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D., a physician who has treated more than a thousand current and former steroid users, and consulted with doctors around the world on many more. (You can calculate yours here.) He came up with it after years of studying steroid users in Boston-area gyms and comparing them not just to non-steroid users in the same gyms, but also to bodybuilders from different eras.

For a 1995 study, Pope and his coauthors estimated the FFMIs of Mr. His upper body was later the model for George of the Jungle, a 1960s cartoon character.) Even today, with all we’ve learned about training and nutrition, an FFMI in the mid 20s is still considered the ceiling for natural bodybuilders. Related: 5 Bodybuilding Techniques That Have Stood the Test of Time So that’s the easiest call: If you see someone who’s extremely lean but substantially bigger than pre-steroid-era bodybuilding champions, he’s probably using drugs those guys didn’t have.

Because the body has stopped producing sperm, former steroid users are often sterile for months after they quit, and often years.

Sometimes, Scally says, that’s a tipoff for a doctor or close friend that someone has used steroids: he and his wife are trying to start a family but unable to conceive, especially if he’s shooting blanks from shrunken testicles, or if he also has gynecomastia and/or post-teenage acne.

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That applies to his clients as well, many of whom are middle-aged guys whose doctors prescribe hormone-replacement therapy (HRT). “It’s not usually the guy you would suspect who’s on HRT.” The supplemental testosterone they receive isn’t enough to change their physiques in noticeable ways.

I didn’t think anything of it, until I looked over and realized the deep-voiced person was actually Heather Tristany, a competitive bodybuilder.

(And later a porn star, as I unfortunately discovered when I Googled her name.)Related: Get Health, Fitness, and Nutrition Tips Delivered to Your Inbox Every Day with the Daily Dose Newsletter The drugs that thickened Heather’s vocal cords, giving her not only a manly voice but also impressive muscles and a chiseled jaw, are technically known as AAS, for anabolic-androgenic steroids.

But it does give them more energy for their workouts and quicker recovery.

That, combined with a better mood and a higher sex drive, are all his clients want or feel they need from the drugs.“Most are just looking for a way to feel good, not necessarily to get jacked,” Benda says.

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