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Human chorionic gonadotropin (hCG) is frequently used to start or maintain spermatogenesis and endogenous testosterone production. It is advisable to visit a physician periodically during each cycle to monitor liver function and overall health. Anabolic steroids come with serious physical side effects as well.

Although beyond the scope of this review, the adverse effects of AAS extend far beyond the reproductive system. Initiation of AAS Use Maycock and Howat (2005) describe the self-reported barriers as well as how AAS users overcome these barriers before initiating steroid use.

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