Anabolic steroid complications: Difference between revisions
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*Testosterone is generally utilized as the primary anabolic steroid and combined with various other anabolic agents such as trenbolone, oxandrolone, oxymetholone, metandienone, and many others | *Testosterone is generally utilized as the primary anabolic steroid and combined with various other anabolic agents such as trenbolone, oxandrolone, oxymetholone, metandienone, and many others | ||
==Adverse Effects== | ===Adverse Effects=== | ||
*Hypogonadism (occurs after discontinuation) | *Hypogonadism (occurs after discontinuation) | ||
*Hepatotoxicity (primarily with oral agents) | *Hepatotoxicity (primarily with oral agents) | ||
| Line 17: | Line 17: | ||
*Polycythemia | *Polycythemia | ||
== | ==Differential Diagnosis== | ||
==Evaluation== | |||
===Workup=== | |||
*CBC | *CBC | ||
*LFTs | *LFTs | ||
*Creatinine | *Creatinine | ||
*ECG | *ECG | ||
* | *Consider for outpatient workup: | ||
**A1C | |||
**Lipid panel | |||
**Echocardiogram to assess for left ventricular hypertrophy | |||
===Diagnosis=== | |||
==Management== | |||
==Disposition== | |||
==See Also== | |||
==External Links== | |||
==References== | |||
<references/> | |||
[[Category:Endocrinology]] | [[Category:Endocrinology]] | ||
Latest revision as of 17:27, 7 September 2022
Background
- Anabolic steroids are used for both recreational purposes as well as competitive purposes for those in various sports
Clinical Features
- Adverse effects can vary depending on the specific anabolic steroid
- Oral agents can cause hepatotoxicity
- Testosterone is generally utilized as the primary anabolic steroid and combined with various other anabolic agents such as trenbolone, oxandrolone, oxymetholone, metandienone, and many others
Adverse Effects
- Hypogonadism (occurs after discontinuation)
- Hepatotoxicity (primarily with oral agents)
- Renal toxicity, most commonly with trenbolone
- Acne
- Hair loss
- Dyslipidemia
- Left ventricular hypertrophy
- Polycythemia
Differential Diagnosis
Evaluation
Workup
- CBC
- LFTs
- Creatinine
- ECG
- Consider for outpatient workup:
- A1C
- Lipid panel
- Echocardiogram to assess for left ventricular hypertrophy