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Journal of Sports Science and Medicine published a study which reported the medical issues associated with anabolic steroids misuse. Some common side effects reported irrespective of gender is – Severe acne – Those who have been taking moderate or high doses of oral steroids for several weeks are likely to be affected by severe acne. The most obstinate acne is called cystic acne. This is a severe form of acne where pimples grow into small cysts. Oily skin – Improper use of the anabolic steroids stimulates the oil-producing sebaceous glands. Over-production of sebum leads to acne as mentioned above. Male pattern baldness – It does not appear to be a common adverse effect, but is often discussed as a potential side effect associated with steroid use. This is possibly related to the role that androgens have in regulating hair growth. Increased risk of liver tumors and liver damage – Liver being the primary site of steroid clearance may end up damaged. 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The studies titled Long-Term Psychiatric and Medical Consequences of Anabolic-Androgenic Steroid Abuse and Mood Symptoms in Steroid Users reported the following psychological effects caused by improper use of steroids. Mood swings Mania Irritability Increased aggression Increased anxiety and tension Depression or suicidal tendencies. American Journal of Physical Medicine and Rehabilitation published a study which investigated the association between anabolic steroids use and the occurrence of musculoskeletal injuries in a group of retired professional football players. The following injuries are reported by the study. Joint and cartilaginous injuries Disc herniations Knee ligamentous injury Elbow injuries Neck burner Spine injury Foot/toe/ankle injuries Premature epiphyseal plate closure Increased risk of tendon tears Intramuscular abscess. Side effects seen in teens. Teenagers who use anabolic steroids may be at an increased risk for some medical side effects compared with adults. 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