Performance enhancement drugs
Disclaimer: This self‑check questionnaire is for educational purposes only. It does not diagnose disease or determine whether a substance is safe or appropriate for you. If you have concerns, new symptoms, or uncertainty, seek advice from a qualified healthcare professional.
Questionnaire
Use this checklist to reflect on your current situation. Answer honestly and note how often or how long each item applies.
- Have you used any performance enhancement drugs (PEDs) or supplements to improve strength, endurance, focus, or appearance?
- Did you start using them within the last 1–3 months?
- Are you taking more than one substance at the same time (stacking)?
- Have you noticed changes in mood (irritability, anxiety, low mood, aggression)?
- Have you experienced sleep problems, such as insomnia or restless sleep?
- Do you have new headaches, palpitations, chest discomfort, or shortness of breath?
- Have you noticed digestive issues (nausea, abdominal pain, appetite changes)?
- Are there changes in skin (acne, rashes), hair, or voice?
- Have your menstrual cycles changed, or have you noticed sexual or fertility changes?
- Do you feel dependent on these substances to perform or train?
- Are you combining PEDs with caffeine, alcohol, or other stimulants?
- Have you skipped medical checkups or blood tests while using them?
- Do you have underlying conditions (heart, liver, kidney, hormonal disorders)?
- Are you under 18 or over 50 and considering or using PEDs?
- Is your diet low in whole foods like fruits and vegetables while relying heavily on powders or pills?
How to interpret answers
Review how many items you checked and which themes stand out. This is not a diagnosis.
- Low reason to seek help: Few checks, no symptoms, short‑term curiosity. Consider focusing on training, sleep, and a balanced diet rich in fruits and vegetables.
- Medium reason to seek help: Several checks, mild symptoms, or stacking substances. A medical consultation for guidance and baseline labs may be helpful.
- High reason to seek help: Many checks, ongoing symptoms, mental health changes, or underlying conditions. Seek professional care promptly.
Next steps: what to do
- Pause and observe: If safe to do so, stop new substances and monitor symptoms.
- Record details: Note names, doses, duration, and timing of any effects.
- Review nutrition: Prioritize whole foods—especially fruits and vegetables—for micronutrients and recovery.
- Hydration and sleep: Support natural performance with adequate fluids and 7–9 hours of sleep.
- Choose a specialist: Start with a primary care clinician; they may refer to sports medicine, endocrinology, or cardiology.
- Prepare questions: Ask about risks, interactions, monitoring, and evidence‑based alternatives.
- Plan follow‑up: Arrange labs or check‑ins if recommended.
| Situation | Urgency | Action |
|---|---|---|
| No symptoms, occasional supplement use | Low | Self‑monitor; optimize training and diet |
| Mild mood or sleep changes | Medium | Schedule a routine medical visit |
| Chest pain, fainting, severe mood changes | High | Seek urgent medical care |
FAQ
Are performance enhancement drugs the same as supplements?
No. PEDs may include prescription drugs or illicit substances, while supplements vary widely in quality and evidence.
Can diet replace performance enhancement drugs?
For many people, structured training, adequate protein, and micronutrients from fruits and vegetables can significantly support performance.
Do “natural” products mean safe?
Not necessarily. Natural products can still interact with medications or cause side effects.
How long do side effects last?
Duration varies by substance, dose, and individual factors.
Should athletes get regular testing?
Monitoring can be helpful, especially if using substances that affect hormones or the heart.
What if I’m unsure what I took?
Bring labels or photos to a clinician for review.
Are fruits and vegetables relevant to performance?
Yes. They provide antioxidants, fiber, and minerals that aid recovery and overall health.
Where can I learn about food‑based performance support?
Explore our guides on performance nutrition with fruits, vegetable‑focused recovery meals, and general wellness resources.
Sources
- World Anti‑Doping Agency (WADA)
- U.S. Food and Drug Administration (FDA)
- National Institutes of Health (NIH)
- British Journal of Sports Medicine