An alarming problem in our community today is the mistreat of performance enhancing substances by high school athletes. These substances are available over the counter. Performance enhancing substances include dietary supplements, prescription medications and illicit drugs. These substances are not regulated by the Food and Drug Administration (FDA) and are widely available. Today, high school athletes and teenagers who exercise and want to get in shape are using these supplements because they believe that these substances will enhance their athletic skills and improve their performance. A recent study released by Blue Cross and Blue Shield Association revealed that as many as 1.1 million youths ages 12 to 17 have taken performance enhancing substances. This is a 10 percent increase from a similar study performed two years earlier. In 1999, Americans spent an estimated $1.4 billion on supplements hoping that they can compete more effectively. In America there are over 5000 different supplements. The top five include Optimum 100% Whey Protein, BSN NO-Xplode, Nutrex Lipo 6, BSN CellMass and CytoSport Muscle Milk.