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In general, though, the effects of anabolic steroids include: Oily skin and acne Water retention ‘ bloating Hair loss; male pattern baldness Heart problems ‘ heart disease, stroke, arterial disease Mood instability ‘ aggression, depression, irritability High cholesterol and lipid counts Decreased sperm count, or absence of sperm High blood pressure Testicular atrophy Gynecomastia ‘ male growth of breast tissue Infertility Menstrual irregularities in women Virilization in women Steroid injection side effects may include itching, redness, pain, and swelling at the injection site. Different anabolic steroids produce different side effects to various degrees. The absolute best way to mitigate these effects involves researching your steroid of choice to determine which, if any, supplements or stacks you may need to counteract the harmful effects. Additionally, sticking to a recommended dose and cycle length is a good way to reduce anabolic steroid side effects. 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