<p>What I worry a lot about is the current rush to China by every major pharm. company to lower manufacturing costs. I’ve talked to a guy (whose brother is an AFA grad) who inspects these plants in China and it’s scary. Half the documentation is in Chinese, they meet in “Board Rooms” without heat. Some of these contract manufactures are far outside of the major cities. Bottom line nobody really knows what is taking place. I really think Congress needs to mandate where a drug was finished to better inform the public.</p>
<p>Were am I going with this? So where do you think these anabolic steroids come from? You can’t even be sure what’s in them. I took care of a patient last August who went into fulminant hepatic failure within 2 weeks of starting oral anabolic steroids requiring emergent liver transplantation. The poor guy cried when he found out what happened…he just couldn’t believe it had happened to him. We saw another young man die of hepatocellular carcinoma last year. Couldn’t resect, and couldn’t transplant. I try not to think of it - such a pointless loss of life.</p>
<p>As usual the active duty AF, parents, and cadets here have given very sound advice. Less is more.</p>