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Questions & Answers
Case #1 "Need to Burn
Off The Fat"
11.16.02
Dr. David,
I am a 54 year old female who is starting a bodybuilding routine. I am currently
attending physical therapy for arthroscopy surgery and going to the gym 3x a week.
I am losing weight as I workout but because of the fat I can't see the full benefits
of my work. I have seen and heard about fat burners to help with fat loss. I should
also assure you that I am working with a dietitian and making changes in my diet.
I would like to know if there are supplements that are safe for women. If these
supplements do exist at what dosage should they be taken. Thanks for any help
you can give me.
Dear 54,
What is your height and weight now? Also, do you have any other medical problems?
Like smoking? Heart disease? High blood pressure? diabetes? Loss of bone density?
Yours,
Dr. Dave

CASE #2
"The Case of the Buff Baby"
Dear Dr. Dave,
No one will
touch this, maybe you can help. This is only for my own information. What effects
do anabolic steroids, specifically Primobolan Depot, have on the effectiveness
of birth control pills? There is no literature out there that has been of any
assistance.
Thank you for your time.
Ms. A
Dear Ms. A,
This has probably never been researched. Very few patients use anabolic steroids
legally or to improve their health or to treat an illness. So, for example, it
would be difficult to get a 1000 females to study for 20 years. As a guess, i
would imagine anabolic steroids reduce the chance of viable pregnancy.
what dose of steroid are we talking about? For how many years?
Dr. Ores
Dear Dr. Dave,
Thank you so much for your reply.
The dosage and duration in question is small. 100 mg per week for 6-8 weeks for
a 125 lb. female.
There was one bit of information found from Schering in regard to oral primobolan.
It was very vauge however stating that there was a small risk of virilization
of the fetus. It was not clear if this simply meant if taken during a pregnancy.
Obviously one would not want to conceive while taking any such substances. That
being said and pregnancy wanting to be avoided, when taken into consideration
that this anabolic steroid influences hormonal levels (testosterone), does it
reduce the effectiveness of birth control pills in that they influence estrogen
levels?
I realize that with no studies having been done any answer is simply an educated
assumption. I know your time is valuable. Thank you so much for any help.
Ms. A
Dear Ms. A,
I am not aware of any studies which may answer your question. I would try to contact
a few ob-gyn doctors? maybe ob-gyn doctors who take care of professional weight
lifters? I would imagine that anabolic steroids would be contra indicated during
pregnancy. I canıt think of any sensible, sane reason to intentionally expose
a fetus to anabolic steroids.
How about not using these steroids while you are trying to become pregnant.until
you have delivered you healthy new baby? There are some research projects itıs
best to not participate in.
Yours in Health,
Dr. Ores
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Dr. Ores is a General Practitioner who practices
medicine on the Lower East Side of Manhattan in New York City and is also the
host of "Medically Incorrect with David J. Ores, MD" on Monday nights (10pm) on
the Time Warner Cable Network in Manhattan/MNN channel. Please feel free to e-mail
him any questions you might have about health, fitness, wellness or the health
sciences in general to david.ores@verizon.net.
Thank you and good health!
To go to his site click here
.
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