For youths in the first stage of drug use, where they have not yet used drugs, preventative measures are used. Therefore, limiting access to drugs, addressing any risk factors of the youth or family, as well as optimal parental supervision and expression regarding expectations is often recommended. The approach to those who have experimented with drugs is not minimized by drug treatment counselors, social workers, psychologists, psychiatrists, and other mental-health professionals, since infrequent use can progress to the more serious stages of use if not addressed. Therefore, professionals recommend that the youth be thoroughly educated about the effects and risks of drugs, receive fair but firm limits on the use of substances, and that the user be referred for brief counseling, a self-help group, and/or family support group. Teens that have progressed to the more advanced stages of drug addiction are typically treated intensively, often including inpatient drug treatment (drug rehab) and involves a combination of the medication, individual, and familial interventions already described above.
Dr. Bruce Nadler was well-known to amateur and professional bodybuilders alike in New York. He was an avid bodybuilder as well and billed himself as the “World’s Strongest Plastic Surgeon.” Nadler was known to have performed over 700 gynecomastia surgeries to correct the overdevelopment of breasts in male bodybuilders who use steroids. It is quite unusual for a physician to have a favorable view of steroid use like he did. He would say that he was his own test laboratory and felt certain that he could come up with the right combinations and dosages to avoid side effects.