eli5: Why is organ hypertrophy bad?

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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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Organ hypertrophy means that an organ, like the heart, gets bigger. Sometimes, when the heart gets bigger from exercise, it can pump more blood and be good for you. But when the heart gets bigger from taking medicine like steroids, it can make the heart not work as well and make you sick. So it’s not always good for an organ to get bigger.

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