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In the 1970s, bodybuilding had major publicity thanks to the appearance of Arnold Schwarzenegger , Franco Columbu , Lou Ferrigno , and others in the 1977 docudrama Pumping Iron . By this time, the IFBB dominated the competitive bodybuilding landscape and the Amateur Athletic Union (AAU) took a back seat. The National Physique Committee (NPC) was formed in 1981 by Jim Manion , [7] who had just stepped down as chairman of the AAU Physique Committee. The NPC has gone on to become the most successful bodybuilding organization in America, and is the amateur division of the IFBB. The late 1980s and early 1990s saw the decline of AAU-sponsored bodybuilding contests. In 1999, the AAU voted to discontinue its bodybuilding events.

Side Effects. No studies have specifically investigated the effect of insulin use by nondiabetics for the purpose of increasing muscle mass. However, bodybuilders have used short-acting insulin with high-carbohydrate and high-protein diets to promote muscle growth, and a few case studies have reported negative consequences (Evans & Lynch 2003; Konrad et al. 1998; Dawson & Harrison 1997; Reverter et al. 1994). The primary side effect of insulin use by nondiabetics is hypoglycemia. While this condition is preventable and treatable, most individuals use insulin in secrecy and are discovered only when they are found by friends or family in a state of unconsciousness induced by hypoglycemia. Coma, convulsions and death have been reported in some cases (Evans & Lynch 2003; Konrad et al. 1998; Dawson & Harrison 1997; Reverter et al. 1994).

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