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Size is the key, the more steroids used, the bigger and leaner you get. Steroid Abuse: The abuse of steroids can lead to side effects such as reduced sperm production, breast enlargement (gynecomastia), uncontrolled aggressive behavior (‘roid rage’), hair loss (not permanent), growth of facial hair in women and enlarged clitoris, mood swings, irritability, poor judgment, problems in sleeping, and depression after stopping steroids if PCT is not used. Such abuse can even lead to possible drug dependence, liver abnormalities, blood clotting, increase in ‘bad’ (LDL) cholesterol, and decrease in ‘good’ (HDL) cholesterol. It is very important to note that steroid-induced increases in testosterone concentrations could result in lowered voice pitch, hirsutism (hair growth pattern changes, including facial hair), decreased abdominal fat accumulation, and general virilization, or feminizing effects in men, including gynecomastia. 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