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To them that benefit outweighs the implications that AAS can cause later down the line. What Are the Side Effects of Steroids? This is compound-dependent, however the main side effects of steroids are: Hypogonadism (low testosterone) High blood pressure Hair loss (on the scalp) Acne Oily skin Hepatotoxicity (liver damage) Gynecomastia Testicular atrophy Infertility Depression Anxiety Increased aggression Insomnia. These side effects are not relevant to all anabolic steroids, or all users, as genetics will often dictate side effects (and severity). High dosages and excessive cycles will exacerbate any adverse reactions. The benefits of anabolic steroids are undoubtedly impressive, in relation to body composition and mental well-being. However, it is important to note that such positive effects are often short-lived, with an opposite effect occurring post-cycle. 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