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Re:Why can't we just give steroids to people with muscular d... by matheusmoreira on Wednesday August 25, 2021 @11:53PM (#28310464)
Anabolic steroids must be administered very carefully because they are part of a neuroendocrine feedback system.

https://en.wikipedia.org/wiki/Hypothalamic%E2%80%93pituitary...

The hypothalamus releases GnRH which tells the hypophysis to stimulate the testicles. The hypophysis releases LH which tells the testicles to release testosterone.

If there's too much testosterone, the GnRH release of the hypothalamus is inhibited. If there's too little, it is stimulated. Through this mechanism, testosterone levels are regulated.

Introducing exogenous testosterone can seriously screw with this system. The extra testosterone causes negative feedback on GnRH and LH, decreasing or stopping natural testosterone production: hypogonadism.

Physical therapy does not have these risks and is effective at recovering functionality. Perhaps a specialist would use anabolic steroids in case physical therapy alone isn't enough.

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