Pan-Hypopituitarism and Legal Doping

[Skeletor]

I have sent this to many Max advice lines and on line trainers and no one will answer my questions. Can someone out there help me with these questions. Thank from a MGySgt USMC Ret. Skeletor


I have Autoimmune Hypophysitis/2nd Pan-Hypopituitarism and take the following drugs for it:
Calcium/Vit D and iron daily, Fludrocortisones .1mg 3 x week, Hydrocortisone 30mg daily, Levothyroxine .250mg daily, Testosterone 110mg once a week, and Melatonin nightly. I am a 56 year old with over 25 years in the USMC (MGySgt) and I retired with 100% disability and go to the V.A. for treatment. The V. A. doctors do not know what to do with a fit disable Vet, they are use to treating obese unfit Vets (the truth hurts). My other problem is no cycling coach/trainer knows how to handle my illness too, or do not want to get near me with a ten foot pole.

I have some other medical problems you might need to know: Over 10 TBI's with frontal lobe damage, same headache since 1995, one up on Lance, Interstitial Cystitis (autoimmune, very painful), on my 3rd PE with DVT (autoimmune), three types of cancers, Testicular TB, Fibromyalgia, Reflux disorder, Two kidney stones operations, and Chronic pain (some 23 operations too).

I was a very good road racer and won the winter bicycler league out of Athens, GA. I am still only a Cat-4 due to every time I am about to upgrade, I get ill again or have to have another operation which puts my upgrade on hold for the next year. I have started to do long distance cycling of late (randonneurs) and was doing very well. I recently had to stop outside riding after a 400K ride earlier this year due to my chronic pain.

My question is: How many extra hormones do I take on the longer rides. Do I take more Levothyroxine on cold mornings? How much extra cortisone do I take the longer I ride, 5, 12, 24, 90 hours?
2nd questions: With my chronic pain I cannot train every day or the days I would like due to my pain, can I work around this?

Thanks

 

[brianf7]

The best way to find out is ask WADA or your Anti doping body for your country.

To get a TUE for them drugs youn will need a Endocrinologist report and reports from all your Doctors.

Its not garaunteed you will get a TUE but if it is not granted you can claim discrimination because you are taking a drug for illness or dissability.

You wont be tested at masters level unless you break a record or something

Masters dont need to have a TUE in Advance you can get a retrospective TUE if you are ever tested.

WADA dont care about club racing they only interested in National Competition and world masters etc.

They are not alowed to test at a club race unless they are invited by a sponsor and the sponsor pays for testing its very expencive.

Sugest you may be taking too many pills some counter others see a specialist and sort out your meds

Unless you realy need a TUE it is best not to apply because applying is admiting the use of banned substance. Apply only if you are tested.

Good luck.

 

[bjbjbj]

General advice from an MD who doesn't know the details of your case:

You are on a relatively high does of hydrocortisone replacement. In the UK we usually use 10+5+5 = 20mg per day. However assuming this is the appropriate dose for you on the basis of a hydrocortisone day curve or equivalent (I'm also presuming the higher dose isn't intended to be anti-inflammatory for your other autoimmune conditions), the usual advice is an extra 5mg hydrocortisone before strenuous exercise. Exceptionally you may need to take 10mg. If you will sweat a lot (salt + water loss) you should take extra fludrocortisone, for example an extra 0.1mg. There should be no need for extra thyroxine if you are already adequately replaced. I am not sure if any of this will affect your chronic pain.

Your endocrinologist should be able to give you advice specific to you.

 

[Skeletor]

Thanks for your info, I take extra 30mg of hydrocortison due to my Interstitial Cystitis. If I only take 15mg the pain fron the IC get worse.