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Due to the design of the study, causality cannot be inferred, but the results do indicate that further study of the intervention may be warranted. All three authors have read and approved the final manuscript. Finally, because AAS are typically sought out for their anabolic muscle-building properties as opposed to their androgenic properties, we elected to search for those substances that have the greatest ratio of anabolic to androgenic effects.

Evaluate patient understanding on drug therapy by asking patient to name the drug, its indication, and adverse effects to watch for. The term has been criticized and deemed obsolete since all compounds included in this group bind and activate the androgen receptor, making them basically androgens, which, by definition, have muscle building and virilising effects (4). Although elite athletes remain high profile users of anabolic steroids, their use among athletes has probably declined because of improved detection techniques, out of competition testing, and the development of newer performance enhancing drugs that are more difficult to detect (erythropoietin and growth hormone).

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