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TABLE 4

Guidance for Parents With Concerns About PES Use59 

1. Get involved 
 a. Be aware of new pressures as athletes progress through different levels of participation and competition 
 b. Emphasize the basics of hard work, pushing limits, teamwork, respect for competitors 
 c. Give options for alternative ways to achieve peak performance 
 d. Monitor any use of supplements or shakes 
 e. Do not hesitate to ask directly about supplement use 
 f. Provide a counterpoint for prodrug and prosupplement messages 
 g. Become knowledgeable about PES 
 h. Be persistent 
2. Stay connected and create a strong partnership with your child’s coach 
 a. Get to know the team rules 
 b. Keep coach informed of any pertinent issues that may be occurring in athlete’s life 
 c. Respect role of coach 
 d. Talk to coach before or after practice, avoid sensitive discussions on game days 
3. Keep lines of communication open with the athlete 
 a. Emphasize the importance of good health 
 b. Use the news as a starting point for discussions on PES use 
 c. Emphasize that there are no shortcuts to peak performance 
4. Engage health care providers if you are concerned about PES use 
 a. Call provider before check-up and request that possibility of PES use addressed during examination 
5. Know the warning signs of PES use 
 a. Rapid changes in body shape 
 b. Aggressive behavior or atypical mood swings 
 c. Extreme hair growth or acne 
 d. Excessive time in weight room 
 e. Voice changes (especially for girls) 
6. If you discover that your child is using PES 
 a. Keep lines of communication open 
 b. Seek outside help 
1. Get involved 
 a. Be aware of new pressures as athletes progress through different levels of participation and competition 
 b. Emphasize the basics of hard work, pushing limits, teamwork, respect for competitors 
 c. Give options for alternative ways to achieve peak performance 
 d. Monitor any use of supplements or shakes 
 e. Do not hesitate to ask directly about supplement use 
 f. Provide a counterpoint for prodrug and prosupplement messages 
 g. Become knowledgeable about PES 
 h. Be persistent 
2. Stay connected and create a strong partnership with your child’s coach 
 a. Get to know the team rules 
 b. Keep coach informed of any pertinent issues that may be occurring in athlete’s life 
 c. Respect role of coach 
 d. Talk to coach before or after practice, avoid sensitive discussions on game days 
3. Keep lines of communication open with the athlete 
 a. Emphasize the importance of good health 
 b. Use the news as a starting point for discussions on PES use 
 c. Emphasize that there are no shortcuts to peak performance 
4. Engage health care providers if you are concerned about PES use 
 a. Call provider before check-up and request that possibility of PES use addressed during examination 
5. Know the warning signs of PES use 
 a. Rapid changes in body shape 
 b. Aggressive behavior or atypical mood swings 
 c. Extreme hair growth or acne 
 d. Excessive time in weight room 
 e. Voice changes (especially for girls) 
6. If you discover that your child is using PES 
 a. Keep lines of communication open 
 b. Seek outside help 
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