Anabolic-androgenic steroids (AAS) have been a topic of considerable concern to both the sporting and medical communities. Pursuant to this problem, extensive literature has been devoted to AAS and the potential physical problems associated with using and abusing. Most literature only addresses the use of pharmaceutical-grade steroids regardless of the overwhelming prevalence of counterfeit steroids world-wide. When comparing resources pertaining to counterfeit steroids, numerous inconsistencies and information gaps become apparent; what constitutes a counterfeit steroid, how much of the steroid supply is counterfeit, and the potential physical risks of using these drugs. For those who academically or persuasively address steroid use and abuse, the risks of counterfeit steroids are rarely addressed. Scientific information on counterfeit steroids is not abundant, however recent strides have been made with respect to understanding the nature by which these drugs are counterfeit as well as what percentage of the available supply is counterfeit. Copious amounts of information can be found in legal, governmental, lay-literature, and on numerous websites. It is the purpose of this article to discern what constitutes a counterfeit steroid, how much of the supply is counterfeit, and the potential risks from counterfeit steroids.
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