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A scientific study looking at those who do not acquire testosterone legally. In one study, the authors found that injectable testosterone preparations and synthetic anabolic-androgenic steroids (AAS) are easily obtained on the internet without a prescription. Nearly all the websites they evaluated, regardless of the country of origin, accepted all common payment methods, obtained supplies from unregulated international pharmacies, and shipped their products directly to the consumer’s home address. They included a disclaimer that delegated legal responsibility to the consumer for complying with local laws governing consumption (McBride et al. The thousands of internet websites selling AAS and other drugs without a prescription offer the disclaimer they are not endorsing the sale of AAS to individuals in countries in which it is illegal and perhaps even taking it a step further by stating that it is illegal for private individuals to import AAS into the U. So while it is legal to buy testosterone online, it is not legal to do so without a prescription (McBride et al. Government tests the theory that you can get testosterone online illegally. When the United States Government Accountability Office placed 22 orders for AAS on websites using a credit card, they received 14 shipments of which they found genuine AAS in ten shipments, testosterone steroid structure. All the packages were shipped in anonymous packages from pharmacies in Europe and Asia (Brennan et al. The United States Accountability office anticipated that the average user ordering testosterone online illegally would be in their late teens to 20s and active in organized sports. Standards of care exist for making diagnoses, evaluating lab values, and prescribing medications so that a databank of information is available to all prescribing physicians. This databank of information, in the form of peer-reviewed papers, allows prescribers to learn from one another and for the medical field to progress to be safer and more effective. If you choose to purchase testosterone without a prescription, you are taking many risks. Not knowing for sure it is a lack of testosterone causing your symptoms. A medical condition may worsen if it is not diagnosed early or if testosterone replacement is started when there is a contraindication. The chemical composition of the product you inject into your body may be unknown, or at least unregulated. The strength and the dosage of testosterone may be inaccurate. When you inject testosterone, your body will decrease production accordingly. If your dosage is incorrect and you stop injecting testosterone, it will take time for your body to resume production. Excess testosterone may be converted to estrogens leading to side effects such as gynecomastia. Without a proper lab work-up, you will not have a base-line hematocrit (red blood cells in the blood). Testosterone injection can increase red blood cell production, increasing the risk for a blood clot. Testosterone injection may adversely affect fertility. There is the potential for decreased testicular size because of suppression of the hypothalamic-pituitary-testicular hormonal axis. Abscesses or other skin infections may develop from using non-sterile preparations for injecting testosterone (Brennan et al.
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