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Some AAS are associated with significant liver and kidney damage. Athletes who are using AAS should be advised to exercise caution when using medical devices that expose them to sharp objects or when they are ill. Unhealthy diet with insufficient nutrients may be an issue for some users. We encourage all our patients to consume a balanced diet that is rich in vitamins and minerals. Routinely, the intake of dietary supplements should be discussed. A diet that is rich in vitamins and minerals and a regular intake of dietary supplements may improve performance and health. We recommend our patients to consult a health care professional when contemplating further use of anabolic steroids. Additionally, the use of anabolic steroids should be carefully monitored by a certified trainer or sports nutritionist.
Guidelines for the treatment of AAS users with hepatotoxicity have been published (10). In brief, temporary discontinuation is recommended, while long-term use of anabolic steroids is not recommended. AAS should be discontinued immediately in the presence of liver damage and urgent evaluation and treatment should be pursued to determine the cause. If pre-AAS hepatotoxicity is suspected, liver testing is warranted immediately.
The possibility of using AAS should be discussed with the patient, providing sufficient information about potential risks and benefits. With the exception of clinical signs of severe health problems (e.g., cardiovascular disease, liver or kidney damage), risk of serious adverse effects of AAS is low if the use is done in a sensible manner. However, the probability of experiencing adverse effects is usually higher in professional users, who may consume more androgen than is required to restore physiological function. The risk of developing serious adverse effects is higher with longer use and higher doses. Anabolic steroids should be considered as a last resort and should not be used in any other conditions than that of hypogonadism. AAS should not be used by women, children, adolescents and pregnant women.
So, when we decided to create this series, we wanted to take this message of redemption to the West. The Muslim world is diverse. There are all sorts of Muslims. There are those who are moderate and those who can be extremely uncompromising. This is the story of an uncompromising moderate who was brought up in the hell of the 1920s, but who slowly starts to become a better person. He tries to turn his life around. It is a story of redemption. 827ec27edc