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Performance enhancing drugs refer to substances that are taken to perform better athletically. The use of performance enhancement ‘substances’ for sports dates back to the ancient Greeks and the ancient Mayas. While the Greeks used performance potions to increase their abilities, the Mayas used cocoa leaves to increase their abilities. In today’s times, athletes go to many lengths to increase their athletic abilities by using anabolic steroids, amphetamines, animal or human organs, Erythropoietin (EPO), human growth hormone, creatine, and steroid precursors. Anabolic steroids: These synthetic versions of the male primary sex hormone, testosterone, are used by bodybuilders and are even popular among regular gym rats to build muscle and increase strength. These drugs have the ability to increase muscle size, function, and mass as it mimics effects of testosterone in the body. The use of anabolic androgenic steroids (AAS) is associated with dramatic and nearly permanent increase in the level of endogenous testosterone production and protein synthesis, resulting in increased lean body mass and strength during training. Overdosing or abuse of anabolic androgenic steroids can lead to acne, hair loss, increased risk of heart disease, kidney and liver dysfunction, hypertension, and impotence. Steroid Use: The use of steroids can be noticed by some signs and symptoms, including increased acne, greater development of the upper body, changes in body build with noticeable muscle growth, rapid weight gain, behavioral, emotional, or psychological changes, increased body and facial hair in girls, enlarged breasts in boys, and smaller breast size in girls. Size is the key, the more steroids used, the bigger and leaner you get. 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