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While steroids are highly effective at building lean muscle mass rapidly , they can also cause side effects such as: Gynecomastia Hair loss or acne Increased risk of heart disease or stroke Suppression of natural testosterone production Liver and kidney toxicity in oral compounds (Pope et al., 2014, Endocrine Reviews ) Legal and Regulatory Status The legal classification of peptides and steroids varies widely by country and region : Peptides : Many are approved for medical use (e.g., for growth hormone deficiency, wound healing), and some can be obtained via prescription

doi: 10.1111/j.1742-4658.2012.08644.x 58 MashimaTSeimiyaHTsuruoT

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