Anabolic steroid complications
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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