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• Baseline prevalence data are lacking and defining the • Medical is not the primary mechanism to connect
scope of the issue should be the initial priority; several with the user. Team dynamics and existing relation-
approaches were considered. ships with strength coaches and sports dieticians can
• Research is needed to both define performance out- be leveraged to understand the scope of the issue and
comes pertinent to SOF members, but also explore the influence behavior. However, their trust must not be
full impact of AAS use in terms of medical and psy- undermined.
chological complications/consequences, its association • Collaboration with other interested federal agencies
with traumatic brain injury (TBI) and post- traumatic (e.g. NIDA, DEA, FDA) and organizations (USADA,
stress disorder (PTSD), and its role in mission readi- NSCA, ACSM) and academic institutions is desired to
ness and welfare of SOF members. create a synergism of effort.
104 Journal of Special Operations Medicine Volume 15, Edition 3/Fall 2015

