Competitive athletes have always used various substances in attempts to improve their sports performance. Athletes during the Greek and Roman Games used wine, mushrooms, and opioids, and athletes at the beginning of the 20th century used stimulants such as strychnine.1 In modern times, the relentless quest to win at all costs continues to be influenced by personal, societal, and socioeconomic factors. Use of sports performance–enhancing substances by children and adolescents is an especially disturbing trend.
Patel DR. Hormone Use and Abuse by Athletes. JAMA. 2011;305(18):1916-1917. doi:10.1001/jama.2011.612