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Creams are mixes of water suspended in oil. Anabolic steroids stimulate growth in many types of tissues, especially bone and muscle. Anabolic effects also include increased production of red blood cells. Androgens and anabolic steroids are used as replacement therapy to treat delayed puberty in adolescent boys, hypogonadism and impotence in men, and to treat breast cancer in women. The fact is that most “over the counter” topical steroids can contain 1 percent of hydrocortisone while prescription hydrocortisone creams can contain much more. Hydrocortisone, a steroid used to reduce inflammation, is sold extensively in over-the-counter skin ointments. Last year, doctors at the iadvl had written to the drug controller general of india, with a list of over 500 steroid based cream formulas which were available in the market. While the dgci had banned 349 creams out of the list, a case was filed by manufacturers in supreme court, and a stay order was awarded. 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