how do steroids work?

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I know bodybuilders use it to look/be bigger/stronger, but how does it actually achieve that goal?

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### How Steroids Build Muscle in the Body Alongside Weight Training

#### Introduction to Steroids
Anabolic steroids are synthetic variations of the male sex hormone testosterone. They have both anabolic (muscle-building) and androgenic (male characteristic-enhancing) properties. When athletes or bodybuilders use these steroids, they aim to increase muscle mass, strength, and improve athletic performance.

#### Mechanism of Action
1. **Increased Protein Synthesis**: Steroids significantly enhance the body’s ability to produce proteins, which are the building blocks of muscle. When you exercise, especially with weight training, you create small tears in muscle fibers. The body repairs these fibers by fusing them, which increases the muscle mass. Steroids speed up this repair process and increase the size of muscle fibers by increasing protein synthesis.

2. **Reduced Muscle Breakdown**: Normally, muscles break down during intense exercise and from everyday metabolic activities. Steroids help to reduce the rate of muscle protein breakdown, so the net gain in muscle mass is greater.

3. **Enhanced Recovery**: Steroids also reduce the recovery time after workouts. This means athletes can train harder and more frequently without overtraining, leading to quicker and more substantial gains in muscle mass and strength.

4. **Increased Red Blood Cell Production**: Steroids stimulate the production of red blood cells, which enhances the oxygen-carrying capacity of the blood. More oxygen in the muscles means improved endurance and better performance during workouts.

5. **Enhanced Nutrient Utilization**: Steroids improve the efficiency of nutrient utilization in the body. This means the body can more effectively use the proteins, fats, and carbohydrates consumed, which contributes to muscle growth and energy levels.

#### Factors Influencing Effectiveness
1. **Training Intensity and Consistency**: Steroids alone do not build muscle. Intense and consistent weight training is crucial. The mechanical stress from lifting weights is what signals muscles to grow, and steroids amplify the body’s response to this stress.

2. **Diet and Nutrition**: Adequate protein intake is essential for muscle growth. Without sufficient dietary protein, the body does not have the raw materials needed for muscle repair and growth. A balanced diet that supports overall health and muscle growth is vital.

3. **Genetics**: Individuals respond differently to steroids based on their genetic makeup. Some may experience significant muscle gains, while others may see more modest improvements.

4. **Steroid Cycle and Dosage**: The type, dosage, and cycle length of steroid use can affect results. Different steroids have different potencies and side effects, and using them improperly can lead to health risks.

#### Health Risks and Side Effects
While steroids can enhance muscle growth and performance, they come with significant health risks and side effects, including:

– **Cardiovascular Problems**: Increased risk of heart disease, hypertension, and stroke.
– **Liver Damage**: Oral steroids, in particular, can be toxic to the liver.
– **Hormonal Imbalances**: Suppression of natural testosterone production, leading to testicular shrinkage and infertility.
– **Psychiatric Effects**: Mood swings, aggression, and depression.
– **Other Effects**: Acne, hair loss, and gynecomastia (breast tissue development in men).

### ELI5 TLDR
Steroids help build muscle by boosting the body’s ability to make proteins and repair muscle damage faster after workouts. They also help muscles recover quicker and reduce muscle breakdown. But, you still need to lift weights and eat plenty of protein for them to work, and they can have serious health risks.

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