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Around 3 to 4 million people in the U.S. use anabolic steroids without a prescription for nonmedical purposes. They're the most common appearance- and performance-enhancing drugs (APEDs). Some athletes and bodybuilders may use them as a way to enhance their physical appearance.

Human chorionic gonadotropin (hCG) is a hormone produced by the placenta during pregnancy. It helps thicken a person’s uterine lining to support a growing embryo and tells the body to stop menstruation. HCG levels rise after conception and continue to rise until about 10 weeks in pregnancy.