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An anabolic steroid is a synthetic substance that mimics the effects of the naturally occurring hormone testosterone in the body. These compounds are engineered to promote muscle growth and enhance athletic performance by increasing protein synthesis within cells, which leads to larger and stronger muscle fibers. In addition to their use in sports and bodybuilding, anabolic steroids have legitimate medical applications such as treating certain types of anemia, delaying puberty in boys with delayed onset, and managing some chronic diseases that cause muscle wasting. Anabolic–androgenic steroids (AAS) combine the anabolic effects—muscle building and increased red blood cell production—with androgenic properties, which influence male sexual development. They work by binding to an
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