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A lack of recognition of an underlying psychological problem would mean AAS users would not naturally seek any type of psychological support.

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Their popularity may be explained by the effects described by steroid users, such as more effective training and activation of fat burning. The neural substrates required for the expression of sexual and reproductive behaviours in rodents have been well documented by lesion studies, anatomical tracer studies, and assessments of c- fos expression associated with mating behaviour. Moreover, scientific evidence supporting the claimed effects is mostly absent.

Anabolic steroids can have serious side effects, including heart disease, high blood pressure, mood swings, testicular shrinkage, and decreased libido. Anabolic steroid misuse is much less common in women. They were first discovered to promote muscle growth and enhance athletic performance in the 1930s.

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Outside of medical circles, the muscle-building part is much more famous and tends to draw the majority of attention. Food, especially glucose ingestion, also decreases the serum testosterone concentration, so the blood should also be drawn fasting (Snyder, 2013). Hematocrit increase, the most frequent adverse event associated with testosterone administration, was dose-related. This reduces natural testosterone output and, as a result, inhibits sperm production.

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