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Steroids are a class of compounds that share a similar chemical structure. This broad group of chemicals includes many normal substances in the body (such as cholesterol), vitamins(vitamin D), hormones (for example, the sex hormones and their derivatives), and drugs given to treat inflammation (hydrocortisone, prednisone). The adrenal glands secrete a number of steroid hormones, known as corticosteroids, that are important for the maintenance of blood pressure, blood glucoselevels, salt and water balance, and other critical body processes. However, when we speak of steroid abuse by athletes, doctors are referring to the misuse of the so-called “anabolic steroids,” which are manufactured drugs similar to the male sex hormone testosterone.
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Another reason people give for taking steroids is to increase their muscle size and/or reduce their body fat. This group includes some people who have a behavioral syndrome (muscle dysmorphia) in which a person has a distorted image of his or her body. Men with this condition think that they look small and weak, even if they are large and muscular. Similarly, women with the syndrome think that they look fat and flabby, even though they are actually lean and muscular.
Finally, some adolescents abuse steroids as part of a pattern of high-risk behaviors. These adolescents also take risks such as drinking and driving, carrying a gun, not wearing a helmet on a motorcycle, and abusing other illicit drugs.
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