One hundred and eleven men were seen for a baseline visit. The AAS cycle performed had a median duration of 13 weeks (range 2-52) and the average dose of AAS equivalents was 901 mg per week (range 250-3.382). Seventy-seven percent of participants had used AAS in the past and Heroin 97% of them had experienced side effects. After exclusion, 100 men comprised the cohort for follow-up. Recent illicit drug use was reported by 56%. Forty-eight percent self-reported to being addicted to AAS. Nineteen percent had competed in bodybuilding competitions. Subjects used other performance and image enhancing drugs (PIEDs) such as growth hormone (21%). The principal reason for AAS use was gain of muscle mass (44%). In total 272 AAS samples were analyzed and 47% contained the AAS indicated on the label.

Side effects of AAS and their metabolites were highly prevalent. Androgenic anabolic steroid users have an increased risk of dying and significantly more hospital admissions than their nonuser peers. Given the high rate of androgenic anabolic steroid abuse, these side effects are of public health concern.

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