The steroids doctors most frequently prescribe are glucocorticoids, which mimic cortisol, a stress hormone. They’ll reduce inflammation and suppress the immune system in the short term, but long term use can lead to loss of muscle, loss of bone density, weird fat distribution, higher blood sugar and other negative effects. Illegal steroids are generally androgens, which mimic testosterone, and lead to increased muscle mass, bone density, decreased fat mass. Long term use of high doses of these can cause cardiovascular problems, etc
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