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From the case reports, the incidence of lifethreatening effects appears to be low, but serious adverse effects may be underrecognized or underreported, especially since they may occur many years later. Data from animal studies seem to support this possibility. One study found that exposing male mice for one-fifth of their lifespan to steroid doses comparable to those taken by human athletes caused a high frequency of early deaths. Hormonal system Steroid abuse disrupts the normal production of hormones in the body, causing both reversible and irreversible changes. Changes that can be reversed include reduced sperm production and shrinking of the testicles (testicular atrophy).


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Abbreviations: AIDS = acquired immunodeficiency syndrome FDA = Food and Drug Administration FSH = follicle-stimulating hormone GnRH = gonadotropin-releasing hormone hCG = human chorionic gonadotropin HDL = high-density lipoprotein LDL = low-density lipoprotein LH = luteinizing hormone MRI = magnetic resonance imaging PSA = prostate-specific antigen SHBG = sex hormone-binding globulin MISSION STATEMENT Hypogonadism is defined as “inadequate gonadal function, as manifested by deficiencies in gametogenesis and/or the secretion of gonadal hormones” (1). Men with hypogonadal disorders have symptoms that are often denied by the patient and ignored by the physician, phenylpropionate nandrolone legal npp deca. In addition, diagnostic evaluation and therapeutic options are poorly understood. With a longer life span and with advances in the treatment of cardiovascular disease, some aging men suffer from associated decreases in testosterone levels that may increase the risk of osteoporosis, sexual dysfunction, fatigue, cardiovascular disease, and mood disturbances, phenylpropionate nandrolone legal npp deca. Prostate cancer in men remains a common problem that demands further research efforts and also is an issue in the consideration of testosterone replacement therapy. Cooperatively implementing these techniques and principles may allow us to better fulfill our comprehensive responsibility to athletes and the physically active. That is, health care professionals should constantly seek high-quality new resources and readily call on available professionals, while coordinating the process as with any other health care issue. Referral to an AASknowledgeable specialist for counseling and possible pharmacologic intervention may be beneficial. Health care professionals may have a close relationship with those in their care. Such relationships provide excellent, critical opportunities to prevent AAS abuse through an active approach that includes being alert to abuse patterns, forthright in terms of approaching the issue, and effective in offering counseling and referral services. Health care professionals and educators serve as advocates and resources for all those with health-related issues, including AAS abuse.


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