Clinical Insights on Emerging Misuse of Performance and Image Enhancing Drugs

Friday, April 24, 2026

3:15 PM - 4:30 PM PT

Location: Harbor D-F, Level 2

Presenter(s)

Timothy J. Wiegand, MD, DFACMT, FAACT, DFASAM

Director of Medicine, Toxicology and Addiction Consulting PLLC and CMO Toxicology Consults
Medicine Toxicology & Addiction Consulting PLLC
University of Rochester School of Medicine & Dentistry
Rochester, New York

Slides
Jeffrey Brent, MD, PhD,

Distinguished Clinical Professor
University of Colorado
Aurora, Colorado
Stephanie T. Weiss, MD, PhD, FASAM, FAACT

Staff Research Physician
NIDA/NIH
National Institute on Drug Abuse Intramural Research Program
Baltimore, Maryland
Jason Kirby, DO, MBA, DFASAM

Chief Medical Officer
Recovery Centers of America
Sewickley, Pennsylvania
Stephen M. Taylor, MD, MPH, DFAPA, DFASAM

Chief Medical Officer
Pathway Healthcare Services, LLC
Jonesboro, Georgia

This interactive workshop explores the expanding use of Performance and Image Enhancing Drugs (PIEDs)—from peptides and testosterone to GLP-1 agonists—across athletic, wellness, and anti-aging settings. Participants will review pharmacologic mechanisms, psychosocial drivers, and addiction parallels, applying DEI principles to understand gender, cultural, and socioeconomic influences on access and stigma. Through case-based discussion and polling, clinicians will gain practical strategies for screening, counseling, and managing patients engaged in PIED use within diverse clinical contexts.

Learning Objectives:

Learners will be able to:

Describe the major classes, mechanisms, and health risks of commonly used Performance and Image Enhancing Drugs (PIEDs).
Identify psychosocial and behavioral factors—such as body image, gender norms, and cultural influences—that contribute to PIED misuse and related health disparities.
Apply evidence-based and culturally responsive strategies for screening, counseling, and managing patients who use PIEDs in both athletic and non-athletic settings.

Disclosure(s):

Timothy J. Wiegand, MD, DFACMT, FAACT, DFASAM: No financial relationships to disclose

Jeffrey Brent, MD, PhD,: No financial relationships to disclose

Stephanie T. Weiss, MD, PhD, FASAM, FAACT: No financial relationships to disclose

Stephen M. Taylor, MD, MPH, DFAPA, DFASAM: No financial relationships to disclose