Baseball Let Rodriguez Use Testosterone in Big Year, Book Says

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http://www.nytimes.com/2014/07/03/s...z-use-testosterone-in-big-year-book-says.html

When the 2007 baseball season began, Alex Rodriguez was still one of the sport’s untarnished stars, the home-run-hitting antidote to Barry Bonds and other sluggers who had already been linked to the use of performance-enhancing substances.

That season, playing third base for the Yankees, Rodriguez led the major leagues with 54 home runs and 156 runs batted in, and he went on to be awarded with his third Most Valuable Player award. After the season, he audaciously opted out of his existing 10-year contract, which had been the biggest one in the sport, and then signed an even larger deal to stay with the Yankees, this time for $275 million over 10 years.

But what has not been known until now is that Rodriguez, during that standout season, took the performance-enhancing drug testosterone with the blessing of the doctor who oversaw Major League Baseball’s drug-testing program.

According to a new book, “Blood Sport: Alex Rodriguez, Biogenesis and the Quest to End Baseball’s Steroid Era,” which was written by Tim Elfrink and Gus Garcia-Roberts and was excerpted on Sports Illustrated’s website Wednesday, Rodriguez applied for and was granted a therapeutic use exemption to use testosterone by baseball’s drug doctor, Bryan W. Smith. A year later, the authors wrote, Smith gave Rodriguez another exemption to use the drug clomid, which is typically used by bodybuilders to boost their production of testosterone after they cycle off the use of steroids.

The fact that Rodriguez was allowed to use these substances is particularly embarrassing for Commissioner Bud Selig, who has spent a good part of the last decade toughening baseball’s drug-testing regimen and pushing it to the forefront of professional sports. To a considerable degree, he has been able to do so, which has allowed him to recast his initial legacy as the commissioner who allowed drug use to go unchecked in the sport in the 1990s.

But the disclosure that baseball gave Rodriguez, who has subsequently emerged as baseball’s No. 1 drug offender, a green light to use drugs in 2007 and 2008 will raise new questions about how baseball’s therapeutic use exemptions are granted and how the program operated in the latter part of the last decade.

On Wednesday, after the book excerpts appeared, the commissioner’s office said it did not know in either 2007 or 2008 that Rodriguez had been given permission to use the drugs in question and defended Smith’s actions in letting him do so.

“All decisions regarding whether a player shall receive a therapeutic use exemption under the joint drug program are made by the independent program administrator in consultation with outside medical experts, with no input by either the office of the commissioner or the players association,” it said in a statement.

The statement went on to say that the standard for receiving a therapeutic exemption for a medication considered a performance-enhancing substance was “stringent” and that only a few such exemptions were issued each year by baseball’s program.

Nevertheless, Rodriguez received one.

It is not clear exactly how Rodriguez made his initial case to Smith in 2007 so that he could use testosterone. According to one baseball official, who declined to be named because he did not want to be quoted publicly discussing a major league player, Rodriguez used a doctor to provide medical information to Smith about his condition, which the book identified as hypogonadism, which occurs when the body does not produce enough natural testosterone.

According to the book, Major League Baseball’s top drug-testing official, Rob Manfred, testified about the 2007 exemption in connection with the appeal that Rodriguez filed last fall after he was hit with an initial 211-game suspension because of his involvement in the Biogenesis drug-distribution scandal in South Florida.

In that testimony, the book said, Manfred said that testosterone was “the mother of all anabolics,” a powerful performance enhancer.

Exemptions to use such substances in baseball, Manfred went on to say in the testimony, were “very rare.” He said that was because “some people who have been involved in this field feel that with a young male, healthy young male, the most likely cause of low testosterone requiring this type of therapy would be prior steroid abuse.”

Yet while Rodriguez’s request to use testosterone in 2007 may have been a tipoff that he had previously used steroids as a major leaguer, it apparently did not deter Smith, who went forward with approving it.

“If you have a player who has low testosterone because he has used for years and is no longer using, do you treat him or not?” the baseball official said Wednesday in defending Smith’s decision back in 2007. Of Rodriguez, he said: “Everyone knows now that he’s a steroid user, but at the time we didn’t have anything to go on.”

In 2012, Smith was dismissed as the doctor overseeing the drug program because the players union felt that he had made it too difficult for players to receive exemptions, according to two baseball officials. However, Smith still oversees baseball’s minor league testing program, which is outside the union’s domain.

It was only in 2009 that Rodriguez admitted that he had previously used steroids. That admission came in response to a report in Sports Illustrated that he had tested positive in 2003, when Major League Baseball conducted its first drug testing on an anonymous, nonpunitive basis.

When he made his 2009 admission, Rodriguez stated that he used performance enhancers while playing for the Texas Rangers from 2001 to 2003 but had stopped doing so after joining the Yankees for the 2004 season.

In 2010, Rodriguez was linked to a Toronto-based doctor, Anthony Galea, who had treated Rodriguez after he underwent hip surgery and who had subsequently been arrested on charges of smuggling performance-enhancing drugs into the United States from Canada. Rodriguez later testified before a federal grand jury in connection with the case and Galea ultimately reached a plea agreement.

Rodriguez avoided any punishment from baseball until he was suspended by Selig last year in connection with baseball’s investigation into the activities of the now-defunct Biogenesis clinic.

Rodriguez received a 211-game ban, and fought it. That led to the arbitration hearing last fall, Manfred’s testimony, and now, the disclosure of the drugs that Rodriguez was allowed to use in 2007 and 2008. As for Rodriguez’s suspension, it was eventually reduced to 162 games, which will keep him from playing until 2015.

As for Selig, the disclosure that Rodriguez had drug exemptions in 2007 and 2008 adds an uncomfortable footnote to the efforts he was making back then to convince Congress that he and the players union had the ability to police doping in baseball.

It also raises renewed questions about the therapeutic exemption program, which first came under fire in 2008 after it was disclosed, during a congressional hearing, that the number of players receiving drug exemptions for attention deficit disorder had mushroomed to 103 in 2007 from 28 the previous year.

The clear inference at the hearing was that the increase came from players who were trying to get around baseball’s 2006 ban on amphetamines by claiming an attention disorder that would allow them to use stimulants like Ritalin and Adderall. In the wake of the hearing, the number of those exemptions has stabilized.
 
Here's the primary source for the story -- an excerpt from the book "Blood Sport: Alex Rodriguez, Biogenesis and the Quest to End Baseball's Steroid Era" by Tim Elfrink and Gus Garcia-Roberts:

Before the 2007 season, Rodriguez asked for permission to use testosterone, which has been banned by baseball since 2003. The IPA in '07 was Bryan W. Smith, a High Point, N.C., physician. (Baseball did not yet have the advisory medical panel.) On Feb. 16, 2007, two days before Rodriguez reported to spring training, Smith granted the exemption, allowing Rodriguez to use testosterone all season.

...

Statistics requested in 2008 by Massachusetts congressman John Tierney as part of a government probe into baseball’s PED problem reveal how rare testosterone exemptions are. In 2007, of the 1,354 players subjected to testing, 111 were granted a TUE. Only two, apparently including Rodriguez, received an exemption for “androgen deficiency medications,” the category that would include testosterone. The other exemptions that year involved treatments for baldness, hypertension and -- predominantly -- attention deficit disorder. The alarmingly high number of exemptions for the latter was Tierney’s main concern. “I think it begs a question: Are people using this as a loophole?” said Tierney. “Are they taking these because they are perceived as a performance-enhancing drug, or do they have a legitimate medicinal purpose?”

...
Even after securing his latest windfall, Rodriguez wasn’t done seeking exemptions that allowed him to boost his testosterone levels with banned substances. In January 2008, according to the arbitration hearing transcripts, he requested two exemptions. Rodriguez wanted to use clomiphene citrate (Clomid), a drug designed to increase fertility in women. It is also prescribed to men who suffer from hypogonadism -- a testosterone deficiency -- to block the production of estrogen in their bodies. The drug is popular with bodybuilders at the end of steroid cycles because it can also stimulate the body to make more testosterone.

Rodriguez also requested permission to use human chorionic gonadotropin, a hormone known as HCG, popularly -- and misguidedly -- used for weight loss and also to produce testosterone. Both HCG and clomiphene citrate were banned with the 2008 season. Smith approved Rodriguez’s use of clomiphene citrate that year. The exemption for HCG was denied, but according to the transcript of Manfred’s arbitration testimony, that denial was “more of a recordkeeping thing than anything else.”

Source: http://www.si.com/mlb/2014/07/01/bloodsport-excerpt-alex-rodriguez-new-york-yankees-steroids
 

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Here's an example the biased writing by how Michael Schmidt, one of top anti-steroid journalists for NY Times:

Dr. Bryan Smith was the Independent program administrator (IPA) in charge of approving TUEs for MLB players.

Schmidt simply calls him MLB's "drug doctor"
 
Why do so few journalists understand how PEDs work? Their lack of familiarity is inexcusable especially by writers who cover doping stories on a regular basis and/or write books about the topic.

From the Blood Sport book:

"Rodriguez wanted to use clomiphene citrate (Clomid), a drug designed to increase fertility in women. It is also prescribed to men who suffer from hypogonadism -- a testosterone deficiency -- to block the production of estrogen in their bodies."

Everyone at MESO know Clomid doesn't block estrogen production. Estrogen production (aromatization) is unaffected by Clomid; as a SERM, Clomid acts at the receptor level.

The sports writers who authored "Blood Sports" don't know this. And even more concerning, the proofreaders and fact checkers who obviously reviewed the book were ignorant of this fact.

Why are sports writers so challenged when it comes to writing about PEDs especially ancillary drugs used along with AAS?

I've correspnded with some sports writers -- author of Game of Shadows -- who insisted that Clomid was simply a "masking agent". The writer refused to acknowledge this may have been wrong or at least misleading; instead offered rationalization that since Clomid is used to help restore natural testosterone production, the goal of its use is to "mask" the previous evidence of steroid use (suppressed endrogenous testosterone production).

The big problem that occurs when mainstream sports writers and/or popular books on doping scandals publish such misinformation is that it is repeated again and again by other writers in doping stories for years and years to come.
 
I agree the lack of education when writing the articles is not only misleading. But also a disservice to the readers. Proper education needs to be taught so steroids are not the boogie man. But number one any one writing an article or book need to do the proper research.
 
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