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Appendix D: Case Studies
Pages 420-426

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From page 420...
... DHEA is a steroid compound that is also popular in the civilian population because of its alleged effect in increasing muscle mass and enhancing physical performance. It is no surprise then that, performance enhancement being one of the main reasons military personnel cite for taking dietary supplements, DHEA has become popular among military members.
From page 421...
... Based on Table 4-2 and the findings from literature reviews, the committee agrees that there is a low level of benefit to be gained by military personnel from using DHEA. Reviews highlighted adverse ­ androgenizing effects experienced by women, and other minor effects such as facial acne or increased sebum production; there was no adverse effect identified that would decrease the readiness of military personnel.
From page 422...
... that might provide similar desired effects; – nforming military health care providers, fitness trainers and ther i apists, registered dietitians, nutritionists, commanders, and other educators about the risks and benefits of using DHEA and recommend alternative products or foods; and – onitoring use and potential adverse effects among military m personnel. THE CASE OF EPHEDRA: DECISIONS FOR ACTION Ephedra (Ephedra sinica Stapf and other ephedrine-containing ­ phedra species)
From page 423...
... With only moderate potential for benefits and the high level of concern, this committee supports the current ban on ephedra use. Military leadership might decide to take the following actions on ephedra and its alkaloids, particularly directed toward popula   The TTCP panel is an international panel of military scientists whose mission is to conduct research, share information, and write papers on performance-enhancing treatments for potential operational use.
From page 424...
... or strategies (modification of resistance training regime, increase of energy intake) that might provide similar desired effects; – nforming military health care providers, fitness trainers and i therapists, registered dietitians, nutritionists, commanders, and other educators about the risks and benefits of using ephedra and its alkaloids and recommend alternative products or foods; and – onitoring use and potential associated adverse effects among m military personnel.
From page 425...
... Given the moderate concern and moderate potential for benefits of exogenous melatonin, the military leadership could initiate the following activities: • Follow up with the scientific community conducting research on the effects of melatonin for sleep and circadian reentrainment during operations in environments inconducive to sleep, to determine if melatonin has advantages over sedative-hypnotics that have carryover effects on performance. • Develop an outreach strategy to educate military members, military health care providers, fitness trainers and therapists, registered dietitians, nutritionists, and commanders about the potential interaction of melatonin with sedative-hypnotic medications and the potential for increased heat loss.
From page 426...
... Institute of Medicine Committee on Dietary Supplement Use by Military Person nel meeting, Washington, DC, February 13. Morales, A


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