The Risks & Benefits Ascciated With AAS Use
Are You Considering Using Anabolic/Androgenic Steroids?
You Need To Be Aware Of The Dangers As Well As The Realistic Benefits
If you’re considering starting your first steroid cycle, then you’re not alone.
Steroid use in Northern America and Europe is, to put it rather dramatically, rampant. More guys than ever before are juicing, and the absolute numbers are pretty staggering.
This investigation found that just under 5% of high school senior students in the sample had used steroids in the past. That’s 1 in 20 people.
Other studies have turned up very similar figures, making this survey seem very representative.
In the UK, things look just as alarming. This article quotes a government estimate which puts the number of steroid users in England, Scotland and Wales at 60,000. However, as you will see in the article, data from needle exchanges and academic estimates put this number much, much higher.
These figures are not unique to these two nations; it is fair to say that a similar proportion of people use steroids right across Europe and North America, with particular pockets in some countries with intense gym cultures (Poland and Iceland spring to mind).
None of these trends seem to be showing any signs of bucking.
Clearly then, you aren’t the only one exploring the possibilities offered by anabolic steroids.
But obviously an incredibly rapid rise in the use of anabolic steroids means that many more people are probably jumping head first into something that they have no business playing around with.
Many users will not properly understand the potential side effects of using AAS, both long and short term.
We think a sizable number of users will also not grasp what they can realistically expect from steroid use.
We have encountered people who believe that AAS use is only dangerous when serious abused; this is not correct.
We have also encountered people who expect their first AAS cycle to turn them into a superhuman; this is also far from correct.
This article is going to try to address all of these misapprehensions. We will walk you through what exactly AAS do, how they work, and what kind of gains people can make while using them, before moving on to the different types of AAS commonly used today. We will then look at the dangers and costs, with a separate look at short, medium and long term consequences.
If you have any questions, please let us know in the comment section at the end. We have summarized this article at the bottom of this page if you don’t have much time.
What Are AAS?
Before we get too technical, it is best if we cover the most basic question you might have while reading this article: what the hell are AAS?
AAS stands for Anabolic-Androgenic Steroid. This phrase, usually shortened to “anabolic steroid” or simply “steroid”, refers to any compound which contains a natural androgen and which will have an anabolic-androgenic effect on the body.
These compounds were first produced in the 1930s (we believe – there is still some argument about this). Since then there has been an absolute explosion in the number of compounds available for use. There has likewise been a steady increase in the sophistication of these compounds.
Usually, when we say AAS, we refer to a compound which contains testosterone attached to one ester or another, or to a synthetic testosterone analogue which is structurally similar to testosterone and has a similar (usually stronger) effect on the body.
So testosterone itself is a popular AAS, usually consumed as testosterone cypionate, propionate, or another ester. Another popular AAS is trenbolone, which is an augmented, synthetic derivative of the steroid hormone Nandrolone. Trenbolone is also known as 19-nor-δ9,11-testosterone, so you can see how closely affiliated AAS compounds are to test even if they do not have test in their common name.
Now you know what AAS are, we can move on to a more important question; why do people use them? What are they supposed to do?
What Do They Do?
As you know, having high testosterone levels will lead to increased muscle mass growth (or an anti-catabolic effect at the least), lower body fat levels, increased stamina, and rapid increases in strength.
Well, simply put, consuming steroids elevates your free circulating steroid hormone levels.
When you inject an anabolic steroid or consume one orally, you are supplying yourself with additional exogenous sex hormone.
Aside from the breakdown of the ester or the conversion of the pro-hormone into the required sex hormone, there’s nothing remotely complicated or mystical involved.
You are literally just putting a set amount of testosterone or nandrolone or whatever you are using into your blood.
Your own natural testosterone production will soon shut down as your body realizes that it has plenty of test floating around in the blood already. So the testosterone you inject doesn’t add on top of your normal test production; not after a few hours at least. Rather, it takes over from it.
For guys who are undergoing Hormone Replacement Therapy, this isn’t an issue, as they aren’t producing enough testosterone anyway. These guys will typically use an amount of AAS which puts them in the normal healthy range for their age and activity levels.
For people who are using steroids to increase their physical performance and appearance, typically a dose will be used which puts them well above the normal range for their age and activity levels.
As you can imagine, this causes an unnaturally large increase in strength, muscle mass gain, and stamina.
For example, imagine you currently have a very healthy circulating testosterone levels of 750ng/dl (nanograms per deciliter).
If you are between 26 and 30, then this is a very good free test level to have. At this level you are likely to have plenty of energy, be making consistent gains in the gym, and have a healthy sexual appetite.
Now imagine you introduce an AAS; say 500mg of Testosterone Enanthate per week.
Within 24-48 hours after injecting, your testosterone levels will have reached a peak level of anywhere between 2,000 and 4,000ng/dl.
Exact figures are impossible to come up with, as they depend on you, the quality of the gear you are using, and other factors. But you can see just what a massive difference to your free testosterone levels AAS can make.
Here is a table showing the baseline testosterone levels compared to what they were after 10 weeks of “supplementation” of 600mg of testosterone enanthate. The lower numbers here are placebo, and the difference between the two testosterone groups is probably down to exercise differences:
This is why use of anabolic steroids is associated with the following major benefits (assuming you want these things):
- Enormous increases in strength in a very short space of time
- Rapid muscle mass growth
- Increase in protein synthesis
- Increased intra-muscular nitrogen retention
- Lower rate of catabolism (muscle wastage) while dieting or over-training (the same thing really)
- Faster recovery times
- Increased endurance
- Accelerated fat loss (most AAS will increase your resting metabolic rate)
- Greater energy levels
- Increased vascularity
- A libido through the roof (although some AAS can kill libido – more on that later)
Obviously these are all the benefits of having a healthy circulating testosterone levels but taken to the extreme.
When you look at the benefits of using anabolic steroids, it is little wonder that they are so widely used.
It is also little wonder that so many athletes and bodybuilders use these drugs year-round. Something which can simultaneously burn fat, increase muscle growth, and reduce recovery time is nothing short of a miracle for a serious competitive athlete.
Bodybuilders today have a wide array of weird and wonderful drugs with which to augment their training. We will list many of the most well-known and widely used compounds in a separate section below. But for now, we need to cover a very important question: do AAS work that well? What do they do in reality? How much muscle do they build?
How Effective Are They Really?
It is easy to think that steroids are a magic bullet for turning you into superman.
Looking at the images of the mass monsters in bodybuilding magazines, you can be forgiven for thinking that steroids are capable of turning you into a demi-God.
Indeed, it seems that every few years we find out that an athlete who has been breaking all sorts of records has actually been using steroids the whole time.
So in all of these cases, steroids have clearly turned the individuals in question into super-humans, right?
Well, yes and no.
- Yes, steroids can have a profound impact on your musculature, strength, power, and physique.
- Yes, many athletes would not be at the level they are today without steroids.
- No, steroids alone cannot turn you into Kai Greene.
- No, a single cycle of steroids will not get you a 500lb bench press.
- No, even a few cycles of steroids may not make you “look like you lift”.
We don’t expect you to take our word for this though. Let’s take a look at some robust clinical studies. We will also look at some good, trustworthy anecdotal data on what you can realistically expect from AAS use.
To kick things off, check out this literature review which looked at the effectiveness of many anabolic steroids at differing doses across several studies. Here the researchers found that, across these studies, “Strength gains of about 5-20% of the initial strength and increments of 2-5 kg bodyweight, that may be attributed to an increase of the lean body mass, have been observed. A reduction of fat mass does not seem to occur.”
A statistically significant increase in both strength and bodyweight is nothing to turn your nose up at. But a strength increase of 5% and a bodyweight gain of 2kg is probably not what many of you think you will get from a steroid cycle.
Very interestingly, this study looked at the potential “placebo effect” explanation for the seeming power of anabolic steroids. These researchers found the following: “These results clearly indicate that although the subjects continued to improve during the Pre-Placebo period, the improvement during the Placebo period was significantly greater. Taking the placebo apparently supplied the necessary psychological benefits to utilize strength gains above and beyond that which would be expected from a reasonable temporal progression.”
Another study turned up similar results.
Researchers here took some highly trained powerlifters and told them that they were being given steroids. In reality, they were being given saccharine pills. Every single lifter hit a new PR while under the impression that they were on steroids. Amazingly, “improvements in performance associated with the belief that AS had been administered largely dissipated when athletes were informed as to the true nature of the drug”.
Clearly, at least some of the benefits associated with AAS use are grounded in the confidence of the placebo effect.
For a good overview of how long you can expect to work your ass off before you ‘get huge’, check out this video from one of the most knowledgeable steroid users on YouTube:
However, this is not to suggest for one minute that steroids don’t actually work.
They definitely do have a profound effect on the human body.
The best way to illustrate this is by showing you a single study conducted back in the mid-1990’s.
In this trial, researchers looked at the effects of exogenous testosterone injections on muscle mass and 1RM strength.
This makes it a very useful study, as the majority of people wanting to use steroids desire them for their ability to influence these exact 2 aspects of physiology.
The trial was split into 4 groups: one group being given a placebo and who did not exercise, another placebo group who exercised, a group given testosterone who did not exercise, and a final group who exercised and were given testosterone injections.
So what did the researchers find?
Take a look at this table, lifted directly from the study:
Yes you are seeing that right.
The group who were given testosterone injections but who did not exercise achieved only slightly lower increases in squat and bench press strength than the placebo group who followed a strict training regime.
WITHOUT EXERCISING AT ALL!
Amazingly, the testosterone group who did not exercise still saw a dramatic increase in quad and tricep mass, while the people taking the placebo and not exercising saw a decrease in muscle mass.
The group who exercised while taking the placebo did not come anywhere near to the muscle mass gains seen in the testosterone group.
You really can’t argue with these results.
Steroids work, period.
However, all of this is cached in very general terms. The amount of weight you can gain, how much of it is muscle, how strong you get, and how much you keep will all depend on the steroids you are using, how you train, how you eat, and so on.
So someone using relatively large doses of testosterone and dianabol, eating like a horse, drinking tonnes of water and training like Dorian Yates is goiong to blow up; no doubt about that.
Someone using a low dose of test, a fair dose of trenbolone, and training very frequently is not going to gain any weight at all; trenbolone is such a powerful nutrient partitioning agent that you will find it almost impossible to bulk on tren. It just won’t happen. You will get strong – that’s almost certain. But you will almost definitely lose weight using trenbolone properly.
Using large doses and eating more food will obviously produce more pronounced results than small doses and a lower caloric consumption.
If you don’t know how to train properly, then your results will definitely be stunted.
But one thing is for sure; if you think you’re going to run a few steroid cycles while staying safe, training casually and eating normally, you are not going to look like the mass monsters you see on stage today.
Most IFBB pros have been training for decades, running enormous amounts of steroids for 10+ years, and eating a diet that puts them at risk of a host of diseases, from diabetes to cardiovascular disease.
We think that’s enough info to get your own research started here. Now let’s look at some of the most common AAS used by bodybuilders, athletes, and older guys undergoing HRT.
Types of AAS Commonly Used Today
We could go into great detail here about every single commonly used AAS.
Each of them have slightly different properties; be it half life, amount of active hormone, potency, price – the differences are endless really.
For example, the amount of actual hormone that you get will differ depending on the ester you are using. That is because the ester (e.g cypionate) takes up weight. Suspensions are base hormones so when using 100mg, you get 100mg. That is just one difference between compounds.
People use different compounds depending on their own particular goals, risk aversion and price limitations.
However, this article will be long enough as it is. So instead, we’ll simply list the most commonly used compounds here and then go into them in greater detail in stand-alone articles.
Here is a by no means exhaustive list of the most widely-used steroids today:
- Testosterone Acetate
- Testosterone Propionate
- Testosterone Enanthate
- Testosterone Cypionate
- Testosterone Suspension
- Sustanon 250
- Deca Durabolin
Over time we will work our way through these compounds, providing you with in-depth analysis on each and every one of them; what they are, how they work, how they differ from the other steroids, and so on. We will also give you a breakdown of the side effects particular to that steroid compound.
However, every anabolic steroid shares a set of dangers and long term risks by virtue of the fact that they all elevate your free testosterone levels well beyond what is naturally possible.
They all share a common set of long-term dangers by virtue of the fact that they are exogenous sex hormones that need to be processed by your body.
They also all come with a common package of psychological concerns by virtue of the fact that they are powerful drugs.
This brings us neatly onto the most important section of this article; the dangers of using anabolic steroids.
Dangers Of Using Anabolic Steroids
We’re going to go through all of the dangers associated with the use of anabolic steroids here as slowly and carefully as we can. We do not want to linger on a danger for too long, just as we don’t want to skim past a risk too quickly lest you think that it isn’t a serious concern.
The order that we have listed these dangers does not indicate their likeliness. The order they are presented in or the amount we write about them does not indicate severity.
We do not think any steroid compound is safe, and the chance that you will experience any given side effect (either long or short term) depends on you, your physiology, the gear you are using, your experience using these substances, your access to careful blood testing equipment, your diet, and of course, your own intelligence.
If side effects are a concern of yours, then the best advice we can give you is: DO NOT USE ANABOLIC STEROIDS.
Anabolic steroid use almost always comes with side effects of varying severity. Despite what you might here on forums or on YouTube, they carry risks. You need to decide if these risks are worth the benefits of steroid use which, as outlined above, can be pretty unimpressive.
There are many short term risks and side effects associated with anabolic steroid use. These risks range from mildly irritating to life-threatening.
Here is a quick rundown of the main short-term side effects associated with anabolic steroid use:
When excess amounts of testosterone are in the blood, the body will begin to convert some of that test into estrogen via the aromatase enzyme.
So if you elevate your testosterone levels to 3 or 4 times the regular level, then your estrogen levels will soon start to rise to match this new higher test level.
This means that if you do not find some way to safely keep your estrogen conversion suppressed, you will experience all of the side effects associated with higher estrogen levels:
- Male breast tissue growth (gynecomastia)
- Fat gain
- Low libido
- Low energy levels
- Loss of muscle mass
Not all anabolic steroids aromatase strongly, but most of them will result in at least some excess estrogen conversion. Many anabolic steroids aromatise very heavily; this is why things like dianabol are so strongly associated with things like gynecomastia.
While using all steroids, you will also almost always experience at least some side effects from the increase in androgenic activity in the body.
Androgen is just the name we give to the group of male sex hormones. They are basically the hormones which make men, men. The androgens include testosterone, DHEA, DHT, and Androstenedione.
These hormones are also the anabolic hormones; hence Androgenic-Anabolic Steroids!
As you know, they are responsible for the enormous gains in muscle mass and strength seen in teenagers as they go through puberty. That is, after all, why people use steroids!
But there’s a catch. They are also responsible for the rapid growth of body hair, voice deepening, and the increase in aggression seen in pubescent teenagers.
This is great if you’re a 12 year old boy of course. But if you’re a 35 year old man, you mightn’t be too thrilled to find your back covered with hair and acne.
Using things like testosterone will produce anabolic effects, but they it will also produce androgenic effects. These effects include:
- Acne (sometimes in unusual places)
- Body hair growth
- Head hair loss
- Voice deepening
- Testicle growth
If you are predisposed to any of these effects, then you will definitely experience them while using strongly androgenic steroids. So if your dad is bald, and his dad was bald, then chances are that steroids will speed up your own rate of hair loss.
Some steroid compounds are significantly more androgenic than others, just as some are more anabolic than others. Steroids are often discussed with reference to their anabolic androgenic ratio. This is a helpful rubric which allows us to figure out which steroids best suit our purposes. Check out this table:
For example, if you are only interested in gaining muscle mass, then you want a very high anabolic ratio and a very low androgenic ration. So a pro bodybuilder would use something like Anavar for this purpose.
If you are undergoing HRT, then you definitely want a decent amount of androgenic activity going on. You might therefore opt for something like straight testosterone.
Unfortunately though, these hormones come as a package; if it has an anabolic effect, then it will also have an androgenic effect.
You simply cannot avoid androgenic effects while using anabolic steroids.
Yes, many people do use steroids and never experience any unwanted androgenic effects. No, this is not the average experience. Unwanted androgenic side effects are very common among steroid users.
As you can see from the table above, these androgenic effects can actually get pretty intense. Trenbolone produces androgenic effects 5 times stronger than pure testosterone; that’s no joke.
This might be a surprising one to lots of you, but steroid use is actually quite strongly associated with both impotence and infertility.
You will no doubt hear stories about people becoming “superman” in the bedroom while on gear. Yet the truth of the matter is that using anabolic-androgenic steroids can cause impermanent infertility and impotence.
First of all, steroid use shuts down your body’s own natural testosterone production. This causes testicular atrophy, which basically means that your balls shrink significantly. Your sperm count will decrease markedly, and you will find it very difficult to conceive.
Secondly, steroid compounds will also increase your cholesterol levels, which can in turn mean that your blood vessels become clogged through atherosclerosis. This can certainly cause impotence too (we’ll talk more about this cholesterol effect later).
Decreasing your own natural testosterone production will also mean that, when you come off a cycle, you will find that you simple can’t get an erection.
That’s because your testosterone levels will gradually get lower and lower as a compound leaves your system. Eventually your serum testosterone levels will hit 0 and your testes will (hopefully) be kicked back into action.
Yet we really stress that “hopefully”.
Depending on how much you use, and for how long, these effects might be very long lasting, or even permanent.
You may find that you cannot conceive for several years after ceasing steroid use altogether.
You might find that you suffer from erectile dysfunction for years afterwards because your own hormone production system is so screwed up.
It is impossible to guess how steroid use of any description will affect your own natural testosterone production.
Hyperglycemia is a very common side effect of using the stronger anabolic substances such as trenbolone and halotestin.
The main reason is that running a compound like trenbolone will place an enormous strain on your liver. This in turn will lead to inflammation of the pancreas. Your pancreas will then be worse at releasing insulin at the necessary times, leading to bouts of hypoglycemia.
The other reason is that compounds such as trenbolone will put your muscles into “gorge” mode. They will literally start mopping up every single calorie you put into your body. As this happens, your blood sugar will quickly fall to almost 0 much faster after every meal. New users will also probably be underestimating their caloric requirements. This is why it is a major error to think of things like trenbolone as a “bulking” compound; you will find it very hard to eat a caloric surplus while running trenbolone.
Hypoglycemia can be very serious. If you do use any steroids and this happens to you even once, you need to talk to a doctor right away.
Post injection pain is a real thing and can be much more severe than people seem to realize.
Obviously, this depends on you and the compound you are using. Things like Methyl Trenbolone are know to cause absolutely terrible pain at the injection site. This pain can spread to the whole muscle, making it feel stiff and swollen.
If you keep injecting the same site over a long period of time, you will probably develop some scar tissue. This can look unappealing to say the least.
Injection Site Infection
If you fail to properly clean and prepare your injection site using sterilized alcohol wipes, then you run the risk of getting a serious infection at the injection site.
Bodybuilders regularly report getting infections, abscesses, and other complications after failing to properly clean their injection site.
There is also a serious risk that comes with using needles to inject things into your blood.
If you are going to use AAS, then you need to make sure that you get your needles from a clean, reliable place; a pharmacy, hospital, or medical center.
Using dirty needles or sharing needles can result in life-threatening blood infections. In a worst case scenario, you may end up with Hepatitis or HIV.
Severe Myotrophic States
This is a rare one, but there has been at least one documented case of a steroid user having a severe adverse reaction to steroid use.
Take a look at this clinical report.
Here a guy showed up to hospital complaining of severe pain in his muscles. It was found that his muscles were in a state of atrophy; they were basically eating themselves. He was then admitted to intensive care, where he underwent multiple organ failure and ultimately died.
The clinicians were fairly convinced here that this all happened as a result of the patients steroid use. As they noted: “AAS have consistently been shown in animal models to produce a generalised myotrophic state.” It is difficult to tell whether this is the cumulative effect of long-term use, or simply an acute reaction to a single dose.
We think it makes sense to assume the worst case scenario. That is unless you want to wind up in intensive care with multiple organ failure.
High Blood Pressure
Steroid use causes high blood pressure. That is just the fact of the matter.
Having systemically raised blood pressure for an extended period of time greatly increases your risk of stroke, heart attack, and more.
Some steroids, like dianabol, cause you to retain water which will further increase your blood pressure.
Others actually increase the amount of red blood cells you produce.
This brings us neatly on to the long-term side effects.
Longer Term Risks
As with most things, the long-term risks are even more terrifying than the short term risks.
By long-term risks, we don’t mean that you necessarily need to use steroids for a very long time before you see any of these effects. We just mean that they are not typically immediate.
Here is a by no means list of the long-term risks associated with steroid use.
The link between steroid use and heart disease has been firmly and unshakably established.
The amount of evidence showing us that there is a direct and strong link between anabolic steroid use and heart disease of various sorts is so overwhelming that anybody would have a hard time convincing us that this link isn’t real.
There are many ways that steroids damage your cardiovascular system and increase your long-term heart disease risk.
For starters, steroids will put your cholesterol levels through the roof.
Your hormones are made from cholesterol, so by shutting off your body’s own hormone production and injecting ready-made hormones into your body, you are leaving lots of cholesterol floating around un-used.
Some hormones, such as DHT, can also “overpower” estrogen. Estrogen is what keeps your HDL (‘good’ cholesterol) elevated. By overpowering estrogen, these hormones can cause a decrease in your HDL levels and a subsequent increase in your LDL (‘bad’ cholesterol) levels.
This means that DHT based steroids (Winstrol, Anavar, and Masteron, etc.) will have a massive, negative effect on your LDL/HDL balance.
Cholesterol is the only necessary risk factor for atherosclerosis (the build up of plaque in the arteries).
Blockages caused by cholesterol build-ups cause both heart attacks and strokes. Therefore, using AAS can be said to have a considerable negative effect on your cardiovascular health. It significantly increases your chance of experiencing stroke or heart attack, particularly when used for a long time.
Blockages will also cause things like erectile dysfunction and cognitive decline.
Another way steroids cause heart disease is by giving you constantly elevated blood pressure.
The mechanisms behind this are various, just like with cholesterol.
The main reason this happens though is because most anabolic steroids have sodium-retaining properties. Using large doses of steroids inhibits enzyme 11-beta hydroxylase, which in turn eventually leads to elevated water and sodium retention.
Other people believe that steroids may raise blood pressure by interfering with the body’s nitrous oxide production. Nitrous oxide is released into the blood stream through the blood vessels. It causes veins to dilate, and it keeps things flowing nicely. Interfering with this release would definitely cause elevated blood pressure in the long-term.
Finally, steroids may elevate blood pressure by causing a stiffening of the arterial walls. This has not been confirmed in humans but some animal studies confirm that this mechanism can happen.
Make no mistake: steroid use greatly increases your risk of developing heart disease. It makes strokes more likely, and it makes heart attacks more likely. It can even contribute to vascular conditions like erectile dysfunction and dementia.
Liver & Kidney Failure
Introducing enormous amounts of exogenous hormone into your blood stream will place a great strain on your kidney and liver.
This should be intuitive and obvious.
The elevated hormone level will place a strain on the organs in and of itself.
However, the ester which is attached to the steroid compound will also be introduced into the blood stream.
So long chain esters actually give you less hormone by weight than short chain esters. For example, using 100mg of test suspension will deliver 100mg of testosterone to your system, because no ester is attached; it is just base testosterone. But if you use testosterone enanthate, you will only get around 80mg of testosterone per 100mg. The rest of the weight is taken up by the enanthate ester.
This ester needs to be broken down and gotten rid of.
Most steroids are also oil based; again, this needs to be broken down and removed from the blood.
All of this stresses the liver and kidneys in a big way. Over time, the nephrons in the kidneys can be worn down, and your liver and atrophy.
If you stress these organs over a long period of time, you may experience liver failure or kidney failure. We shouldn’t need to tell you that this is life threatening.
Oral steroids (e.g dianabol) are significantly more stressful on the liver than injectables as they pass twice through the liver. This is why long-term dianabol use is extremely dangerous.
Should You Use AAS?
So if you’ve read the full article, you might be wondering; what conclusions should I take from this?
We hope that the long list of risks made it fairly obvious to most of you that the dangers of using androgenic anabolic steroids are simply not worth it for 99.99% of people. The .01% refers to athletes and bodybuilders who genuinely do think their life is a reasonable price to pay for an edge.
However, some of you may still be considering using AAS.
As we explained in the early part of the article, the benefits you can expect from using steroids are actually pretty modest.
The mass monsters you see in magazines and online have a number of things going for them: decades of strict training, incredible genetics, and an absurd steroid regime.
You will not look like these people just because you use steroids.
Even if you use the same steroid compounds as them, in the same quantities, you wont look like they do.
In fact, even if you trained like them, ate like them, and used their exact steroid cycles, you still wont look like them unless you have their genetics. Chances are, you don’t.
So, with that in mind, you should take another look at the risks associated with AAS use and decide if modest returns are worth such enormous risks.
In the end, we think steroid use is unsuitable for the vast majority of people.
We think it is inherently dangerous in both the short and long term. These risks can be extremely serious, with both short and long term side effects potentially resulting in death.
And that is to say little about the specific dangers associated with specific compounds.
Just as side effect severity will vary user to user, so too will they vary from compound to compound.
If you are still considering using anabolic steroids after reading this, we urge you to talk to a qualified medical professional before you do so. It is always a good idea to get proper medical advice before doing anything extreme to your body.
YES; SELF-ADMINISTERED HORMONE THERAPY IS EXTREME!