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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.

Steroids, particularly anabolic steroids, have gained significant attention in the world of sports, fitness, and medicine.

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Anabolic steroids have some legitimate medical uses, including for treating hormonal issues in puberty, and to treat muscle loss caused by other diseases such as cancer and AIDS.

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In recent years, steroids have been touted as a potential solution for combating the effects of aging. With claims ranging from improved muscle mass to enhanced energy levels, it's crucial to separate fact from fiction.

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.

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Human chorionic gonadotropin, commonly known as hCG, is a hormone found in blood and urine throughout pregnancy. HCG becomes detectable in blood shortly after implantation of the embryo in the uterus (roughly three weeks into a four-week menstrual cycle).1 Increasing levels of hCG tell the body that you are pregnant, putting the womb to work creating a safe home for your baby to grow in.