[Nightengale] MLB and the players union announce results of their annual drug program with TUEs being granted to just 65 players compared to 116 players in 2016.

9 comments
  1. >2024 Public Report of Major League Baseball’s

    >Joint Drug Prevention and Treatment Program

    >This report covers the time from the beginning of the 2023-2024 off-season to the end of the 2024 Postseason (the “2024 Reporting Period”). As per agreement between the Office of the Commissioner of Baseball and the Major League Baseball Players Association, the following report is specific to Players on the 40-man rosters for Major League Baseball Clubs.

    >

    >2) Two (2) adverse analytical findings were reported by the UCLA Laboratory and resulted in discipline. These findings were for the following Performance Enhancing Substances:

    >Boldenone Clomiphene

    >3) Sixty-five (65) Therapeutic Use Exemptions were granted. The diagnoses were as follows:

    >Attention Deficit Hyperactivity Disorder: 61

    >Altitude sickness: 1

    >Hormone function: 1
    Hypertension: 1
    Sleep disorder: 1

  2. NAD, but my guesses are:    

    ADHD/sleep disorder- stimulant     

    Altitude sickness/hypertension – diuretic  

    Hormone function – ~~testosterone~~ ~~levothyroxine (thyroid replacement)~~ jk levothyroxine isn’t banned. It’s definitely some banned hormone lol 

    Edit: I think it’s actually levothyroxine (jk it’s not)

  3. I have ADHD so not trying to imply anything ableist but, 61 exemptions for ADHD – is that not quite high?

    I feel like i’ve never really heard of players openly discussing ADHD but maybe they just prefer to be private which is of course completely fair.

  4. Imagine being the one guy who has to get medicine for a sleep disorder. Or hormone function. Lol they must hate being the single person on this list every year.

  5. I see guys get popped for clomiphene somewhat regularly and I’d just like to offer a word in their defense as someone familiar with the drugs used in bodybuilding for performance enhancement.

    Clomiphene will only really enhance performance to measurable degree if you truly have secondary hypogonadism to begin with. It will bring testosterone up to normal levels (maybe high normal if you take a lot), and that can increase performance if you were previously deficient. HOWEVER, clomiphene is a SERM comprised of two isomers (only one of which is actually anabolic) and as such it is limited by your endogenous production, meaning your testicles have to actually make all of the testosterone produced. This caps your testosterone output at the human physiological limits, which vary from person to person. A low dose of testosterone for bodybuilding purposes will be about 3-5x as high as the upper limit of human physiology. Not only that, but clomiphene is subject to circadian ebb and flow unlike exogenous testosterone, and clomiphene has a serious adverse impact on IGF-1 levels, which are very important in muscle building.

    Clomiphene is often used off label for fertility issues in men, however, and seems reasonably effective in that capacity. It will not, however, give any meaningful performance boost to otherwise healthy men.

    The only reason I could see clomiphene being subject to scrutiny is because it’s also often used as a PCT, which is a drug you take after a steroid cycle to try to restart natural testosterone production, as exogenous testosterone shuts down your endogenous production. For that reason, it can be indicative of recent steroid use. But usually, when a guy gets popped for it and says he was using it for fertility, I tend to believe him.

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