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It might also convert to dihydrotestosterone, a chemical associated with baldness and non-cancerous growth of the prostate (benign prostatic hyperplasia, or BPH). But the most pronounced signs of steroid use are the ones you can’t see. The telltale test Scally took an unusual path to his steroid expertise. It started when, at 35, his waist measured 40 inches. He remembered a warning he’d heard in medical school: As you get older, your health is at risk if your waist size exceeds your age. That got him into the gym, where he began to hear a lot of questions about steroids. They weren’t asking about how to use them’as an anesthesiologist, he knew less than even the entry-level juicers’but about how to handle the many consequences of having used them, natural bodybuilding champion 2021. Scally, however, saw it wasn’t that simple or predictable. Many of them suffered from a condition doctors now recognize as anabolic steroid-induced hypogonadism, or ASIH. Symptoms include muscle and strength loss, fat gain, bone loss, poor sleep, sexual dysfunction, depression, irritability, and fatigue. Because the body has stopped producing sperm, former steroid users are often sterile for months after they quit, and often years. Sometimes, Scally says, that’s a tipoff for a doctor or close friend that someone has used steroids: he and his wife are trying to start a family but unable to conceive, especially if he’s shooting blanks from shrunken testicles, or if he also has gynecomastia and/or post-teenage acne. But there could be other explanations for some of those problems. Acne and infertility aren’t limited to steroid users, and gyno occurs in about 50 percent of boys in early puberty. It goes away most of the time, but for some it never does. The absolute best way to tell is a blood test. That’s because hCG (human chorionic gonadotropin) is a hormone produced by pregnant women, and commonly used to un-shrink balls and restore normal testosterone levels. The eyeball test You, of course, aren’t going to issue a blood test to a guy in your gym you suspect of using steroids. Nor are you going to check for BB balls, gyno, or bacne. But you’re probably still curious. In fact, when I searched Google for ‘how to tell if someone ”, ‘ ‘ is on steroids’ was the #2 suggestion, right after ‘ ‘ is lying’ and ahead of ‘ ‘ is gay,’ ‘ ‘ likes you,’ and ‘ ‘ is high. If someone tells me they gained 25 pounds of muscle in a year, I know they’re either new to lifting, they’re juicing, or they’re full of crap. It’s possible the guy is simply a genetic freak. Now, that’s one person out of hundreds of athletes I’ve trained, so it is rare. Unless the guy is a doctor, you can guess that his deep knowledge of male hormones came about through enlightened self-interest.
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