Anabolic steroids are often used to improve physical performance and muscle growth. If used inadequately, for a long time in high dosages and without medical supervision, they can lead to erratic and irrational behavior and a wide range of physical side effects.

Anabolic steroids include testosterone and any drugs chemically and pharmacologically related to testosterone that promote muscle growth; there are numerous drugs of this kind. Anabolic steroids are used in clinical practice for hypogonadism to treat men with low testosterone levels. In addition, because anabolic steroids are anti-catabolic and improve protein utilization, they are sometimes prescribed for burn patients, bedridden or debilitated patients to prevent muscle wasting.

Some doctors prescribe anabolic steroids for AIDS patients or cancer patients. However, there is little evidence to recommend such a therapy and little guidance on how additional androgens may affect the development of underlying diseases. Testosterone has a reputation for its benefits in healing wounds and damaged muscles, although there is little evidence to support these claims.

Anabolic steroids are used illegally to increase muscle mass and strength; training in resistance exercises and a specific diet can amplify these effects. There is no direct evidence that anabolic steroids increase endurance or speed, but substantial circumstantial evidence suggests that athletes who take them may be more likely to exercise at high intensity. Muscle hypertrophy is clearly observed.

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