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Ultimately an athlete may pay a high price for the fame and fortune that comes with winning a medal through substance abuse. A lifetime of health problems can result, from acne and depression to infertility and cardiovascular disease. In a 1995 poll of 198 elite athletes, Chicago physician Bob Goldman discovered that more than half said they would take a banned drug if they were assured of not getting caught and could win their competitions for five years, even if they then died from the adverse effects of the drug. Says Anawalt, “We are talking about a group of people who are willing to do absolutely anything to win a medal.”

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