The Nevada State Athletic Commission’s decision to eliminate TRT includes huge inconsistencies in NSAC actions in current testing protocols. NSAC's vote to eliminate Testosterone Replacement Therapy (TRT) from combat sports is a game changer in the state of Nevada. Yet, the battle is not over for a drug-free sport, it is not even over for those who want a TRT-free sport.
It is not easy to catch users of of synthetic testosterone. When fighters know they will be tested they have ways around coming out positive. Especially if they know when they will be tested. NSAC tests only for testosterone-to-epitestosterone ratio.
Fighters who use TRT the same week of testing will be caught. But if you want to catch the fighters who used TRT throughout training camp and slowly tapered off before their fight, a second carbon isotope ratio test will be required. NSAC does not generally administer this test.
The Nevada "Enhanced Drug Testing" done by NSAC does not detect if the testosterone in a fighter's body is synthetic or natural. Without this test the use of TRT for a fight in Nevada will not be an issue.
Mixed Martial Arts
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