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Some anabolic steroids are taken orally, others are injected intramuscularly,29 and still others are provided in gels or creams that are applied to the skin.35 Many users start with the oral form and then progress to injectable forms,36 since the latter causes less liver damage.

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This document reflects emerging clinical and scientific advances as of the date issued and is subject to change. The information should not be construed as dictating an exclusive course of treatment or procedure to be followed.

Although non-athlete weightlifters account for the bulk of anabolic steroid misuse, occasional steroid use by professional and Olympic athletes to improve performance or cheat in competition ("doping") has done the most to raise awareness of steroid misuse.