Dangers of Anabolic Steroids and other PEDs in Bodybuilding

Bodybuilding has experienced a surge in popularity, attracting individuals from diverse backgrounds who seek to improve their physique and overall fitness. It involves rigorous training, proper nutrition, and a disciplined lifestyle. Many people engage in bodybuilding to enhance their physical strength and achieve their desired aesthetic goals.

However, it is important to acknowledge that the use of anabolic steroids and other performance-enhancing drugs (PEDs) has unfortunately become prevalent in the world of bodybuilding. These substances are often sought after by some individuals in their pursuit of faster muscle growth and improved athletic performance.

Testosterone Enanthate - example of an anabolic steroid

The aim of this article is to provide an objective examination of the potential risks and hazards associated with the use of anabolic steroids and PEDs in the context of bodybuilding. By understanding the dangers associated with these substances, readers can gain valuable knowledge to make informed decisions regarding their fitness journey. It is crucial to prioritize health and well-being while striving for bodybuilding goals.

Note: It is essential to clarify that this article does not endorse or promote the use of anabolic steroids or PEDs. Instead, it aims to provide factual information regarding the potential risks and dangers associated with these substances in the context of bodybuilding.

Understanding Anabolic Steroids and PEDs

Anabolic steroids are synthetic substances that mimic the effects of the hormone testosterone in the body. They are classified as Schedule III controlled substances due to their potential for abuse and misuse. There are various types of anabolic steroids, including but not limited to Testosterone, Nandrolone, Stanozolol, and Oxandrolone, Masteron, Sustenon, Trenbolone, Dianabol, Masteron, IGF-1 and more. These compounds are typically available in oral or injectable forms.

Overview of Other Peds Commonly Used in Bodybuilding

In addition to anabolic steroids, other performance-enhancing drugs (PEDs) are frequently utilized in the realm of bodybuilding. These may include growth hormone (GH), insulin, and stimulants such as amphetamines or ephedrine. Each of these substances has distinct effects on the body and plays a role in optimising performance or altering body composition.

How Do They Work?

Anabolic steroids function by binding to specific receptors within muscle cells, influencing protein synthesis and promoting the growth of muscle tissue. These substances also aid in reducing recovery time, allowing individuals to train more frequently and intensely. The chemical structure of anabolic steroids enables them to interact with androgen receptors, leading to increased protein production and enhanced nitrogen retention within the muscles.

Similarly, growth hormone (GH) promotes muscle growth by stimulating the production of insulin-like growth factor 1 (IGF-1). IGF-1 plays a crucial role in cellular growth and replication, contributing to muscle hypertrophy. Insulin, when used in bodybuilding, helps regulate blood sugar levels and promotes nutrient uptake by muscle cells, facilitating muscle growth and recovery.

Stimulants, on the other hand, act on the central nervous system, increasing alertness, focus, and overall energy levels. They may provide temporary enhancements in strength and endurance during training or competition.

It is important to note that the use of these substances can have potential risks and side effects, which will be explored in subsequent sections of this article. Understanding the chemistry behind these substances provides insight into how they interact with the body and influence performance and muscle growth.

Why Do Bodybuilders Use Anabolic Steroids?

Increase in Protein Synthesis

One of the primary reasons why bodybuilders turn to anabolic steroids is their potential to enhance protein synthesis. Anabolic steroids facilitate an increased rate of protein synthesis, enabling the body to build and repair muscle tissue at an accelerated pace. This can result in greater muscle hypertrophy and improved overall physique.

Improved Recovery and Injury Healing

Anabolic steroids are often sought after for their ability to expedite recovery and promote injury healing. These substances can help reduce inflammation, enhance collagen synthesis, and improve the body’s ability to repair damaged tissues. As a result, bodybuilders may experience quicker recovery between intense workouts and bounce back from injuries more rapidly.

Enhanced Metabolism and Fat Loss

Anabolic steroids have been purported to elevate the metabolic rate, leading to increased energy expenditure and potential fat loss. Bodybuilders may utilize these substances to help achieve a leaner physique, especially during cutting phases. It is important to note, however, that the long-term effects and safety of using anabolic steroids for fat loss are not well-established and can come with potential health risks.

Compensation for Suboptimal Diet and Training

Another motivation for some bodybuilders to use anabolic steroids is the belief that these substances can compensate for a less-than-perfect diet or training regimen. While proper nutrition and training are fundamental to achieving optimal results in bodybuilding, some individuals may turn to anabolic steroids as a perceived shortcut to overcoming dietary or training deficiencies.

Methods of Anabolic Steroid and Other Drug Use in Bodybuilding

Bodybuilders employ various methods of using anabolic steroids to enhance their performance and physique. These methods commonly involve the use of oral tablets or injectable forms of the substances. Oral tablets are convenient and easily administered, while injectables offer a more direct delivery into the bloodstream.

Let’s take a look at the types of drugs used in bodybuilding:

Testosterone-based Compounds

Testosterone is a foundational anabolic steroid used in bodybuilding. It can be found in various forms, including testosterone enanthate, testosterone cypionate, and testosterone propionate. These compounds serve as the base for many steroid cycles and help increase muscle mass, strength, and overall performance.


Trenbolone is a potent androgenic steroid that is highly valued among bodybuilders for its ability to promote muscle growth, improve strength, and enhance physical conditioning. It is available in both injectable and oral forms, and its use should be approached with caution due to its potential side effects.

Boldenone (Equipoise)

Boldenone, also known as Equipoise, is an injectable steroid that was initially developed for veterinary use. It is commonly used in veterinary medicine to promote muscle growth and enhance appetite in animals. In bodybuilding, Boldenone is appreciated for its anabolic properties, helping to increase nitrogen retention and protein synthesis, thereby promoting muscle growth and improving endurance.

Dianabol (Methandrostenolone)

Dianabol is an oral steroid that is commonly used in bodybuilding to kickstart muscle gains and increase strength. It is known for its rapid effects on muscle size and performance, but it also carries a higher risk of side effects compared to some other steroids.

Superdrol (Methasterone)

 Superdrol is a popular oral steroid that once legally available as a dietary supplement when it was originally classified as a prohormone. It gained attention for its ability to provide significant muscle gains and strength improvements. However, it is important to note that Superdrol has been banned and classified as an illegal substance due to its potential health risks and adverse effects.

Masteron (Drostanolone)

Masteron is often utilized in the later stages of contest preparation by bodybuilders aiming for a lean and defined appearance. It helps reduce body fat and enhances muscle hardness and vascularity. Masteron is typically administered through injectable means.

Primobolan (Methenolone)

Primobolan, also known as Methenolone, is an anabolic steroid that is commonly used in bodybuilding. It is available in both injectable and oral forms. Primobolan is known for its mild anabolic properties, making it a popular choice for individuals seeking lean muscle gains without excessive water retention.


Clenbuterol is a sympathomimetic amine that is often used as a bronchodilator for treating respiratory conditions. While not classified as an anabolic steroid, it has gained attention in bodybuilding for its potential thermogenic and performance-enhancing effects.

Insulin-like Growth Factor 1 (IGF-1)

While not a steroid itself, IGF-1 is a growth factor that bodybuilders may use to promote muscle growth and recovery. It is often used in conjunction with anabolic steroids to maximize their effects.


Melanotan refers to a synthetic peptide hormone, specifically Melanotan I and Melanotan II, which are primarily designed to stimulate the production of melanin in the body. While not used for enhancing athletic performance, Melanotan has gained popularity among bodybuilders for its potential to induce skin darkening and create a tanned appearance.

Do Bodybuilders Maintain Their Gains After a Cycle?

One common concern among bodybuilders who use anabolic steroids is whether they can maintain their gains after completing a cycle. It is essential to understand that the gains achieved during a steroid cycle are not guaranteed to be permanent. The body’s natural hormonal balance may be disrupted during the cycle, leading to temporary changes in muscle mass, strength, and overall physique.

Following the completion of a steroid cycle, it is not uncommon for bodybuilders to experience a decrease in muscle size and strength. This is often attributed to the body’s natural testosterone production being suppressed during the cycle. Therefore, without proper measures, the gains obtained may diminish over time.

Post Cycle Therapy (PCT)

To mitigate the potential loss of gains and to restore the body’s natural hormonal balance, bodybuilders often undergo a process known as Post Cycle Therapy (PCT). PCT involves the use of specific medications and protocols to support the recovery of the body’s natural testosterone production and minimize the adverse effects of coming off a steroid cycle.

Box of Nolvadex (Tamoxifen)

Nolvadex (Tamoxifen)

Nolvadex, also known as Tamoxifen, is a medication commonly used during PCT. It belongs to a class of drugs known as selective estrogen receptor modulators (SERMs). Nolvadex helps to block the effects of estrogen in the body, preventing the onset of estrogen-related side effects and supporting the restoration of the body’s natural testosterone production.

Clomid (Clomiphene)

Clomid, or Clomiphene, is another medication frequently utilized in PCT. It works similarly to Nolvadex by blocking estrogen receptors, stimulating the release of follicle-stimulating hormone (FSH) and luteinizing hormone (LH). This, in turn, promotes the recovery of testosterone production and aids in maintaining gains achieved during the steroid cycle.

HCG (Human Chorionic Gonadotropin)

Human Chorionic Gonadotropin (HCG) is occasionally included in PCT protocols. HCG mimics the action of luteinizing hormone (LH) in the body, stimulating the testes to produce testosterone. By incorporating HCG during PCT, bodybuilders aim to prevent testicular atrophy and aid in the restoration of natural testosterone production.

Post Cycle Therapy protocols can vary depending on the specific steroid cycle and individual needs. It is crucial for bodybuilders to consult with knowledgeable healthcare professionals to develop an appropriate and personalized PCT plan. PCT plays a vital role in helping bodybuilders transition off a steroid cycle while minimising potential losses and supporting overall health and well-being.

The Dark Side: Dangers of Anabolic Steroids and PEDs

The use of anabolic steroids and PEDs in bodybuilding carries significant risks and potential dangers. While the desire for improved performance and physical appearance may be strong, it is crucial to understand the potential consequences associated with these substances.

Adverse Health Effects

  1. Hormonal imbalances: Anabolic steroids disrupt the body’s natural hormone production, leading to imbalances that can have wide-ranging effects on various bodily systems. This includes suppression of endogenous testosterone production, which can result in testicular atrophy, reduced fertility, and diminished libido.
  2. Cardiovascular complications: Prolonged use of anabolic steroids may increase the risk of cardiovascular problems such as high blood pressure, elevated cholesterol levels, and an increased likelihood of heart disease and stroke. These substances can negatively impact lipid profiles, promote the development of atherosclerosis, and induce adverse changes in cardiac structure and function.
  3. Liver damage: Certain oral anabolic steroids can impose a significant strain on the liver, potentially causing liver damage or dysfunction. This can manifest as hepatotoxicity, jaundice, liver tumours, and even life-threatening conditions such as liver failure.
  4. Psychological and behavioural changes: Anabolic steroid use has been linked to mood swings, aggression, irritability, and increased risk of developing psychological disorders such as depression and anxiety. Some individuals may experience “roid rage,” a term used to describe heightened aggression and volatile behaviour associated with steroid use.

Injection-related Complications

  1. Infection and abscesses: Injecting anabolic steroids improperly or using unsterile equipment can lead to infections at the injection site. This may result in the formation of abscesses, which are localised collections of pus. In severe cases, these abscesses may require medical intervention, including surgical drainage.
  2. Scarring and tissue damage: Repeated injections can cause scarring and damage to the underlying tissues, leading to cosmetic concerns and potential long-term complications.

It is crucial to note that the list above is not exhaustive, and the use of anabolic steroids and PEDs may carry additional risks not mentioned here. These substances should only be used under the guidance and supervision of qualified medical professionals when necessary, such as for therapeutic purposes.

Alternatives to Anabolic Steroids and PEDs

In the pursuit of enhanced physical performance and bodybuilding goals, it is crucial to consider natural alternatives to anabolic steroids and PEDs. These alternatives focus on sustainable and healthy methods that promote overall well-being. By incorporating proper nutrition, specific training techniques, and supplementation, individuals can achieve notable results without resorting to the use of performance-enhancing substances.

Proper Nutrition for Natural Bodybuilding

Proper nutrition forms the foundation of natural bodybuilding. A balanced and nutrient-rich diet provides the necessary building blocks for muscle growth, recovery, and overall health. Key elements of a natural bodybuilding diet include:

  • Sufficient protein intake: Protein is essential for muscle repair and growth. Incorporating quality protein sources such as lean meats, poultry, fish, eggs, dairy products, and plant-based proteins is vital.
  • Balanced macronutrient ratios: Adequate carbohydrates and healthy fats should be included in the diet to provide energy for workouts and support overall health.
  • Nutrient timing: Properly timing meals and snacks around training sessions can optimize nutrient utilization and promote muscle recovery. Pre- and post-workout nutrition plays a crucial role in providing the body with essential nutrients for optimal performance and recovery.

Supplementation in Natural Bodybuilding

Supplements can play a supportive role in natural bodybuilding, providing additional nutrients and aiding performance and recovery. Some commonly used supplements include:

  • Protein powder: Protein supplements such as whey protein, casein protein, or plant-based protein powders can help individuals meet their protein requirements and support muscle repair and growth.
  • Mass gainers: Mass gainer supplements provide a convenient way to increase calorie intake and support muscle growth in individuals who struggle to consume enough calories through food alone.
  • Post-workout supplements: Post-workout supplements typically contain a combination of protein, carbohydrates, and other nutrients to support muscle recovery and replenish glycogen stores.
  • Fat burners: Natural fat burners, often containing ingredients like green tea extract, caffeine, or capsaicin, can help boost metabolism and support fat loss when combined with a proper diet and exercise.
  • Caffeine and other supplements: Creatine, caffeine, branched-chain amino acids (BCAAs), and other supplements may offer additional benefits for energy, performance, and muscle recovery.

In conclusion, embracing natural bodybuilding methods through proper nutrition, targeted training techniques, and selective supplementation can yield significant results while prioritising long-term health and well-being. By utilising these alternatives, individuals can achieve their fitness goals without resorting to the potential risks associated with anabolic steroids and PEDs.

Warning! Articles related to the use of illegal performance enhancing drugs are for information purposes only and are the sole expressions of the individual authors opinion. We do not promote the use of these substances and the information contained within this publication is not intended to persuade or encourage the use or possession of illegal substances. These substances should be used only under the advice and supervision of a qualified, licensed physician.
Photo of author

Team MT

Team MT is the editorial team of MuscleTalk. With over 20 years experience we write quality, evidence based, articles. In addition to creating original content, we also edit and fact-check any articles we feature by external writers.

As an Amazon Associate we earn from qualifying purchases.