With the fall school sports season in full swing, pediatricians should take time to screen and counsel the growing number of children turning to drugs and supplements in hopes of enhancing their athletic performance.

At grocery and drugstores, gyms, gas stations, even athletic events, children readily can obtain such products as:

• creatine;

• testosterone boosters, like DHEA, androstenedione, Tribulus terrestris, chrysin;

• insulin mimickers like vanadyl sulfate, chromium, lipoic acid; and

• CLA (conjugated lineoleic acid), protein supplements, amino acids, HMB, I-carnitine, L-tryptophan, human growth hormone.

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