Buying Steroids? Test Your Products at an Independent Analytical LaboratoryBoldenone undecylenate — aka Equipoise. Drostanolone propionate — aka Masteron. Methandienone — aka Dianabol. Rrsults enanthate — aka Primobolan Depot. Nandrolone decanoate — aka Deca Durabolin.
VM -- Diagnosing Anabolic Steroid Use, Jul 04 Virtual Mentor
July , Volume 6, Number 7. Anabolic steroid misuse is a growing problem in the United States. Overall, the prevalence of lifetime illegal steroid use was higher among white 6.
Males were more likely than females to engage in illegal steroid use during their lifetime 6. Adolescents who misuse steroids are also more likely to use other illicit substances including alcohol, cigarettes, and marijuana .
A complete physical examination provides important evidence about a patient whom you suspect may be misusing anabolic steroids. Many of these exam findings manifest because anabolic steroids are synthetic versions of the primary male sex hormone, testosterone.
The physician should look for the presence of:. Laboratory findings can provide further evidence to support clinical data. Blood tests may reveal:.
If the physical exam and routine laboratory testing support the preliminary diagnosis of anabolic steroid use, a physician should test directly for the presence of anabolic steroids after discussing the rationale for the testing with the patient.
At this point, the patient may admit to inappropriate use of anabolic steroids. If a patient who is a minor refuses testing and denies steroid use, the physician should speak with the minor's parents or legal guardian before proceeding. The physician should look for the presence of: Acne Gynecomastia Cutaneous striae especially in the deltopectoral area Testicular atrophy Needle stick marks in the buttocks, thighs, or deltoids Elevated blood pressure [3,4].
Blood tests may reveal: Elevated glucose Decreased HDL levels Increased LDL levels Abnormal liver function tests  If the physical exam and routine laboratory testing support the preliminary diagnosis of anabolic steroid use, a physician should test directly for the presence of anabolic steroids after discussing the rationale for the testing with the patient.
The viewpoints expressed on this site are those of the authors and do not necessarily reflect the views and policies of the AMA. Clinical Pearl Diagnosing Anabolic Steroid Use Physicians should look for specific clinical evidence when examining a patient suspected of anabolic steroid use. Youth risk behavior surveillance-United States, Use of multiple drugs among adolescents who use anabolic steroids.
N Engl J Med. Br J Sports Med. Side effects of anabolic steroids in weight-trained men. Accessed June 16,