The Real Cost of Doping: When the Body and Mind Pay the Price

Some physical signs that may raise suspicion of doping in athletes can include noticeable changes in appearance and behavior rather than performance alone.

• Teeth and jaw changes: excessive teeth grinding (bruxism) that can lead to visibly shortened, flattened, or chipped teeth, jaw tension, and frequent headaches.

• Facial changes: puffy or bloated face, sometimes linked to fluid retention, hormonal imbalance, or corticosteroid/steroid use.

• Skin changes: oily skin or sudden changes in skin texture, especially in areas not previously affected.

• Body composition shifts: unusually rapid muscle gain or sudden changes in physique that don’t match training history.

• Hair changes: accelerated hair loss or, conversely, increased body or facial hair due to hormonal disruption.

• Behavioral and neurological signs: persistent restlessness, irritability, mood swings, anxiety, or sleep disturbances.