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Using them at the same time means putting extra strain on the liver, increasing the risk of damage. Aim to examine, by hiv status, the use of anabolic steroids among london gay men and their effect on physical and mental health. Design cross‐sectional survey using self‐administered questionnaire. Setting six gyms in central london. Participants 772 gay men using the gyms in january–february 2000. Dianabol, or d-bol, is another popular anabolic steroid used by bodybuilders worldwide. It is popular because it provides noticeable results in a short space of time. It is highly anabolic which helps it to promote a positive nitrogen balance in the muscles, thereby assisting with post-workout recovery in the form of protein synthesis. One review found 19 deaths in published case reports related to anabolic steroid use between 1990 and 2012; however, many steroid users also used other drugs, making it difficult to show that the anabolic steroid use caused these deaths. 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