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Currently, few users of anabolic-androgenic steroids AAS seek substance-abuse treatment. But this picture may soon change substantially, because illicit AAS use did not become widespread until the s, and consequently the older members of this AAS-using population—those who initiated AAS as youths in the s—are only now reaching middle age. Members of this group, especially those who have developed AAS dependence, may therefore be entering the age of risk for cardiac and psychoneuroendocrine complications sufficient to motivate them for substance-abuse treatment. We suggest that this treatment should address at least three etiologic mechanisms by which AAS dependence might develop. Second, AAS suppress the male hypothalamic-pituitary-gonadal axis via their androgenic effects, potentially causing hypogonadism during AAS withdrawal. Men experiencing Massage haven Armadale dysphoric effects or frank major depression from hypogonadism may desire to resume AAS, thus contributing to Steroids Adelaide Hills online dependence.

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