There was some controversy surrounding "Up the Down Steroid" and the 2005 film The Ringer , as both feature the same plot: someone pretending to be disabled in order to compete in the Special Olympics.  The Ringer was written and filmed months before this episode was aired, although, The Ringer was not released to the public until after this episode aired. According to the episode's DVD audio commentary, series co-creators Trey Parker and Matt Stone did not think that they ripped off South Park , since the idea to them did not seem hard to come up with, and they did not even think it was big enough for a twenty-minute episode let alone a two-hour film.  In the opening scene, the boys are playing the same "Investigative Reports with Bill Kurtis " funtime game as they did in the season two episode " Cartman Joins NAMBLA ". 
The side effects of Halotestin include natural testosterone suppression, and it will be extreme. However, the reason for suppression is a bit of a mystery with this steroid due to an inconsistent suppression of gonadotropins. Despite this fact, it will suppress natural testosterone production significantly, making the inclusion of exogenous testosterone necessary for most men. Those who do not include exogenous testosterone therapy will fall into a low testosterone condition. This will occur regardless of genetic superiority and can come with a host of bothersome symptoms. Regardless of the severity of symptoms, low testosterone is an extremely unhealthy state. Those who include exogenous testosterone will avoid this low level outcome. The form of testosterone you choose is inconsequential. All that matters is that you provide your body with what it needs.
Once the use of Halotestin comes to an end and all exogenous steroidal hormones have cleared the system, natural testosterone production will begin again. Natural recovery assumes no prior low level condition. It further assumes no damage was done to the Hypothalamic-Pituitary-Testicular-Axis (HPTA) due to improper steroid use . While production will begin on its own, levels will not return to normal for several months. For this reason, the implementation of a Post Cycle Therapy (PCT) program is often recommended. This will greatly stimulate natural testosterone production, and ensure you have adequate amounts of testosterone for proper bodily function. It will not return you to normal on its own, this will still take several months, but it will speed up the process and ensure a much smoother recovery.
I had three injections all of which worked for a few days to two weeks then stopped. The excruciating pain returned and only Vicoden 5 mg 3-4 times a day controlled the pain. Vicoden at that dose is the lowest dose prescribed. it worked perfectly for several years and doctors refused to prescribed opioids for fear of losing their license. My sister recently died of throat cancer and she complained constantly of pain. She died with unrelieved pain. As a cancer patient she was prescribed Morphine 2 mg. every 6 hours. That is beyond ridiculous but keeps our doctor’s license safe. Our doctors are violating their Hippocratic oath – Do No Harm. They had added a caveat “except when the government is breathing down your neck. Then the patient be damned. I am glad this helped you Randy. I don’t know your clinical status but I am sure it differs from mine. Do you have severe and crippling arthritis?