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Abstract Amino Acids Anabolic Steroids Androstenedione and Dehydroepiandrosterone Beta-hydroxy-beta-methylbutyrate Blood Transfusions and Erythropoietin Caffeine Carbohydrate-Electrolyte Beverages Chromium Creatine Ephedrine and Pseudoephedrine Human Growth Hormone Iron Sodium Bicarbonate Final Comments References. Use of performance-enhancing supplements occurs at all levels of sports, from professional athletes to junior high school students. Although some supplements do enhance athletic performance, many have no proven benefits and have serious adverse effects. Anabolic steroids and ephedrine have life-threatening adverse effects and are prohibited by the International Olympic Committee and the National Collegiate Athletic Association for use in competition. Blood transfusions, androstenedione, and dehydroepiandrosterone are also prohibited in competition. 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