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The scientific and public health implications of this issue are quite disconcerting." Wadler, an ACSM sports medicine physician who serves on the Health, Medical and Research Committee of the World Anti-Doping Agency (WADA) and is a leading international authority on doping in sports, says the appearance of these new drugs and their use models dangerous behavior, potentially causing physical and psychological damage to young athletes. ACSM calls for national compliance with the United States Anti-Doping Agency (USADA) regulations and to the World Anti-doping Code. Further, the College stresses the need for "clean" athletes, those not taking performance-enhancing drugs or supplements, to publicly deplore the use of steroids among their teammates and peers. ACSM underscores the critical leadership role clean athletes can take in disavowing performance-enhancing drug use and advocating fair play to protect the integrity of sports competition. Other individuals who influence young athletes, such as parents and coaches, should establish a no-tolerance policy for performance-enhancing substances, and intervene whenever necessary. Knee injuries. Female athletes.
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