N.J. doctor supplied steroids to hundreds of lawenforcement officers, firefighters

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Gallery: N.J. law enforcement, firefighters use steroids - Strong at Any Cost (gallery)

On a rainy August morning in 2007, the news rippled through New Jersey’s law enforcementranks, officer to officer, department to department.

Joseph Colao was dead.

The 45-year-old physician had collapsed in his Jersey City apartment, the victim of heartfailure.

Within hours, officers were calling the Hudson County public safety complex.

"Is it true?" they asked, recalled Detective Sgt. Ken Kolich, who’d drawn the routine assignmentto look into the death. "Did Dr. Colao die?"

Kolich didn’t suspect foul play, but he found it odd — and a little disturbing — that so manyofficers were interested in the fate of a man with no official ties to any police agency.

Today, it’s clear Colao was more than just a doctor, friend or confidant to many of the officers.

He was their supplier.

A seven-month Star-Ledger investigation drawing on prescription records, court documentsand detailed interviews with the physician’s employees shows Colao ran a thriving illegal drugenterprise that supplied anabolic steroids and human growth hormone to hundreds of lawenforcement officers and firefighters throughout New Jersey.

From a seemingly above-board practice in Jersey City, Colao frequently broke the law and hisown oath by faking medical diagnoses to justify his prescriptions for the drugs, theinvestigation shows.

Many of the officers and firefighters willingly took part in the ruse, finding Colao provided aneasy way to obtain tightly regulated substances that are illegal without a valid prescription, theinvestigation found.

Others were persuaded by the physician’s polished sales pitch, one that glossed over the risksand legal realities, the newspaper found. A small percentage may have legitimately needed thedrugs to treat uncommon medical conditions.

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In most cases, if not all, they used their government health plans to pay for the substances.Evidence gathered by The Star-Ledger suggests the total cost to taxpayers reaches into themillions of dollars.

In just over a year, records show, at least 248 officers and firefighters from 53 agencies usedColao’s fraudulent practice to obtain muscle-building drugs, some of which have been linked toincreased aggression, confusion and reckless behavior.

Six of those patients — four police officers and two corrections officers — were named inlawsuits alleging excessive force or civil rights violations around the time they received drugsfrom him or shortly afterward.

Others have been arrested, fired or suspended for off-duty infractions that include allegationsof assault, domestic abuse, harassment and drug possession. One patient was left nearlyparalyzed after suffering a stroke his doctor attributed to growth hormone prescribed by Colao.

For many in the physician’s care, use of the drugs apparently didn’t end with Colao’s death.

They instead sought other doctors who specialize in prescribing growth hormone ortestosterone, an anabolic steroid, according to patients, legal documents and the doctorsthemselves. The physicians have not been accused of wrongdoing.

Attorney General Paula Dow, New Jersey’s top law enforcement official, called thenewspaper’s findings "disturbing" on a number of levels and said the issue should becollectively examined by state officials, prosecutors and police chiefs.

"If it’s shown that these law enforcement officers are getting steroids and human growthhormone through illegal manners, and specifically through false prescriptions, that’s a violationof the law," Dow said. "It’s a fraud on the system, and it’s something that should be stopped."

While questions have been raised about some of Colao’s patients, many have been recognizedfor acts of heroism. Some have taken killers, carjackers and armed robbers off the streets.They have confiscated millions of dollars worth of illegal drugs intended for New Jerseyneighborhoods. One talked a man out of committing suicide. Another saved the life of achoking infant.

In Colao, they found a doctor whose methods were simple and lucrative. Employees in hisinner circle say he created bogus diagnoses for low testosterone levels or adult growthhormone deficiency, a condition that affects just one in 100,000 people, according to theAmerican Association of Clinical Endocrinologists.

"If you had 100,000 police officers come in, you’d get one," said Oregon physician David Cook,a spokesman for the endocrinologists group. "Obviously, he was doing it unscrupulously."

Legitimate diagnoses of testosterone deficiency are likewise far less common than Colao’spractice would suggest. About 2 percent of men in their mid-30s have a bona fide deficiency,Cook said. The officers and firefighters identified by The Star-Ledger had a median age of 35

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when they obtained the substances.

University of Texas professor John Hoberman, who has studied doping in and out of sports fora quarter-century, called The Star-Ledger’s findings "extraordinary and unprecedentedevidence" of a national problem that has been "systematically ignored" for more than twodecades.

"The use of performance-enhancers among first-responders has been a tabooed topic since itfirst came to light during the 1980s," Hoberman said. "This should shock the public as well asthe public officials who will now have to take a stand on the widespread doping of publicservice professionals who carry guns and save lives."

Photos courtesy of Bayonne Medical Center/Leon Colao Jersey City physician Joseph Colao.The picture at left is from 1997. The photo at right was taken in 2005. A survivor of triple-bypass surgery, Colao underwent a transformation. His new body: tanned, toned and muscled.In 2007, Colao died of hardening of the arteries at age 45.

Transformation

Gladys Nieves remembers when Joseph Colao could barely pay the bills.

Colao’s pain-management practice was foundering, and it seemed the doctor was, too. He hadundergone triple bypass surgery at age 38. He was overweight and relied on a daily cocktail ofmedications to treat heart problems and keep his blood pressure and cholesterol in check,said Nieves, Colao’s patient coordinator from the late 1990s until his death.

Those were the hard times, before the wait for an appointment stretched to months. BeforeColao, suddenly flush with cash, shelled out for $2,000 dinners in Manhattan and shoppingsprees at Neiman Marcus, Chanel and Coach. Before he became a crusader for hormones.

Victor Biancamano, Colao’s former office manager, said it was about six years ago whenColao flew to Las Vegas for a crash course in hormone replacement therapy, a stapletreatment of the anti-aging movement.

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The new tools of his trade: testosterone, the primary male sex hormone, delivered in creams orthrough a needle; stanozolol, the steroid that cost Olympic sprinter Ben Johnson his goldmedal in 1988; and HCG, or human chorionic gonadotropin. Though not a steroid, HCG is oftentaken with steroids or at the end of a steroid cycle to kick-start the body’s production oftestosterone.

Human growth hormone, commonly known as HGH, joined the list of Colao’s favored drugsdespite the restrictions on its use.

The anabolic steroids Colao worked with have far different functions than the class ofsubstances found in many commonly prescribed products. Corticosteroids, for instance, areanti-inflammatories used to treat a host of medical conditions, including asthma, arthritis,allergies and cancer.

For Colao, who studied at the University of Medicine and Dentistry of New Jersey, the move tohormones and steroids marked a change from the physical therapy track he took after hisgraduation in 1992. But the new focus seemed to agree with him.

To Nieves, now a 42-year-old single mother, the transformation was stunning. It wasn’t just theincreased business. Colao himself had changed. Trim and tanned, with muscle filling out hisframe, the doctor looked every bit the anti-aging miracle man.

Along with the new focus came an important new relationship.

Tim Farrell/The Star-LedgerLowen's Compounding Pharmacy in Bay Bridge, Brooklyn, becamea mass producer of anabolic steroids and growth hormone several years ago. Jersey physicianJoseph Colao directed patients to fill their prescriptions there in exchange for kickbacks ofgrowth hormone given to the doctor, investigators say. The pharmacy is now under newownership.Representatives of Lowen’s Pharmacy, a neighborhood drugstore in the Bay Ridge section ofBrooklyn, were shopping for doctors who could help them expand by moving huge quantitiesof steroids and growth hormone illegally imported from China, said Mark Haskins, who

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investigated the pharmacy for the New York State Bureau of Narcotic Enforcement, a divisionof the health department.

"Without a doctor, you can’t peddle the stuff," said Haskins, who retired from the agency afterhelping secure an indictment against Lowen’s. "You only need one doctor, and you’re golden."

Colao became that doctor.

The physician steered clients to Lowen’s, and the pharmacy sent Colao boxes of HGH as akickback, Haskins said. The more product Colao pushed, the more he received off the books.And the more he received, the more he could sell for cash, Haskins said.

"Dr. Colao sold drugs," Haskins said. "Lowen’s sold drugs. There was no doctor-patientrelationship here."

Nieves and Erika Lehar, the office’s blood specialist, said the HGH sales took place after hoursor during lunch, when few people were in the waiting room. Colao directed Nieves to handlethe smaller HGH purchases, or those under $1,000, she said.

"Doc would just give me the medicine in the box, and he would say so-and-so is coming to pickthis up," Nieves said.

Larger sales were handled by Biancamano, the former office manager, according to Nievesand Lehar.

"I would see boxes on the floor and him getting stuff out of the box," Lehar said. "It was like atransaction. They paid cash. I would see them counting money. Some would be patients, andsome would be Victor’s friends."

Biancamano, 36, who left Colao’s practice shortly before the doctor’s death, deniedinvolvement in HGH sales or in any aspect of the physician’s hormone business, saying Nievesoversaw all patients and transactions.

"He never even taught me the business when it came to hormones," Biancamano said. "Himand Gladys handled everything. People have nothing else better to do than make up stories."

A Growing Clientele

From the squad rooms and firehouses of Hudson County, word of Colao’s reputation radiatedout, town by town, county by county.

It was around 2005 when the first law enforcement officers and firefighters came to Colao forsteroids, employees and patients said. Each month brought new faces from new departments.By early 2007, the office had become "a hangout for cops and firefighters," Nieves said.

Eight officers came from the Edison Police Department, seven from Paterson. Six moretraveled from Franklin Township in Somerset County, Colao’s prescription records fromLowen’s Pharmacy show.

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There were sheriff’s officers and corrections officers from Bergen, Essex, Passaic and Oceancounties. Other clients included a dozen NJ Transit police officers, at least three state troopersand 16 state corrections officers working in seven prisons.

Distance wasn’t an obstacle.

Police officers made the trek to Jersey City from Eatontown, Deal, Asbury Park andBedminster. One corrections officer, assigned to Southern State Correctional Facility inCumberland County, lived more than 100 miles away.

There were patrolmen and deputy chiefs, detectives and union representatives. Two patientscounseled students against drug use through the Drug Abuse Resistance Education program,which lists anabolic steroids on its national website as "one of the most dangerous categoriesof performance-enhancing drugs."

Another works in internal affairs, policing other officers’ behavior. Six of those who receivedsteroids through Lowen’s were women.

Nieves said the medical practice’s swift growth came without the benefit of advertising. Colaodidn’t believe in it.

"I remember someone asking Colao, ‘How do you get so many patients?’ " Nieves said. "Hewould look at me, give me a smile and say, ‘All word of mouth. I don’t have to do a thing.’ "

Residents of Hudson County formed the backbone of the practice, prescription records show.At least 40 Jersey City police officers and 27 city firefighters received hormones from Colao.Smaller numbers of officers came from Bayonne, Hoboken and Union City. Fourteen moreofficers represented the county sheriff’s and corrections departments.

At the time of their treatment, the officers and firefighters ranged in age from 23 to 59, withalmost three-quarters under 40.

To medical experts interviewed by The Star-Ledger , the clearest indication of something amissin Colao’s practice is the number of young officers and firefighters — men still in their physicalprime — who obtained steroids from him.

More than three dozen of the 248 identified by the newspaper were in their mid- to late 20s atthe time, and dozens more were in their early to mid-30s.

Jersey City officer Michael Stise was 26 when he filled the first of seven prescriptions fortestosterone and HCG in March 2007, according to the pharmacy’s records and a brutalitylawsuit later filed against him and another officer.

Stise did not respond to requests for comment, and a lawyer representing him in the lawsuitdid not return phone calls.

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For dozens of patients, records show, Colao served up steroid cocktails, combiningtestosterone, HCG and stanozolol, the generic name for Winstrol, a drug popular with athletesand bodybuilders.

Greg Pallante/NorthJersey.comRafael Galan, an officer in the Passaic County Sheriff'sDepartment, filled prescriptions for anabolic steroids from Jersey City physician Joseph Colao.Galan, shown posing in 2006 for a calendar shoot, faced a criminal charge of officialmisconduct for allegedly tipping off the subject of a drug investigation. The charge wasdropped, and he was reinstated earlier this year, according to Bill Maer, the department'sspokesman.In the parlance of performance-enhancing drugs, it’s known as stacking.

Between October 2006 and July 2007, the month before Colao’s death, Jersey City officerBrian McGovern filled 20 prescriptions for stanozolol, testosterone, human growth hormone,HCG and nandrolone, according to the pharmacy records and legal documents.

Nandrolone is one of three steroids former major league pitcher Roger Clemens is alleged tohave used.

McGovern, 40, was charged with misdemeanor assault and suspended for seven days aftergetting into a fight in Point Pleasant Beach in May 2009. He did not return calls for comment.

At least one of Colao’s patients is a competitive bodybuilder. Passaic County sheriff’sDetective Rafael Galan, 39, won the Mr. New Jersey middleweight bodybuilding title in 2006.

Galan has had a tumultuous tenure in Passaic County. In 2004, he was one of several sheriff’sofficers ordered to undergo testing for steroids, according to a news account at the time. Helater sued the department, claiming the tests were ordered illegally. The results were not madepublic.

Last year, he was criminally charged with official misconduct for allegedly tipping off a drugdealer to an investigation.

The Passaic County Prosecutor’s Office dropped the case with little explanation in April.7/24

Galan returned to the department in July. He did not respond to requests for comment.Records show Lowen’s sent him testosterone and HCG in January 2007.

Courtesy of Leon ColaoJersey City physician Joseph Colao, shown here in 2005, evangelizedfor the hormones and steroids he prescribed. A survivor of triple-bypass surgery, Colaounderwent a transformation. His new body: tanned, toned and muscled. In 2007, Colao died ofhardening of the arteries at age 45.That same year, he would appear shirtless in a beefcake calendar sold under the nameCalendar Cops and produced for charity by the publisher of NJ COPS, a monthly lawenforcement magazine.

The Pitchman

He spoke with the fervor of an evangelist, salting his pitch with first-person details.

In the exam rooms of his Jersey City office, Joseph Colao told patients hormones hadchanged his life, according to employees and several officers and firefighters who werepatients.

Growth hormone, he said, was as close to the "fountain of youth" as a drug could get. And if itwas sexual prowess you wanted, testosterone was just the thing.

Among some two dozen patients who spoke to The Star-Ledger about Colao, not one couldrecall him discussing the serious health problems that can result from the drugs. Thoseproblems include liver damage, prostate enlargement and an increased risk of heart attack andstroke.

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It didn’t matter if patients’ blood work showed their hormone levels in the normal range. Colaoprescribed the drugs anyway, said Nieves, his patient coordinator, and Lehar, the office’s bloodspecialist.

"His mentality was to get them to the max, the highest," Nieves said.

Colao’s younger brother, Leon Colao, disputes Nieves’ characterization, saying that in theseveral years he worked as his brother’s office manager, he never saw Colao push a drug thatwasn’t medically necessary. Leon Colao left the practice in 2005, returning to work thereshortly before his brother’s death.

"My brother worked a very long time to get his medical license," said Leon Colao, 32. "Hewouldn’t jeopardize that for anything in the world."

As the practice grew, Nieves said, Colao upgraded security, installing video cameras and alocking system that required patients to be buzzed in.

Nieves wondered if Colao just wanted the place to feel more professional, but she’d alsonoticed an increase in the number of unruly patients. More of them seemed to be edgy orquick to lose their temper, she said.

One incident still frightens her.

Tim Farrell/The Star-LedgerPhysician Joseph Colao owned the Lincoln Park Wellness Center,located on John F. Kennedy Boulevard in Jersey City. Colao's office, which boomed when hestarted prescribing anabolic steroids and hormones, was vacated after his death in 2007.It was a gray day, near dusk. As Nieves left Colao’s basement office, a Jersey City policeofficer greeted her.

He’d been waiting in his patrol car, as if on a stakeout. When he spotted Nieves, he climbedfrom the driver’s seat and confronted her.

"Where’s doc?" he barked.9/24

The officer, who’d been taking HCG and a high dose of injectable testosterone, wanted hisdrugs immediately, Nieves said.

She told him Colao wasn’t in the office. Then she hurried away.

"He abused the medicine," Nieves said. "He was scary."

The Star-Ledger confirmed the officer’s identity and prescriptions but is withholding his nameat the request of Nieves, who said she fears retaliation.

The changing practice was confusing, even alarming, to Nieves. She didn’t get many answersfrom Colao.

"He told me, ‘The less you know, the better.’ He kept stuff from me," she said. "He was over hishead. But the money motivated him."

Lehar, the office’s blood specialist, 35, likewise suspected there was more to her employer’spractice than Colao wanted anyone to know.

"There was a lot of mystery in there," she said.

Some patients, for instance, bypassed the typical appointment process. Those were the"important people" — athletes, bodybuilders and high-profile officials — who didn’t want to beseen or leave a paper trail, Lehar said.

"They would hide them," she said. "They would come in late, through the back door, so no onecould see these characters coming into the office."

Looking back, Lehar said, she should have realized Colao was breaking medical protocol, if notthe law. Today, that idea haunts her. What if someone had died, she wonders. What if she hadgotten in trouble?

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Reena Rose Sibayan/The Jersey JournalJersey City police officer Victor Vargas, shown duringa court appearance in 2008, was named in a lawsuit alleging a case of "roid rage." Vargasreceived anabolic steroids and growth hormone from Jersey City physician Joseph Colao,records show. The case went to binding arbitration in October.Nieves maintains a softer view of Colao. Despite her concerns about what went on, she said,she believes the physician cared about his patients and wanted to help them, howeverunorthodox his methods.

"He was a good man," she said.

Allegations of Violence

The man on the stoop looked "wild-eyed."

Mathias Bolton stood inside the vestibule of his Jersey City apartment building, trying todecide what to do.

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Moments earlier, after hearing footsteps and bangs on his roof, he had called police to reporta possible break-in. Then he had rushed down the stairs to let the officers in. Bolton hadexpected to find a uniformed officer when he opened the door on that August night in 2007.

Instead he saw a man in street clothes, with no badge visible, shouting at him, he claims in alawsuit against the Jersey City Police Department.

"He looks very nervous and wild-eyed and looks like ... to me he looks like a thug," Bolton saidin a deposition last year. "And he yells at me, ‘Did you call the police? Did you call the police?’And I’m hearing the sirens coming, and I — at that point — I’m just terrified. I just let the guys inwho were on the roof."

The man on the stoop wasn’t a burglar. He was Jersey City officer Victor Vargas, whose use ofsteroids would come to play a central role in Bolton’s lawsuit against the city.

During the suit’s discovery phase, Bolton’s lawyers learned Vargas, now 33, was one of twoofficers on the scene that night to have received steroids or growth hormone from Colao. Theother is Stise, the officer who was just 26 when Lowen’s sent him drugs.

Between January and August 2007, Vargas filled 11 prescriptions for HCG, testosteroneand growth hormone through Lowen’s and a local Walgreens, the lawsuit states.

Bolton claims Vargas never identified himself as a police officer and, in a steroid-induced rage,sent him sprawling with a punch to the face.

"I grab onto the railing and this guy — it turns out to be Victor Vargas — and he’s pounding melike a bear, like over and over," Bolton, 37, said in his deposition.

Bolton contends Vargas then tossed him down the stairs to the sidewalk, where other arrivingofficers, including Stise, continued to beat him.

"Mr. Bolton’s description of the sudden and violent behavior he allegedly encountered with thecity police officer Vargas, if true, is consistent with a manifestation of the aggressiveness thatis known to occur with anabolic steroids," wrote Gary Wadler, Bolton’s steroids expert.

The officers provide a markedly different account of the incident in legal papers, saying Vargasand others on the scene clearly identified themselves, repeatedly ordered Bolton to stopresisting and acted with restraint in subduing a man they claimed was punching and kickingthem.

Bolton was charged with resisting arrest and aggravated assault on a police officer. Thecounts were later dropped.

Thomas Jardim, a lawyer who represents Vargas and Stise, deferred comment to Jersey CityCorporation Counsel William Matsikoudis. In a statement, Matsikoudis said all of the accusedofficers "conducted themselves appropriately" and that Bolton’s claims are "totally withoutmerit."

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In October, both sides agreed to resolve the case through binding arbitration. It remainsongoing.

The Bolton suit is one of at least five alleging brutality or civil rights violations by policeofficers or corrections officers who filled prescriptions for steroids from Colao.

In Edison, allegations of brutality against two of Colao’s patients are now under investigationby the FBI.

Detective Salvatore Capriglione, 44, and Patrolman Scot Sofield, 36, are among five Edisonofficers accused of beating Lenus Germe, 44, as he lay on the ground in May 2008. A videocamera in a nearby patrol car recorded the incident.

Later, at Edison police headquarters, the officers allegedly threw a handcuffed Germe down aflight of stairs and beat him into unconsciousness, leaving him with a concussion and internalinjuries that required hospital treatment, according to a lawsuit Germe filed against thedepartment.

Officers counter that Germe, a domestic violence suspect, went for an officer’s gun and triedto run away. Germe pleaded guilty to resisting arrest and was sentenced to a year in countyjail. He has since been released.

His lawyer, Lennox Hinds, said FBI agents have interviewed his client. A spokesman for theagency declined to comment. Sofield and Edison Police Chief Thomas Bryan did not respondto requests for comment.

Records show Sofield filled a total of three prescriptions for HCG and testosterone inDecember 2006 and January 2007. Capriglione filled nine prescriptions for testosterone,stanozolol and HCG between April and July 2007.

Capriglione’s lawyer, Charles J. Sciarra, called his client a decorated officer who has a"spotless employment record" and who did nothing wrong, either in the arrest of Germe or intaking medication prescribed by Colao.

Any suggested link between that medication and the allegations by Germe, a convictedcriminal seeking a “taxpayer-funded payday,” is “scraping the barrel,” Sciarra said.

‘Quack’ or hero?

Alex Ambros said he knew a questionable doctor when he saw one.

The former state corrections officer had once been a patient of Jerrold Goldstein, a Millburnphysician who so liberally prescribed testosterone, growth hormone and other drugs to hismany law enforcement clients they dubbed him “Dr. Feelgood,” Ambros said.

Goldstein was stripped of his medical license in 2005. A year later, he committed suicide.

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So it was in the fall of 2006 that Ambros found himself in the office of Joseph Colao, whosename was circulating as an able substitute who would meet an officer’s needs.

To Ambros, now 49 and three years into retirement, Colao seemed like a “quack.”

Ambros, who described himself as morbidly obese, said he never took steroids from Goldsteinand wasn’t looking for them from Colao. He wanted diet pills to lose weight, saying hepreferred a “magic bullet” over time in the gym.

While waiting for his appointment, he said, he noticed he was the only overweight person inthe room.

“Everyone else looked like they came out of Muscle and Fitness magazine,” Ambros said,recalling the scene with a laugh. “Immediately I felt out of place.”

Colao gave him a warm welcome when the physician learned he was a corrections officer,telling him “that’s, like, the majority of my practice.”

"He said there were police, firefighters, sheriff's officers, Port Authority guys," Ambros said.

The doctor, he said, raced from exam room to exam room, as if he had too many patients andtoo little time.

Patti Sapone/The Star-LedgerRetired Jersey City firefighter Harold Motley, shown here inNovember, holds an old injection pen of human growth hormone prescribed for him years agoby Jersey City physician Joseph Colao. Motley, who praised Colao as a caring doctor, says thedrugs made him feel more energetic.“He was a Speedy Gonzales type. Boom boom, you need this, boom boom,” Ambros said.

Colao gave him prescriptions for phentermine, a weight loss drug, and an injectable liquid.Ambros said he didn’t remember the drug’s name and didn’t take it. Records show Lowen’sPharmacy sent him testosterone in November 2006. Ambros said the vial sat in his refrigeratorfor five months. Then he threw it away.

Former Jersey City firefighter Harold Motley had a higher opinion of Colao, calling him a “good14/24

guy” who seemed interested in helping him achieve his goal of losing weight.

Motley, who retired earlier this year at age 50, said Colao told him to eliminate pasta andcheese from his diet, then explained how certain medications could change his life.

“He said he was going to give me some stuff to make me feel 18 again,” Motley said. “I took it,of course. He’s a doctor. I’m not going to say no.”

Colao told him he was taking similar drugs to “help him in the gym.”

“He was chiseled,” Motley said. “He said he worked out all the time.”

The retired firefighter said Colao gave him prescriptions for AndroGel, a testosterone cream,and Norditropin, a brand of growth hormone. Motley said he had no idea Norditropin was aform of HGH, adding he also didn’t realize it was so expensive, at about $1,100 per month.Motley’s city insurance plan covered the cost.

Today, Motley said he believes Colao did nothing inappropriate, saying the physician enjoyed astellar reputation among men in uniform because he could help them feel better, get strongerand improve their sex lives.

“In the world of police and firemen, he died a hero,” Motley said.

Coming Under Scrutiny

Colao was no hero to Leonard Era.

On March 21, 2006, the former corrections officer collapsed during his shift at the Edna MahanCorrectional Facility for Women in Hunterdon County. Era’s limbs began to shake. He lostcontrol of his bladder and fell unconscious. At 37, he had suffered a stroke.

Three months earlier, the Bayonne man had gone to see Colao because he wanted to getstronger and slim down, according to a lawsuit filed in the case. Era’s weight-lifting friendsidentified Colao as a man who could help.

Colao ran blood tests, which showed Era’s hormone levels within normal ranges, the lawsuitstates. In all respects but one — Era suffered from hypertension — he was perfectly healthy.

Yet Colao diagnosed him with adult growth hormone deficiency and testosterone deficiency,putting the corrections officer on a weekly regimen of Saizen, a form of growth hormone, andHCG, according to the suit.

A doctor who later reviewed Colao’s records on behalf of Era determined the drugs led to hisstroke.

“There was no medical indication to give him these drugs,” Era’s lawyer, Abbott Brown, said inan interview. “Dr. Colao was negligent. He deviated from a generally accepted standard.”

Today, Era still has trouble speaking and can barely move his right arm, said his father, also15/24

named Leonard. The family settled with Colao’s insurance company for an undisclosed sum.Four months after Era’s stroke, another incident would draw the first law enforcement scrutinyof Colao’s prescribing habits.

Andrew Wietecha, a muscled 23-year-old police officer in North Bergen, was charged withmarijuana possession and drunken driving in July 2006 after crashing his car in Seaside Park,an Ocean County beach community. When ordered to take a drug test days later, Wietechalisted the medications he was on, as required by state regulations.

One of those drugs was testosterone.

The young officer’s use of an anabolic steroid raised a red flag with Peter Stoma, an assistantprosecutor who oversees the internal affairs bureau in the Hudson County Prosecutor’s Office.

“We started an investigation into his use of steroids to verify that they were in fact medicallyprescribed,” Stoma said.

Colao assured investigators the prescriptions were valid and necessary. At the time, Stomasaid, there was no reason to doubt him.

“He was a licensed medical doctor,” the prosecutor said. “There were medical records, and itwas the doctor’s opinion Andrew Wietecha was a candidate for hormone replacementtherapy.”

Wietecha, suspended after his arrest, never returned to the force. In the early morning hours ofAug. 15, 2006, as he tried to steer his motorcycle around a slow-moving truck on a NorthBergen street, he crashed into the back of a car and died.

Warnings Ignored

For two decades, the FBI, the Drug Enforcement Administration and a handful of academicexperts have urgently warned about the growing use of steroids in law enforcement, calling it aproblem that puts both users and the public at risk.

Those warnings have largely been ignored.

“I really believe if it’s not the most commonly abused drug in law enforcement, it’s damnclose,” said Larry Gaines, a former executive director of the Kentucky Association of Chiefs ofPolice and now chairman of the criminal justice department at California State University.

There is no way to determine how many law enforcement officers or firefighters use steroids,a class of substances Harvard Medical School researcher Harrison G. Pope Jr. calls “the mostsecret of all illicit drugs.”

No agency keeps track of steroid-related suspensions or arrests, and surveys, where they exist,are considered unreliable.

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In the absence of hard data, researchers rely on anecdotal evidence. They haven’t had to lookvery hard to find it.

From New Jersey to California, in departments large and small, scores of law enforcementofficers have been arrested, suspended or reassigned to desk duty in just the past few yearsfor buying steroids or growth hormone without a prescription. In some of those cases, officerswere selling the substances to colleagues.

Left unanswered is the question of how many officers and firefighters obtain the drugs withthe aid of doctors who fabricate diagnoses, as Colao is alleged to have done.

Experts say those transactions, conducted with the veneer of authenticity in private clinics andoffices, are almost certainly on the rise, the result of a booming anti-aging movement thathypes hormones as the antidote to aches, wrinkles and sagging bodies.

Random testing for steroids might provide a better understanding of the problem’s scope, butfew departments across the country have put screening in place, and unions that representofficers and firefighters generally oppose it.

In New Jersey, law enforcement officials and union leaders said they were not aware of anyagencies that randomly test employees for steroids, as they do for cocaine, marijuana andother illicit drugs.

Some chiefs cite the extra expense.

“It’s cost-prohibitive,” said South Brunswick Police Chief Raymond Hayducka, a vice presidentof the New Jersey State Association of Chiefs of Police. “For a large department, the money’sjust not there to do these tests.”

In Phoenix, the first big-city force to introduce steroid-testing four years ago, adding a screenfor just the most common steroids tripled the price the department paid to test each officer,from $35 to about $100, said Commander Kim Humphrey, one of the policy’s architects.

Gaines and other experts acknowledge the higher cost, but they suspect there’s more to it,contending most police chiefs choose to look the other way.

“They don’t want their people to be on steroids, but they seem to feel they have a publicrelations obligation not to bring this problem into the open,” said Hoberman, the University ofTexas professor. “You show me the police chief who wants it all over the front page that Godknows how many of his cops are on steroids.”

Under guidelines issued by the state Attorney General’s Office, department leaders and countyprosecutors are authorized to order employees to undergo testing if there is a “reasonablesuspicion” of drug use, but the guidelines do not include the word “steroids,” and chiefs appearreluctant to bring such cases.

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Over the past decade, departments in New Jersey have taken disciplinary action againstofficers for steroid use in just a handful of cases. Most cases involved a legal challengebrought by the accused officers or by police unions.

DYLAN WILSON / THE JERSEY JOURNAL Police Chief Tom Comey speaks during a pressconference in July 2009.Jersey City Police Chief Tom Comey’s efforts to deal with steroid use illustrate thecomplications. The details are found in legal documents stemming from a suit filed againstthe chief by seven of his officers.

In February 2008, as the New York Health Department’s investigation into Lowen’s Pharmacyapproached its peak, an internal affairs captain with the New York City Police Departmentcontacted Comey to ask for a list of his officers. Up to two dozen members of the NYPD,including a deputy chief, had received steroids or growth hormone from Lowen’s, adevelopment that would lead to random testing there within months.

The captain told Comey he suspected Jersey City officers were customers, too.Comey turned over the list. He soon learned at least 40 of the department’s 834 officers hadfilled prescriptions for steroids through Lowen’s and that at least 36 had obtained HGH fromthe pharmacy.

Within days, Comey ordered an unknown number of officers to provide a urine sample to betested for elevated levels of testosterone, a hallmark of steroid use.

Comey would not discuss the test results or provide details of the probe. Legal papers show atleast 20 officers were relieved of their weapons and placed on modified duty. Of those, mostreturned to full duty two months later, after undergoing follow-up tests.

One officer, Nicholas Kramer, continued to show a high testosterone level during a retest. Hewas later declared unfit for duty and served a 159-day suspension without pay. Kramer, now33, returned to the force in January of last year. He declined comment.

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Kramer and six other officers later filed suit against the department and Comey, claiming thechief had violated their constitutional rights.

The plaintiffs included Victor Vargas and Michael Stise, accused of brutality in the federallawsuit brought by Jersey City resident Mathias Bolton, and Brian McGovern, the officer whohad filled 20 prescriptions and who was charged with assault in Point Pleasant Beach lastyear.

U.S. District Justice Peter G. Sheridan dismissed the officers’ suit this June, ruling policeofficers, given the sensitive nature of their jobs, have a diminished expectation of privacy andthat the public must be protected from those who could be prone to aggression.

“Chief Comey acted quickly to ensure that JCPD officers were not using steroids that wouldmake them dangerous and unfit for duty,” Sheridan wrote in his opinion, adding that themental health of officers is “of the utmost concern.”

In response to questions from The Star-Ledger , Comey issued a statement calling the internalprobe “a difficult situation to deal with” and saying the department was working to develop apolicy “to ensure the integrity of the agency moving forward.”

He refused to say if that policy involves testing for steroids.

Jerry DiCicco, president of the Jersey City Police Officers’ Benevolent Association, whichrepresents more than 700 of the department’s officers, said in a statement the union wouldimmediately challenge a steroid-testing policy based on health care privacy laws andconstitutionality issues.

He also defended the officers involved, saying they have “outstanding personal records” andthat they did nothing inappropriate.

Patti Sapone/The Star LedgerJersey City physician Joseph Colao is interred at the mausoleumat St. Bernard of Clairvaux Church in Bridgewater. Colao died of hardening of the arteries atage 45 in 2007.

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Coming Undone

Gladys Nieves believes Joseph Colao saw the end coming. Part of her wonders if he embracedit.The physician’s chronic heart condition appeared to be worsening. He had failed a stress testin the spring of 2007, but rather than slow down, he continued to work 12- and 14-hour days,often missing lunch. He also sometimes skipped his prescribed doses of Plavix, which helpsprevent blood clots that can lead to heart attacks, Nieves said.

Colao’s financial adviser became a frequent visitor to the office. The pair met with Nieves,arranging for her to receive about $7,000 more in benefits. Colao told her he wanted her to betaken care of when he was gone.

“You know I’m going to die soon,” she said he told her.

The walls were closing in professionally as well.

Medicare had conducted a fraud investigation in 2006. Now Horizon Blue Cross/Blue Shieldwas demanding to see records. The insurer would later file a $900,000 notice of claim againstColao’s estate, alleging he falsified diagnoses to prescribe growth hormone, a Horizonspokesman said.

Lowen’s Pharmacy, Colao’s chief hormone supplier, was suddenly in the news. New York statehealth investigators conducted their first raid on Lowen’s in May 2007, and the pharmacy’srecords had Colao’s name all over them. The Brooklyn District Attorney’s Office would soonjoin the case.

There also was renewed interest from the Hudson County Prosecutor’s Office, which had firstmade contact with Colao after the arrest of North Bergen police officer Andrew Wietechafollowing his Ocean County car crash.

Prosecutor Edward DeFazio said an incident involving a second officer in late 2006 again ledto Colao. DeFazio would not describe the incident or name the officer, but he said it arousedsuspicion.

“One plus one made two,” he said.

Because the matter involved questions of medical judgment beyond the expertise of criminalinvestigators, DeFazio said, he referred the case to the state Board of Medical Examiners,which licenses and disciplines doctors.

The board opened an investigation into Colao in March 2007, though it did not contact him inthe five months before his death, spokesman Jeff Lamm said.

Before confronting Colao, board investigators were trying to determine if the doctor’svoluminous prescriptions for steroids and HGH extended to New Jersey pharmacies, Lammsaid.

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As the summer of 2007 wore on, the increasing pressure weighed on Colao, Nieves said.

“You could feel the stress in him,” she said. “Things in the office were bad. With all of thehormones, I think he was getting disgusted by it. I think he wanted to go back to the normalcyof it all, his pain patients.”

It was Colao’s fiancée, Bianca Triggiani, who found his body Aug. 8. He’d collapsed in thekitchen. A medical examiner determined the cause of death to be hardening of the arteries.

Aristide Economopoulos/The Star-LedgerSgt. Ken Kolich, now a special victims unit detectivewith the Hudson County Prosecutor's Office, was assigned to investigate Dr. Joseph Colao'sdeath in 2007. Kolich, shown in August 2010, expressed concern when he learned policeofficers were getting steroids from the doctor. Aristide Economopoulos/The Star-LedgerThe weeks that followed would be frustrating ones for Ken Kolich, the county homicideinvestigator.

He had received phone calls from two investigators — one with New York’s Department ofHealth, the other an assistant attorney general who worked with the New Jersey Board ofMedical Examiners — alerting him that Colao had been suspected of giving steroids andgrowth hormone to police officers under false pretenses.

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Suddenly, the flood of calls from officers on the day Colao died made sense to Kolich. It alsoalarmed him.

“The last thing you want out there is cops on steroids,” he said in a recent interview. “They getinto a fight and steroid rage takes over.”

Kolich wanted to look deeper into the steroid angle, but his supervisor at the time, Capt.Vincent Doherty, ordered him to stop, the detective said.

“We’re supposed to take care of our own,” Kolich said Doherty told him.

Doherty, who has since retired, denied telling Kolich police officers must be protected. He saidhe couldn’t remember any specific disagreements about the case, but he said he and Kolichsometimes butted heads about the homicide division’s resources.

“My interest wasn’t in conducting that type of investigation. That’s why they called it thehomicide division,” said Doherty, 64. “Whether we should have done some more work, maybewe should have. I don’t know. Whether I put a kibosh to it, maybe I did. I don’t know.”

Every criminal investigation into Colao was now at an end. For the law enforcement officersand firefighters who thronged Colao’s practice, the flow of drugs was cut off.

And the search for a new doctor was on.

Next Stop: High Crest

High Crest Health, lodged in an imposing Georgian-style building in Fairfield, offers the publicwhat it bills as an integrative medical experience.

Clients can choose from chiropractic care, personal training, nutritional counseling, colonhydrotherapy and hormone replacement therapy, among other services.

In the wake of Colao’s death, High Crest became a busy place.

The facility’s former medical director, James Goodnight, and its former hormone educator,Robert Ortiz, estimated 800 of Colao’s patients became new clients there.

A “good majority” of them were law enforcement officers and firefighters, Goodnight said. Andalmost all of them seemed to want testosterone, stanozolol or growth hormone.

To Goodnight, a plastic surgeon and anti-aging doctor now in private practice, more shockingthan the number of patients was the expectation they could use their insurance to pay forHGH, as they said they had done with Colao.

“We told them no flat-out,” Goodnight said. “That’s insurance fraud.”

Goodnight said the patients had been brought to High Crest by Victor Biancamano, Colao’sformer office manager. Biancamano worked as a sort of rainmaker at High Crest, drummingup business, Goodnight said.

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“People have certain skills,” the physician said. “He’s got connections. He knows people.That’s his skill.”

Biancamano, a former bartender who emerged from personal bankruptcy in 2003, had anotherconnection that would later lead to some discomfort for Goodnight. He recommended thedoctor use Lowen’s Pharmacy for his hormone business, Goodnight said. The physicianagreed.

“Victor brought up that he had used that pharmacy in the past, and he introduced one of theirpeople to me,” Goodnight said. “I didn’t know anything about them at the time. You don’t wantto get involved with a pharmacy that does anything shady. I just wanted good service andgood quality prices.”

After authorities raided Lowen’s, Goodnight said, he was questioned by a detective and anassistant district attorney from Brooklyn. He was cleared of wrongdoing and later testifiedbefore the grand jury investigating the pharmacy. He left High Crest shortly afterward.

High Crest’s owners, Neelendu and Stephanie Bose, did not return calls for comment.Goodnight said he still has about 50 law enforcement officers and firefighters in his NorthHaledon practice, which he calls “Dr. Goodnight’s Center for Everlasting Beauty.”

He is one of at least five hormone specialists identified by The Star-Ledger who continue totreat Colao’s patients.

Roger Lallemand Jr., an orthopedist and anti-aging doctor who has offices in Old Bridge andAsbury Park, treats several hundred uniformed public servants, according to officers andfirefighters familiar with his practice.

The others are Bonnie Chen, an internist in Watchung; Henry Balzani, a gynecologist whopractices anti-aging medicine in Clifton; and Robert Ortiz, who once worked with Goodnight atHigh Crest Health.

Ortiz, who holds the title of medical educator at the Active Center for Health and Wellness,with offices in Westwood and Hackensack, is not a physician. He said a doctor on the center’sstaff examines his hormone recommendations to patients and makes final decisions aboutprescriptions.

Lallemand declined to comment. The others said they prescribe hormones only whennecessary.

They also downplayed the risk of increased aggression, saying such side effects are extremelyrare as long as testosterone supplementation does not exceed physiologic levels, or levels thebody has already seen at an earlier age.

Pope, the Harvard Medical School researcher who studies the psychological side effects ofsteroids, said he agrees aggressive reactions are more likely at higher levels, but he saidresearch has shown bad reactions can result from even modest doses of steroids, such as

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those found in testosterone creams.

“You cannot predict one way or the other whether someone is going to have one of thesereactions,” he said. “If that person is a police officer, they might have an inappropriatereaction.”

In the Aftermath

On Kennedy Boulevard in Jersey City, it’s as if Colao had never died. Two signs still sit outsidehis office, announcing his practice. Inside the building, his office and apartment remain lockedand undisturbed, frozen in time.

They will stay that way until his fiancée and his ex-wife, Marybeth Colao, the mother of Colao’s19-year-old son, resolve a bitter fight for control of his estate. Shortly after Colao's death, theestate was valued at $4.9 million, according to court papers. For all of his last-minute financialplanning, Colao died without a legally recognized will.

Marybeth Colao declined to comment about her ex-husband. Triggiani, the fiancée, said sherefused to drag Colao’s name “through the mud.”

Those who worked with Colao have moved on to other jobs. Nieves and Lehar work fordifferent medical practices. Leon Colao now serves as office manager for his late brother’sclose friend, Stephen Waldman, a pain-management physician in Millburn.

Victor Biancamano, the office manager who left Colao’s practice shortly before his death, wentinto business last year with Henry Balzani, co-founding Total Life Rejuvenation, the anti-agingclinic in Clifton. Two months ago, Biancamano resigned from the practice to work with a groupof anti-aging doctors elsewhere. He declined to name them.

For Kolich, now with the special victims unit of the prosecutor’s office, one final riddleremained. Since the day of Colao’s death, he has wondered how the news spread through thelaw enforcement grapevine so quickly.

The doctor’s prescription records provide a clue: One of the officers to respond to a 911 callfrom Colao’s apartment that morning happened to be a steroid patient.

The officer, who had filled a prescription for testosterone through Lowen’s, was soon on thephone, alerting other officers and firefighters.

Kolich said the officer didn't mention being Colao's patient, even as they stood over the bodyof the doctor the cops had called their own.

Staff writer Ted Sherman contributed to this report.

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