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Written by Dan Gwartney, MD
04 January 2009

Melting Away Unwanted Pounds

As many drug-free bodybuilders have discovered, it’s nearly impossible for a trained athlete to accomplish both at the same time. Certainly, poorly conditioned individuals may see a gain in lean mass while losing body fat when first beginning an exercise and diet program, but that’s more a reflection of the dismal baseline conditioning of out-of-shape adults than any combined muscle-building/fat-burning effect. However, for bodybuilders, models and athletes with access to performance-enhancing drugs, dramatic changes are regularly and predictably seen, with slabs of thick muscle replacing the unwanted pounds of fat that seem to melt away. Among the various hormones and drugs used, most fall within a single category of being a muscle builder, fat burner or ancillary drug used to manage potential side effects. There are rare exceptions that cross over, such as clenbuterol and growth hormone, both of which build lean mass while reducing fat.1,2 However, the most potent anabolic drugs, steroid hormones, seem to have only one function— muscle building. Yet, recent research suggests that a limited view of anabolic steroids is incorrect. In fact, a meta-analysis of the literature strongly suggests that anabolic steroids may directly aid in fat loss as well.

It’s easy to understand why people would consider anabolic steroids to be one dimensional— use of the correct anabolic steroid(s) at the proper dose(s) leads to impressive and apparent muscle growth when combined with resistance training. At the same time, most users see a thinning of the skin, as subcutaneous fat diminishes, providing a leaner appearance. The fat loss occurring during steroid cycles is immediately attributed to the more intense exercise program, stricter diet and other drugs or supplements used during the cycle.
Would athletes be interested to know that some of the fat loss noticed during a cycle was directly related to anabolic steroid use? Could the general public benefit from supervised programs using the combination of anabolic steroids, along with diet and exercise to combat the national obesity pandemic? Of course.