Preventive Medications for Bodybuilders

By George Touliatos, MD

Salicylic acid (anti-thrombotic). Useful under erythrocytosis during steroid cycles, but also during testosterone replacement therapy (TRT). Moreover, useful against colon cancer. 

Pentoxifylline (anti-thrombotic). Useful under erythrocytosis during steroid cycles and under TRT. It’s not a blood thinner, but improves blood flow by increasing nitric oxide (NO) production. 

Telmisartan (anti-hypertensive, anti-erythropoietic). Lowers blood pressure under anabolic-androgenic steroid (AAS) use and inhibits erythropoietin (EPO) release during TRT use.

Metformin (anti-glycemic). Inhibits glycemia from the liver and enhances anti-aging by increasing AMP-activated protein kinase (AMPK), and fights cancer by lowering mammalian target of rapamycin (mTOR).

Tadalafil (anti-stenosis). Vasodilator of the prostatic portion of the urethra and provides relief during urination underbenign prostatic hyperplasia (BPH).

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Finasteride/Dutasteride (anti-androgens). Block dihydrotestosterone (DHT) and prevent hair thinning. 

Anastrozole(anti-estrogen). Blocks aromatase enzyme that prevents the synthesis of estrogens in first place. 

George Touliatos, MD is an author, lecturer, champion competitive bodybuilder and expert in medical prevention regarding PED use in sports. Dr. Touliatos specializes in medical biopathology and is the medical associate of Orthobiotiki.gr and Medihall.gr, Age Management and Preventive Clinics in Athens, Greece. He is the author of four Greek books on bodybuilding, has extensively developed articles for www.anabolic.org and is the medical associate for the book “Anabolics, 11th Edition” (2017). Dr. Touliatos has been a columnist for the Greek editions of MuscleMag and Muscular Development magazines, and has participated in several seminars across Greece and Cyprus, making numerous TV and radio appearances, doing interviews in print and online. His personal website is https://gtoul.com/