One of the side effects of steroid use is organ hypertrophy, but honestly, why is that bad? Like, wouldn’t a heart hypertrophy mean your body can circulate more blood with each beat? Why is that necessary bad?
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There’s different reasons for different organs, but a lot of it is that the increased size isn’t from increased functional parts, but from fat infiltration etc.
So you’ve got a car, and its now been enlarged. But its been enlarged by an idiot, who just used whatever he had lying around – its extended with wood and bricks and random bits of welded metal. Sure its bigger, but its not going to work as well.
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