All bets are off the table when high-dose testosterone and its many metabolites are used illegally, such as with anabolic steroid abuse. Strokes, embolisms, and cardiovascular disease are all more likely, as is sudden death, and liver and kidney disease. 44 In women, acne, irreversible deepening of the voice, baldness, increased facial hair, enlarged sex organs, breast reduction, depression, and infertility have all been reported. In adult men that abuse anabolic steroids, acne, baldness, permanent infertility, gynecomastia, loss of libido, erectile dysfunction, testicle shrinkage, and profuse sweating are all reported side effects. Increased testicular cancer hasn't been reported, though. 45,46
The Fitness column last Thursday, about nutritional supplements for exercisers, overstated Dr. Teri M. McCambridge’s role at the American Academy of Pediatrics. She is the chairwoman of its council on sports medicine and fitness, not the chairwoman of the entire academy. The article also referred incorrectly to nitric oxide; although caffeine is often added to supplements that contain it, it is not a caffeine-based stimulant. And a picture caption with the article misidentified the exerciser who begins his morning workout by taking .-Xplode. As the article correctly reported, he is Michael Deutsch not Alex Feintuch, who is shown in the picture.