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A meticulous review of the most up-to-date literature on anabolic-androgenic steroids. The in-depth analysis and knowledge presented far exceeds expectations.

Dr. Saif Tahhan

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Anabolic-androgenic steroids (AAS) form a sensitive and controversial subject on which objective, correct, and clearly presented information is scarce. Book on Steroids fills this gap, offering the reader a wealth of evidence-based information. The book leads with an extensive discussion on how well AAS work. This discussion covers high-quality research employing dosages of testosterone similar to those seen in the trenches. Further background information is provided by examining differences between androgens and estrogens, and between injectable and oral anabolic steroids. Common topics related to the practice of ‘cycling’ AAS are explored in-depth, and a chapter spanning nearly 20 pages covers what the scientific literature has to say about the generalized practice of post-cycle therapy (PCT) among AAS users. Nearly 100 pages are allotted to reviewing the most common (supposed) side effects and their potential treatment, while another chapter is dedicated to examining the use of AAS by women. Finally, an extensive chapter about diuretics expounds on how the body regulates fluid distribution and how diuretics tie into this. The information in this book is supported by more than 500 references to the scientific literature, which turn this book into an equally excellent reference work.

The chapter on side effects covers the following:

  • Acne vulgaris
  • Gynecomastia
  • Erectile dysfunction
  • Prostate growth
  • Structural and functional cardiac changes
  • Nephrotoxicity
  • Hepatotoxicity
  • Worsening of serum lipids
  • Elevated blood pressure (hypertension)
  • Elevated hematocrit (polycythemia/erythrocytosis)
  • Male-pattern baldness (androgenetic alopecia)
  • Low/undetectable sperm count (oligo-/azoospermia)

A special chapter dedicated to AAS usage in women covers:

  • What does a cycle look like for women?
  • Hormonal contraception
  • Androgenic (manly) side effects
    • Deepening of the voice (dysphonia)
    • Excessive body hair (hirsutism)
    • Enlargement of the clitorus (clitoromegaly)

Finally, a chapter about diuretics is added to the book, as these are also commonly used by AAS-using athletes and have the potential to be quite dangerous. In this chapter you will get to know about fluid distribution and changes in the body. Subsequently, the kidneys, which play a pivotal role in how diuretics work, are extensively covered. And finally, three types of diuretics are discussed, namely: thiazide(-like) diuretics, loop diuretics and potassium-sparing diuretics.

The information in this 224 pages book is supported by over 500 inline references to the literature and is up to date as of 2020.

Selected review

This book is not just a source of quality information but also a good way to learn more about how the human body works. From a medical student point of view, I can say that the information from Peter's book is absolutely essential for a good understanding of AAS, what adverse reactions might occur and how to treat them. As there isn't much evidence based data in this field, this book is a great method to learn more. The plain language used in a fun way intertwines with useful graphics and figures in order for a regular reader to understand everything. I appreciate the way Peter wrote this book and it's an honor for me to review his work. Although AAS use is becoming more popular among regular 'gym goers', I will always advocate not to use them but in a given scenario where an user presents with AAS side effects, as a future healthcare practitioner I feel I have the obligation to treat him and restore his wellbeing. In order to do that I need quality, evidence-based information, just like this book.

Vlad Rădulescu Medical student at "Carol Davila" University of Medicine and Pharmacy, Romania
Team member Evidence-Based Training (@ebtofficial)
Cofounder at Fittest.ro

Specifications

  • ISBN 978-90-824123-2-1 (paperback), ISBN 978-90-824123-3-8 (PDF), ISBN 978-90-824123-4-5 (Epub)
  • Pages: 224
  • Dimensions: 13.4x240x170 mm
  • Published: August 2020