
- With Mayo Clinic physical medicine and rehabilitation specialist
Edward R. Laskowski, M.D.
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Edward R. Laskowski, M.D.
Edward R. Laskowski, M.D.
Dr. Edward Laskowski is certified by the American Board of Physical Medicine and Rehabilitation and is a fellow of the American College of Sports Medicine. He is co-director of the Mayo Clinic Sports Medicine Center and a professor at Mayo Clinic College of Medicine.
He has been on the staff of Mayo Clinic since 1990 and specializes in sports medicine, fitness, strength training and stability training. He works with a multidisciplinary team of physical medicine, rehabilitation and orthopedic specialists, physical therapists and sports psychologists.
Dr. Laskowski is an elite-level skier and approaches sports medicine from the perspective of a physician and an athlete. In addition to skiing, he is an avid hiker, cyclist and climber.
In 2006, President George W. Bush appointed Dr. Laskowski to a two-year term on the President's Council on Physical Fitness and Sports.
Dr. Laskowski was a member of the medical staff of the Olympic Polyclinic at the 2002 Winter Olympics in Salt Lake City and was involved in medical coverage for the Chicago Marathon. He serves as a consulting physician to the National Hockey League Players' Association and is a featured lecturer at the American College of Sports Medicine's Team Physician Course.
Dr. Laskowski, a Cary, Ill., native, has contributed to Mayo Clinic's CD-ROM on sports, health and fitness, a Web site guide to self-care, and hundreds of Mayo Clinic articles and booklets in print and online. He is a contributing editor to Mayo Clinic's "Fitness for EveryBody" book.
"There are many myths and misconceptions about exercise and fitness in general, and also many traditions that don't stand up to scientific scrutiny," he says. "My goal is to provide the most up-to-date and accurate information on sports medicine and fitness topics in a way that you can practically incorporate into your life."
Fitness basics (4)
- Exercise and illness: Should you exercise when you're sick?
- Heart rate: What's normal?
- Body fat analyzers: How accurate are they?
- see all in Fitness basics
Aerobic exercise (10)
- Weighted hula hoops: Exercise gimmick or good idea?
- Elliptical machines: Better than treadmills?
- Air pollution and exercise: Is outdoor exercise risky?
- see all in Aerobic exercise
Strength training (8)
- Weightlifting: Before or after an aerobic workout?
- Fitness ball exercises: Good for my abs?
- Weight training: Free weights vs. machine weights
- see all in Strength training
Sports nutrition (4)
- Energy drinks: OK for athletes?
- Insulin: Can it boost athletic performance?
- 'Natural' steroids: Are they safe?
- see all in Sports nutrition
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'Natural' steroids: Are they safe?
Are natural steroids sold at health food stores safe?
Answer
from Edward R. Laskowski, M.D.
No. So-called "natural" steroids sold as over-the-counter supplements at many health food stores can have the same harmful effects as synthetic steroids.
Many people are unaware that these natural steroid supplements, such as DHEA, are anabolic steroids. The only difference between natural and synthetic steroids is that synthetic steroids are made in a lab and chemically altered in some way. Because natural steroids contain "natural" substances that aren't chemically altered, they can be marketed as dietary supplements that increase strength and build muscle. As supplements, they're subjected to limited regulation by the Food and Drug Administration.
Prior to January 2005, anabolic steroid supplements containing androstenedione (andro) also were available at health food stores. Because of safety issues, however, these supplements now cannot be sold without a prescription. Forms of andro may still be marketed on the Internet, but you should not purchase or use them.
Although anabolic steroids can enhance certain types of performance or physical appearance, they are dangerous drugs. When used inappropriately, they can cause a variety of severe, long-lasting and often irreversible health problems, including:
- Aggressive behaviors, rage or violence
- Severe acne
- Baldness
- Infertility
- Liver disease
- High cholesterol