Is it on first positive test in the NBA? Do you get one or two failed tests as a warning in the other leagues?
Regardless, it's silly to allow cortisone injections (common in the NFL...don't know about the other leagues) so a guy can go out and play, yet penalize steroids and the like. It's also silly to allow Lasik and the like for MLB players, given how large a factor eyesight is for batters, yet not allow other means--chemical or otherwise--of transforming the body that the good god gave you.
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