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There are different types of steroids. Testosterone is one type of steroid that’s medically indicated for hormone replacement. Taking steroids for asthma is what’s called a glucocorticoid, works in different ways. There are other steroids as well.
They come with side effects though. If you take glucocorticoids for a long time it dampens your immune system, weakens your bones etc. but it does have medical benefit for autoimmune conditions like asthma and other conditions. Ideally no one would ever take steroids because of their side effects, but they have medical indications.
Testosterone is the same, sure it has side effects but it also means that someone gets to live in and experience their preferred gender and that is that is the trade off.
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