In a nutshell, hormone manipulation for gender reassignment is accepted medically, but hormone manipulation for bodybuilding is not. Why? We could spend hours dissecting the psychological and sociological factors underlying society's love-hate relationship with muscle. (Ex.: The sports anti-doping lobby has been devastatingly effective in couching consumables that promote muscle growth as an athletic cheating issue.) Yesterday, I spent the day in meetings on Capitol Hill concerning the future of prohormones as dietary supplements. (Regardless of anybody's personal feelings about the value of prohormones, the idea of making them all into controlled substances is wild overkill.) Some staffers seemed skeptical of dietary supplements in general, but were particularly opposed to any product that promoted muscle growth. The theory: "If it works, we will ban it." Some even brought up the issue of creatine, suggesting a possible investigation into it.