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Anabolic steroids are synthetic, ie man-made, variations of the male sex hormone testosterone. In other words, they are "brothers" of testosterone. The appropriate term for these compounds is "anabolic androgenic steroids". The term "anabolic" refers to their ability to increase muscle mass, and the term "androgen" refers to their ability to emphasize the development of male sexual characteristics in the individual consumer. It is correct to use the term "anabolic androgenic steroids", because their anabolic action cannot be separated from the anabolic one. The popular names for anabolic androgenic steroids are "Gear", "Juice", "Roids" and "Stackers".

They have legitimate use only if they are administered after a medical consultation, following a medical prescription by individuals who have real indications. But they are often misused by various individuals who want to increase muscle mass and quickly improve their physical appearance and athletic performance.

Specialists may prescribe anabolic androgenic steroids to treat some hormonal problems in patients, such as delayed puberty. Anabolic androgenic steroids are also prescribed for increasing muscle mass also in diseases that cause muscle loss such as cancer and AIDS.

Anabolic androgenic steroids are most often misused especially by athletes and bodybuilders, who misuse these drugs in an attempt to increase athletic performance or improve their physical appearance.

Most people who misuse anabolic androgenic steroids are male weightlifters between the ages of 20 and 30. Misuse of anabolic androgenic steroids is much less common in women because they promote the development of male sexual characteristics. It is difficult to quantify the abusive use of anabolic androgenic steroids. However, use among adolescents is generally minimal. The US Monitoring the Future study, funded by NIDA in 2016, showed that inappropriate use of anabolic androgenic steroids has decreased in recent years among 8th and 10th grade students, while remaining constant among students. of class XII.

How are anabolic androgenic steroids misused?

Individuals who abuse anabolic androgenic steroids usually administer them orally or inject them into the muscles. They administer doses that may be 10 to 100 times higher than the doses prescribed for the treatment of medical conditions in which they are indicated.

Schemes of administration in the abuse / misuse of anabolic androgenic steroids

The cycling cycle is that in which the individual takes several doses for a period of time, then stops taking them for a period of time and then resumes the administration.

The stacking scheme consists of combining two or more different anabolic androgenic steroids and combining oral and / or injectable forms with each other.

The pyramid scheme consists of gradually increasing the dose or frequency of administration of anabolic androgenic steroids to a maximum value, then gradually decreasing the dose to zero.

The plateauing scheme consists of alternating, overlapping or substituting steroids administered with other steroids to avoid the development of tolerance.

However, there is no scientific evidence that any of these practices reduce the harmful medical consequences of these active substances.

How do anabolic androgenic steroids affect the brain?

Anabolic androgenic steroids work differently from other abusers. They do not have the same short-term effects on the brain. The most important difference is that anabolic androgenic steroids do not directly activate the reward system in the brain to induce euphoria. It also does not trigger rapid increases in dopamine in the brain, unlike other substances of abuse.

Misuse of anabolic androgenic steroids can lead to negative mental effects, such as: paranoia (extreme), extreme irritability and aggression ("roid rage"), delusions (false beliefs or ideas), impaired judgment, mania.

What physical effects do anabolic androgenic steroids have?

People who inject anabolic androgenic steroids have an increased risk of contracting or transmitting diseases such as AIDS or hepatitis. In addition to the mental effects, the use of anabolic androgenic steroids frequently causes severe acne. It also causes edema (water retention in the body), especially in the hands and feet.

What are the long-term effects of anabolic androgenic steroids?

Misuse of anabolic androgenic steroids can lead to serious, even permanent, health problems such as: kidney problems, even kidney failure, liver damage and liver tumors, increased heart volume, high blood pressure, high blood cholesterol, increased risk of blood clots, all this increasing the risk of stroke and heart attack, even in young people.

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Effects of gender and age specific anabolic androgenic steroids

In men, anabolic androgenic steroids can reduce testicular volume, decrease sperm count, baldness, breast enlargement, and increase the risk of prostate cancer.

In women, anabolic androgenic steroids can cause facial hair growth or excess hair on the body, decreased breast size, baldness, changes or stops in the menstrual cycle, enlargement of the clitoris, thickening of the voice.

In adolescents, anabolic androgenic steroids may cause: slowing bone growth (when high levels of administered anabolic androgenic steroid hormones signal the body to stop bone growth earlier than necessary), slowing growth in height (if adolescents are taking steroids). anabolic androgens before the initiation of the growth process or during the growth process).
Some of these physical changes, such as the shrinking of the sexual organs in men, can be added to mental side effects, such as mood disorders.

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