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Unfortunately, the information on the use of high dose anabolic steroids in humans are mainly supplied as case reports or small studies that lack adequate control groups. In addition, the info obtainable within the literature doesn't account for the steroid type or dose, as neither may be identified. Patients also could additionally be taking concomitant stimulants, corresponding to ephedra, which may confound knowledge and the potential for opposed occasions. It is likely that the frequency of cardiac events is underreported within the medical literature.

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