subject to withdrawal symptoms, which may include fatigue, personality changes, and an inability to perform workouts. Other Potentially Ergolytic Ergogenics •^
Erythropoetin (EPO).Sure, this blood-augmenting hormone canimprove human performance. However, disability or death due to thickening of the blood and blood clots, causing stroke or heart attack, will slow you down in a hurry.-^
Anti-inflammatories.Although many athletes find that a coupletablets of aspirin or ibuprofen (Advil, Motrin) can be helpful before a ride, occasional side effects are a potential problem. A possible worsening of performance has been reported in a minority of studies.-^
Phosphate sodium.This substance is one of the few that has beenshown to improve performance in many studies. However, gastrointestinal side effects, including cramping and fluid retention due to the sodium component, can worsen performance too.-^
Bicarbonate.Lactate buffering with bicarbonate of soda hasbeen practiced for years. However, many athletes suffer cramping and diarrhea, which may make performing even a 1-minute kilometer bicycle race impossible.Vitamin & Mineral
Supplements
North American and European athletes tend to have relatively
few nutritional deficiencies compared with Third World athletes, who often have major nutritional intake deficiencies.Most endurance aerobic athletes eat more than their sedentary
counterparts do. Increased vitamin and mineral needs are generally met by this increased caloric intake. However, carbohydrate needs are often suboptimal.If you eat a balanced diet, the usual advice is that you do not
need any extra vitamins.Not all of us eat a varied and optimally healthful diet. Sometimesit is because we are too busy and rely on fast food. Sometimes it is because we have food intolerances; for example, lactose intolerance of milk products. Sometimes it is because we choose to avoid foods because of religious or other beliefs; for example, we are vegetarian. Sometimes it is because we are fussy or odd eaters; for example, we hate vegetables or we prefer to eat Cheerios three times a day. Sometimes it is because we starve ourselves to keep thin.Supplements can help optimize health and athletic performance
in those whose diets are imperfect.A general multivitamin, costing about a dime a day, may be used
as insurance. Anything additional is generally a waste of money.Side effects from high doses do exist. For example, most
multivitamin supplements now carry the warning: “Long-term intake of high levels of vitamin A (other than from beta carotene) mayweaken the bones in older adults. Consult your physician before taking another vitamin A-containingsupplement with this product.”Some vitamins taken in excess worsen performance.Nutrition for Sports, Essentials of 126