(hypertrophy) does not necessarily mean an increase an increase in muscle force production.

In layman's terms, compare an olympic weightlifter with a pro bodybuilder. Or, the old school idea that lifting weights makes a baseball player "slow and stiff".

Firstly, muscle hypertrophy can mean either, myofrillar hypertrophy: hypertrophy of contractile tissue, ie actin and myosinproteins or, sarcoplasmic hypertrophy: hypertrophy of sarcoplasm, semifluid interfibrillar substance and non contractile proteins.

Sarcoplasmic hypertrophy will NOT lead to an increase in force production. With sarcoplasmic hypertrophy, filament area density actually DECREASES, even though the cross sectional area increases.

Myofibrillar hypertrophy will lead to an increase in force production. The myofibrils enlarge, leading to more actin and myosin filaments. Contractile proteins are synthesised, linking up to form new filaments, and filament density INCREASES.

Also, muscle force production is dependent not only on muscle. Neural factors matter immmensely too.

The nature of the work matters: how high is the external resistance, how much time does an athlete have to generate that force.

Furthermore, how good the athlete is at taking advantage of the elasticity of his muscles, tendons and ligaments matter too.

If you want a reference, try an intro text on sports science.
   51. HGM Posted: February 13, 2008 at 03:13 PM (#2689699)
Ken Caminiti stirs in his grave.

Would it be better if the quote you quoted said "with what MOST baseball players actually use"? jeez.
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