The Story: In February 2005 Canseco released his autobiography and steroid tell-all, Juiced , Wild Times, Rampant 'Roids, Smash Hits, and How Baseball Got Big. In it he described himself as 'the chemist' having experimented on himself for years. He claimed to have educated and personally injected many players including Mark McGwire, Rafael Palmeiro, Juan Gonzalez, Ivan Rodriguez, and Jason Giambi. In his second book, Vindicated , Canseco added Magglio Ordonez to the list of players he had educated and injected with steroids. He also said he introduced Alex Rodriguez to a trainer/PED supplier after Rodriguez had asked where he could get steroids.
Why are different strengths critical? The appropriate strength depends on many factors. For example, babies absorb topical steroids faster than adults, so they may require a low-potency steroid. Areas of the body where skin touches skin (think: armpits, rectal area, etc), as well as sensitive areas (like the skin on the eyelids), tend to absorb topical steroids more rapidly, so those regions of the body also usually require a low-potency steroid. However, thick, rough skin on the palms of the hands and the soles of the feet usually absorb topical steroids more slowly than other parts of the body, so those areas typically require a more potent steroid. Keep in mind: The greater the potency of the steroid (in other words, the lower its class number), the more likely it is to cause side effects .
Both doctors agree that because there are many different steroid creams available (and seven different categories of steroids), it's critical to visit a board-certified dermatologist instead of a primary care physician. "If a person uses too much of a steroid cream or one that's too strong for their skin, there can be complications," says Dr. Rand. "General doctors may not be aware of the specific strengths and recommendations for these products. I've also heard from patients that their pharmacists made a decision to give them a different cream based on price, and this is also a concern. Most likely, the pharmacists also aren't aware of the specifics regarding these creams. However, when used appropriately, steroid creams can be a total game changer and even help save people’s lives."