Wouldn't dying in your 30s or 40s allow you to avoid the elderly years when you rack up the most health care expenses?

If you killed yourself at 10 you could avoid the difficult teenage years too.

It also cuts off productive working years.

I find it... interesting.. that when cis women take steroids, that's birth control or a treatment for menopause, when trans people of both genders take it, it's a necessary part of gender affirmation treatment, but when cis men take them, it's abuse and illegal.

It's not surprising that there are bad outcomes without medical guidance and best practices. I, for one, fully intend to start supplementing male hormones the day I turn 50.

I don't think the stigma surrounding this is helping anyone.

that some people need to take certain kinds of steroids to be healthy doesn't mean you don't get to talk about people taking 100x->1000x the normal dose of anabolic steroids to get huge muscles being a bad idea.

if you can't separate the stigma of that kind of abuse from the use of normal human doses of different compounds then maybe earth is too complex a place for you to live.

I've never heard anyone taking 100x, testosterone replacement is 100mg/week and guys in gym take anywhere from 150-600mg/week.

Thank you for the clear demonstration of the stigma I was referring to.

How do "few people die from it" and "most abusers die [...] young, 30s or 40s" fit together?

A few people die from it, and most of them die young. Facts presented after a preposition should generally be read within the context of the preposition, not as independent phrases.

If only a few people, like three out of twenty million die from it, then their age doesn't matter.