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The Most Common Injuries Athletes Suffer

6/21/2021

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Guest Author

Sport Ortho Urgent Care in Tennessee

The Most Common Injuries Athletes Suffer
​Being an athlete has its own set of benefits. Aside from getting more intense physical exercise when playing their preferred sport, athletes also learn lessons that teach them teamwork, leadership, and self-confidence, among many other things.

However, for all the upsides of playing sports, the risk of sustaining an injury whenever they take the field or court will always be present.

With one unfortunate move, an athlete could suddenly suffer a painful injury which could take some time to heal. Many athletes even end up unable to play the sport they love anymore because of an injury.
​
What are some of the most common sports injuries athletes suffer? Let’s take a look at some of them.

Sprains

​Sprains occur when we turn the ligaments that attach bone to bone the wrong way, resulting in a pull or tear.

The risk of a sprain increases when an athlete fails to perform pregame stretches and warmups.

Sprains often come with pain, swelling, and stiffness and can take some time to heal. In some cases, immobilization of the affected part is necessary to avoid aggravating the injury.
​
Ankle, knee, wrist, and elbow sprains are among the most common sprains among people who play sports.

Strains

Playing sports requires the use of many of our muscles and tendons.

Sometimes, we stretch them too far in the heat of competition, and we end up straining them.
​
While most strains are considered minor and often only require rest to heal naturally, they can be pretty painful and uncomfortable.
​
Like sprains, strain injuries such as pulled hamstrings, strained quads, and pulled groin muscles tend to happen when a person does not regularly warmup and stretch before participating in a sports activity.

Tennis Elbow

Tennis elbow is a repetitive stress injury that affects people who engage in the overuse or repeated action of the forearm’s muscles close to the elbow joint.

Pain, inflammation, and tenderness on the outside of the elbow often characterize the injury.

Stretching and warming up before engaging in sports can help us avoid tennis elbow, but it would also be great to pace ourselves and take breaks during a game.
​
While a common injury among tennis players and golfers, tennis elbow could also happen to plumbers, butchers, carpenters, or anyone whose work involves repeated use of the forearm.

Shin Splints

When you feel a throbbing and aching sensation in your shins after running or sprinting, you may be experiencing shin splints.

Shin splints happen when you place too much stress on your muscles, shinbone, tendons. Intensifying your workout routine and not stretching and warming up enough typically cause shin splints, which can be very painful and make it difficult to walk, much less run.

Shin splints are common among long-distance runners, soccer players, and basketball players.
​
Rest and applying ice to the area can help relieve shin splints. Some take anti-inflammatory painkillers to help with the pain and swelling.

Knee Injuries

​The knees absorb plenty of impact during most sports activities, particularly those that feature plenty of jumping and landing.

Some of the more common knee injuries in sports include meniscus tears, dislocation, fractures, and anterior cruciate ligament (ACL) tears.

Athletes who suffer knee injuries experience a lot of pain and will sometimes need surgery. Recovering from knee injuries, especially an ACL tear, could take a long time.

We can reduce the risk of knee injuries by performing pregame and postgame warmups and stretches. Knee braces and padding can also help significantly.

Dislocations

Those who play contact sports all face the risk of suffering a dislocated shoulder, ankle, knee, elbow, hip, or jaw.

An excruciating injury, a dislocation forces the ends of your bones out of position, often after falling or a powerful blow while playing contact sports like football, ice hockey, and basketball.

Aside from great pain, a dislocation also causes the affected area to swell. Moving it will also be very difficult.
​
Doctors can reposition the dislocated joint back into place. Rest, application of ice pack, and avoiding moving the affected area also helps relieve a dislocation, which could take weeks to heal.

Fractures

Athletes who participate in contact sports are often at risk of sustaining a fracture or a break in a bone.

Fractures can range from stress fractures among long-distance runners to complete breaks, mostly among boxers, football players, wrestlers, and mixed martial artists.

Other athletes that are prone to fractures include skateboarders, skiers, and bikers who fall or suffer an impact onto hard surfaces.

Surgery is sometimes required as part of fracture treatment. Immobilization for weeks on end may also be necessary, and it’s often done by making patients wear a cast to hold the broken bone in place.

If you play sports and you experience the symptoms of the injuries mentioned above, never play through the pain. You would only make it worse, and could lead to further damage.
​
As much as possible, you must stop right away once you suffer a sports injury and seek proper treatment for it. That way, you can still engage in your favorite sports once you’re healed.

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Be A Grape, Not A Raisin

11/30/2020

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Be a Grape, Not a Raisin
Is it normal for you to feel tired during the day, experience headaches often, get dizzy when exercising, or have dry skin? These, are common symptoms, amongst others to be described later, that are culprits of dehydration, in which an estimated 75% of the population unknowingly and chronically lives with on a day to day basis.

Hydration: How to be a grape

Ever thought water was the best thing ever during a workout? You just couldn’t get enough? Water is just as important when we aren’t collecting sweat in a workout. Though not always the most exciting beverage, it is essential for optimal health and survival.
 
We are approximately 60% water. A true liquid asset to our health, water does so much for us including the regulation of body temperature, lubrication of our joints and body tissues, delivery of nutrients and oxygen to cells, flushes out waste products, prevents constipation, and maintains blood volume. 
 
So how much do you need? A basic recommendation is 8 cups a day (imagine a half gallon of milk). That's the pretty bare bones minimum though, so if you aren't even meeting this, it's time to step your game up. 

​Depending on your age, weight, gender, environment (extreme heat or cold), and obviously how much you exercise, this number could be a serious low-ball. 
Hydration infographic: know if you are hydrated or not!

Math Cap On

The infographic above gives guidelines on ounces for the average man, woman, and additional liquid if you are an athlete. You can also use the following basic equation:
your weight x 0.5 = # of ounces per day
For this equation, use pounds to multiply, not kilograms.
  • Example: 160lb. x 0.5 = 80 ounces per day

What does 80 ounces even look like you may be wondering. Let's convert that number into water bottles. In fact, I've been informed by many of the athletes I train, that Hydroflasks are the way to go. Fair warning though, avoid dropping them. They dent fairly easy!

Since most water bottles are 24-32 ounces, our 160lb. human from the example above can expect to drink about 3 water bottles a day. 
​
Before you consider wearing adult diapers with how much you may be needing to use the restroom consuming that amount of liquid, let me let you in on a little secret – this number can also include water in food.

​Water and other beverages will supply 70 to 80% of our intake for the day, while foods will contribute to the remainder. ​

What's Your Pee Look Like (Not to Be Creepy)

Most of us know that a dark colored and smelly urine is a sign of dehydration. Anything leaning towards more yellow than clear is a sign you need to sub the coffee for some agua.

Additional physical signs of dehydration can include a dry or sticky mouth, weight gain, joint pain and stiffness, and bladder or kidney problems¹​. Yes, you read right, weight gain. Water helps us suppress hunger, reduces our body's sodium levels, and maintains muscle tone and metabolism.  Motivated to drink more water yet?

Night time activities like drinking alcohol and sleeping can also dry you out. Drinking a large glass of water right after you wake up is a great way to rehydrate from sleeping and kickstart your day.
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Tricks and Tips

If drinking water consistently really is a struggle for you, spice things up by adding slices of fruits, vegetables, or herbs. Fruits may include orange slices, fresh or frozen assorted berries, cucumber slices, watermelon slices, lemon and lime slices. Herbs can be anything from mint, sage, cinnamon sticks, and basil—explore!
 
Another tip is to buy a "water timer bottle". When it’s in sight, it’s in mind, allowing you not only easy access, but an easy decision when you need a drink.
 
Secondly, create a chart that will allow you to see your daily water consumption from drinking water specifically. This will allow you to see if you met your goal for the day. The small wins add up! Eventually, you may be able to do without the charting as it becomes habit to consume the proper amount of drinking water.

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References

1 "Dehydration and Weight Gain." Spirit of Change. October 19, 2017. Accessed August 03, 2018. http://www.spiritofchange.org/alternative-health/Dehydration-and-Weight-Gain/.

2 "Water, Hydration, and Health." Popkin, B., D'Anci, K., Rosenburg, I.
Water, Hydration, and Health. Accessed August 03, 2018. 
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2908954/
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The Miracle Drug: Exercise

11/20/2020

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The Miracle Drug: Exercise
Take a second to imagine what a stack of 1 billion dollars looks like, you can even google it if you'd like. It is a substantial amount of money, enough to fill 10 pallets stacked to the height of a person.

​Now, try to imagine what $511 billion dollars looks like. Can you? I can't. Yet, that is the amount of money the United States pharmaceutical market made in 2019, a $75 billion dollar increase from 2018. This astounding number comes from the fact that prescription drugs in the U.S. are among the most costly to get in the world, AND that we as a nation are one of the most unhealthy in the world¹.

Now imagine that there is a drug that would cost you nothing financially to take and is in never-ending supply.

You've already guessed what it is thanks to the title of this article, it's exercise, and it is so powerful that when regularly "taken" you could throw out your Lipitor, Nexium, Plavix, Crestor, and whatever else resides in your medicine cabinet. 

Brain Hypertrophy: both amazing and possible

The Miracle Drug: Exercise
For the non-fitness nerds amongst us, hypertrophy is the scientific term for 'swoll', 'buff', 'jacked', so in other terms, it is the growth in size and (as a result) the strength of a muscle.

​It is fairly obvious that with frequent exercise, particularly resistance training, your muscles begin to hypertrophy, but did you know that this can actually happen to your brain as well? ​

Neuroscientist Wendy Suzuki summarizes the PSA-style point in her Ted Talk, The brain-changing effects of exercise, in that exercise is a "miracle drug" for your body and mind.

As a neuroscientist, she became very intrigued on how exercise affects the brain and summarized an enormous amount of research into four main points, which we will dive into below.

​Prepare for your mind to be blown (pun intended)! 

"Exercise is the most transformative thing you can do for your brain today." ​- Dr. Wendy Suzuki

The Big 4

1. Exercise Helps Create New Brain Cells

Exercise actually creates brand new brain cells in the hippocampus, which is involved in long-term memory and the regulation of emotions. Brief bursts of activity in this region of the brain form life-lasting memories; for example, remember your first kiss?

That time you farted in public? 

​The face of that handsome boy or beautiful girl at a party?

Credit goes to your hippocampus for those lovely, or not so lovely, memories.

2. Exercise Helps Improve Attention and Focus

We have a different area of our brains that is responsible for attention and focus, this is your prefrontal cortex. 

Exercise strengthens this area thereby improving attention and your ability to focus. The prefrontal cortex is also exercised by non-sweat inducing activities like meditation.

​However; post exercise, your energy levels and ability to focus are immediate. 

3. Exercise Has Direct Effect On Your Mood

There are also immediate increases in good mood neurotransmitters like serotonin, noradrenaline, and dopamine.

​These are the types of naturally produced chemicals that are synthetically infused into anti-depressants and anti-anxiety medication to uplift and normalize mood.

​Exercise immediately uplifts your mood, go ahead, go run a self-test (boom! another sneaky pun). 

4. The Most Transformative Effect of Them All

But wait! There's more... The most transformative outcome of them all is the protective effects exercise has on our brains.

Because the prefrontal cortex and hippocampus are the two areas of the brain that are the most susceptible to neurodegenerative diseases and normal cognitive decline with aging, regular exercise is basically like training a little military man with a machine gun to sit in these areas of the brain and shoot at scary diseases that comes close.

​Are you convinced yet?! 

Negative Side Effects

  • Sweating
  • Uncomfortableness
  • Muscle fatigue and soreness
  • Potentially odiferous gym clothes and shoes

For more side effects, most of which are hilarious, check out this article by "Greatist".

The Question Everyone is Asking: how much?

This is a fair question being that your pharmacist lays out a detailed time table for your prescription. According to recent research, the minimum amount of exercise needed isn't much. This does not need to involve heading down to the local gym, it could include activities as simple as aggressively vacuuming your house and rearranging your living-room furniture. See the graphics below for recommendations by age.

Get Your Office Active

You would think that sitting around at your desk more leads to greater work output, but the opposite is actually true. The average American workplace is becoming increasingly more sedentary.

In 1950, 30% of Americans worked in high-activity occupations. By 2000, only 22% worked in high-activity occupations. Conversely, the percent of people working in low-activity occupations spiked by 14% in that same 50 year period, jumping from 23 to 41%.

Ironically, this decreased physical activity leads to presenteeism, which is being physically at work, but mentally somewhere else; and absenteeism, having to take leave from work due to illness or injury. Both presenteeism and absenteeism obviously contribute to lower work output levels (ACSM, 2018). 


Perhaps you work in a company that has recognized the direct and indirect costs of inactivity, and has created a few workplace initiatives to combat this.

​Some examples may include bike to work programs, worksite wellness initiatives, treadmill or standing desks, or paid workout time. Did you just say paid workout time? Heck yeah I did. Why aren't more companies doing this?!

How You Can Help be the Change

7 Ideas to get your office more active
The ultimate goal is that you and your fellow co-workers want to be healthy for yourselves, not for the benefit of your company, although it's great that they may reap the benefits of your health commitment.

At my former job, one department organized a "Transformation" contest in which the person with the biggest weight loss at the end of 3 months would win a pot of money that they all chipped in to.

No incentive from HR, just good, friendly, competition to improve each others health.

​Come to find out, this is a rather common practice in many companies, one such being Draper, Inc. who created not only a 10 week weight-loss challenged dubbed "Dump Your Plump", but its own Wellness Park that includes a one-fifth mile track, workout stations, ping pong, and volleyball courts. 
​​

Other great option would be to check out the Sweat Collector Challenge. Challenge #3 is specifically geared towards increasing your daily exercise by 30 minutes.

What Other Companies Have Done

Google is an excellent example of a company who actively wants to improve the health of its employees, so much so that it has its on research and development team on the subject. The workplace is pimped out with a slide, ping-pong tables, nap pods, swimming pools, and even LEGO stations.

Motley Fool, a company that specializes in stock analysis, gives all of its employees access to free personal training sessions and wellness consultations as well as 50% reimbursements on race fees. This has skyrocketed wellness engagement in the company to around 86%.

Zappos, like Google and Motley Fool, employe a wellness coordinator, who has created free fitness classes, nap rooms, marathon reimbursements, and reduced gym memberships.

Their coordinator, Kelly Maher says, "It's about getting people to want to do things voluntarily, not forcing them. Success programs are the ones that get team members energized versus forcing it on them." 
​

Conclusion

There is one thing, that when regularly prescribed to, can have you scooping all your prescription drugs into the trash.  

We know this is exercise, which could not only keep us out of the doctors office, but save us billions of dollars in money spent on pharmaceuticals.

​Imagine a world in which insurance companies aren't helping cover the cost of your prescriptions and surgeries, but instead help cover the cost of gym memberships, race or school sport fees, or even absorbing some, if not all of the cost of personal training.

In the meantime, you can find accountability with people who spend most of your time with, like co-workers, family, friends, and so forth, can help you start building positive habits in regards to exercise. 


Test the waters a bit and see if you can be a trend setter at your work, or even at home, by starting or joining a challenge or getting more people on board with being active.

​It benefits both you, them, and your company! A true win win. ​​

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References

¹​Mikulic, M. (2020, November/December). Topic: Pharmaceutical industry in the U.S. Retrieved November 20, 2020, from https://www.statista.com/topics/1719/pharmaceutical-industry/
​
American College of Sports Medicine (ACSM). (2018) Schools and workplaces.  Retrieved March 2nd, 2018 from https://www.exerciseismedicine.org/support_page.php/schools-and-workplaces/​

Suzuki, W., Dr. (2018, February 28). The brain-changing benefits of exercise. Lecture presented at TED Talks Daily.

Rothfeld, L. (2015, May 15). 7 companies with amazingly unique wellness programs. Retrieved March 01, 2018, from https://mashable.com/2015/05/15/unique-corporate-wellness-programs/#Un5v9n4v6EqR


DeNoon, D. J. (2018). The 10 Most Prescribed Drugs: Most-prescribed drug list differs from list of drugs with biggest market share. Retrieved March 2, 2018, from https://www.webmd.com/drug-medication/news/20110420/the-10-most-prescribed-drugs#2
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Veggie & Chicken Sausage Soup

11/2/2020

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Veggie & Chicken Sausage Soup
"Wow, this is tasty" were the first words out of my mouth after trying this recipe. I was skeptical at first, because it looks too healthy to be any good, but I walked away from the stove feeling like I had just won an episode of "Chopped". 

Ingredients 

This recipe was inspired by the flavors of fall, and for a warm hearty meal as temperatures are starting to drop. It's easy to shop for, I've broken your shopping list into two lists below to help you as you peruse the store. *Note: lentils are in the dry goods section!
PRODUCE & MEAT
  • Kale (2 cups)
  • Parsley (1/2 cup)
  • Carrots (4 medium size)
  • Celery (2 stalks)
  • Leek (1 small)
  • Onion (1/2)
  • Garlic (4 cloves)
  • Butternut Squash (1 small)
  • Lentils (1/2 cup)
  • Chicken Sausage (3 links, flavor of your choice)
Produce and meat in Chicken Sausage and Vegetable Soup recipe
Click me to enlarge

Spices & Canned Goods
  • Olive Oil (not shown)
  • Diced Tomatoes (14 oz. can, fire roasted, or whatever flavor you want)
  • Tomato Paste (6 oz. can)
  • Vegetable Stock (4 cups)
  • Paprika (4 tsp)
  • Cayenne Pepper (2 tsp)
  • Pepper
  • Salt (not listed, to taste)
Spices and canned goods for Chicken Sausage, Vegetable Soup recipe
Click me to enlarge

Directions

  1. Find someone to be your sous chef, that will make chopping all that veg way faster and cooking far more enjoyable (I did it on my own and was unimpressed by how much chopping I had committed myself to). Tip: chop everything to about the same size! This will ensure that it all cooks evenly. 
  2. Heat a medium sized pot, and drizzle in olive oil. Then add garlic, onions, carrots, celery, squash, sausage, and spices. Sauté that biz on medium heat for about 5 minutes. 
  3. Add your diced tomatoes, vegetable stock, and lentils. Simmer on low heat for about 20 minutes. 
  4. Add tomato paste and greens (kale and parsley). Leave a bit of parsley out for garnish. Serve it up and eaaaattt!
  5. (Optional) add cheese and eat with a hearty piece of rustic bread if you aren't watching calories! I added a bit of goat cheese to mine, so good! 

Dietitian Tip: Mindful Eating

​A dietitian would give this soup an A+! You can probably guess why – this is what you call quality eating. No need to count calories; you can’t go wrong with the abundance of color, fiber, vitamins, and minerals (yes, you will find Vitamin A, Vitamin C, and potassium in that parsley!), all while including every food group.
Saute your veg!
Simmer your veg!
EAT!
Every food group? You bet. Your sausage and lentils give you protein.

Have you seen lentils and protein in the same sentence before? There are a surprising 18g per cup! Not to mention lentils have about 15g of fiber per cup. No more poor digestion for you. 

Compare your go-to choice for sausage to a few chicken sausage links and you will reduce saturated fat by as much as 60%.

It pays to read and compare food labels, while you're comparing fat content next time you're at the store, check the sodium as well. 
Finally, your butternut squash (and lentils) give you a mindful portion of carbohydrates. I need more fingers to count the number of vegetables that have been chopped up in the pictures above – way.. to.. go. 

Finally, the sprinkle of goat cheese not only makes my mouth water, but will help optimize your bone and teeth health coming from the dairy department.  
​
The Nutrition Facts of this Soup

Disclaimer about Calorie Tracking

Calorie tracking is not for everyone, and if you find it to be too obsessive for your tastes don't worry about it, your focus is better served on mindful eating.

Part of 
mindful eating is being in tune with what your little stomach desires. Eat this soup (or any other meal) until you are satisfied instead of Thanksgiving full.

The story of our lives will forever be that we need to cultivate a healthy 
relationship with food as much as we need quality, healthy foods. Why not start today? 

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Supplements: Helpful or snake oil?

10/11/2020

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Supplements: helpful or snake oil?
To take, or not to take? That is the question. Supplements have been a buzzword in recent years, and a focal point of public confusion.

​The purpose of this article is to accumulate information from a host of reputable organizations so you may make an informed decision on taking supplements.

What Is a Supplement?

So what exactly is a supplement? They come in all shapes and sizes, from capsules, to drinks, to powders, and are sold in a multitude of places.

We have herbal supplements like:
  • Ginseng
  • St. John's Wort
  • Echinacea
  • Ginseng

Vitamin and mineral supplements like:
  • Vitamin D
  • Vitamin B12
  • Iron
  • Fish Oil
  • Folic Acid

Performance enhancing supplements, or ergogenic aids, like:
  • Creatine
  • Dehydroepiandrosterone (DHEA)
  • Caffeine
  • Beta Alanine

​It is a multi-billion dollar industry, and ultimately has very different standards than it's prescription drug cousin. 

"Natural" Means Nothing

Herbal and botanical supplements often get the automatic okay in our minds because they are "natural". However, natural means just about nothing in an industry that synthetically creates their products.¹​
The perception of a natural supplement product is that it is not artificially fabricated. This is highly ironic given that the vast majority of dietary supplements are synthetically created in a laboratory environment and likely do not contain any natural, plant-based or nonsynthetic ingredients. - Katie Ferraro, MPH, RDN, CDE
Don't believe me yet? In an alarming study in 2015, authorities, including the attorney general of New York, conducted tests on the top-selling store brands of herbal supplements in the four retail giants - GNC, Walmart, Target, and Walgreens - and found that four out of five of the products did not even contain any of the herbs on their labels and that pills labeled "medicinal herbs" often contained little more than cheap fillers like powdered rice, asparagus and houseplants.²

Last year alone, there were 22 "dietary supplements" recalled for various reasons, some because they contained salmonella, anabolic steroids, or undeclared ingredients. This has been a trend for some time now.

Go back 5 years to a 2013 report published by researchers in Toronto, and you will find the same pattern, in which 44 random herbal supplements containing "single herbs" were sampled and analyzed using DNA bar coding analysis, but less than half the supplements (48%) contained any of the herbs listed on the label.

​Moreover, at least half of the supplements contained something that wasn’t even on the label (substitutions or fillers).
³​​

Another irony, is that only a tiny percentage of the world's population stands to benefit from supplementation, but yet for some reason we still yearn so badly to feel superhuman that the global supplement industry rakes in over $100 billion dollars annually.​​⁴
Supplements: helpful or snake oil?

Performance Enhancers

There are countless supplements that claim wonderful benefits by using their product, and truthfully there could be benefits to using what they say is in their product, but unless you have the ability to run DNA analysis on it yourself (or scientists already have), we don't know if what they claim is in there is actually true!

It could be ground up doll hair for all we know.

​Sadly, according to several reputable organizations, sound science supports the use of only a few dietary supplements whose labels claim ergogenic benefits. However, without a healthy diet in place, there is almost no justification for their use.
⁵​ 
According to AND, DoC, and ACSM, sound science supports the use of only a few dietary supplements whose labels claim ergogenic benefits [12]. These organizations add that the best way to use supplements is as additions to a carefully chosen diet, that dietary supplements rarely have ergogenic benefits when not used in these conditions, and that there is no justification for their use by young athletes. - NIH
As previously mentioned, supplements are not a substitute for a proper dietary foundation and will not work as effectively if it is not in place.

​Since we are in the category of "performance enhancement", I will briefly touch on the adequate daily amounts of calories, fluids, and carbohydrates for athlete:
  • Carbs: 1.4 to 4.5g/lb body weight 
  • Protein: 0.55 to 0.9g/lb body weight
  • Fat: 20-35% of calories.

Can you guess?

Answer

Sports with the highest percentage of users taking performance-enhancing drugs for men are ice hockey, wrestling, and baseball and among women are volleyball, swimming, and ice hockey. But the biggest target for adulterated supplements? Bodybuilders.⁶​​ ​ ​
The FDA notes that products marketed as dietary supplements for bodybuilding are among those most often adulterated with undeclared or deceptively labeled ingredients, such as synthetic anabolic steroids or prescription medications [213]. As one example, some products sold for bodybuilding are adulterated with selective androgen receptor modulators (SARMs); these synthetic drugs are designed to mimic the effects of testosterone. - National Institute of Health (NIH)

Did you just run to your bathroom or kitchen cabinet and side eye your collection of supplements? Give yourself some mental relief and see if it's actually effective by clicking here. ​

How did we get here?

In 1994, a law called the Dietary Supplement Health & Education Act (DSHEA) was passed, which lightened the standards on supplements treating them as "food products" instead of drugs. The following are outlined standards and regulations on drugs vs. supplements:⁷

Drug Standards
  • Must be FDA approved
  • Effectiveness and safety must be proven through a series of clinical trials on human volunteers
  • Manufacturing is carefully monitored
  • FDA follows up on any potential ill effects after drug has been distributed 
  • Drugs are packaged with complete information on ingredients, dose, route, and schedule
  • Conditions the drug has been proven to treat are listed
  • Known side effects are listed
  • Contraindications (special conditions under which using the drug should not be used because it would cause too much risk) are listed
  • Unsafe interactions with other drugs are listed

Supplement Standards
  • Operates on the honor system (what they claim is true)
  • Do not need FDA approval
  • Do not need to be clinically trialed to prove safety or effectiveness
  • Additions or negations of ingredients - false marketing not monitored 
  • Do not need to indicate what ingredients may have negative effects with certain medications or medical conditions
  • Could contain hidden drugs 
  • FDA can mandate seized production of a supplement only after it has been found unsafe or caused harm

The DSHEA was designed to protect the American people, but in actuality puts responsibility back on the supplement manufacturer to simply honor the laws outlined.

There is no system in place for policing this other than the FDA, which will only take action if someone is actually harmed from these products. Basically, anyone who can grind up some herbs and come up with a good marketing strategy can sell a dietary supplement and make millions until caught.

This literally happens more than you think. 

Do Your Due Diligence 

By now, I hope you have come to realize that for the most part, supplements are a complete waste of time and money. I encourage you to be as informed about something as you can before buying and consuming it, and if you are already taking supplements, ask yourself the following questions:
​
  • Why am I taking this supplement and who recommended it to me?
  • Is there evidence-based research to support its use?
  • Is there an established body of peer-reviewed literature that proves this works?
  • Do I know that what it says is in the bottle, is actually in the bottle?

The best option, of course, is to ask your physician or Registered Dietitian what they think. ​As a fitness professional, I (or any other for that matter) cannot recommend you supplements.

​Please keep in mind the risk you take in purchasing supplements, you are always at the mercy of their honesty. 
Here is a list of claims to watch out for, all recommendations from the FDA​.⁸​
  1. One product "does it all" claims: be very suspicious of products that claim to cure a wide range of diseases. 
  2. Personal testimonials: these are not substitutes for scientific evidence! 
  3. Quick fix claims: it's easy to fall into this trap now a days when we are always looking for the fastest solution with the least amount of work. It is extremely rare that diseases and conditions can be treated in a short amount of time (example: the commonly used "30 days"). 
  4. "All natural": while nature is great, it can actually also be quite scary. There are tons of things that are natural that we shouldn't be eating! Poisonous mushrooms for example?!  
  5. Miracle cure: if you fall for this one, shame on you. Remember, if something really is a "scientific breakthrough" and the next best thing, it will be all over the media, not buried away in some infomercial, print ad or Internet site. 
  6. FDA-approved: the final point to remember, there are NO domestic or internationally approved supplements by the FDA. Period. If this is on the label of something you're holding, they are straight up lying to you. 
  7. Sold in non-traditional places: health scammers often target advertising to people who prefer to shop at nontraditional places, especially those who have limited English proficiency and limited access to health care services and information. (FDA)

Why has it been hard to change?

The self-proclaimed "champion" of reforming the supplement industry is Senator Orrin G. Hatch, a Republican of Utah.

He played a large role in getting the DSHEA passed in the first place and within the past few years has fought against amendments to the current lack of supplement standards, arguing that there is nothing wrong with the current policies in place.
⁹

According to a report by the New York Times, Hatch "has accepted hundreds of thousands of dollars in campaign contributions from the industry and repeatedly intervened in Washington to quash proposed legislation that would toughen the rules." Thanks guy.
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Signs you may have goofed

We are all human, so if you feel you've been duped and your supplement is actually doing you more harm than good, check out this list of signs directly referenced from FDA.gov​​:
  • Itching, rash, hives, throat/lip/tongue swelling, wheezing.
  • Low blood pressure, fainting, chest pain, shortness of breath, palpitations, irregular heart beat.
  • Severe, persistent nausea, vomiting, diarrhea, or abdominal pain.
  • Difficulty urinating, decreased urination.
  • Fatigue, appetite loss, yellowing skin/eyes, itching, dark urine.
  • Severe joint/muscle pain.
  • Slurred speech, one-sided weakness of face, arm, leg, vision (stroke).
  • Abnormal bleeding from nose or gums.
  • Blood in urine, stool, vomit, or sputum.
  • Marked mood, cognitive, or behavioral changes, thoughts of suicide.
  • Visit to Emergency Room or hospitalization.

Conclusion

There is very little scientific evidence stating the need for humans to consume supplements.

For the vast majority, they are a useless waste of money, and the policies that are in place to currently govern the supplement industry are not only far too loose, but dangerous to consumers. 

It is best to stay away, and obtain proper nutrition from a bulletproof diet. 

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References

1. Ferraro, Author Katie Ferraro Contributor Katie. "5 Reasons Why Most Supplements Are a Waste of Time and Money." ACE. Accessed May 22, 2018. https://www.acefitness.org/education-and-resources/lifestyle/blog/6513/5-reasons-why-most-supplements-are-a-waste-of-time-and-money

2. ​O'Connor, A. (2015, February 03). New York Attorney General Targets Supplements at Major Retailers. Retrieved May 16, 2018, from https://well.blogs.nytimes.com/2015/02/03/new-york-attorney-general-targets-supplements-at-major-retailers/

3. American Cancer Society. (2015, March 15). FDA regulation of drugs versus dietary supplements. Retrieved May 16, 2018, from https://www.cancer.org/treatment/treatments-and-side-effects/complementary-and-alternative-medicine/dietary-supplements/fda-regulations.html

4. Stulberg, Brad, and Steve Magness. Peak Performance: Elevate Your Game, Avoid Burnout, and Thrive with the New Science of Success. Emmaus, PA: Rodale Books, 2017

5, 6. ​​"Office of Dietary Supplements - Dietary Supplements for Exercise and Athletic Performance." NIH Office of Dietary Supplements. Accessed May 22, 2018. https://ods.od.nih.gov/factsheets/ExerciseAndAthleticPerformance-HealthProfessional/

7, 8.​ Commissioner, FDA. (2017, December 22). Consumer Updates - Dietary Supplements. Retrieved May 17, 2018, from https://www.fda.gov/ForConsumers/ConsumerUpdates/ucm153239.htm

9. US Senator Orrin Hatch. JOINT RELEASE – Hatch, Heinrich Urge DOJ to Enforce Dietary Supplement Rules - Press Releases - United States Senator Orrin Hatch. Accessed May 17, 2018. https://www.hatch.senate.gov/public/index.cfm/keeping-supplements-safe-for-all-americans#2E709075-0958-4171-A73A-48EAF216E4A2

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