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ARP Board Member Dr. Nick Rizzo Discusses TRT/TUEs/PEDs with NHB’s Eddie Goldman

Article by: Eddie Goldman 

Original article @

On this edition of No Holds Barred, host Eddie Goldman spoke with Dr. Nicholas Rizzo.

Dr. Rizzo is a board-certified internist, a former wrestler and wrestling coach, a ringside physician for professional boxing and MMA events, and a member of the Board of Directors of the Association of Ringside Physicians.

On January 27, 2014, the Association of Ringside Physicians issued a statement which said “the Association of Ringside Physicians supports the general elimination of therapeutic use exemptions (TUE) for testosterone replacement therapy.”

We spoke with Dr, Rizzo by phone Wednesday about this issue.

Here is the body of that statement:

“The ARP Releases a Consensus Statement on Therapeutic Use Exemptions for Testosterone Replacement Therapy in Professional Boxing and Mixed Martial Arts.

“The Association of Ringside Physicians (ARP), an international, non-profit organization dedicated to the health and safety of the boxer and mixed martial arts athlete, has released a consensus statement on therapeutic use exemptions for testosterone replacement therapy in professional combat sport athletes, as follows:

“‘The incidence of hypogonadism requiring the use of testosterone replacement therapy (TRT) in professional athletes is extraordinarily rare. Accordingly, the use of an anabolic steroid such as testosterone in a professional boxer or mixed martial artist is rarely justified. Steroid use of any type, including unmerited testosterone, significantly increases the safety and health risk to combat sports athletes and their opponents. TRT in a combat sports athlete may also create an unfair advantage contradictory to the integrity of sport. Consequently, the Association of Ringside Physicians supports the general elimination of therapeutic use exemptions (TUE) for testosterone replacement therapy.’

“For more about the ARP, visit their website at”

Besides discussing the many reasons for this position, Dr. Rizzo noted in this interview: “There’s some report that just came out that states that long-term testosterone replacement therapy may be associated with heart disease. Now, it’s a preliminary report, the jury’s still out, the concrete data’s not in. But anytime you’re introducing something artificial, you need to weigh the risks and benefits. And one of the caveats of medicine is ‘Primum non nocere,’ which is Latin for ‘First, do no harm.'”


While he is not entirely opposed to granting therapeutic use exemptions for testosterone replacement therapy, he believes that the actual number of professional athletes who require this and who would not be given an unfair advantage by this is quite small. “You can count them on one hand on a national level,” he said.

The No Holds Barred theme song is called “The Heist”, which is also available on iTunes by composer Ian Snow.

No Holds Barred is free to listen to and is sponsored by:

ONE Fighting Championship. ONE FC is Asia’s largest and most prestigious mixed martial arts event. ONE FC features the best Asian fighters and has initiated the ONE Asia Partnership Network, which includes most of the major MMA promotions and MMA gyms in Asia. For more information, go to their web site, at

American Top Team. Whether you’re a beginner or a champion, train with the champions in Brazilian Jiu-Jitsu, boxing, wrestling, grappling, and mixed martial arts at American Top Team. Check out their web site at

Thanks, Eddie Goldman

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