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Patricia Salvato from Houston has found that common injectable steroids have not caused this kind of liver burden in over 200 of her patients using anabolic steroidsin the last five years.

It may just be coincidence. And the issue may be overstated or misunderstood, but people don’t necessarily need their bodies going through the full, 24 hours every day of testosterone, according to Dr. John J. Bischoff, a consultant in cardiology and hepatology at Columbia University Medical Center.

“We don’t get the full 24-7 activity of their hormone because we don’t have enough receptors on their cells.”

It’s not unusual for a person with a liver condition to feel a lack of activity of anabolic steroids because there is so little testosterone to work with, and it can be more likely that a liver condition is to blame for liver problems, Bischoff says.

Liver disease also tends to increase the severity of hormone-related conditions such as diabetes and hypothyroidism. If this isn’t a problem, you might not notice it. For instance, in the study, only one-third of cases of the liver damage were the result of a lack of testosterone.

“Liver tissue is very sensitive to these drugs,” says Peter J. Cramer, a clinical professor of medicine at the University of Minnesota and co-director of the division of cardiology, hepatology and liver transplantation at the University of Pittsburgh’s Hospital. “If there is even a slight loss of activity in the liver and it is severe enough that it interferes with blood pressure management, I would expect this to be significant.”

It could be a complication, although one that doctors have trouble pinpointing. But if you get a liver transplant, and you take steroids at low dose and for several years, you might notice the effects.

“A liver transplant might result in a more severe state,” he says. And in some cases, because patients usually don’t have a history of liver problems, it’s possible that the liver disease is a result of the steroids.

Other problems with the steroids, depending on what kind and dosages and how long you take them, can include liver and kidney stones. But, as with any medical condition, the problem could include a lack of testosterone, or just not being on testosterone as much. It’s important if you have a family history of the liver problem, or have ever been given this type IV, to get some kind of test.

This study is one of the first studies to use IV doses to see whether testosterone causes liver problems. It’s not clear if some people benefit

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