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También comentan que es importante diferenciar entre los efectos adversos asociados con el uso de estas sustancias bajo supervisión médica o por el contrario la toma de estas sustancias de una manera inconsciente, es decir, sin supervisión médica y en grandes cantidades1. Uno de los principales efectos adversos de los agentes anabólicos son los que producen dichas sustancias sobre el sistema cardiovascular. Si bien, la mayor gravedad de estos efectos aparecen con el uso a largo plazo de los agentes anabolizantes.
Fruto de las investigaciones, los agentes lograron vincular a este hombre con otras personas de la misma zona que también se dedicaban, tanto a la venta y envío de fármacos a través de distintas empresas de paquetería, como a hacer entrega de ellos en mano a otros consumidores. Asimismo, los agentes comprobaron el ingente volumen de medicinas ilegales y perjudiciales para la salud que estaban distribuyendo, y las medidas de seguridad que adoptaban para evitar ser descubiertos. Los trabajos revisados presentaban una obsolescencia superior a lo esperado en el área de las ciencias de la salud y estaban redactados preferentemente en inglés. Se observó que los EAA presentaban efectos adversos a nivel cardiovascular, conductual y también efectos secundarios asociados al consumo. Si bien, existen discrepancias entre la magnitud de estos a nivel cardiovascular y su potencial daño.
Junto con la “promoción” de las sustancias químicas, los influencers también publicitan páginas internet en las que aplicar los códigos de descuento que anuncian y que venden estos productos prohibidos por la normativa. Es el caso de Biaxxol Supplements, que comercializa el Sarm MK677 o de Predator Nutrition, que vende varios químicos de esta categoría. En este contexto, Facua subrayó que los Sarms (moduladores selectivos de los receptores de andrógenos) aparecen en el listado de sustancias prohibidas que recoge la Resolución de 28 de noviembre de 2023, de la Presidencia del Consejo Superior de Deportes, por la que se aprueba la lista de sustancias y métodos prohibidos en el deporte.
Por tanto, los entrenadores y educadores tienen un importante papel en la prevención del uso de sustancias dopantes y deben interactuar sobre sus pupilos para evitar su uso10. Se informó sobre 15 diferentes anabolizantes, siendo el más común la testosterona con sixty one casos, seguido por nandrolona con 25, metandienona con 22 y estanozolol y clenbuterol con 12. Todos ellos, según la asociación, tienen publicados vídeos y otros contenidos en los que hablan de las “ventajas” del uso de anabolizantes, en concreto de los llamados Sarms, todo ello “acompañado de códigos de descuento para poder adquirirlos en diferentes páginas web”. Y otras sustancias con una estructura química related o efectos biológicos similares. También vendían productos anunciados como complementos alimentarios o para potenciar la líbido como Golden Root Complex, Furunbao o Popper, que en realidad llevaban componentes medicamentosos.
Pero también existen estudios que indican una afectación psicológica y del comportamiento entre los consumidores de estas sustancias. Por ejemplo, un adicto a los esteroides puede sufrir un impacto negativo en sus relaciones sociales, cambios del estado de ánimo y agresividad o depresión en los casos más graves. El Comité Olímpico Internacional (COI) define como dopaje, ¿al acto de ingerir sustancias prohibidas.
En el de Bond et al.forty two, una vez conseguido el artículo completo, se observa la aparición de menores de edad en dicho estudio, siendo uno de los criterios de exclusión. Cabe destacar la ausencia de artículos sobre los efectos adversos de ginecomastia, acné y alteraciones en la libido en los deportistas, esto puede ser debido a que dichos efectos secundarios son más que conocidos en el ámbito basic, por lo que no es necesario un estudio más específico. En el trabajo de O’Sullivan et al.28 se hablaba de la aparición de dichos efectos adversos en los deportistas tras la toma de EAA.
Común en el sentido de que no es necesario que se de en el autor ninguna característica especial, puede serlo cualquiera. Y de peligro en el sentido de que lo que se persigue no es un comportamiento genérico asociado al dopaje que genere un peligro potencial para la salud, sino una concreta actividad dopante que ponga en peligro concreto la vida o la salud de un deportista. El cuarto de los procesados también ha descartado que él consumiese anabolizantes o que colaborase con otro de los integrantes de la pink, al que había conocido en un gimnasio de Alicante, para comprar este tipo de sustancias.
Para ello, se valían de la colaboración de un laboratorio, ubicado en la provincia de Granada, donde mezclaban el producto con los excipientes necesarios que lo hacían apto para su consumo. Además, en el laboratorio se llevaba a cabo la primera fase de acondicionamiento de los medicamentos; esto es, el envasado en frascos gotero, la colocación de la correspondiente etiqueta y su introducción en las cajas con el formato diseñado por el cliente. V.- El único caso en el que estaría permitido es cuando el sujeto acredite que padece alguna de las patologías para las que están indicados terapéuticamente este tipo de sustancias.
El presente anexo enmendado ha entrado en vigor, de forma common y para España, el 1 de enero de 2020, de conformidad con lo dispuesto en el párrafo three del artículo 34 de la Convención Internacional contra el dopaje en el deporte. Los esteroides se utilizan a menudo para tratar la disfunción hipofisaria, la deficiencia de la hormona del crecimiento, los trastornos relacionados con la lenta cicatrización de los tejidos y la anemia. Sobre las potenciales víctimas, los Mossos han considerado que no detectaron problemas graves de salud en los clientes que compraron estos productos pero ha avisado de que a veces las consecuencias se pueden manifestar mucho tiempo más tarde. En España ya existen varias farmacias que operan en Internet y que incluyen una «tienda virtual», como es el caso de la Farmacia Merinero de Madrid, aunque siempre respetando la legalidad, ya que los productos que ofrecen son los de parafarmacia. En este sentido, desde este establecimiento, que lleva más de medio siglo instalado en la céntrica calle Goya, explican que los productos que ofrecen en su página son «los que se pueden encontrar en cualquier tienda, como crema de afeitar y productos de parafarmacia». En cualquier caso, utilizar derivados de la testosterona con una finalidad distinta a la terapéutica puede convertirte en adicto a los esteroides y envolverte en situaciones legalmente complicadas.
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