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The most effective way to know if someone is taking steroids is to observe their ‘gains timeline’. This involves compiling several pictures of the person throughout their life, to see when certain growth spurts occurred. If someone experienced dramatic results when they first started lifting, plateaued afterwards, then had another conspicuous growth spurt five years later; this points to steroid-use. However, if someone was exceptionally muscular during puberty, then started lifting weights and gained 20 pounds of muscle; then remaining (approximately) the same size afterwards. This is indicative of strong genetic structure and not anabolic steroid-use. Anabolic steroids increase serum testosterone levels to exceptionally high levels (exogenously). Consequently, aggression is likely to increase, resulting in bursts of anger in some individuals. 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