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Human Growth Hormone: the Unknowable Truth

One of the things that drives me a little nutty about the debate over performance-enhancing drugs is the notion that the effects are knowable and measurable. In some circles I'm detecting an attitude of certainty about what these drugs can or can't do that. In my view, that simply isn't justified.

That's why it was so refreshing to see some honest reporting in a Newsweek story on the controversy. First there's this:

[S]ome sports doctors have given anecdotal testament to the drug's healing power, claiming that it can cut recovery times -- from wear and tear, surgery and sports injuries -- in half. "Our observations tell us that it works and that it works well," says Dr. Richard Hawkins, former team physician for the Denver Broncos.

Sweet and simple: An actual team doctor (by necessity a "former" team doctor, since a current one would get summarily fired for saying something like this) gives an actual quote to an actual reporter, and the editors include it in a story in the magazine.

You can say anything you want about the controversy, but it's hard to argue against the credibility of a source like this. Are you going to say he's delusional, or making it up? Are you going to tell him he doesn't understand medicine or the dynamics of sports performance, or the normal path from injury to recovery?

But the next quote is even more important:

So far, however, solid evidence to support such claims is lacking. "There's a great deal of hype and a great deal of testimony, but there isn't a great deal of evidence," says Hellman. The main problem, researchers say, is that they cannot possibly study the effects of HGH in the quantities and combinations that athletes are believed to be using it.

In the congressional hearings on HGH, which took place the day before the Roger Clemens circus, I heard a researcher from a major university say the same thing, in almost the exact same words. If I recall correctly, the researcher was speculating that many of the effects athletes attribute to HGH may be caused by the steroids they're taking simultaneously. And he could very well be right. But the key here is to acknowledge that the only honest way to answer the question of the performance-enhancing effects of human growth hormone is to say, "We just don't know."

Athletes and their doctors believe the drugs work. I've been hearing this for years from the people I come across, who're mostly trainers and strength coaches. I get a chance to chat with researchers or former pro athletes from time to time, and I hear the same thing. The only way you can convince yourself that human growth hormone doesn't speed recovery and/or enhance performance is to ignore all the anecdotal evidence that comes from knowledgeable insiders who believe it does.

The next paragraph in the Newsweek story, alas, attempts to negate everything it just reported:

Nor is it possible to take the findings from studies done on the elderly and the sick and apply them to elite athletes. The research that showed an increase in muscle mass and reduction of body fat in older men, for example, failed to show a corresponding increase in strength, endurance or exercise capability. In other words, bigger does not always mean stronger or faster. That has not dissuaded professional athletes from injecting the drug, however. By some estimates, more than 7 percent of major-league baseball players have used HGH. Its popularity is no doubt fueled in part by the fact that there are currently no effective tests for the substance.

Now we're back to "athletes are too stupid to know they're taking a drug that doesn't work" and "the only reason they take it is because it can't yet be detected in a urine test."

Oh well. It was good while it lasted.

Now let me switch gears and talk about steroids. My opinion, which you're probably as sick of reading as I am of writing it, is that steroids can have a profound effect on the dynamics of the game. We know that steroids helped Jose Canseco evolve from a so-so prospect in the minors to Rookie of the Year, MVP, and a guy who was once thought to be on the cusp of the Hall of Fame. We believe they helped Mark McGwire, Sammy Sosa, and Barry Bonds rewrite baseball's record book. We suspect they made a lot of ordinary players into all-stars, and I'm pretty sure that we'll end up with a few below-the-radar steroid users in the Hall of Fame.

But, because I've never been a high-level athlete and have never used training drugs, I'm really in the dark about the effects of the drugs beyond what happened to the most notable beneficiaries of their strength-building magic.

So I asked a strength coach recently how he viewed the issue. I don't have permission to use his exact words, since we were just emailing and it didn't occur to me before now to include it in a post. But I can say that he's on the fence about whether steroids really help players hit baseballs over the fence.

He said that hitting starts with swing mechanics, and nobody argues that steroids would enhance a player's technique. Do they improve hand-eye coordination? Jury's out. If steroids do indeed shorten an athlete's reaction time, then they should help any hitter improve. If they don't, then we're back to swing fundamentals, which steroids wouldn't change.

His somewhat contrarian view is that the increase in strength and power would give a much greater edge to a non-elite hitter like Jose Canseco, or to a talented singles-and-doubles hitter like Rafael Palmeiro. The balls they hit with flawed swings, or swings that aren't conducive to power generation, would go farther. The elite hitters, who already have that great hand-eye coordination and magnificent swing mechanics, would get less of an edge. But he adds that he goes back and forth every time he considers it. Wouldn't baseballs go farther when hit with a perfect swing that has more power behind it, just as they go farther with an imperfect swing?

However, he sees pitchers as the biggest beneficiaries of steroids. At this moment in sports science, it's accepted that steroids put more protein into muscles and allow for faster recovery between bouts of exertion. So a pitcher, in the opinion of this strength coach, would be able to throw harder for more innings, and to recover more completely between appearances. Think of the edge a pitcher would get if he could maintain his location and velocity for seven or eight innings per start, instead of five or six. That's the difference between an ordinary career and stardom.

His bottom line, he said, is that steroids can certainly help, and help enough to confer a distinct advantage to those who use them. They'll help some more than others, of course, but there's no point in trying to differentiate.

And they certainly they won't hurt. That is, they won't diminish anyone's performance, based on what we know now.

So without a concerted effort by baseball to get them out of the game, with real testing and real penalties for non-compliance, some will get an unfair edge, while for others the game will be commensurately harder.

When I asked about growth hormone, he took a pass. He suspects they'll help pitchers more than hitters, since recovery from one appearance to the next is so crucial, but other than that, he considers himself in the dark.

Just like the rest of us.

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Pitchers and catchers.
A couple of years ago, I took a list of players who'd tested positive for anabolic drugs from espn, 2/3 of them were pitchers or catchers. Steroids are for recovery, and who needs recovery more than players in a big league battery, or players on the shady side of 35?

by JB on Feb 20, 2008 11:17 AM EST   0 recs

Canseco
Whatever you think about Canseco he was never a so-so prospect in the minors.  He was always very highly regarded and had the numbers to back it up.

by DB11 on Feb 20, 2008 11:32 AM EST   0 recs

Canseco
You're right about him not being a so-so prospect. That was my mistake.

Here are his stats, starting when he was drafted at age 17:

http://www.thebaseballcube.com/players/C/Jose-Canseco.shtml

In his first three seasons as a pro -- one partial and two full seasons -- he hit a total of 31 home runs and stole 21 bases in 243 games. And 15 of those home runs came in the hitter-friendly California League.

Then in 1985, at age 20, he hit 25 home runs in 58 games in the AA Southern League. So he increased his slugging percentage by almost 300 points from one year to the next, despite the fact he made what's considered the most difficult jump in baseball (A to AA), and went from the most hitting-friendly league in the minors to one that's considered more difficult.

He went on to hit 16 more homers in AAA and the majors in '85, and we know what he did in '86 and beyond.

So what happened between 1984 and '85 that made him so different?

Here's a clip I saved from Baseball America. This is the September 30-October 13 2002 issue. The author is Jim Callis, and you'll see that he supports your point while also making mine for me:

"The Athletics considered a raw Jose Canseco their best prospect after the 1984 season. His first two seasons after signing as a 1982 15th-rounder were very similar to [Rocco] Baldelli's. While he improved in his third year, .276-15-73 numbers with more than a strikeout per game didn't qualify as a breakthrough.

"But 1985 saw a different Canseco. Already considered less than focused, he matured dramatically after coming to grips with his mother's death early the previous season. He also added 30 pounds in offseason workouts."

Callis' column was about Baldelli, not Canseco, but I still find it funny that he thought their two situations were comparable. I guess the take-away is that if Baldelli had pumped himself up with steroids the way Canseco did, he'd have really been something.

by Lou Schuler on Feb 20, 2008 12:23 PM EST to parent up   0 recs

Canseco/Baldelli
You would know better than I on this issue Lou, but I don't think it is that incredibly unusual for a star athlete, who has basically gotten by on natural ability his whole life, to all of a sudden become serious about training and make significant gains.  Especially having the resources of a major league baseball organization behind them.  Not to say he did not start using steroids that early in life, but that gain (and it is ancedotal as well...maybe he only put on 10 lbs but 30 makes a better story!...Jeff Franceour claimed to put on 30 lbs of muscle in the offseason!)

As far as Baldelli goes, he has been ruined by injuries.  It seems that players resort to steroids to overcome injuries but also that steroid use causes players to break down...a bit of a contradiction.  So my guess is that Baldelli is just one of those guys who happens to 1) get hurt a lot and 2) have a very low pain threshold.  

by DB11 on Feb 20, 2008 3:29 PM EST to parent up   0 recs

Again ...
I turn to the printed record. This is from a Slate review of his book, Juiced:

http://www.slate.com/id/2113745/

"It wasn't until Canseco was drafted in the 15th round by the Athletics, and watched his beloved mother die, that he decided to tune into steroids ..."

So the Slate review suggests Canseco started juicing right after his mother died, which concurs with the Baseball America column. His mother's death changed his perspective.

But while BA suggests his sudden "focus" led to a weight gain of 30 pounds and an astounding increase in power, Canseco himself attributes the upsizing to steroids.

Regarding baseball in general, I don't think I've ever seen such an extreme power increase that I'm pretty sure couldn't be linked to steroids. I've subscribed to BA and followed the minors for close to two decades now, and I can't think of any other power jump that resembles Canseco's.

You expect young players to increase their power as they move up the ladder, and you have to factor in the sometimes extreme changes in league factors. A player may see an increase or drop in power from one season to the next for no reason other than the fact one league suppresses power and the other improves it, due to the size of the ballparks, elevation, and/or humidity.

But with Canseco, the jump in power came with a change from a hitting-friendly league to one that's a lot tougher. So that was a red flag right there.

Then again, since Canseco himself admitted that's when he started juicing, it's kind of a moot point, right?

by Lou Schuler on Feb 20, 2008 4:19 PM EST to parent up   0 recs

Canseco
I just find it hard to believe that a young player with access to all the resources of a major league baseball team needs to juice to gain power.

Thanks for the info on when Canseco said he started.  I did not realize it was that early in his career (I try to ignore Canseco)

On another note I am really like NROL and I am using the programs and think they are great...so thanks!!!

by DB11 on Feb 20, 2008 7:25 PM EST to parent up   0 recs

And, of course, ...
... none of this addresses one other intangible (on which you've written before):

The effect that PEDs have on boosting a player's confidence... often times through the roof.

by Rob in Denver on Feb 20, 2008 12:25 PM EST   0 recs

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