Anabolic-androgenic steroid (AAS) use is associated with cardiovascular, neuropsychiatric, hematologic, hormonal, and metabolic adverse effects.[40]Albano GD, Amico F, Cocimano G, et al. Adverse effects of anabolic-androgenic steroids: a literature review. Healthcare (Basel). 2021 Jan 19;9(1):97.
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[61]Sharma A, Grant B, Islam H, et al. Common symptoms associated with usage and cessation of anabolic androgenic steroids in men. Best Pract Res Clin Endocrinol Metab. 2022 Sep;36(5):101691.
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http://www.ncbi.nlm.nih.gov/pubmed/35999138?tool=bestpractice.com
Some hormone-induced changes (including hair distribution/baldness, voice depth, hirsutism, gynecomastia, clitoral hypertrophy, infertility, testicular atrophy, short stature in adolescents) may be permanent.[19]Handelsman DJ. Androgen misuse and abuse. Endocr Rev. 2021 Jul 16;42(4):457-501.
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[20]American College of Obstetricians and Gynecologists. ACOG committee opinion no. 484 (reaffirmed 2021): performance enhancing anabolic steroid abuse in women. Obstet Gynecol. 2011 Apr;117(4):1016-8.
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http://www.ncbi.nlm.nih.gov/pubmed/21422881?tool=bestpractice.com
Needle sharing places patients at risk for contracting infectious diseases, including HIV and viral hepatitis.[38]Brooks JH, Ahmad I, Easton G. Anabolic steroid use. BMJ. 2016 Oct 13;355:i5023.
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[42]Pope HG Jr, Wood RI, Rogol A, et al. Adverse health consequences of performance-enhancing drugs: an Endocrine Society scientific statement. Endocr Rev. 2014 Jun;35(3):341-75.
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Individuals who wish to stop their AAS use are advised to avoid team mates and trainers who encourage steroid use. Creating a supportive social network, finding mechanisms for coping with stress, and finding ways to balance fitness with other activities will improve the likelihood of AAS abstinence.