Bob Smith said:
IMO, AAS usage should be much like cosmetic surgery. Each area has very limited medical use (muscle wasting and reconstructive surgery, respectively), but only one is legal and readily accessible. I think docs should be able to prescribe say, test at 600mg/wk for 10 weeks, and monitor all the appropriate health variables.
I feel that
IF medicine is to be practiced with the
physiological health of the patient as the overriding concern, then physicians should not "prescribe" medical treatments, pharmaceutical protocols, or surgical procedures that increase the likelihood of harmful outcomes. This would mean that most forms of cosmetic surgery (i.e. liposuction, breast implants, gluteal implants, etc) would be outside the scope of medicine. This would only be consistent with the supposed goal of optimizing physiological health. This is, from what I understand, SWALE's position on the matter. I'm sure he will correct me if I'm wrong.
Now, there is some debate as to whether medicine should encompass the treatment of
psychological health in the absence of any physiological medical condition with procedures, protocols, drugs that are not medically indicated. E.g. supraphysiological dosages of AAS and/or cosmetic surgery to improve body image.
Now,
IF medicine is to fully encompass treatment of psychological health (e.g. body image dissatisfaction), your argument is sound. After all,
it is hypocritical for medicine to embrace cosmetic surgery but deny the medical prescribing of AAS for bodybuilding purposes.
Not saying that AAS are the best treatment option, but certainly no less dangerous or risky than cosmetic surgical procedures, etc.
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At any rate two things that medicine should provide to licit or illicit AAS-using patients are:
(1) medical monitoring of their health;
(2) medical treatment for conditions arising from AAS use
This is an essential, basic duty of a medical practictioner. And such a standard of care is deserved by anyone paying for medical services.