Unlike most illicit drug use, misuse of anabolic steroids most commonly begins in young adulthood rather than adolescence. But steroid use in teens is of concern, especially since the hormonal systems they interact with play a critical role in brain development during these years.92–96 In adolescent rodents, exposure to anabolic steroids increased neuronal spine densities in the hippocampus and amygdala—brain regions involved in learning and emotions (e.g., aggression), respectively.

When athletes or their parents hear the word ‘steroid,’ they may envision a muscle-building, performance-enhancing drug that not only destroys the integrity of sport, but also comes with extreme health risks – especially for young athletes.

Unlike most illicit drug use, misuse of anabolic steroids most commonly begins in young adulthood rather than adolescence.

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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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