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Anabolic-androgenic steroids: How do they work and what are the risks?
Peter Bond1, Diederik L Smit2, Willem de Ronde3
1PeterBond.org, Zeist, Netherlands.
Frontiers in Endocrinology
|January 16, 2023
Summary
Anabolic-androgenic steroids (AAS) are potent hormones abused for muscle growth. This review details AAS mechanisms, absorption, and severe health risks like cardiovascular damage and hormonal imbalances.
Area of Science:
- Endocrinology
- Pharmacology
- Sports Medicine
Background:
- Anabolic-androgenic steroids (AAS) are frequently abused for performance enhancement.
- Non-therapeutic dosages pose significant health risks.
Purpose of the Study:
- To provide a comprehensive overview of AAS mechanisms of action.
- To detail the absorption, distribution, metabolism, and excretion (ADME) of AAS.
- To elucidate the diverse side effects associated with AAS abuse.
Main Methods:
- Literature review of current research on AAS.
- Analysis of pharmacokinetic and pharmacodynamic properties of AAS.
- Compilation of reported adverse health effects and management strategies.
Main Results:
- AAS are absorbed via injection or oral routes, transported in circulation, and enter target cells.
- Intracellularly, AAS can be metabolized or bind to the androgen receptor.
- Common side effects include acne, hypertension, liver damage, dyslipidemia, hypogonadism, and cardiomyopathy.
Conclusions:
- AAS use is associated with a wide spectrum of adverse health outcomes.
- Understanding AAS pharmacology is crucial for clinicians managing users.
- Management strategies for AAS-induced side effects are discussed.
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