Dr. Scruggs explained his criteria for prescribing steroids to bodybuilders in an interview with Jason Mueller of Anabolic Extreme in 1999-2000.
"[T]hey have to do extensive blood work, they have to fill out a very detailed questionnaire, and they have to have a 40-minute to hour interview with me. That’s basically where we decide if someone can do this. Now, I’ll admit to you that as I do this, my criteria have relaxed. Before I would only do this with athletes or with ordinary citizens if they had a limitation, if they were hypogonadal, if they were on the low side of normal on their blood work. I’ve gradually relaxed that to include people who would be quote unquote normal. You’ve got to realize that virtually everything hormonal is considered normal by the establishment. They have virtually no ability to look at, let’s say the estrogen/progesterone levels for a woman, and testosterone for men and women, and say anything much about them at all because everybody from age 12 to age 90 is considered normal."
Dr. Scruggs felt that he was doing the right thing by monitoring and prescribing steroids to bodybuilders.
"I feel like I’ve been led along a certain path in life and it’s almost as if I’m supposed to do certain things by fate. I would have, had it been my choice, done things differently from how they’ve actually happened. But I accept that there are no mistakes, which God has us do the things He would have us do, despite what our little self may want, and I feel directed. So yes, I am concerned about it, but at the same time, I know I’m right! I feel very comfortable in the choices I’ve made and the reason for those choices. I know that I’m helping people far more than I’m hurting them. If you want to know the truth, I don’t like taking 22 or 23 year-old and putting them on steroids, it makes me nervous. Yet, I’d rather have them come to me and manage their steroid use, and then have them do it on their own."