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Unfortunately the use of androgens is not without significant side effects, including hepatotoxicity, cardiotoxicity, polycythemia, dyslipidemia, hypertension, depression, gynecomastia, testicular atrophy, and infertility all well described but poorly understood sequelae.

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Anabolic steroids are man-made medications related to testosterone (male sex hormone). At this age, the abnormality can cause psychological problems if the patient excludes himself from almost any athletic or physically involved interaction. But testosterone had side-effects because it was both anabolic - creating muscle growth - and androgenic - affecting male sexual characteristics - causing alterations in libido, body-hair growth, liver toxicity, gynecomastia and acne.

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