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Mary Choy, PharmD, is board-certified in geriatric pharmacotherapy and is an active leader in professional pharmacy associations. Corticosteroids refer to a class of drugs used to treat inflammatory arthritis and other inflammatory conditions. Because they are commonly referred to as “steroids,” people often believe them to be the same thing as anabolic steroids, which are used to boost strength and physical performance. However, while they share some molecular properties, the two are quite different. The word “steroid” is a broad-ranging term used to describe any compound with a specific molecular structure (comprised of four fused rings of 17 carbon atoms). The function of steroids is to either maintain the integrity of a cell’s membrane or to activate a receptor on a cell’s surface to regulate how it behaves. There are many different types of steroids found in nature, broadly classified as: ? ? Sex steroids, including estrogen, progesterone, and testosterone Corticosteroids, including glucocorticoids (such as cortisol), which regulates the immune function, and mineralocorticoids (such as aldosterone), which regulates electrolyte balance Secosteroids such as vitamin D, which helps regulate numerous biological functions ? ? Neurosteroids, such as DHEA, which aid in the synthesis of male and female hormones Sterols, also known as steroid alcohols, a subgroup of steroids. The most common type of animal sterol is cholesterol, which helps maintain cell membrane integrity. Anabolic steroids are synthetic variations of natural male sex hormones (androgens). They are used to promote the growth of skeletal muscle (the anabolic effect) and the development of male sexual characteristics (the androgenic effect). Anabolic steroids are available by prescription and are used to treat conditions that result in abnormally low testosterone levels (hypogonadism). 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